Formulas · Warm the Interior 溫裏 · Deukhyo (得效)

Yang-Returning Decoction

Hoeyang-tang

한글 회양탕 · Pinyin Hui Yang Tang

回陽湯

Both 川烏 and 附子 are specified raw 生, which is the most hazardous form of either drug.

Composition 構成

Ikjiin Yi Zhi Ren
益智仁 익지인 · Alpinia

8 g
Chief 君
Cheono Chuan Wu
川烏 천오 · Aconite Main Root

4 g
Chief 君

raw · toxic
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

raw · toxic
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

8 g
Deputy 臣
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

2 g
Deputy 臣

blast-fried
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

seven slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two dates

Total 26 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

Returns the yang in a direct cold strike
Breaks up cold stagnation in the middle burner

Indications 主治

Pattern-based

Direct cold strike with cold limbs and abdominal pain
Cold congealed with qi stagnation

Biomedical correlates

Hypothermic collapse
Acute abdominal pain from cold exposure

Source text 原文

Donguibogam 東醫寶鑑

治中寒. 益智仁ㆍ靑皮各二錢, 川烏(生)ㆍ附子(生) 各一錢, 乾薑(炮) 五分. 右剉, 作一貼, 入薑七片, 棗二枚, 水煎服. 《得效》

Translation

Treats direct cold strike. Alpinia oxyphylla and green tangerine peel, 2 don each; raw aconite root and raw aconite daughter root, 1 don each; blast-fried dried ginger, 5 fun. Cut up, make one packet, add seven slices of ginger and two dates and decoct in water. — Deukhyo 得效 (Donguibogam · Han, lower)

Clinical commentary 臨床

**This must not be prepared as written.** Both aconites raw, in one cup — that is the formula's whole character, and it is why it carries the name it does: nothing short of that was thought able to call the yang back from a true cold strike. Raw aconite contains aconitine at full strength and is cardiotoxic at doses close to the therapeutic one. The rest of the formula is sound and interesting: alpinia oxyphylla at chief dose for the cold lower burner and green tangerine peel to break the stagnation, which tells you the patient had pain as well as cold. Modern practice reaches this pattern with blast-fried aconite at a controlled dose. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.