寶鑑Bogam

Formulas · Dispel Wind-Damp 祛風濕 · Byeonui (辨疑)

Notopterygium and Teasel Decoction

Ganghwalsokdan-tang

한글 강활속단탕  ·  Pinyin Qiang Huo Xu Duan Tang

羌活續斷湯

Cut and made into one packet with 3 slices of ginger, decocted in water and taken. The source explains the substitution: in Dokhwalgisaeng-tang the mistletoe is often not the genuine article, and other mistletoes are substituted for it with no small harm — therefore the mistletoe is dropped and teasel root put in its place, and notopterygium replaces pubescent angelica; the effect is markedly better.

Composition 構成

Total 30 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

Indications 主治

Pattern-based

  • Leg qi with Liver and Kidney vacuous and weak (脚氣 肝腎虛弱)
  • Sinews cramping and bones aching
  • The substitute version of Dokhwalgisaeng-tang

Biomedical correlates

  • Chronic leg weakness with pain
  • Degenerative joint conditions of the legs
  • Long-course supportive therapy

Source text 原文

Donguibogam 東醫寶鑑

治脚氣, 肝腎虛弱, 筋攣骨痛. 羌活ㆍ防風ㆍ白芷ㆍ細辛ㆍ杜沖ㆍ牛膝ㆍ秦芃ㆍ續斷ㆍ熟地黃ㆍ當歸ㆍ人參ㆍ白芍藥ㆍ赤茯苓ㆍ桂心ㆍ川芎 各五分. 右剉, 作一貼, 薑三片, 水煎服. ○獨活寄生湯, 桑寄生無眞者, 世以他寄生代之, 爲害不少. 故今去寄生代續斷, 又以羌活代獨活, 功效殊勝. 《辨疑》

Translation

Treats leg qi with Liver and Kidney vacuous and weak, the sinews cramping and the bones aching. Notopterygium, saposhnikovia, angelica dahurica, asarum, eucommia, achyranthes, gentiana macrophylla, teasel root, prepared rehmannia, Korean angelica, ginseng, white peony, red poria, cinnamon heart, and cnidium, 5 fun each. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — In Dokhwalgisaeng-tang, genuine mulberry mistletoe is not to be had, and the world substitutes other mistletoes for it, with no small harm. Therefore the mistletoe is now removed and teasel root put in its place, and notopterygium replaces pubescent angelica; the effect is markedly better. — Byeonui 辨疑 (Donguibogam · Jok)

Clinical commentary 臨床

A formula created out of a supply problem, and the source says so openly: genuine mulberry mistletoe was hard to get, counterfeits were doing harm, and so it was replaced with teasel root. That is a candid piece of pharmacognosy — an admission that adulteration was common enough to justify redesigning a classic formula around it. The claim that the substitute works better is the author's own. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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