Formulas · Tonify Yin 補陰 · Gogeum Uigam (古今醫鑑)
Kan and Li Paste
Gamri-go
한글 감리고 · Pinyin Kan Li Gao
Paste method, and the chapter's most laborious preparation: phellodendron and anemarrhena are first decocted with three bowls of boys' urine, three of water, and a handful of arborvitae leaf, reduced to three or four bowls and strained; the two asparagi and both rehmannias go into that liquid with two more bowls of water, decocted and strained, then pounded to a mud, decocted again with a bowl or two of water and wrung for their juice, which joins the first. Apricot and walnut kernels are ground with water and filtered, ground and filtered again until no dregs remain, then added with the honey to the combined liquid and simmered down to a paste. The finished paste is set in water to draw off its fire toxin. Three to five spoonfuls per dose, stirred into an arborvitae-leaf decoction, on an empty stomach. Copper and iron vessels are to be avoided. Note on modern practice: boys' urine (童便) is shown as recorded, for textual fidelity.
Composition 構成
- Hwangbaek黃柏 황백 · Phellodendron160 g
Chief 君 - Jimo知母 지모 · Anemarrhena160 g
Chief 君 - Saengjihwang生地黃 생지황 · Raw Rehmannia80 g
Deputy 臣 - Sukjihwang熟地黃 숙지황 · Prepared Rehmannia80 g
Deputy 臣 - Cheonmundong天門冬 천문동 · Asparagus Root80 g
Deputy 臣 - Maekmundong麥門冬 맥문동 · Liriope80 g
Deputy 臣 - Hodoyuk胡桃肉 호도육 · Walnut Flesh160 g
Assistant 佐 - Haengin杏仁 행인 · Apricot Kernel28 g
Assistant 佐 - Bongmil蜂蜜 봉밀 · Honey160 g
Envoy 使
Total 988 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
- Enriches the water and downs the fire in a slow-cooked paste
- Restores the Yin of one already turning toward consumption
Indications 主治
Pattern-based
- Yin vacuity fire with tidal heat and night sweats (陰虛火動 潮熱盜汗)
- Expectorated and spat blood with consumption forming (欲成勞瘵)
- Long-course restorative dosing
Biomedical correlates
- Chronic wasting with persistent low fever
- Long-term restorative therapy for depleted heat
- Convalescent maintenance after severe depletion
Source text 原文
Donguibogam 東醫寶鑑
治陰虛火動, 潮熱盜汗, 咯唾血, 欲成勞瘵疾. 黃柏ㆍ知母 各四兩, 生地黃ㆍ熟地黃ㆍ天門冬ㆍ麥門冬 各二兩, 杏仁 七錢, 胡桃仁ㆍ蜂蜜 各四兩. 右剉, 先將黃柏ㆍ知母, 以童尿三椀ㆍ水三椀ㆍ側柏葉一把, 煎至三四椀去滓. 又將天ㆍ麥門冬ㆍ生熟地黃, 入汁內, 添水二椀, 煎汁去滓, 再擣爛如泥, 另用水一二椀, 煎熬絞取汁, 入前汁. 將杏仁ㆍ胡桃仁, 用水擂爛濾汁, 再擂再濾至無滓, 同蜜入煎汁內, 火熬成膏, 入水內去火毒. 每服三五匙, 以側柏葉湯調, 空心服. 忌銅鐵器. 《醫鑑》
Translation
Treats Yin vacuity with fire stirring: tidal heat, night sweats, blood expectorated and spat, consumption about to form. Phellodendron and anemarrhena, 4 nyang each; raw rehmannia, prepared rehmannia, asparagus root, and ophiopogon, 2 nyang each; apricot kernel 7 don; walnut kernel and honey, 4 nyang each. Cut the above. First decoct the phellodendron and anemarrhena with three bowls of boys' urine, three bowls of water, and a handful of arborvitae leaf, reducing to three or four bowls, and strain. Then add the two asparagi and both rehmannias to that liquid with two more bowls of water, decoct, strain, pound the dregs to a mud, decoct again with a bowl or two of water and wring out the juice, adding it to the former. Grind the apricot and walnut kernels with water and filter, grinding and filtering again until no dregs remain; add these with the honey to the combined liquid and simmer over fire into a paste. Set the paste in water to remove its fire toxin. Take three to five spoonfuls each time, stirred into an arborvitae-leaf decoction, on an empty stomach. Avoid copper and iron vessels. — Uigam 醫鑑 (Donguibogam · Hwa)