Formulas · Transform Phlegm 化痰 · Gyeongheombang (經驗方)

Augmented Warm the Gallbladder Decoction

Gamiondam-tang

한글 가미온담탕 · Pinyin Jia Wei Wen Dan Tang

加味溫膽湯

Cut and made into one packet with 3 slices of ginger and 2 jujubes, decocted in water and taken.

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

9.6 g
Chief 君
Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

4.8 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

3.2 g
Deputy 臣
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

3.2 g
Deputy 臣
Jukyeo Zhu Ru
竹茹 죽여 · Bamboo Shavings

3.2 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

2.4 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2.4 g
Assistant 佐
Siho Chai Hu
柴胡 시호 · Bupleurum

2.4 g
Assistant 佐
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

2.4 g
Assistant 佐
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

2.4 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices
Daejo Da Zao
大棗 대조 · Jujube

4 g
Envoy 使 2 pieces
Gamcho Gan Cao
甘草 감초 · Licorice

1.6 g
Envoy 使

Total 47.6 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

Steadies a Heart and Gallbladder too easily startled
Separates the drool and Qi that have collided into a hundred symptoms

Indications 主治

Pattern-based

Heart and Gallbladder vacuous and timid
startling easily at small things (心膽虛怯觸事易驚)
Phlegm-drool and Qi striking against one another and producing varied symptoms (涎與氣搏變生諸證)
Anxiety with a constrained chest and unsettled sleep

Biomedical correlates

Anxiety with startle response and timidity
Stress-associated palpitations with chest tightness
Sleep disturbance with anxious rumination

Source text 原文

Donguibogam 東醫寶鑑

治心膽虛怯, 觸事易驚, 涎與氣搏, 變生諸證. 香附子二錢四分, 橘紅一錢二分, 半夏ㆍ枳實ㆍ竹茹各八分, 人參ㆍ白茯苓ㆍ柴胡ㆍ麥門冬ㆍ桔梗各六分, 甘草四分. 右剉, 作一貼, 薑三片, 棗二枚, 水煎服. 《經驗方》

Translation

Treats Heart and Gallbladder vacuous and timid, startling easily at any matter that touches one — the drool and the Qi striking against each other and transforming into varied signs. Cyperus 2 don 4 fun; red tangerine peel 1 don 2 fun; pinellia, unripe bitter orange, and bamboo shavings, 8 fun each; ginseng, white poria, bupleurum, ophiopogon, and platycodon, 6 fun each; licorice 4 fun. Cut the above, make one packet, add 3 slices of ginger and 2 jujubes, decoct in water and take. — Gyeongheombang 經驗方 (Donguibogam · Sin)

Clinical commentary 臨床

Warm the Gallbladder Decoction with cyperus promoted to chief — and that promotion is the whole formula. The base handles phlegm and the uneasy sleep it causes; the cyperus, at twice any other dose, addresses the constraint underneath. The indication names the patient exactly: someone who startles at small things, in whom phlegm and Qi collide and 'produce varied symptoms' — which is the classical way of saying the complaints keep changing. Still one of the most-used formulas in East Asian practice for anxious, easily-startled patients. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.