Formulas · Purge Downward 瀉下 · Dongwon (東垣)
Notopterygium Conduct Stagnation Decoction
Ganghwaldoche-tang
한글 강활도체탕 · Pinyin Qiang Huo Dao Zhi Tang
Cut and made into one packet, decocted in water and taken; **stop as soon as there is slight loosening of the bowel.** Note on modern practice: rhubarb at this dose is a strong purgative; short courses only.
Composition 構成
- Daehwang大黃 대황 · Rhubarb9.6 g
Chief 君 wine-roasted - Ganghwal羌活 강활 · Notopterygium4.8 g
Deputy 臣 - Dokhwal獨活 독활 · Aralia4.8 g
Deputy 臣 - Bangi防己 방기 · Sinomenium2.8 g
Assistant 佐 - Danggui當歸 당귀 · Korean Angelica2.8 g
Assistant 佐 tail (尾) - Jisil枳實 지실 · Immature Bitter Orange2 g
Assistant 佐
Total 26.8 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
- Conducts out the stagnation of a first outbreak of leg qi
- Opens the way before the main formula is given
Indications 主治
Pattern-based
- Leg qi first breaking out with pain through the whole body (脚氣初發 一身盡痛)
- Joints swollen and painful with stool and urine blocked
- The opening move before Danggwiyeomtong-tang
Biomedical correlates
- Acute onset leg qi with constipation
- Generalized pain with joint swelling
- Short-course purgative therapy
Source text 原文
Donguibogam 東醫寶鑑
治脚氣初發, 一身盡痛, 或肢節腫痛, 便尿阻隔. 先以此導之, 後用當歸拈痛湯除之. 大黃(酒煨) 二錢四分, 羌活ㆍ獨活 各一錢二分, 防己ㆍ當歸尾 各七分, 枳實 五分. 右剉, 作一貼, 水煎服, 微利卽止. 《東垣》
Translation
Treats leg qi first breaking out, with pain through the whole body, or the joints swollen and painful, and stool and urine blocked. Give this first to conduct it out, and afterward use Danggwiyeomtong-tang to remove it. Wine-roasted rhubarb 2 don 4 fun; notopterygium and pubescent angelica, 1 don 2 fun each; stephania and angelica tail, 7 fun each; unripe bitter orange 5 fun. Cut the above, make one packet, decoct in water and take; stop as soon as there is slight loosening. — Dongwon 東垣 (Donguibogam · Jok)