Formulas · Tonify Qi 補氣 · Gogeum Uigam (古今醫鑑)

Modified White Atractylodes Powder

Gagambaekchul-san

한글 가감백출산 · Pinyin Jia Jian Bai Zhu San

加減白朮散

Cut and made into one packet, decocted in water and taken. Note on modern practice: diabetes requires medical diagnosis and management.

Composition 構成

Galgeun Ge Gen
葛根 갈근 · Kudzu Root

8 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

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

4 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Deputy 臣
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Assistant 佐
Jimo Zhi Mu
知母 지모 · Anemarrhena

2 g
Assistant 佐
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

2 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

2 g
Assistant 佐 9 grains
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 30 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

Restores a stomach that thirst has outlasted appetite in
Engenders fluids by rebuilding the center rather than by cooling

Indications 主治

Pattern-based

Wasting-thirst in one who can neither eat nor drink well and yet thirsts (不飮食而渴)
Wasting-thirst with a failing appetite
The depleted end of the disease

Biomedical correlates

Diabetes with poor appetite and weight loss — historical management
Metabolic wasting with digestive weakness
Depleted-type presentations

Source text 原文

Donguibogam 東醫寶鑑

乾葛二錢, 人參ㆍ白朮ㆍ白茯苓各一錢, 木香ㆍ知母ㆍ黃柏ㆍ甘草各五分, 五味子九粒. 右剉, 作一貼, 水煎服. 《醫鑑》

Translation

Kudzu root 2 don; ginseng, white atractylodes, and white poria, 1 don each; aucklandia, anemarrhena, phellodendron, and licorice, 5 fun each; schisandra 9 grains. Cut the above, make one packet, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Sogal)

Clinical commentary 臨床

The other half of Zhang Jiegu's division: where the patient thirsts but can no longer eat, cooling alone would finish what the illness started. So kudzu root leads a Four Gentlemen frame, and the cold herbs are reduced to five fun apiece. The chapter's claim for this pair is worth noting — treat the upper and middle wasting properly and the disease will not descend into the lower. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.