Formulas · Transform Phlegm 化痰 · Seui Deukhyobang (世醫得效方)

Cnidium and Aralia Decoction

Gunghwal-tang

한글 궁활탕 · Pinyin Xiong Huo Tang

芎活湯

Composition 構成

Cheongung Chuan Xiong
川芎 천궁 · Cnidium

3.75 g
Chief 君
Banha Ban Xia
半夏 반하 · Pinellia

3.75 g
Chief 君
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

3.75 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

3.75 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

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

3.75 g
Assistant 佐
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

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

5 g
Envoy 使 5 slices
Gamcho Gan Cao
甘草 감초 · Licorice

1.9 g
Envoy 使

Total 31.3 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

Transforms water-rheum lodged in the channels
Quickens Blood and frees the network vessels
Relieves arm pain

Indications 主治

Pattern-based

Water-rheum halting and pouring into the channels
Arm pain arising from fluid accumulation
Fullness of the chest with arm ache

Biomedical correlates

Brachialgia with effusion
Phlegm-type shoulder pain

Source text 原文

Donguibogam 東醫寶鑑

治水飮停注經絡, 發爲臂痛. 川芎ㆍ半夏ㆍ赤茯苓ㆍ獨活ㆍ陳皮ㆍ枳殼各一錢, 白朮ㆍ甘草各五分. 右剉, 作一貼, 薑五片, 水煎服. 《得效》

Translation

Treats water-rheum halting and pouring into the channels, breaking out as arm pain. Cnidium, pinellia, red poria, aralia, aged tangerine peel, and bitter orange 1 don each; white atractylodes and licorice 0.5 don each. Cut the above, make one packet, add 5 slices of ginger, decoct in water and take. — Deukhyo 得效 (Donguibogam · Su)

Clinical commentary 臨床

Essentially Ijin-tang with cnidium and aralia added to carry the action into the limb and bitter orange to move the Qi that the fluid has stalled. The decoction form makes this the acute counterpart to the pill formulas above — reach for it when the arm pain is recent and the fluid sign is fresh, and switch to Sodambokryeong-hwan or Gagambokryeong-hwan when it has settled into a chronic pattern. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.