Formulas · Clear Heat 淸熱 · Manbyeong Hoechun (萬病回春)

Pueraria and Coptis Pill

Galhwang-hwan

한글 갈황환  ·  Pinyin Ge Huang Wan

葛黃丸

Composition 構成

Total 240 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

Indications 主治

Pattern-based

  • Heavy drinking with accumulated heat bringing vomiting and nosebleed of blood to the point of death

Biomedical correlates

  • Alcohol-related upper gastrointestinal haemorrhage

Source text 原文

Donguibogam 東醫寶鑑

一名葛連丸. 治飮酒多, 積熱以致吐衄血垂死者. 黃連 四兩, 葛花 二兩, 無則葛根代之. 右爲末, 用大黃末水熬成膏, 和丸梧子大, 溫水下百丸. 《回春》

Translation

Also called Pueraria and Coptis Pill. Treats heavy drinking with accumulated heat bringing on vomiting and nosebleed of blood to the point of death. Coptis 4 nyang; pueraria flower 2 nyang, or pueraria root in its place if there is none. Powder them, boil powdered rhubarb in water to a paste, bind into pills the size of a firmiana seed, and take a hundred down with warm water. — Manbyeong Hoechun 回春 (Donguibogam · Hyeol)

Clinical commentary 臨床

Pueraria flower is the tradition's specific for the harm of drink — the Internal Damage chapter's whole alcohol section rests on it — and coptis at twice its weight is for the heat the drink has left. The rhubarb paste that binds the pill is not decoration; it purges. What is described is bleeding from the gut in a heavy drinker, and the chapter's prognosis, 垂死, is right for it. **Haematemesis in a heavy drinker may be from oesophageal varices and is a medical emergency.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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