Formulas · Invigorate Blood 活血祛瘀 · Uibang Jimnyak (醫方集略)

Angelica and Curcuma Break the Concretion Decoction

Gwichulpajing-tang

한글 귀출파징탕  ·  Pinyin Gui Zhu Po Zheng Tang

歸朮破癥湯

Cut and made into one packet with a little wine added, decocted in water and taken. Note on modern practice: a palpable pelvic mass with amenorrhea requires gynecological evaluation and imaging.

Composition 構成

Total 38.8 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

  • Menses not flowing with an accumulated lump in the abdomen and pain (月經不通 腹中有積塊疼痛)
  • Blood concretion from long stagnation
  • Pain with a palpable mass

Biomedical correlates

  • Amenorrhea with pelvic mass
  • Fibroid-associated menstrual obstruction — supportive care
  • Chronic pelvic pain with stagnation signs

Source text 原文

Donguibogam 東醫寶鑑

治月經不通, 腹中有積塊疼痛. 香附子(醋炒) 一錢半, 三稜ㆍ蓬朮(幷醋煮)ㆍ赤芍藥ㆍ白芍藥ㆍ當歸尾ㆍ靑皮 各一錢, 烏藥 七分, 紅花ㆍ蘇木ㆍ官桂 各五分. 右剉, 作一貼, 入酒少許, 水煎服. 《集略》

Translation

Treats menses not flowing, with an accumulated lump within the abdomen and pain. Vinegar-fried cyperus 1.5 don; sparganium and curcuma (both vinegar-boiled), red peony, white peony, angelica tail, and green tangerine peel, 1 don each; lindera 7 fun; safflower, sappan wood, and cassia, 5 fun each. Cut the above, make one packet, add a little wine, decoct in water and take. — Jimnyak 集略 (Donguibogam · Po)

Clinical commentary 臨床

The breaking pair vinegar-boiled and set behind cyperus, with angelica's tail rather than its body — the part the tradition reserves for moving rather than nourishing. Both peonies appear, one to move and one to soften what the moving would otherwise leave sore. And the wine stirred in at the end is doing what wine does throughout this chapter: carrying medicine into places Blood has stopped reaching. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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