Formulas · Tonify Qi & Blood 氣血雙補 · Jikji (直指)

Cnidium and Angelica Inner Support Powder

Gunggwitangni-san

한글 궁귀탁리산 · Pinyin Xiong Gui Tuo Li San

芎歸托裏散

The leaf opens without a 治 clause: 托裏排膿生肌 serves as both the indication and the sense of the name. 辣桂, the pungent cinnamon, is registered under 肉桂. 甘草生 is the raw rather than honey-roasted licorice. The transcription prints 為 in the alternative powder instruction; 爲 is printed above.

Composition 構成

Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4.8 g
Chief 君

1 don 2 fun
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4.8 g
Chief 君

1 don 2 fun
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4.8 g
Deputy 臣

酒炒, wine-fried; 1 don 2 fun
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

4.8 g
Deputy 臣

1 don 2 fun
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Deputy 臣

7 fun
Mokhyang Mu Xiang
木香 목향 · Costus Root

4.8 g
Assistant 佐

1 don 2 fun
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

4.8 g
Assistant 佐

1 don 2 fun
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

2.8 g
Assistant 佐

辣桂, the pungent cinnamon bark; 7 fun
Jeonghyang Ding Xiang
丁香 정향 · Clove

2.8 g
Assistant 佐

7 fun
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

生, raw; 7 fun

Total 40 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

Supports from within, drives the pus out and grows new flesh (托裏排膿生肌)
Taken as a decoction, or powdered and sent down in rice broth

Indications 主治

Pattern-based

癰疽 after it has burst
排膿生肌 — pus to be driven out and new flesh grown

Biomedical correlates

Granulating wound after drainage
Post-drainage wound healing
Chronic wound with pain and poor granulation

Source text 原文

Donguibogam 東醫寶鑑

托裏排膿生肌. 川芎ㆍ當歸ㆍ白芍藥(酒炒)ㆍ白茯苓ㆍ木香ㆍ白芷各一錢二分, 人參ㆍ辣桂ㆍ丁香ㆍ甘草(生) 各七分. 右剉, 作一貼, 水煎服. 或爲末, 每二錢, 米飮調下. 《直指》

Translation

Supports from within, drives the pus out and grows new flesh. Cnidium, Korean angelica, wine-fried white peony, white poria, costus root and dahurian angelica, 1 don 2 fun each; ginseng, pungent cinnamon bark, clove and raw licorice, 7 fun each. Cut the above, make one packet, decoct in water and take. Or powder it and send down 2 don each time in rice broth. — Jikji 直指 (Donguibogam · Ongjeo)

Clinical commentary 臨床

芎歸, cnidium and Korean angelica, are the pair that names it, and the formula is built on blood rather than qi — unusual in the 托裏 group, where ginseng and astragalus normally lead. Here ginseng is at 7 fun, there is no astragalus at all, and the weight sits on the blood drugs and the aromatics: costus root, clove and pungent cinnamon are three warming movers, and dahurian angelica is the surface-opening drug the tradition used wherever pus had to come forward. That makes this the version of 托裏 for a sore that is cold, painful and slow rather than simply depleted — the aromatics and cinnamon are there for a wound that is not inflamed enough, not for one that is too hot. The alternative given at the end, powdered and taken in rice broth, is the cheaper and more portable form, and the dose halves. The modern reading is the same as for the rest of the group: nothing taken by mouth drives pus out of a cavity, but a patient who is better nourished and better perfused does granulate and close. A chronically painful non-healing wound is worth reassessing for an undrained pocket or dead tissue underneath it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.