Formulas · Clear Heat 淸熱 · Yeongryu (永類)

Scutellaria, Coptis and Pinellia Decoction

Geumryeonbanha-tang

한글 금련반하탕 · Pinyin Qin Lian Ban Xia Tang

芩連半夏湯

Cut and made into one packet with 7 slices of ginger, decocted in water and taken. Note on modern practice: chest or back pain in pregnancy should be evaluated rather than assumed to be nausea-related.

Composition 構成

Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

5 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

3 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

2 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2 g
Assistant 佐
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2 g
Assistant 佐
Chija Zhi Zi
梔子 치자 · Gardenia

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

2 g
Assistant 佐
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

2 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Assistant 佐
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

2 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

2 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

14 g
Envoy 使 7 slices
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 50 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

Clears the heat behind a pregnancy sickness that has spread to chest and back
Transforms the phlegm and frees what has bound there

Indications 主治

Pattern-based

Malign obstruction with chest and back full and painful (惡阻病胸背滿痛)
Nausea with oppression and constraint
Pregnancy sickness with heat and phlegm together

Biomedical correlates

Nausea in pregnancy with chest discomfort
Reflux-type symptoms in pregnancy
Heat-pattern pregnancy sickness

Source text 原文

Donguibogam 東醫寶鑑

治惡阻病, 胸背滿痛. 黃芩一錢二分半, 白朮ㆍ半夏各一錢, 赤茯苓七分半, 黃連ㆍ陳皮ㆍ當歸ㆍ梔子ㆍ枳殼ㆍ香附ㆍ人參ㆍ蒼朮ㆍ縮砂ㆍ甘草各五分. 右剉, 作一貼, 入薑七片, 水煎服. 《永類》

Translation

Treats malign obstruction, with the chest and back full and painful. Scutellaria 1 don 2.5 fun; white atractylodes and pinellia, 1 don each; red poria 7.5 fun; coptis, tangerine peel, Korean angelica, gardenia, bitter orange husk, cyperus, ginseng, atractylodes, amomum, and licorice, 5 fun each. Cut the above, make one packet, add 7 slices of ginger, decoct in water and take. — Yeongryu 永類 (Donguibogam · Buin)

Clinical commentary 臨床

Scutellaria leading a pregnancy formula is the signature here — it is the classical fetus-quieting cooler, and its presence at the head marks this as the heat version of morning sickness. Fourteen herbs at small doses covering three fronts at once: cool the heat, transform the phlegm, and free the constraint that turns nausea into a fullness reaching through to the back. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.