寶鑑Bogam

Formulas · Release the Exterior 解表 · Uihak Gangmok (醫學綱目)

Ginseng and Notopterygium Powder (Children)

Insam-ganghwal-san

한글 인삼강활산  ·  Pinyin Ren Shen Qiang Huo San

人參羌活散

A formula of the same name is already registered in the Wind chapter from the Seui Deukhyobang for 中風痰盛煩熱, at 7 fun of each of fourteen drugs with ginger and mulberry root bark. Ten drugs are shared, but that one carries 防風, 黃芩, 蔓荊子 and 薄荷 in the body of the formula while this one carries 柴胡 and 地骨皮 instead and puts the mint in as three leaves at the end; the doses, the source label and the indication all differ. They are homonyms and this one takes the chapter tail. The section prose of 1.44 感冒風寒 cites 人參羌活散 with 方見上, meaning this leaf.

Composition 構成

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

Indications 主治

Pattern-based

  • 傷風寒發熱 — fever following an injury by wind and cold
  • Exterior pattern with depletion, the child listless

Biomedical correlates

  • Febrile upper respiratory infection in a child

Source text 原文

Donguibogam 東醫寶鑑

治傷風寒發熱. 羌活ㆍ獨活ㆍ柴胡ㆍ前胡ㆍ枳殼ㆍ桔梗ㆍ人參ㆍ赤茯苓ㆍ川芎ㆍ甘草 各二分, 天麻ㆍ地骨皮 各一分. 右剉, 作一貼, 入薄荷 三葉, 水煎服. 《綱目》

Translation

Treats fever from an injury by wind and cold. Notopterygium, pubescent angelica, bupleurum, peucedanum, bitter orange, platycodon, ginseng, red poria, chuanxiong and licorice, 2 fun each; gastrodia and lycium root bark, 1 fun each. Cut the above, make one packet, add three mint leaves, decoct in water and take. — Gangmok 綱目 (Donguibogam · Soa)

Clinical commentary 臨床

A mild exterior-resolving powder in very small doses — 2 fun is under a gram of each drug — with 人參 for the depletion the 虛熱 heading implies and 地骨皮 and 柴胡 for the fever itself. It sits in the 虛熱 section but reads as a formula for an ordinary feverish cold in a child who is already run down, which is also how the common cold section of 1.44 uses it. Most fevers in a child are caused by viruses and resolve on their own. Nothing in this powder shortens one, and nothing needs to. An antipyretic treats the child's discomfort and does not prevent febrile seizures. What matters is how the child looks — whether they feed, whether they can be roused and consoled, how they breathe — rather than the height of the temperature. See the chapter prose at 1.41 for the frame, which classifies fever by pattern rather than by cause. **The text gives no dose by weight anywhere, and the patient is a child.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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