寶鑑Bogam

Formulas · Reduce Food Stagnation 消食 · Dongwon (東垣)

Curcuma Break Down Hardness Decoction

Gwangchulgwoegyeon-tang

한글 광출궤견탕  ·  Pinyin Guang Zhu Kui Jian Tang

廣朮潰堅湯

Composition 構成

Total 45.2 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

  • Central fullness with abdominal distension
  • accumulation and gathering within
  • hard as stone
  • and stool and urine rough and stagnant

Biomedical correlates

  • Abdominal mass with distension and constipation

Source text 原文

Donguibogam 東醫寶鑑

治中滿腹脹, 內有積聚, 堅硬如石, 大小便澁滯. 半夏 一錢半, 黃連ㆍ厚朴ㆍ黃芩ㆍ益智仁ㆍ草豆蔲ㆍ當歸 各七分, 陳皮ㆍ靑皮ㆍ神麴ㆍ澤瀉ㆍ柴胡ㆍ甘草 各五分, 蓬朮ㆍ升麻ㆍ吳茱萸 各三分, 紅花 二分. 右剉, 作一貼, 薑三, 水煎服. 服此藥, 中滿減半止. 有積塊, 乃服半夏厚朴湯. 《東垣》

Translation

Treats central fullness with abdominal distension, accumulation and gathering within, hard as stone, and stool and urine rough and stagnant. Pinellia 1.5 don; coptis, magnolia bark, scutellaria, alpinia, tsaoko and angelica 7 pun each; tangerine peel, green tangerine peel, medicated leaven, alisma, bupleurum and licorice 5 pun each; curcuma, cimicifuga and evodia 3 pun each; safflower 2 pun. Cut up, make one packet, add 3 slices of ginger, decoct in water and take. Taking this medicine, stop when the central fullness is reduced by half. Where there are accumulation lumps, then take Pinellia and Magnolia Bark Decoction. — Dongwon 東垣 (Donguibogam · Changman)

Clinical commentary 臨床

中滿減半止 — stop when the central fullness is halved — is the Neijing's rule for toxic medicines applied here to a formula containing nothing toxic at all. The Accumulations chapter quotes the original at 1.8.5: disperse a little more than half and then stop, for medicine beyond its measure kills. The instruction that follows makes this a two-stage protocol rather than a single prescription. This formula first, to the halfway point; the twenty-five-medicinal formula above second, and only if lumps remain. Sequencing of that explicitness is rare in these chapters. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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