Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Open the Heart Powder

Gaehoe-san

한글 개회산 · Pinyin Kai Huai San

開懷散

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Chief 君
Chodugu Cao Dou Kou
草豆蔲 초두구 · Katsumada Galangal Seed

4 g
Deputy 臣草豆蔲
Samneung San Leng
三稜 삼릉 · Sparganium

2.8 g
Deputy 臣 vinegar-fried (醋炒)
Bongchul E Zhu
莪朮 봉출 · Zedoary

2.8 g
Deputy 臣 vinegar-fried (醋炒)
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

2.8 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.8 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

2.8 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

2.8 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

2.8 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

2.8 g
Assistant 佐
Honghwa Hong Hua
紅花 홍화 · Safflower

2.8 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

Total 44.8 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Disperses accumulation lumps below the heart
Frees glomus oppression and clears heat

Indications 主治

Pattern-based

Accumulation lumps below the heart with glomus oppression
Sometimes with fever

Biomedical correlates

Epigastric mass with fullness
Functional dyspepsia with low-grade fever

Source text 原文

Donguibogam 東醫寶鑑

治心下積塊, 痞悶或發熱. 柴胡ㆍ草豆蔲各一錢, 三稜ㆍ蓬朮(幷醋炒)ㆍ靑皮ㆍ陳皮ㆍ半夏ㆍ白茯苓ㆍ香附子ㆍ檳榔ㆍ枳實ㆍ紅花ㆍ甘草各七分. 右剉, 作一貼, 薑三, 煎服. 《醫鑑》

Translation

Treats accumulation lumps below the heart, with glomus oppression and sometimes fever. Bupleurum and tsaoko cardamom 1 don each; sparganium and curcuma (both vinegar-fried), green tangerine peel, tangerine peel, pinellia, white poria, cyperus, areca, bitter orange fruit, safflower and licorice 7 pun each. Cut up, make one packet, add 3 slices of ginger, decoct and take. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Bupleurum and tsaoko cardamom together at the head is an unusual pair — one cool and coursing, one warm and aromatic — and it answers a lump that sits below the heart with both fullness and heat. Safflower is the single blood medicinal, present in a small dose because a lump at this site is more often qi and food than blood. The name is worth keeping literal: to open the heart, in the sense of the region rather than the affections. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.