Formulas · Release the Exterior 解表 · Uihak Immun (醫學入門)

Notopterygium and Ephedra Decoction

Gangma-tang

한글 강마탕 · Pinyin Qiang Ma Tang

羌麻湯

The Bogam also directs this formula to be taken when convulsion continues after 左龍丸 has been given, at the end of that entry.

Composition 構成

Ganghwal Qiang Huo
羌活 강활 · Notopterygium

2.8 g
Chief 君
Mahwang Ma Huang
麻黃 마황 · Ephedra

2.8 g
Chief 君
Bangpung Fang Feng
防風 방풍 · Siler

2.8 g
Chief 君
Gamguk Ju Hua
甘菊 감국 · Chrysanthemum

2.8 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2.8 g
Deputy 臣
Seokgo Shi Gao
石膏 석고 · Gypsum

2.8 g
Deputy 臣
Jeonho Qian Hu
前胡 전호 · Peucedanum

2.8 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2.8 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

2.8 g
Assistant 佐
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

2.8 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Manhyeongja Man Jing Zi
蔓荊子 만형자 · Vitex

2.8 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

2 g
Assistant 佐
Bakha Bo He
薄荷 박하 · Mint

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 40.4 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 lockjaw lodged half in the exterior and half in the interior with no sweating
Opens the exterior and clears the interior at once

Indications 主治

Pattern-based

Wind toxin half in the exterior and half in the interior
Lockjaw with no sweating

Biomedical correlates

Tetanus in the established phase
Wound infection with rigidity

Source text 原文

Donguibogam 東醫寶鑑

治破傷風在半表半裏無汗. 羌活ㆍ麻黃ㆍ甘菊ㆍ川芎ㆍ石膏ㆍ防風ㆍ前胡ㆍ黃芩ㆍ細辛ㆍ枳殼ㆍ白茯苓ㆍ蔓荊子ㆍ甘草各七分, 白芷ㆍ薄荷各五分. 右剉, 作一貼, 入薑三片, 水煎服. 《入門》

Translation

Treats lockjaw lodged half in the exterior and half in the interior, with no sweating. Notopterygium, ephedra, chrysanthemum, chuanxiong, gypsum, saposhnikovia, peucedanum, scutellaria, asarum, bitter orange, poria, vitex fruit and licorice, 7 fun each; angelica dahurica and mint, 5 fun each. Cut up, make one packet, add three slices of ginger and decoct in water. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

The middle stage, and the formula does what the half-exterior half-interior diagnosis demands: ephedra and notopterygium outward, gypsum and scutellaria inward, and chrysanthemum, vitex and mint for the head where the rigidity shows. Fifteen drugs mostly at the same weight is a flat construction, but the two directions of action are clearly represented, and the Bogam returns to this formula at the end of the Jwaryong-hwan entry as the thing to give when convulsion persists — which makes it the section's maintenance prescription. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.