寶鑑Bogam

Formulas · Dispel Wind 祛風 · Dansim (丹心)

Notopterygium Overcome Wind Decoction

Ganghwal-yupung-tang

한글 강활유풍탕  ·  Pinyin Qiang Huo Yu Feng Tang

羌活愈風湯

The Bogam notes the alternative name 愈風湯 and prescribes the decoction as a vehicle for two pills, Isam-dan in the morning and Sabaek-dan at night.

Composition 構成

Total 44.8 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • Residual wind after stroke with liver and kidney vacuity
  • Convalescence from wind stroke

Biomedical correlates

  • Post-stroke rehabilitation
  • Chronic cerebrovascular disease

Source text 原文

Donguibogam 東醫寶鑑

治風中府ㆍ中藏, 先以本藥治之, 後用此藥調理. 《回春》 ○凡中風內邪已除ㆍ外邪已盡, 當服此藥以行導諸經, 久則大風悉去, 淸濁自分, 榮衛自和矣. 蒼朮ㆍ石膏ㆍ生地黃 各六分, 羌活ㆍ防風ㆍ當歸ㆍ蔓荊子ㆍ川芎ㆍ細辛ㆍ黃芪ㆍ枳殼ㆍ人參ㆍ麻黃ㆍ白芷ㆍ甘菊ㆍ薄荷ㆍ枸杞子ㆍ柴胡ㆍ知母ㆍ地骨皮ㆍ獨活ㆍ杜衝ㆍ秦芃ㆍ黃芩ㆍ白芍藥ㆍ甘草 各四分, 肉桂 二分. 右剉, 作一貼, 入薑 三片, 水煎, 朝夕服. 或以此湯空心嚥下<a href='/formulas/isam-dan'>二參丹</a>, 臨卧嚥下<a href='/formulas/sabaek-dan'>四白丹</a>. 《丹心》 ○一名愈風湯. 《丹心》 ○療肝腎虛, 筋骨弱, 語言難, 精神昏憒; 或瘦而偏枯, 或肥而不遂, 或恐而健忘, 或喜而多思. 思忘之道, 皆精不足也. 能安心養神, 調陰陽使無偏勝. 《易老》

Translation

Treats wind striking the bowels or the viscera: first treat with the primary medicine, and afterwards use this to regulate. Whenever in wind stroke the inner evil is already removed and the outer evil already exhausted, this medicine should be taken to move and guide the several channels; given long, the great wind is wholly gone, clear and turbid separate of themselves, and construction and defence are harmonious of themselves. Atractylodes, gypsum and raw rehmannia, 6 fun each; notopterygium, saposhnikovia, tangkuei, vitex, chuanxiong, asarum, astragalus, bitter orange, ginseng, ephedra, angelica dahurica, chrysanthemum, mint, lycium fruit, bupleurum, anemarrhena, lycium bark, pubescent angelica, eucommia, large-leaf gentian, scutellaria, white peony and licorice, 4 fun each; cassia bark, 2 fun. Cut up, make one packet, add three slices of ginger, decoct in water and take morning and evening. Or with this decoction swallow Isam-dan on an empty stomach and Sabaek-dan on lying down. Also called Yupung-tang. It treats liver and kidney vacuity with weak sinews and bones, difficult speech and a clouded spirit; or the thin with hemiplegia, or the stout who cannot move; or fearfulness with forgetfulness, or joy with much brooding — for the way of brooding and forgetting is in every case essence insufficient. It can settle the heart and nourish the spirit, regulating yin and yang so that neither prevails. — Manbyeong Hoechun 回春 · Dansim 丹心 · Yeokro 易老 (Donguibogam · Pung)

Clinical commentary 臨床

Twenty-seven drugs, and the chapter's convalescent formula rather than its acute one — the indication says so twice: give it after the primary medicine, when the inner and outer evils are both gone. What makes it worth reading is the clinical portrait Yeokro attaches: weak sinews, difficult speech, a clouded mind; the thin with a paralysed side and the stout who cannot move; fearfulness with forgetfulness, joy with brooding. That is the sequel of a stroke described as a whole condition rather than a lesion, and the prescription answers it as one — tonics for the liver and kidney, wind drugs to keep the channels open, and the two pills timed to morning and night. Giving a decoction as the vehicle for pills is the chapter's most elaborate dosing scheme. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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