Formulas · Transform Phlegm 化痰 · Manbyeong Hoechun (萬病回春)

Modified Guide Out Phlegm Decoction

Gagam-dodam-tang

한글 가감도담탕 · Pinyin Jia Jian Dao Tan Tang

加減導痰湯

A modification of 導痰湯, cross-referenced in the source to the Phlegm chapter; the heat-clearing additions are scutellaria, coptis and trichosanthes seed.

Composition 構成

Namseong Tian Nan Xing
天南星 천남성 · Arisaema

4 g
Chief 君

boiled with gleditsia
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Chief 君

boiled with gleditsia
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

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

4 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2 g
Deputy 臣
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

4 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

2 g
Assistant 佐
Gwaruin Gua Lou Ren
瓜蔞仁 과루인 · Trichosanthes Seed

2 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 41.2 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

Treats wind stroke with exuberant phlegm and loss of speech where there is heat
Clears phlegm heat and frees speech

Indications 主治

Pattern-based

Phlegm heat congesting with loss of speech
Wind phlegm with heat

Biomedical correlates

Aphasia after stroke
Phlegm obstruction with reduced consciousness

Source text 原文

Donguibogam 東醫寶鑑

治中風痰盛不能言語, 熱者宜服. 南星ㆍ半夏(以皂角ㆍ白礬ㆍ生薑同煎湯浸透, 炒乾)ㆍ白茯苓ㆍ陳皮ㆍ白朮ㆍ桔梗ㆍ枳殼各一錢, 黃芩ㆍ黃連ㆍ瓜蔞仁ㆍ人參ㆍ當歸ㆍ木香各五分, 甘草三分. 右剉, 作一貼, 入薑三片, 水煎, 入竹瀝ㆍ薑汁調服. 《回春》

Translation

Treats wind stroke with exuberant phlegm and inability to speak; appropriate where there is heat. Arisaema and pinellia — boiled together in a decoction of gleditsia pod, alum and fresh ginger, soaked through and dry-roasted — poria, tangerine peel, atractylodes, platycodon and bitter orange, 1 don each; scutellaria, coptis, trichosanthes seed, ginseng, tangkuei and costus, 5 fun each; licorice, 3 fun. Cut up, make one packet, add three slices of ginger, decoct in water, and take stirred with bamboo sap and ginger juice. — Manbyeong Hoechun 回春 (Donguibogam · Pung)

Clinical commentary 臨床

The heat version of the chapter's workhorse phlegm formula, and the indication says so in four characters: appropriate where there is heat. Onto the two-ancient-herbs-and-arisaema core go scutellaria, coptis and trichosanthes seed, and then ginseng and tangkuei so that a fortnight of bitter cold drugs does not empty the patient. The processing instruction for arisaema and pinellia is the same gleditsia-alum-ginger treatment the Jeonggam's Cheongsin-haeeo-tang specifies, and seeing it twice in one chapter suggests it was simply what a careful pharmacy did. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.