寶鑑Bogam

Formulas · Tonify Qi & Blood 氣血雙補 · Seui Deukhyobang (世醫得效方)

Augmented Ten Wonders Powder

Gamisipgi-san

한글 가미십기산  ·  Pinyin Jia Wei Shi Qi San

加味十奇散

癕, 為 and 温 are given above as 癰, 爲 and 溫. 麥門冬湯 is the ophiopogon decoction used as the vehicle and is not an ingredient.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 12 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

  • Abscess already formed or not yet formed (癰疽已成未成)
  • Waning years with weak qi (年衰氣弱者尤宜)
  • A swelling to be dispersed inwardly rather than opened

Biomedical correlates

  • Pyogenic skin and soft-tissue infection in an elderly or debilitated patient — historical
  • Painful indolent swelling — historical

Source text 原文

Donguibogam 東醫寶鑑

治癰疽已成未成, 服之內消, 或年衰氣弱者尤宜. 當歸ㆍ肉桂ㆍ人參ㆍ黃芪ㆍ川芎ㆍ白芷ㆍ防風ㆍ桔梗ㆍ厚朴ㆍ甘草ㆍ乳香ㆍ沒藥 各等分. 右爲末, 每三錢, 溫酒調服. 不飮酒, 麥門冬湯調下. ○一名固壘元帥. 卽上十宣散加乳香沒藥二味也. 《得效》

Translation

Treats an abscess or deep-rooted sore whether it has formed or not; taking it disperses the swelling inwardly, and it is especially suited to those of waning years and weak qi. Korean angelica, cinnamon bark, ginseng, astragalus, cnidium, angelica dahurica, saposhnikovia, platycodon, magnolia bark, licorice, frankincense and myrrh, in equal parts. Powder the above, and take 3 don at a time stirred into warm wine. For those who do not drink wine, send it down stirred into an ophiopogon decoction. Also called Goryu Wonsu, Marshal Who Secures the Rampart. It is the Sipseon-san above with the two drugs frankincense and myrrh added. — Deukhyo 得效 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Sipseon-san plus frankincense and myrrh — the resin pair the tradition reaches for when a swelling is painful — and the indication shifts accordingly. Where Sipseon-san is written for the sore and Naetak-san for the hollowed-out patient after it opens, this is written for the old and the weak, and for the swelling that is to be dispersed inwardly before it ever comes to a head. The twelve drugs are listed in a different order from the parent leaf but they are the same ten with the two additions. It sits with the rest of the 托裏 and 內托 group on the supporting side of the chapter's central pair. Ginseng and astragalus build the qi, Korean angelica and cnidium the blood, cinnamon bark warms, and the surface-opening drugs push outward; nothing here drains downward, and that is what separates the whole group from Naesohwangryeon-tang, Oridaehwang-tang and Cheongeumnuro-tang, which precipitate the toxin out of a repleted body and take free movement of the bowel as their measure. Which arm a patient belongs to is decided by how much strength there is to work with. The alternative name is the twin of Sipseon-san's. 固壘元帥, Marshal Who Secures the Rampart, answers 護壁都尉, Commandant Who Guards the Wall — the body's surface imagined as a fortification and the formula as the officer holding it. That is a sixteenth-century way of talking about resistance to infection, and it is history rather than mechanism. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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