Formulas · Warm the Interior 溫裏 · Seui Deukhyobang (世醫得效方)

Magnolia Bark and Tangerine Peel Decoct

Hubakgyulpi-jeon

한글 후박귤피전  ·  Pinyin Hou Po Ju Pi Jian

厚朴橘皮煎

Composition 構成

Total 376 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

Indications 主治

Pattern-based

  • Damage from cold with the belly distended like an upturned basket
  • and panting breath that rushes and hurries

Biomedical correlates

  • Acute abdominal distension with dyspnoea

Source text 原文

Donguibogam 東醫寶鑑

治傷冷, 腹肚䐜脹, 如覆栲栳, 喘息奔急. 厚朴 三兩, 枳殼ㆍ乾薑ㆍ良薑 各一兩 二錢, 靑皮ㆍ陳皮ㆍ肉桂ㆍ全蝎 各七錢. 右爲末, 醋糊和丸梧子大. 生薑橘皮湯下三五十丸. 《得效》

Translation

Treats damage from cold with the belly distended like an upturned basket, and panting breath that rushes and hurries. Magnolia bark 3 nyang; bitter orange, dry ginger and lesser galangal 1 nyang 2 don each; green tangerine peel, tangerine peel, cinnamon bark and scorpion 7 don each. Powder them, make pills with vinegar paste the size of a firmiana seed, and take thirty to fifty down with a decoction of fresh ginger and tangerine peel. — Seui Deukhyobang 得效 (Donguibogam · Changman)

Clinical commentary 臨床

如覆栲栳 — like an upturned wicker basket — is the image, and it says what the other formulas' indications do not: the belly is not merely full but domed and taut. With rushing breath alongside it, this is acute and severe. Magnolia bark at three nyang is the largest single dose in the section, and scorpion appears again as it did in Gichim-won, marking qi that has bound rather than merely gathered. **Contains scorpion, which is toxic. Acute abdominal distension with breathlessness requires urgent assessment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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