Formulas · Clear Heat 淸熱 · Seui Deukhyobang (世醫得效方)

Lower the Heart Decoction

Gangsim-tang

한글 강심탕  ·  Pinyin Jiang Xin Tang

降心湯

Composition 構成

Total 44 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

  • Heart fire flaming upward with Kidney water failing to answer (心火上炎 腎水不濟)
  • Vexing thirst with constant drinking — upper wasting (上消) of sogal
  • Qi and Blood wasting away day by day

Biomedical correlates

  • Polydipsia-dominant presentations in diabetes and prediabetes
  • Stress-linked thirst and palpitations in depleted patients
  • Chronic dry mouth with fatigue and weight loss

Source text 原文

Donguibogam 東醫寶鑑

治心火上炎, 腎水不濟, 煩渴引飮, 氣血日消. 天花粉 二錢, 人參ㆍ遠志ㆍ當歸ㆍ熟地黃ㆍ白茯苓ㆍ黃芪(蜜炒)ㆍ五味子ㆍ甘草 各一錢. 右剉, 作一貼, 入棗二, 水煎服. 《得效》

Translation

Treats heart fire flaming upward with kidney water failing to answer: vexing thirst drawing in drink, and qi and blood wasting day by day. Trichosanthes root 2 don; ginseng, polygala, Korean angelica, prepared rehmannia, white poria, honey-fried astragalus, schisandra, and licorice, 1 don each. Cut the above, make one packet, add two jujubes, decoct in water and take. — Deukhyo 得效 (Donguibogam · Sogal)

Clinical commentary 臨床

For upper wasting where the fire is loud but the patient is quietly running empty — this lowers the heart not by draining it, but by giving the kidney enough water to answer back. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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