Formulas · Dispel Wind-Damp 祛風濕 · Uihak Immun (醫學入門)

Modified Tiger Bone Powder

Gagam-hogol-san

한글 가감호골산  ·  Pinyin Jia Jian Hu Gu San

加減虎骨散

虎脛骨, the shin bone specifically, was held to be the most potent part. Its trade is prohibited.

Composition 構成

Total 140 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

Indications 主治

Pattern-based

  • Wind toxin in the bones with unremitting pain
  • Bone pain with blood stasis

Biomedical correlates

  • Severe inflammatory arthritis
  • Refractory bone pain

Source text 原文

Donguibogam 東醫寶鑑

治白虎歷節痛, 晝夜不止. 虎脛骨 三兩, 沒藥 五錢. 右爲末, 每二錢, 溫酒調下. 《入門》

Translation

Treats white tiger joint-running pain that does not stop day or night. Tiger shin bone, 3 nyang; myrrh, 5 don. Powder; 2 don each time, taken stirred into warm wine. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

**This must not be prepared.** Tiger bone is prohibited. The entry's interest is that it is Hogol-san reduced to its two supposed essentials, for the worst case the section describes — pain that does not stop day or night. When a formulary strips a twelve-drug prescription to two and raises the chief drug's dose by half, it is telling you which ingredient the compiler believed in. Ox or dog bone is the usual modern substitution and myrrh is the only part of this formula that has any demonstrable action. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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