Formulas · Release the Exterior 解表 · Uihak Jeongjeon (醫學正傳)

Notopterygium and Saposhnikovia Decoction

Ganghwal-bangpung-tang

한글 강활방풍탕 · Pinyin Qiang Huo Fang Feng Tang

羌活防風湯

The first of the three stages of the 破傷風之治同傷寒三法 section, which treats lockjaw by the cold-damage model of exterior, half-exterior and interior.

Composition 構成

Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Chief 君
Bangpung Fang Feng
防風 방풍 · Siler

4 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Gobon Gao Ben
藁本 고본 · Ligusticum Root

4 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣
Jiyu Di Yu
地楡 지유 · Sanguisorba Root

2 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

Total 32 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 lockjaw in its first transmission while still in the exterior
Releases the exterior and nourishes the blood

Indications 主治

Pattern-based

Wind toxin in the exterior
Lockjaw in the early stage

Biomedical correlates

Early tetanus
Wound infection with early rigidity

Source text 原文

Donguibogam 東醫寶鑑

治破傷風初傳在表. 羌活ㆍ防風ㆍ川芎ㆍ白芍藥ㆍ藁本ㆍ當歸ㆍ甘草各一錢, 地榆ㆍ細辛各五分. 右剉, 作一貼, 水煎服. 《正傳》

Translation

Treats lockjaw in its first transmission, while it is in the exterior. Notopterygium, saposhnikovia, chuanxiong, white peony, ligusticum sinense, tangkuei and licorice, 1 don each; sanguisorba and asarum, 5 fun each. Cut up, make one packet and decoct in water. — Uihak Jeongjeon 正傳 (Donguibogam · Pung)

Clinical commentary 臨床

The opening formula of the section that treats lockjaw by the three methods of cold damage — exterior, half-exterior and interior — and the staging is the section's whole contribution. While the disease is still in the exterior, release the exterior: notopterygium, saposhnikovia, ligusticum and asarum, with tangkuei and peony to keep the blood from being emptied by the sweating. Sanguisorba is the one unusual inclusion and is there for the wound itself. It is a sane formula applied to a disease it cannot touch. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.