Modified Drain the White Powder

Gagamsabaek-san

한글 가감사백산 · Pinyin Jia Jian Xie Bai San

加減瀉白散

Three formulas in the Bogam bear this name: the Mouth and Tongue chapter's, for lung heat with a rank smell in the throat; this one, from Dongwon; and a second one in this same chapter, at the water panting section, registered as Gagamsabaek-san-gae-2.

Composition 構成

Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

6 g
Chief 君
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

4.8 g
Chief 君
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4.8 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

3.2 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

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

2 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

1.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Gaengmi Jing Mi
粳米 갱미 · Non-glutinous Rice

—
Envoy 使

a pinch

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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 yin qi below and yang qi above, with cough, retching and hurried panting

Indications 主治

Pattern-based

Lung heat with qi counterflow
Cough and wheezing with retching

Biomedical correlates

Bronchitis with wheeze and vomiting

Source text 原文

Donguibogam 東醫寶鑑

治陰氣在下, 陽氣在上, 咳嘔喘促. 桑白皮一錢半, 地骨皮ㆍ赤茯苓各一錢二分, 人參八分, 陳皮ㆍ五味子各五分, 靑皮ㆍ甘草各三分, 粳米一撮. 右剉, 作一貼, 水煎服. 《東垣》

Translation

Treats the yin qi being below and the yang qi above, with cough, retching and hurried panting. Mulberry root bark, 1 don 5 fun; wolfberry root bark and red poria, 1 don 2 fun each; ginseng, 8 fun; tangerine peel and schisandra, 5 fun each; unripe tangerine peel and licorice, 3 fun each; rice, a pinch. Cut up, make one packet, and decoct in water. — Dongwon 東垣 (Donguibogam · Haesu)

Clinical commentary 臨床

Sabaek-san — mulberry root bark and wolfberry root bark over rice and licorice — with ginseng and schisandra added for the patient and the two tangerine peels for the counterflow. The base is a cooling formula and the additions are not, which is what makes it usable in a cough that comes with retching: the heat is taken out of the lung while the stomach is settled. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.