Formulas · Warm the Interior 溫裏 · Manbyeong Hoechun (萬病回春)

Nine Ingredient Regulate the Centre Decoction

Gumiijung-tang

한글 구미이중탕 · Pinyin Jiu Wei Li Zhong Tang

九味理中湯

Composition 構成

Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Chief 君

blast-fried (炮)
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

4 g
Chief 君

as 桂皮
Soja Zi Su Zi
蘇子 자소자 · Perilla Seed

4 g
Deputy 臣
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Sain Sha Ren
砂仁 사인 · Amomum

4 g
Assistant 佐

ground
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Chimhyang Chen Xiang
沈香 침향 · Agarwood

2 g
Assistant 佐

ground in water for the juice
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Assistant 佐

ground in water for the juice
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

honey-roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 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 cold panting, in which the hands and feet are cold and the pulse sunken and fine

Indications 主治

Pattern-based

Cold wheeze with cold extremities and a sunken fine pulse
Yang vacuity wheeze

Biomedical correlates

Wheeze with poor peripheral perfusion

Source text 原文

Donguibogam 東醫寶鑑

治寒喘. 寒喘者, 手足冷ㆍ脉沉細也. 縮砂(硏)ㆍ乾薑(炮)ㆍ蘇子ㆍ厚朴ㆍ桂皮ㆍ陳皮ㆍ甘草(灸) 各一錢, 沉香ㆍ木香各五分(並水磨取汁). 右剉, 作一貼, 薑三, 水煎, 入沉香ㆍ木香汁調服. 《回春》

Translation

Treats cold panting. In cold panting the hands and feet are cold and the pulse sunken and fine. Ground cardamom, blast-fried dried ginger, perilla seed, magnolia bark, cinnamon bark, tangerine peel and honey-roasted licorice, 1 don each; aquilaria and costus, 5 fun each, both ground in water for their juice. Cut up, make one packet, add three slices of ginger, decoct in water, and stir in the aquilaria and costus juice before giving. — Manbyeong Hoechun 回春 (Donguibogam · Haesu)

Clinical commentary 臨床

The formula gives its own diagnostic criteria in the indication, which is rare: cold hands and feet with a sunken fine pulse. That is wheeze in a patient whose circulation is poor, and the treatment is accordingly all warming and qi-moving, with no ephedra and nothing cold. The two aromatics are ground in water and the juice stirred in off the heat, because aquilaria and costus lose their oils in boiling — a preparation detail the chapter is careful about wherever these two appear. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.