Formulas · Warm the Interior 溫裏 · Dansim (丹心)

Cinnamon Twig and Peach Kernel Decoction

Gyejidoin-tang

한글 계지도인탕 · Pinyin Gui Zhi Tao Ren Tang

桂枝桃仁湯

Cut and made into one packet with 3 slices of ginger and 2 jujubes, decocted in water and taken warm. Note on modern practice: severe or worsening pelvic pain warrants gynecological evaluation.

Composition 構成

Gyeji Gui Zhi
桂枝 계지 · Cinnamon Twig

8 g
Chief 君
Jeokjakyak Chi Shao
赤芍藥 적작약 · Red Peony

8 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

8 g
Deputy 臣 dried, wine-washed
Doin Tao Ren
桃仁 도인 · Peach Kernel

8 g
Assistant 佐 30 kernels
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使 roasted
Daejo Da Zao
大棗 대조 · Jujube

4 g
Envoy 使 2 pieces

Total 46 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 a womb that cold has entered and the blood has congealed in
Breaks the stasis that the cold has made

Indications 主治

Pattern-based

Menses not passing through with cold shan pain circling the navel (月經不通遶臍寒疝痛)
A pulse sunken and tight (脉沈緊)
Cold lodged in the chamber of Blood so that the blood congeals and will not move

Biomedical correlates

Dysmenorrhea with cold-pattern presentation
Amenorrhea with pelvic pain
Pain relieved by warmth

Source text 原文

Donguibogam 東醫寶鑑

月經不通, 遶臍寒疝痛, 其脉沈緊. 此由寒氣客於血室, 血凝不行, 所以作痛. 桂枝ㆍ赤芍藥ㆍ生乾地黃(酒洗) 各二錢, 甘草(灸) 一錢, 桃仁三十箇. 右剉, 作一貼, 入生薑三片ㆍ棗二枚, 水煎溫服. 《丹心》

Translation

The menses not passing through, with cold shan pain circling the navel and a pulse sunken and tight. This comes of cold Qi lodging as a guest in the chamber of Blood, so that the blood congeals and does not move — hence the pain. Cinnamon twig, red peony, and wine-washed dried raw rehmannia, 2 don each; roasted licorice 1 don; peach kernel 30 kernels. Cut the above, make one packet, add 3 slices of ginger and 2 jujubes, decoct in water and take warm. — Dansim 丹心 (Donguibogam · Po)

Clinical commentary 臨床

Cinnamon Twig Decoction with peach kernel and red peony substituted in — the classical adaptation that turns a surface-resolving formula into one that reaches the Blood. The indication names the sign that decides it: pain circling the navel with a pulse sunken and tight, which is cold rather than heat or emptiness. Thirty peach kernels break what the cold has congealed; the cinnamon twig warms the channel it congealed in. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.