Formulas · Warm the Interior 溫裏 · Injae Jikji (仁齋直指方)

Cinnamon and Atractylodes Decoction

Gyechul-tang

한글 계출탕 · Pinyin Gui Zhu Tang

桂朮湯

Composition 構成

Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

6 g
Chief 君

cinnamon bark (桂皮)
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Deputy 臣
Sesin Xi Xin
細辛 세신 · Asarum

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

3 g
Assistant 佐
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

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

10 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

Total 38 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

Warms and frees the qi aspect
Disperses water held as rheum between the qi

Indications 主治

Pattern-based

Qi aspect pattern
also called water aspect — qi separated by rheum
with aching bones and cold impediment

Biomedical correlates

Oedema with cold extremities and joint pain

Source text 原文

Donguibogam 東醫寶鑑

治氣分. 桂皮一錢半, 白朮ㆍ麻黃ㆍ細辛ㆍ甘草各一錢, 枳殼ㆍ乾薑各七分半. 右剉, 作一貼, 薑五片, 水煎服. 《直指》

Translation

Treats the qi aspect. Cinnamon bark 1.5 don; white atractylodes, ephedra, asarum and licorice 1 don each; bitter orange and dry ginger 7.5 pun each. Cut up, make one packet, add 5 slices of ginger, decoct in water and take. — Injae Jikji 直指 (Donguibogam · Bujong)

Clinical commentary 臨床

The first half of the pair the section at 2.8 sets out. Qi aspect and blood aspect are distinguished by what the water is held in: where rheum separates the qi so that the bones ache and there is cold impediment, it is the qi aspect; where the channels do not move and blood turns to water so that the limbs redden and swell, it is the blood aspect. This formula is warm throughout with nothing that moves blood, which is the distinction made visible. Compare Gyeryeong-tang below, which is almost entirely blood-movers. **Contains ephedra. Not suitable for self-administration and contraindicated in hypertension and cardiac disease.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.