Formulas · Warm the Interior 溫裏 · Bogam (寶鑑)

Modified White Through-Flow Decoction

Gagam-baektong-tang

한글 가감백통탕 · Pinyin Jia Jian Bai Tong Tang

加減白通湯

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

8 g
Chief 君

blast-fried · toxic
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Chief 君

blast-fried
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

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

4 g
Deputy 臣

ash-roasted
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices
Chongbaek Cong Bai
蔥白 총백 · Scallion White

—
Envoy 使

five stalks

Total 36 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients measured by count or used as a vehicle, shown as —.

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

Warms deep-seated cold
Stops cold pain and diarrhoea
Restores warmth to the legs

Indications 主治

Pattern-based

Deep cold entrenched below with cold pain of the navel and abdomen
Spontaneous diarrhoea with the shins cold and reversal cold

Biomedical correlates

Chronic diarrhoea with peripheral vasoconstriction
Autonomic neuropathy with cold extremities

Source text 原文

Donguibogam 東醫寶鑑

治沉寒痼冷, 臍腹冷痛ㆍ大便自利ㆍ足脛寒而逆. 附子(炮) 二錢, 乾薑(炮)ㆍ肉桂ㆍ草豆蔲(煨)ㆍ半夏ㆍ人參ㆍ白朮ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 入薑五片, 葱白五莖, 水煎服. 仍灸氣海ㆍ三里穴. 《寶鑑》

Translation

Treats deep cold and entrenched chill, with cold pain of the navel and abdomen, spontaneous diarrhoea, and the shins cold with reversal cold. Blast-fried aconite, 2 don; blast-fried dried ginger, cinnamon bark, ash-roasted alpinia katsumadai, pinellia, ginseng, atractylodes and roasted licorice, 1 don each. Cut up, make one packet, add five slices of ginger and five stalks of scallion white, and decoct in water. Follow with moxibustion at Qihai CV-6 and Zusanli ST-36. — Bogam 寶鑑 (Donguibogam · Han, lower)

Clinical commentary 臨床

White Through-Flow Decoction built out into a full formula, and the moxibustion is part of the prescription rather than an afterthought — Qihai for the cold below the navel, Zusanli for the middle burner, which is exactly where the two halves of the formula are aimed. Aconite at double the rest leads; dried ginger and cinnamon bark behind it; alpinia katsumadai roasted in ashes for the cold pain. Ginseng, atractylodes and licorice hold the middle up while the warming drugs work. Five slices of ginger and five stalks of scallion is a generous envoy portion, there to push the warmth out to the cold shins. Aconite requires a properly processed product and a trained prescriber. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.