Formulas · Warm the Interior 溫裏 · Gogeum Uigam (古今醫鑑)

Notopterygium and Aconite Decoction

Ganghwalbuja-tang

한글 강활부자탕 · Pinyin Qiang Huo Fu Zi Tang

羌活附子湯

A different formula from the 羌活附子湯 of the Head chapter, which is Dongwon's ephedra and aconite formula for brain wind with headache and toothache. The 治同上 here refers to the preceding leaf, Jeonghyangsije-san, for hiccup from vacuity cold of the stomach after a great illness.

Composition 構成

Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

blast-fried (炮) · toxic
Hoehyang Hui Xiang
茴香 회향 · Fennel Fruit

4 g
Deputy 臣

dry-fried
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Deputy 臣

blast-fried (炮)
Mokhyang Mu Xiang
木香 목향 · Costus Root

4 g
Assistant 佐
Jeonghyang Ding Xiang
丁香 정향 · Clove

4 g
Assistant 佐
Yeom Yan
鹽 염 · Salt

—
Envoy 使

a pinch, added to the decoction

Total 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

Treats hiccup from vacuity cold of the stomach after a great illness, as for the formula above

Indications 主治

Pattern-based

Vacuity cold of the stomach with hiccup
Cold counterflow after a long illness

Biomedical correlates

Intractable hiccup in a debilitated patient

Source text 原文

Donguibogam 東醫寶鑑

治同上. 羌活ㆍ附子(炮)ㆍ茴香(炒)ㆍ乾薑(炮)ㆍ木香ㆍ丁香各一錢. 右剉, 作一貼, 入鹽一撮, 同煎服. 《醫鑑》

Translation

Treats the same as above. Notopterygium, blast-fried aconite, dry-fried fennel, blast-fried dried ginger, costus and cloves, 1 don each. Cut up, make one packet, add a pinch of salt, and decoct together. — Gogeum Uigam 醫鑑 (Donguibogam · Haesu)

Clinical commentary 臨床

Six drugs at an equal don, every one of them warm, with salt added to carry them downward. The hiccup being treated is the cold kind — the patient depleted after a long illness, with a cold stomach — and the formula makes no attempt to be subtle about it: aconite and dried ginger for the cold, cloves and costus and fennel for the counterflow. **Contains aconite, which is toxic. This must not be prepared.** Intractable hiccup in a debilitated patient is worth medical assessment in its own right, since it can follow from anything from a diaphragmatic irritation to a central lesion. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.