Formulas · Tonify Qi 補氣 · Manbyeong Hoechun (萬病回春)

Supplemented Four Gentlemen Decoction

Gamisagunja-tang

한글 가미사군자탕 · Pinyin Jia Wei Si Jun Zi Tang

加味四君子湯

A different formula from the 加味四君子湯 of the Diarrhoea chapter, which is the Deukhyo's Four Gentlemen Decoction with nutmeg and chebule added for qi vacuity diarrhoea.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

5.2 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

5.2 g
Chief 君
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

2.4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.4 g
Deputy 臣
Soja Zi Su Zi
蘇子 자소자 · Perilla Seed

2.4 g
Deputy 臣
Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

2.4 g
Deputy 臣
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

3.2 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

2.4 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

2.4 g
Assistant 佐
Chimhyang Chen Xiang
沈香 침향 · Agarwood

2 g
Assistant 佐

ground in water for the juice
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Assistant 佐

ground in water for the juice
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits

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

Treats qi panting

Indications 主治

Pattern-based

Qi vacuity wheezing
Shortness of breath on exertion with phlegm

Biomedical correlates

Exertional dyspnoea in a debilitated patient
Chronic obstructive disease with weakness

Source text 原文

Donguibogam 東醫寶鑑

治氣喘. 人參ㆍ白朮各一錢三分, 甘草一錢, 當歸八分, 赤茯苓ㆍ陳皮ㆍ厚朴ㆍ縮砂ㆍ蘇子ㆍ桑白皮各六分, 沉香ㆍ木香各五分(並水磨取汁). 右剉, 作一貼, 入薑三ㆍ棗二, 水煎, 和二香汁調服. 《回春》

Translation

Treats qi panting. Ginseng and white atractylodes, 1 don 3 fun each; licorice, 1 don; Chinese angelica, 8 fun; red poria, tangerine peel, magnolia bark, cardamom, perilla seed and mulberry root bark, 6 fun each; aquilaria and costus, 5 fun each, both ground in water for their juice. Cut up, make one packet, add three slices of ginger and two jujubes, decoct in water, and give it mixed with the juice of the two aromatics. — Manbyeong Hoechun 回春 (Donguibogam · Haesu)

Clinical commentary 臨床

The four gentlemen with the whole descending apparatus of this chapter hung on them: perilla seed and mulberry root bark to bring the lung qi down, magnolia bark and cardamom across the middle, and aquilaria and costus ground separately and stirred in at the end so that their aromatics survive the decoction. The indication 氣喘 is the chapter's name for breathlessness without much phlegm and without heat, and the formula answers it by supplementing rather than dispersing — which is the right instinct for exertional breathlessness in a wasted patient. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.