寶鑑Bogam

Formulas · Tonify Blood 補血 · Manbyeong Hoechun (萬病回春)

Modified Moisten Dryness Decoction

Gagam-yunjo-tang

한글 가감윤조탕  ·  Pinyin Jia Jian Run Zao Tang

加減潤燥湯

Every drug but four carries its own processing instruction, which is characteristic of the Hoechun. 死血 — dead blood — is the Hoechun's term for static blood of long standing.

Composition 構成

Total 70 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

  • Blood vacuity with static blood and left-sided paralysis
  • Blood vacuity with wind phlegm

Biomedical correlates

  • Left hemiplegia after stroke
  • Post-stroke spasticity

Source text 原文

Donguibogam 東醫寶鑑

治左半身不遂, 屬血虛與死血. 白芍藥(酒炒) 二錢, 當歸 一錢二分, 川芎ㆍ白茯苓ㆍ白朮ㆍ南星ㆍ半夏ㆍ天麻 各一錢, 生地黃(酒炒)ㆍ熟地黃(薑汁炒)ㆍ陳皮(鹽水洗)ㆍ牛膝(酒洗)ㆍ黃芩(酒炒)ㆍ酸棗仁(炒) 各八分, 桃仁ㆍ羌活ㆍ防風ㆍ薄桂 各六分, 紅花(酒洗)ㆍ甘草(灸) 各四分, 黃栢(酒炒) 三分. 右剉, 作二貼, 水煎, 入竹瀝ㆍ薑汁 調服. 《回春》 ○一名愈風潤燥湯. 《醫鑑》

Translation

Treats paralysis of the left half of the body, which belongs to blood vacuity and dead blood. Wine-fried white peony, 2 don; tangkuei, 1 don 2 fun; chuanxiong, poria, atractylodes, arisaema, pinellia and gastrodia, 1 don each; wine-fried raw rehmannia, cooked rehmannia fried with ginger juice, tangerine peel washed in salt water, wine-washed achyranthes, wine-fried scutellaria and stir-fried ziziphus seed, 8 fun each; peach kernel, notopterygium, saposhnikovia and thin cassia, 6 fun each; wine-washed safflower and honey-roasted licorice, 4 fun each; wine-fried phellodendron, 3 fun. Cut up, make two packets, decoct in water, and take stirred with bamboo sap and ginger juice. Also called Yupung-yunjo-tang. — Manbyeong Hoechun 回春 · Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

The first half of a matched pair with Geopung-jeseup-tang, and the pairing is the chapter's most quoted piece of reasoning: the left side belongs to blood, the right side to qi. Left-sided paralysis is therefore blood vacuity with dead blood, and the formula is the four-substance decoction enlarged with peach kernel and safflower to move the stasis, phlegm drugs for the wind, and achyranthes to lead it all down into the legs. The lateralization is anatomically wrong — hemiplegia follows the lesion, not the blood — but the clinical instinct underneath it, that a wasted flaccid limb needs nourishing and a heavy congested one needs moving, is sound. Twenty-one drugs with twenty processing instructions is also a fair portrait of late Ming pharmacy. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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