Formulas · Tonify Yin 補陰 · Seui Deukhyobang (世醫得效方)

Modified Eight Flavors Pill

Gagampalmi-won

한글 가감팔미원 · Pinyin Jia Jian Ba Wei Yuan

加減八味元

Formula recorded in the Five Viscera chapter; the Sogal chapter cites it for its schisandra. Pill formula: powdered and bound with honey into pills the size of parasol-tree seeds. **Note on modern practice: diabetes and its complications require medical management. The classical claim that long dosing prevents abscess is recorded as text, not as a substitute for glycemic control and foot care.**

Composition 構成

Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

320 g
Chief 君
Omija Wu Wei Zi
五味子 오미자 · Schisandra

160 g
Chief 君
Sanyak Shan Yao
山藥 산약 · Chinese Yam

160 g
Deputy 臣
Sansuyu Shan Zhu Yu
山茱萸 산수유 · Cornus

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

120 g
Assistant 佐
Mokdanpi Mu Dan Pi
牧丹皮 목단피 · Moutan Bark

120 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

120 g
Assistant 佐
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

40 g
Envoy 使

Total 1200 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

Guards a wasting-thirst patient against the abscesses that end the disease
Stops thirst while the Qi and Blood are strengthened

Indications 主治

Pattern-based

Wasting-thirst requiring prevention of abscess (須預防癰疽)
Long-term maintenance in wasting-thirst
Thirst with depletion of the lower burner

Biomedical correlates

Long-term diabetes management — historical
Prevention of diabetic complications — historical framing
Kidney-yin depletion with thirst

Source text 原文

Donguibogam 東醫寶鑑

此方有五味子, 最爲得力, 不惟止渴, 亦免生癰疽. 久服永除渴疾, 氣血加壯. 《得效》

Translation

This formula has schisandra in it, which is most effective of all: not only does it stop thirst, it also prevents abscesses from arising. Taken long, it removes the thirst disease for good and the Qi and Blood grow stronger. — Deukhyo 得效 (Donguibogam · Sogal)

Clinical commentary 臨床

The chapter singles out one ingredient for praise — schisandra, which it says gives this formula its power: it not only stops thirst but keeps abscesses from arising, and taken long, removes the thirst disease for good while Qi and Blood grow strong. The reasoning behind that claim is the chapter's own etiology of diabetic abscess: fluids exhausted, channels roughened, construction and defense not moving, heat stagnating in the flesh. Whatever one makes of it, the observation that this disease ends in infected sores was correct, and the instinct to treat before they appear is sound. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.