Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Augmented Costus and Coptis Pill (General)

Gami-hyangryeon-hwan

한글 가미향련환 (통치) · Pinyin Jia Wei Xiang Lian Wan

加味香連丸

Unlike the Jikji's Hyangryeon-hwan, the evodia is retained here rather than discarded after frying. A different 加味香連丸 from the Immun's opium-bearing formula earlier in this chapter.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

80 g
Chief 君

stir-fried
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

40 g
Deputy 臣

scalded and stir-fried
Mokhyang Mu Xiang
木香 목향 · Costus Root

4 g
Deputy 臣
Baekdugu Bai Dou Kou
白豆蔻 백두구 · Round Cardamom

6 g
Assistant 佐

roasted in dough
Yuhyang Ru Xiang
乳香 유향 · Frankincense

4 g
Assistant 佐
Molyak Mo Yao
沒藥 몰약 · Myrrh

4 g
Assistant 佐
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Envoy 使

steeped in water and the flesh taken to bind the pills

Total 138 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

The commander-in-chief of all the dysenteries

Indications 主治

Pattern-based

Damp heat dysentery with blood stasis and pain

Biomedical correlates

Bacillary dysentery
Chronic colitis

Source text 原文

Donguibogam 東醫寶鑑

治諸痢之總司也. 黃連(炒) 二兩, 吳茱萸(泡炒) 一兩, 木香一錢, 白豆蔲(煨) 一錢半, 加乳香ㆍ沒藥各一錢. 右爲末, 烏梅水浸取肉和丸梧子大, 每三十丸, 服如上法. 《醫鑑》

Translation

The commander-in-chief of all the dysenteries. Stir-fried coptis, 2 nyang; evodia scalded and stir-fried, 1 nyang; costus root, 1 don; round cardamom roasted in dough, 1.5 don; with frankincense and myrrh, 1 don each, added. Powder, steep mume plums in water and take the flesh to bind pills the size of a paulownia seed; take thirty each time, as above. — Gogeum Uigam 醫鑑 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The Uigam's version of the Costus and Coptis Pill, with the evodia kept in rather than thrown away and frankincense and myrrh added for the pain. Commander-in-chief of all the dysenteries is as strong a claim as the chapter makes for any formula, and it is a defensible one: berberine for the organism, evodia for the cramping, the two resins for the pain, bound with mume plum to astringe. Nothing in it is dangerous, which separates it from the Immun's formula of the same name. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.