Formulas · Transform Phlegm 化痰 · Manbyeong Hoechun (萬病回春)

Augmented Two Matured Ingredients Decoction (Hoechun)

Gamiijin-tang

한글 가미이진탕(회춘) · Pinyin Jia Wei Er Chen Tang

加味二陳湯

A different formula of the same name appears at 6.5.6.6 for qi phlegm, from the Uigam 醫鑑, with only pinellia, tangerine peel, poria, bitter orange, platycodon and licorice in common. The two are distinct prescriptions; this entry carries the -hoechun suffix for its source and holds the phlegm reversal formula of 6.12.1.

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

4 g
Chief 君 processed (製)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

4 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

4 g
Assistant 佐
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

4 g
Assistant 佐
Yangang Gao Liang Jiang
良薑 양강 · Lesser Galangal

2 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

2 g
Assistant 佐縮砂
Mokhyang Mu Xiang
木香 목향 · Costus Root

1.2 g
Assistant 佐
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

1.2 g
Assistant 佐 cinnamon bark (桂皮)
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

10 g
Envoy 使 5 slices
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

Total 45.6 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

Warms the centre and frees phlegm obstruction
Restores warmth to reversed-cold extremities
Moves qi and nourishes the blood

Indications 主治

Pattern-based

Phlegm reversal from internal vacuity contracting cold
Cold and numb hands and feet with fainting
Sunken fine pulse

Biomedical correlates

Vasovagal syncope with cold extremities
Peripheral circulatory insufficiency

Source text 原文

Donguibogam 東醫寶鑑

治痰厥. 半夏(製)ㆍ陳皮ㆍ白茯苓ㆍ當歸ㆍ枳實ㆍ䓀莄ㆍ杏仁各一錢, 良薑ㆍ縮砂各五分, 木香ㆍ桂皮ㆍ甘草各三分. 右剉, 作一貼, 薑五片, 水煎服. 《回春》

Translation

Treats phlegm reversal. Pinellia (processed), tangerine peel, white poria, angelica, bitter orange, platycodon and apricot kernel 1 don each; lesser galangal and amomum 5 pun each; costus, cinnamon bark and licorice 3 pun each. Cut up, make one packet, add 5 slices of ginger, decoct in water and take. — Manbyeong Hoechun 回春 (Donguibogam · Damum)

Clinical commentary 臨床

Phlegm reversal is defined in the section as internal vacuity contracting cold, with phlegm and qi blocking the passage so that hands and feet turn cold and numb, the patient faints, and the pulse is sunken and fine. The formula is warm throughout — lesser galangal, cinnamon bark, amomum, costus — which distinguishes it sharply from the other phlegm formulas in the chapter, and angelica is there because reversal of the extremities is a blood-level problem as much as a qi one. Note the two identically named formulas either side of this section: at 6.5.6 the name belongs to a cool throat formula, here to a warm circulatory one. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.