Formulas · Warm the Interior 溫裏 · Gogeum Uigam (古今醫鑑)

Return the Yang Rescue from Urgency Decoction

Hoeyang-gugeup-tang

한글 회양구급탕 · Pinyin Hui Yang Jiu Ji Tang

回陽救急湯

The four gentlemen with the two-ancient-herbs pair and the yang-restoring group combined; schisandra is the addition that distinguishes it from the Sayeok family.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Chief 君

blast-fried
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

blast-fried · toxic
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

honey-roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

seven slices

Total 40 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Treats the yin pattern and yin toxin of cold damage with the four limbs reversed and cold
a sunken fine pulse
green lips and a black face
Recovers the yang and rescues the patient from urgency

Indications 主治

Pattern-based

Yang collapse with cyanosis
Yin toxin with the pulse sunken and fine

Biomedical correlates

Cardiogenic shock
Septic shock with hypothermia

Source text 原文

Donguibogam 東醫寶鑑

治傷寒陰證及陰毒, 四肢厥冷ㆍ脉沉細ㆍ唇靑面黑. 人參ㆍ白朮ㆍ白茯苓ㆍ陳皮ㆍ半夏ㆍ乾薑(炮)ㆍ肉桂ㆍ附子(炮)ㆍ五味子ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 入薑七片, 水煎服. 《醫鑑》

Translation

Treats the yin pattern and the yin toxin of cold damage, with the four limbs reversed and cold, the pulse sunken and fine, green lips and a black face. Ginseng, atractylodes, poria, tangerine peel, pinellia, blast-fried dried ginger, cassia bark, blast-fried aconite, schisandra and honey-roasted licorice, 1 don each. Cut up, make one packet, add seven slices of ginger and decoct in water. — Gogeum Uigam 醫鑑 (Donguibogam · Han)

Clinical commentary 臨床

The best-constructed formula of the yin toxin group and the one still in use. Green lips and a black face is central cyanosis, and the combination it is answered with is coherent: the four gentlemen to hold the qi, aconite and dried ginger and cassia to recover the yang, pinellia and tangerine peel for the phlegm that collects in a failing patient, and schisandra to gather in what is leaking away. Ten drugs at equal weight, all of them familiar, and nothing in it is dangerous beyond the aconite. For cardiogenic or septic shock it is of course not a treatment, but as a formula it is the section's high point. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.