Formulas · Invigorate Blood 活血祛瘀 · Hwaje Gukbang (和劑局方)
Interacting Rehmannia Decocted Pill
Gyogamjihwangjeon-won
한글 교감지황전원 · Pinyin Jiao Gan Di Huang Jian Yuan
The preparation is the formula's signature: two geun each of raw rehmannia and fresh ginger are washed and pounded, their juices pressed out through cloth and the dregs kept; the rehmannia dregs are then fried in the ginger juice and the ginger dregs in the rehmannia juice, each until dry, and both powdered. The remaining ingredients are added, and all bound with honey into pills the size of crossbow pellets; one pill is dissolved in angelica wine. **Note on modern practice: postpartum seizures, psychosis, and heavy bleeding with clots are obstetric emergencies requiring immediate hospital care. Recorded as classical text.**
Composition 構成
- Saengjihwang生地黃 생지황 · Raw Rehmannia1280 g
Chief 君 2 geun; juice pressed out, the dregs fried in the ginger juice - Saenggang生薑 생강 · Fresh Ginger1280 g
Chief 君 2 geun; juice pressed out, the dregs fried in the rehmannia juice - Pohwang蒲黃 포황 · Cattail Pollen160 g
Deputy 臣 dry-fried - Danggui當歸 당귀 · Korean Angelica40 g
Assistant 佐 - Hyeonhosaek玄胡索 현호색 · Corydalis40 g
Assistant 佐 - Hobak琥珀 호박 · Amber40 g
Assistant 佐
Total 2840 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
- Answers the gravest postpartum crises the chapter names
- Joins rehmannia and ginger by cooking each in the other's juice
Indications 主治
Pattern-based
- Black flowers before the eyes after birth
- mania as though seeing ghosts (眼見黑花 發狂如見鬼狀)
- Wind stroke with the body arched backward (中風角弓反張)
- Blood descending like pig's liver
- with griping pain and concretions forming
Biomedical correlates
- Postpartum eclampsia and psychosis presentations — historical
- Postpartum hemorrhage with clots
- Severe postpartum complications of the era
Source text 原文
Donguibogam 東醫寶鑑
治産後眼見黑花, 發狂如見鬼狀, 或中風角弓反張, 或下血如豚肝狀, 臍腹㽲痛, 結爲癥瘕. 生地黃 二斤(洗擣, 以布裂汁留滓), 生薑 二斤(洗擣, 以布裂汁留滓, 以生薑汁炒地黃滓, 以地黃汁炒生薑滓, 各至乾燥爲末爲度), 蒲黃(炒) 四兩, 當歸ㆍ玄胡索ㆍ琥珀 各一兩. 右爲末, 蜜丸彈子大, 當歸酒化下一丸. 《局方》
Translation
Treats black flowers seen before the eyes after birth, mania as though seeing ghosts, or wind stroke with the body arched backward like a drawn bow, or blood descending like pig's liver with griping pain of navel and abdomen binding into concretions. Raw rehmannia 2 geun — washed and pounded, the juice pressed out through cloth and the dregs kept; fresh ginger 2 geun — likewise, the juice pressed out and the dregs kept; then the rehmannia dregs are fried in the ginger juice and the ginger dregs in the rehmannia juice, each until dry, and powdered. Dry-fried cattail pollen 4 nyang; Korean angelica, corydalis, and amber, 1 nyang each. Powder the above and bind with honey into pills the size of crossbow pellets; dissolve one pill in angelica wine and take. — Gukbang 局方 (Donguibogam · Buin)