Formulas · Tonify Yang 補陽 · Dangye Simbeop (丹溪心法)

Modified Kidney Qi Pill

Gagamsingi-hwan

한글 가감신기환  ·  Pinyin Jia Jian Shen Qi Wan

加減腎氣丸

Pill formula, bulk amounts: grind, bind with honey into pills the size of parasol-tree seeds, and take 70–80 pills with salted water on an empty stomach.

Composition 構成

Total 400 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

Indications 主治

Pattern-based

  • Kidney wasting (腎消) — dry mouth and vexing thirst with both legs withering
  • Kidney vacuity failing to transform and hold fluids
  • Thirst with copious urination in depleted patients

Biomedical correlates

  • Polyuria-dominant presentations in long-standing diabetes
  • Lower-limb wasting and weakness with thirst
  • Nocturia and fluid dysregulation in the elderly

Source text 原文

Donguibogam 東醫寶鑑

治腎消, 口燥煩渴, 兩脚枯瘦. 熟地黃 二兩, 牡丹皮ㆍ白茯苓ㆍ山茱萸ㆍ五味子ㆍ澤瀉ㆍ鹿茸ㆍ山藥 各一兩, 肉桂ㆍ沈香 各五錢. 右爲末, 蜜丸梧子大. 空心, 鹽湯下七八十丸. 《丹心》

Translation

Treats kidney wasting with dry mouth, vexing thirst, and withering of both legs. Prepared rehmannia 2 nyang; moutan bark, white poria, cornus, schisandra, alisma, deer antler, and dioscorea, 1 nyang each; cinnamon bark and aquilaria, 5 don each. Grind the above, bind with honey into pills the size of parasol-tree seeds, and take 70–80 pills with salted water on an empty stomach. — Dansim 丹心 (Donguibogam · Sogal)

Clinical commentary 臨床

The Zhongjing exception made into a pill — when the thirsty patient urinates a du for every du he drinks, you stop clearing heat and start warming the gate, schisandra and aquilaria pulling the scattered water back down to a kidney that can finally hold it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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