Formulas · Tonify Qi 補氣 · Seui Deukhyobang (世醫得效方)

Supplemented Minor Construct the Middle Decoction

Gamisogeonjung-tang

한글 가미소건중탕 · Pinyin Jia Wei Xiao Jian Zhong Tang

加味小建中湯

Composition 構成

Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

12 g
Chief 君

wine-fried (酒炒), 3 don
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

6 g
Deputy 臣

桂心, 1 don 5 pun
Wonji Yuan Zhi
遠志 원지 · Polygala

4 g
Deputy 臣

ginger-juice fried
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

10 g
Envoy 使

5 slices
Daejo Da Zao
大棗 대조 · Jujube

8 g
Envoy 使

2 pieces
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

mix-fried (灸)

Total 44 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

Treats pain of the heart and abdomen past bearing
where pressing lightly makes it worse and pressing hard eases it — all vacuity cold patterns

Indications 主治

Pattern-based

Vacuity cold — pain eased by firm pressure

Biomedical correlates

Functional epigastric pain

Source text 原文

Donguibogam 東醫寶鑑

治心腹痛不可忍, 按輕却痛, 按重則愈, 皆虛寒證. 白芍藥(酒炒) 三錢, 桂心一錢半, 甘草(灸)ㆍ遠志(薑汁炒) 各一錢. 右剉, 作一貼, 薑五片, 棗二枚, 水煎服. 《得效》

Translation

Treats pain of the heart and abdomen past bearing, where pressing lightly makes the pain worse and pressing hard makes it better — all of them vacuity cold patterns. White peony (wine-fried) 3 don; cinnamon heartwood 1 don 5 pun; licorice (mix-fried) and polygala (ginger-juice fried) 1 don each. Cut up, make one packet, add 5 slices of ginger and 2 jujubes, decoct in water and take. — Seui Deukhyobang 得效 (Donguibogam · Hyung)

Clinical commentary 臨床

按輕却痛, 按重則愈 — light pressure hurts and firm pressure eases. 1.28's whole test for vacuity against repletion, and the hand on the abdomen settles it. The Abdomen chapter's 3.6 states the same rule the other way round. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.