Formulas · Transform Phlegm 化痰 · Gogeum Uigam (古今醫鑑)
Modified Warm the Gallbladder Decoction
Gagamondam-tang
한글 가감온담탕 · Pinyin Jia Jian Wen Dan Tang
Cut and made into one packet with 3 slices of ginger, 2 jujubes, and one dark plum, decocted in water; 5 fun of powdered cinnabar and half a cup of bamboo sap are stirred in before taking. Note on modern practice: cinnabar (辰砂/朱砂) is a mercury sulfide, restricted in contemporary practice and omitted from modern preparations; presentations of this severity require psychiatric assessment.
Composition 構成
- Boksin茯神 복신 · Poria with hostwood4 g
Chief 君 - Banha半夏 반하 · Pinellia4 g
Deputy 臣 prepared - Jinpi陳皮 진피 · Aged Tangerine Peel4 g
Deputy 臣 - Jisil枳實 지실 · Immature Bitter Orange4 g
Deputy 臣 - Chija梔子 치자 · Gardenia4 g
Assistant 佐 dry-fried - Baekchul白朮 백출 · White Atractylodes4 g
Assistant 佐 - Maekmundong麥門冬 맥문동 · Liriope4 g
Assistant 佐 - Hwangryeon黃連 황련 · Coptis4 g
Assistant 佐 - Danggui當歸 당귀 · Korean Angelica3.2 g
Assistant 佐 - Sanjoin酸棗仁 산조인 · Sour Jujube Seed3.2 g
Assistant 佐 dry-fried - Jukyeo竹茹 죽여 · Bamboo Shavings3.2 g
Assistant 佐 - Insam人蔘 인삼 · Ginseng2.4 g
Assistant 佐 - Jusa朱砂 주사 · Cinnabar (toxic)2 g
Assistant 佐 powdered, stirred in at the end - Saenggang生薑 생강 · Fresh Ginger6 g
Envoy 使 3 slices - Daejo大棗 대조 · Jujube4 g
Envoy 使 2 pieces - Omae烏梅 오매 · Mume Plum2 g
Envoy 使 1 piece - Gamcho甘草 감초 · Licorice1.2 g
Envoy 使
Total 59.2 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
- Clears the phlegm that has clouded the Heart's orifices
- Calls the spirit back to a dwelling it has left
Indications 主治
Pattern-based
- Phlegm confounding the Heart's orifices with the spirit not keeping to its dwelling (痰迷心竅 神不守舍)
- Constraint from worry with fright and fear damaging the Heart
- Agitation with raving
- weeping song
- shouting
- running
- and not recognizing people
Biomedical correlates
- Acute agitated states — historical management
- Severe anxiety with disorganization
- Psychotic-spectrum presentations of the era
Source text 原文
Donguibogam 東醫寶鑑
治痰迷心竅, 神不守舍. 因憂思鬱結, 驚恐傷心, 心不自安, 神出舍空, 使人驚悸怔忡, 煩亂悲歌, 叫罵奔走, 不識人. 茯神ㆍ半夏(製)ㆍ陳皮ㆍ枳實ㆍ梔子(炒)ㆍ白朮ㆍ麥門冬ㆍ黃連 各一錢, 當歸ㆍ酸棗仁(炒)ㆍ竹茹 各八分, 人參 六分, 辰砂(末) 五分, 甘草 三分. 右剉, 作一貼, 薑三片, 棗二枚, 烏梅一箇, 水煎, 調辰砂末五分ㆍ竹瀝半盞服. 《醫鑑》
Translation
Treats phlegm confounding the Heart's orifices, the spirit not keeping to its dwelling — arising from constraint bound up by worry and thought, and from fright and fear damaging the Heart, so that the Heart cannot settle itself, the spirit goes out and the dwelling stands empty, leaving the person with fright palpitations and fearful throbbing, vexed confusion and grieving song, shouting and cursing and running about, not recognizing people. Hostwood poria, prepared pinellia, tangerine peel, unripe bitter orange, dry-fried gardenia, white atractylodes, ophiopogon, and coptis, 1 don each; Korean angelica, dry-fried sour jujube seed, and bamboo shavings, 8 fun each; ginseng 6 fun; powdered cinnabar 5 fun; licorice 3 fun. Cut the above, make one packet, add 3 slices of ginger, 2 jujubes, and one dark plum, decoct in water, and take with 5 fun of powdered cinnabar and half a cup of bamboo sap stirred in. — Uigam 醫鑑 (Donguibogam · Sin)