Formulas · Harmonize 和解 · Seui Deukhyobang (世醫得效方)

Modified Clear the Spleen Decoction

Gagamcheongbi-tang

한글 가감청비탕 · Pinyin Jia Jian Qing Pi Tang

加減淸脾湯

The leaf gives no drug list of its own: the body of the formula is the two named formulas, whose own entries carry the weights, and the only quantities set here are the ginger, jujube and the two twigs added to each packet. Those four are all that the ingredient list can honestly hold.

Composition 構成

Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

薑五, five slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

棗二, two jujubes
Dojicho Tao Zhi Shao
桃枝梢 도지초 · Peach Twig Tip

—
Envoy 使

桃枝三寸, a three-chon peach twig
Yujicho Liu Zhi Shao
柳枝梢 유지초 · Willow Twig Tip

—
Envoy 使

柳枝三寸, a three-chon willow twig

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 ingredients 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 the various malarias by weighting two formulas against each other
Shifts the dose toward warming or toward clearing as the cold or the heat predominates

Indications 主治

Pattern-based

The various malarias (諸瘧)
More cold and less heat
More heat and less cold
Cold and heat in even measure

Biomedical correlates

Relapsing febrile illness
Malaria

Source text 原文

Donguibogam 東醫寶鑑

治諸瘧. 卽小柴胡湯與人參養胃湯合和也. 寒多熱少, 多用養胃湯; 熱多寒少, 多用小柴胡湯<span class='sochu'>二方並見寒門</span>. 寒熱勻則平用. 每貼入薑五ㆍ棗二ㆍ桃柳枝各三寸, 水煎空心服. 《得效》

Translation

Treats the various malarias. It is Sosiho-tang and Insamyangwi-tang combined. Where there is more cold and less heat, use more of Yangwi-tang; where there is more heat and less cold, use more of Sosiho-tang <span class='sochu'>both formulas in the Cold chapter</span>. Where cold and heat are in even measure, use them level. To each packet add five slices of ginger, two jujubes, and a peach twig and a willow twig three chon each; decoct in water and take on an empty stomach. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

This is not a fixed prescription but an instruction for mixing two of them, and it is one of the clearest statements in the chapter of how the 痎瘧 formulas were actually used. Sosiho-tang clears, Insamyangwi-tang warms and dries, and the practitioner weighs one against the other by whether the chill or the fever dominates the paroxysm — 寒熱勻則平用, and where they are even, give them level. The name says 加減, added to and taken from, rather than naming a dose. The peach twig and willow twig are the chapter's other voice. They carry no warming or clearing function that would follow from the reasoning above; they are there because peach and willow were what one put in a decoction meant to turn a fever away, the same instinct that produces the 禳法 at the end of the門. Taking the draught 空心, on an empty stomach and before the paroxysm is due, is the one piece of timing the chapter insists on throughout. **The two parent formulas contain pinellia, which is toxic raw and must be properly processed.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.