寶鑑Bogam

Formulas · Dispel Wind 祛風 · Uihak Immun (醫學入門)

Augmented Sophora Pill

Gamigosam-hwan

한글 가미고삼환  ·  Pinyin Jia Wei Ku Shen Wan

加味苦參丸

jogak appears twice, once for 皂角刺, the spine, among the weighed drugs and once for the 皂角 pod decocted into the binding extract, as the leaf gives both. 禹餘粮 is printed as the transcription and the herb list both have it. 茶淸 is recorded under sechacha, following the corpus.

Composition 構成

Total 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

Indications 主治

Pattern-based

  • 大風瘡 — the great wind sore
  • Among the 通用 formulas of the 大風瘡 section

Biomedical correlates

  • Hansen's disease (leprosy) — historical

Source text 原文

Donguibogam 東醫寶鑑

治大風瘡. 苦參 四兩, 防風ㆍ荊芥ㆍ蒼耳子ㆍ胡麻子ㆍ皂角刺 各二兩半, 蔓荊子ㆍ牛蒡子ㆍ枸杞子ㆍ何首烏ㆍ禹餘粮ㆍ蛇床子 各七錢半, 白芷 四錢. 右爲末, 皂角煎膏和丸梧子大, 茶淸或酒下五十丸. 《入門》

Translation

Treats the great wind sore. Sophora root 4 nyang; siler, schizonepeta, cocklebur fruit, black sesame seed and gleditsia spine 2 nyang 5 don each; vitex fruit, burdock seed, goji berry, fleeceflower root, limonite and cnidium fruit 7 don 5 fun each; Dahurian angelica 4 don. Powder the above, decoct gleditsia pod to an extract and make pills with it the size of a paulownia seed, and send down fifty in clear tea or wine. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

Sophora root at four nyang over twelve drugs, which makes this the chapter's plainest statement of its leprosy pharmacology: a bitter, cold, damp-drying root for the skin, with siler and schizonepeta to move the wind out, cocklebur and vitex and burdock seed for the surface, and black sesame and fleeceflower root to keep the course from drying the patient out. 加味 marks it as a sophora pill with additions; the Immun's plain 苦參丸 is the base. Gleditsia pod boiled down to an extract binds the pills, which is the same device as Daemapung-hwan and Yupung-dan use — gleditsia runs through all the chapter's leprosy pills, as spine, as pod and as the binder. Limonite is the one mineral here and is doing astringent work. Nothing in the formula reaches Mycobacterium leprae, but sophora root and cnidium fruit would have helped a secondary scabies or fungal infection, which is a real part of what these patients had. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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