Formulas · Warm the Interior 溫裏 · Hoechun (回春)

Supplemented Regulate the Middle Decoction

Gami-ijung-tang

한글 가미이중탕 · Pinyin Jia Wei Li Zhong Tang

加味理中湯

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

blast-fried · toxic
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Chief 君

parched
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

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

4 g
Assistant 佐
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two dates

Total 32 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients 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

Warms the center and dispels entrenched cold
Transforms accumulated cold in the middle burner

Indications 主治

Pattern-based

Entrenched cold with accumulated cold in the middle burner
Chronic cold of the spleen and stomach

Biomedical correlates

Chronic functional dyspepsia with cold intolerance

Source text 原文

Donguibogam 東醫寶鑑

治痼冷ㆍ積寒. 附子(炮)ㆍ人參ㆍ白朮ㆍ乾薑(炒)ㆍ肉桂ㆍ陳皮ㆍ白茯苓ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 入薑三片, 棗二枚, 水煎服. 《回春》

Translation

Treats entrenched cold and accumulated cold. Blast-fried aconite, ginseng, atractylodes, parched dried ginger, cinnamon bark, tangerine peel, poria and roasted licorice, 1 don each. Cut up, make one packet, add three slices of ginger and two dates and decoct in water. — Hoechun 回春 (Donguibogam · Han, lower)

Clinical commentary 臨床

Aconite Regulate the Middle Decoction with cinnamon bark, tangerine peel and poria added, all eight drugs at the same dose. The three additions turn an acute rescue formula into something a patient can take for a long time: cinnamon bark warms steadily where aconite warms sharply, tangerine peel and poria handle the damp that accumulates in a cold middle burner. This is the last of the 痼冷 formulas and the most usable of them — the one for the chronically cold patient who is not in crisis. Aconite requires a properly processed product and a trained prescriber. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.