Formulas · Warm the Interior 溫裏 · Sejong Jeungbo Deukhyobang (世宗增補得效方)

Supplemented Ginger and Aconite Decoction

Gamigangbu-tang

한글 가미강부탕 · Pinyin Jia Wei Jiang Fu Tang

加味薑附湯

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

6 g
Chief 君

blast-fried (炮) · toxic
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

6 g
Chief 君

blast-fried (炮)
Insam Ren Shen
人蔘 인삼 · Ginseng

6 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

honey-roasted

Total 20.8 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

Treats sudden turmoil with excessive vomiting and diarrhoea
cold reversal of the hands and feet
scant qi and loss of speech
and all six pulses sunken and hidden

Indications 主治

Pattern-based

Yang collapse after violent vomiting and diarrhoea
Cold reversal with a hidden pulse

Biomedical correlates

Hypovolaemic shock after severe gastroenteritis

Source text 原文

Donguibogam 東醫寶鑑

治霍亂吐瀉過多, 手足逆冷, 氣少不語, 六脈沈伏. 附子(炮)ㆍ乾薑(炮)ㆍ人參各一錢半, 甘草(灸) 七分. 右剉, 作一貼, 水煎服. 《得效》 ○一名四順附子湯. 《直指》

Translation

Treats sudden turmoil with excessive vomiting and diarrhoea, cold reversal of the hands and feet, scant qi with loss of speech, and all six pulses sunken and hidden. Blast-fried aconite, blast-fried dried ginger and ginseng, 1 don 5 fun each; honey-roasted licorice, 7 fun. Cut up, make one packet and decoct in water. Also called Sasunbuja-tang. — Sejong Jeungbo Deukhyobang 得效 · Injae Jijibang 直指 (Donguibogam · Gwallan)

Clinical commentary 臨床

Sayeok-tang with ginseng added, which is to say the classical rescue formula for yang collapse with the one drug that addresses the fluid loss behind it. 六脉沉伏 — all six pulses sunken and hidden — with cold limbs and a patient too weak to speak is the gravest state the chapter describes short of death. **Contains aconite, which is toxic, and must not be prepared. The state described — unrecordable pulse, cold extremities and obtundation after profuse vomiting and diarrhoea — is hypovolaemic shock and a medical emergency requiring immediate intravenous resuscitation.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.