寶鑑Bogam

Formulas · Dispel Wind 祛風 · Gogeum Uigam (古今醫鑑)

Expel Wind Decoction, Added and Subtracted

Gagam-baepung-tang

한글 가감배풍탕  ·  Pinyin Jia Jian Pai Feng Tang

加減排風湯

Composition 構成

Total 42 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Indications 主治

Pattern-based

  • Wind striking the viscera with phlegm and damp
  • Wind stroke of any viscus

Biomedical correlates

  • Stroke
  • Hemiplegia

Source text 原文

Donguibogam 東醫寶鑑

治同上, 通治五藏風. 天麻 二錢, 蒼朮 一錢, 防風ㆍ川芎ㆍ羌活ㆍ獨活 各八分, 麻黃 七分, 白鮮皮ㆍ當歸ㆍ白芍藥ㆍ白朮ㆍ半夏ㆍ赤茯苓ㆍ黃芩ㆍ杏仁ㆍ甘草 各四分. 右剉, 作一貼, 入薑 三片, 水煎服. 《醫鑑》

Translation

Treats the same as above, and treats the wind of all five viscera generally. Gastrodia, 2 don; atractylodes, 1 don; saposhnikovia, chuanxiong, notopterygium and pubescent angelica, 8 fun each; ephedra, 7 fun; dictamnus bark, tangkuei, white peony, white atractylodes, pinellia, red poria, scutellaria, apricot kernel and licorice, 4 fun each. Cut up, make one packet, add three slices of ginger and decoct in water. — Gogeum Uigam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

The Uigam's version puts gastrodia at the head in double the dose of anything else and drops the cassia and aconite altogether. Gastrodia is the tradition's drug for internal wind — tremor, spasm, dizziness — rather than for wind from outside, so the substitution quietly shifts the whole diagnosis: the Gukbang treated a stroke as wind invading, and the Uigam treats it as wind stirring within. That shift is the single most important development in the wind literature between the Song and the Ming, and it can be read here in one ingredient. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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