Formulas · Regulate Qi 理氣 · Uihak Jeongjeon (醫學正傳)

Harmonize the Centre Platycodon Decoction

Hwajunggilgyeong-tang

한글 화중길경탕 · Pinyin He Zhong Jie Geng Tang

和中桔梗湯

黃茋 — the transcription writes 茋 for 芪; 黃芪, astragalus, is meant, and the transcription's character is printed. The same substitution occurs at the 加減四君子湯 leaf.

Composition 構成

Banhaguk Ban Xia Qu
半夏麴 반하국 · Fermented Pinellia

8 g
Chief 君
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

6 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

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

4 g
Deputy 臣
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

4 g
Assistant 佐
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

4 g
Assistant 佐

powdered, stirred into the strained decoction
Billang Bing Lang
檳榔 빈랑 · Areca Seed

4 g
Assistant 佐

powdered, stirred into the strained decoction
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 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 heat in the upper burner with violent vomiting as soon as food is eaten
and a pulse floating and surging

Indications 主治

Pattern-based

Heat in the upper burner with qi counterflow
Upper burner vomiting of the three kinds

Biomedical correlates

Post-prandial vomiting with oesophageal or gastric outlet irritation

Source text 原文

Donguibogam 東醫寶鑑

治上焦熱, 食已暴吐, 脉浮而洪. 半夏麴二錢, 桔梗ㆍ白朮各一錢半, 陳皮ㆍ厚朴ㆍ枳實ㆍ赤茯苓各一錢. 右剉, 作一貼, 薑三片, 水煎取淸, 調木香ㆍ檳榔末各一錢, 空心服. 三服後吐漸止, 除木香ㆍ檳榔末, 更加白芍藥二錢ㆍ黃茋一錢半, 煎服. 《正傳》

Translation

Treats heat in the upper burner with violent vomiting as soon as food is eaten, and a pulse floating and surging. Pinellia leaven, 2 don; platycodon and white atractylodes, 1 don 5 fun each; tangerine peel, magnolia bark, bitter orange and red poria, 1 don each. Cut up, make one packet, decoct with three slices of ginger and strain off the clear liquid, stir in powdered costus and areca nut, 1 don each, and give on an empty stomach. After three doses, when the vomiting has gradually stopped, leave out the powdered costus and areca nut and add white peony, 2 don, and astragalus, 1 don 5 fun, and decoct. — Uihak Jeongjeon 正傳 (Donguibogam · Guto)

Clinical commentary 臨床

A formula in two stages, and the second stage is the interesting part: the two moving drugs, costus and areca, are stirred in as powders at the end rather than decocted, and after three doses they are taken out and white peony and astragalus put in. The design concedes that what breaks the vomiting is not what should be continued once it has stopped. Platycodon here is doing what it does in the throat formulas — lifting and opening the upper burner — rather than treating a cough; 食已暴吐, violent vomiting as soon as food is eaten, is the upper-burner vomiting of 2.6. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.