Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Modified White Tiger Decoction

Gagambaekho-tang

한글 가감백호탕 · Pinyin Jia Jian Bai Hu Tang

加減白虎湯

Cut and made into one packet with 100 grains of polished rice, decocted in water and taken. Note on modern practice: diabetes requires medical diagnosis and management; this entry is recorded for textual and historical interest.

Composition 構成

Seokgo Shi Gao
石膏 석고 · Gypsum

10 g
Chief 君
Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Deputy 臣
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

2.8 g
Assistant 佐
Hyeonsam Xuan Shen
玄參 현삼 · Scrophularia

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

2 g
Assistant 佐 10 grains
Gaengmi Jing Mi
粳米 갱미 · Non-glutinous Rice

20 g
Envoy 使 100 grains
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 45.6 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

Cools the blazing heat of a wasting-thirst patient who can still eat
Holds the fluids that the heat is spending

Indications 主治

Pattern-based

Wasting-thirst in one who eats well and yet thirsts (能食而渴)
Upper and middle wasting with strong appetite
Heat pattern with thirst and hunger together

Biomedical correlates

Diabetes with polyphagia and polydipsia — historical management
Hyperglycemic states with strong appetite
Heat-pattern metabolic presentations

Source text 原文

Donguibogam 東醫寶鑑

石膏二錢半, 知母一錢, 人參ㆍ黃柏各七分, 玄參ㆍ甘草各五分, 五味子十粒. 右剉, 作一貼, 入粳米百粒, 水煎服. 《醫鑑》

Translation

Gypsum 2.5 don; anemarrhena 1 don; ginseng and phellodendron, 7 fun each; scrophularia and licorice, 5 fun each; schisandra 10 grains. Cut the above, make one packet, add 100 grains of polished rice, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Sogal)

Clinical commentary 臨床

White Tiger rebuilt for the wasting-thirst patient who is still eating well — the sign Dongyuan used to divide the disease at its late stage. Gypsum and anemarrhena take down the blaze; ginseng, scrophularia, and schisandra hold what the blaze is spending; and the hundred grains of rice in the pot protect a stomach about to receive a great deal of cold medicine. Phellodendron is the addition that marks it as a wasting-thirst formula rather than a fever one. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.