Formulas · Clear Heat 淸熱 · Uihak Jeongjeon (醫學正傳)
Adjusted Cool the Diaphragm Powder
Gagamyanggyeok-san
한글 가감양격산 · Pinyin Jia Jian Liang Ge San
The remodel and its reasoning are the entry's treasure: Yanggyeok-san minus rhubarb and mirabilite, plus platycodon, licorice doubled — or saposhnikovia added — making it a 'boat-and-oar preparation' (舟楫之劑) that floats upward. Since the hand and foot lesser-Yang Qi both descend past the diaphragm and net the chest, and the triple burner's Qi roams the body's surface with the minister fire, the diaphragm and six channels are the highest of stations — and this drug, buoyant, likewise a preparation of the heights, races upward through the formless to clear them (Yeokro 易老). Also called Gilgyeong-tang.
Composition 構成
- Yeongyo連翹 연교 · Forsythia8 g
Chief 君 - Gamcho甘草 감초 · Licorice6 g
Deputy 臣 - Chija梔子 치자 · Gardenia2 g
Assistant 佐 - Hwanggeum黃芩 황금 · Scutellaria2 g
Assistant 佐 - Gilgyeong桔梗 길경 · Platycodon2 g
Assistant 佐 - Bakha薄荷 박하 · Mint2 g
Assistant 佐 - Jukyeop竹葉 죽엽 · Bamboo Leaf2 g
Assistant 佐
Total 24 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
- Retreats the heat of the six channels and the space above the diaphragm
- Floats like a boat to clear what sits highest
Indications 主治
Pattern-based
- Heat in the upper burner and the six channels (退六經之熱 熱在上焦)
- Chest-and-diaphragm heat without interior binding
- The buoyant remodel of the purgative original
Biomedical correlates
- Upper-body heat and inflammatory complaints
- Chest oppression with heat signs
- Non-purgative heat clearing
Source text 原文
Donguibogam 東醫寶鑑
退六經之熱, 又治熱在上焦. 連翹 二錢, 甘草 一錢半, 梔子ㆍ黃芩ㆍ桔梗ㆍ薄荷ㆍ竹葉 各五分. 右剉, 作一貼, 水煎服. ○涼膈散, 去大黃ㆍ芒硝, 加桔梗, 倍甘草, 或加防風, 同爲舟楫之劑, 浮而上之, 治胸膈中與六經之熱. 以手足少陽之氣俱下膈絡胸中, 三焦之氣同相火遊行於身之表, 膈與六經乃至高之分, 此藥浮載, 亦至高之劑, 故能於無形之中, 隨高而走, 去胸膈中及六經熱也. 一名桔梗湯. 《正傳》 《易老》
Translation
Retreats the heat of the six channels, and treats heat in the upper burner. Forsythia 2 don; licorice 1.5 don; gardenia, scutellaria, platycodon, mint, and bamboo leaf, 0.5 don each. Cut the above, make one packet, decoct in water and take. — This is Yanggyeok-san with rhubarb and mirabilite removed, platycodon added, and licorice doubled — or saposhnikovia added — together making a boat-and-oar preparation that floats and ascends, treating heat within chest and diaphragm and the six channels. For the Qi of the hand and foot lesser-Yang both descend past the diaphragm to net the chest, and the triple burner's Qi roams the body's surface together with the minister fire: the diaphragm and six channels are the highest of stations, and this drug, buoyantly laden — itself a preparation of the heights — can race through the formless, following the high places, and remove the heat of chest, diaphragm, and the six channels. Also called Gilgyeong-tang. — Jeongjeon 正傳 · Yeokro 易老 (Donguibogam · Hwa)