Formulas · Drain Dampness 利水滲濕 · Gogeum Uigam (古今醫鑑)

Modified Stomach-Calming and Poria Decoction

Gagamwiryeong-tang

한글 가감위령탕 · Pinyin Jia Jian Wei Ling Tang

加減胃苓湯

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

6 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Taeksa Ze Xie
澤瀉 택사 · Alisma

4 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Deputy 臣
Mogwa Mu Gua
木瓜 모과 · Chinese Quince

4 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

3.2 g
Assistant 佐
Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

3.2 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

3.2 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

3.2 g
Assistant 佐
Sansa Shan Zha
山楂 산사 · Hawthorn

2.8 g
Assistant 佐

flesh only (山査肉)
Sain Sha Ren
砂仁 사인 · Amomum

2.8 g
Assistant 佐

縮砂
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

2.4 g
Assistant 佐

ginger-juice fried (薑汁炒)
Daebokpi Da Fu Pi
大腹皮 대복피 · Areca Husk

2.4 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使
Deungsim Deng Xin Cao
燈心草 등심초 · Rush Pith

2 g
Envoy 使

燈心, one bundle
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

mix-fried (灸)

Total 58.4 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

Dries damp and fortifies the spleen
Disinhibits water and disperses food stagnation

Indications 主治

Pattern-based

Oedema generally
Swelling with food stagnation and abdominal fullness

Biomedical correlates

Oedema with dyspepsia
Fluid retention with abdominal distension

Source text 原文

Donguibogam 東醫寶鑑

治浮腫. 蒼朮一錢半, 陳皮ㆍ澤瀉ㆍ白朮ㆍ赤茯苓ㆍ木瓜各一錢, 厚朴ㆍ猪苓ㆍ神麴ㆍ檳榔各八分, 山査肉ㆍ縮砂各七分, 香附子(薑汁炒)ㆍ大腹皮各六分, 甘草(灸) 三分. 右剉, 作一貼, 入薑三, 燈心一團, 水煎服. 《醫鑑》

Translation

Treats oedema. Atractylodes lancea 1.5 don; tangerine peel, alisma, white atractylodes, red poria and chaenomeles 1 don each; magnolia bark, polyporus, medicated leaven and areca 8 pun each; hawthorn flesh and amomum 7 pun each; cyperus (ginger-juice fried) and areca husk 6 pun each; licorice (mix-fried) 3 pun. Cut up, make one packet, add 3 slices of ginger and one bundle of juncus, decoct in water and take. — Gogeum Uigam 醫鑑 (Donguibogam · Bujong)

Clinical commentary 臨床

Pyeongwi-san and Oryeong-san combined, which is what Wiryeong-tang is, with food-reducing medicinals added on top. It leads the chapter's list of general prescriptions at 2.11 and is the one to reach for when the oedema sits on a background of poor digestion rather than on organ failure — the commonest case, and the mildest of the general formulas. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.