Formulas · Transform Phlegm 化痰 · Manbyeong Hoechun (萬病回春)

Trichosanthes and Bitter Orange Decoction for Phlegm Fire Tetany

Garu-jisil-tang

한글 과루지실탕 · Pinyin Gua Lou Zhi Shi Tang

瓜蔞枳實湯

Registered with the chapter suffix to distinguish it from the 瓜蔞枳實湯 of the Hoechun for bound phlegm in the chest, whose composition and weights differ.

Composition 構成

Gwaruin Gua Lou Ren
瓜蔞仁 과루인 · Trichosanthes Seed

3.2 g
Chief 君
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

3.2 g
Chief 君
Paemo Bei Mu
貝母 패모 · Fritillaria

3.2 g
Deputy 臣
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

3.2 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

3.2 g
Deputy 臣

sliced
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

3.2 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

3.2 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

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

3.2 g
Assistant 佐
Chija Zhi Zi
梔子 치자 · Gardenia

3.2 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

3.2 g
Assistant 佐
Soja Zi Su Zi
蘇子 자소자 · Perilla Seed

3.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Jungnyeok Zhu Li
竹瀝 죽력 · Bamboo Sap

—
Envoy 使

stirred in

Total 39.6 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients 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 phlegm fire tetany
Clears phlegm fire and relaxes the sinews

Indications 主治

Pattern-based

Phlegm fire with tetany
Phlegm heat with rigidity

Biomedical correlates

Tetany with phlegm
Seizure with secretions

Source text 原文

Donguibogam 東醫寶鑑

治痰火痓. 瓜蔞仁ㆍ枳實ㆍ貝母ㆍ桔梗ㆍ片芩ㆍ陳皮ㆍ梔子ㆍ茯苓ㆍ麥門冬ㆍ人參ㆍ當歸ㆍ蘇子各八分, 甘草三分. 右剉, 作一貼, 入薑三片, 煎和竹瀝ㆍ薑汁服. 《回春》

Translation

Treats phlegm fire tetany. Trichosanthes seed, bitter orange, fritillaria, platycodon, sliced scutellaria, tangerine peel, gardenia, poria, ophiopogon, ginseng, tangkuei and perilla seed, 8 fun each; licorice, 3 fun. Cut up, make one packet, add three slices of ginger, decoct, and take mixed with bamboo sap and ginger juice. — Manbyeong Hoechun 回春 (Donguibogam · Pung)

Clinical commentary 臨床

The Hoechun's phlegm-fire version of tetany, and it is the one formula in the lockjaw section that treats secretions rather than rigidity. Trichosanthes seed, fritillaria, platycodon and perilla seed move thick phlegm down; scutellaria and gardenia take the heat out; ophiopogon and ginseng replace the fluid the heat has consumed. In a patient with rigidity and copious respiratory secretions — which is most patients with tetanus — clearing the airway is the right priority, and this formula at least points at it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.