Formulas · Tonify Qi & Blood 氣血雙補 · Seui Deukhyobang (世醫得效方)

Ginseng and Turtle Shell Powder

Insambyeolgap-san

한글 인삼별갑산 · Pinyin Ren Shen Bie Jia San

人參鱉甲散

Cut and made into one packet, decocted in water and taken on an empty stomach. Note on modern practice: persistent fever after childbirth requires medical evaluation to exclude infection.

Composition 構成

Hwanggi Huang Qi
黃芪 황기 · Astragalus

5 g
Chief 君
Byeolgap Bie Jia
鱉甲 별갑 · Turtle Carapace

5 g
Chief 君
Useul Niu Xi
牛膝 우슬 · Achyranthes

4 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

3 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

3 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

3 g
Deputy 臣
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

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

3 g
Assistant 佐 heart (桂心)
Sanggisaeng Sang Ji Sheng
桑寄生 상기생 · Mulberry Mistletoe

3 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

3 g
Assistant 佐
Doin Tao Ren
桃仁 도인 · Peach Kernel

3 g
Assistant 佐
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

3 g
Assistant 佐
Sokdan Xu Duan
續斷 속단 · Dipsacus

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

3 g
Envoy 使

Total 46 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

Restores a mother worn down by the childbed
Clears the lingering heat of postpartum taxation while the Blood is rebuilt

Indications 主治

Pattern-based

Childbed taxation after birth (産後蓐勞)
Persistent low-grade fever and exhaustion in the postpartum months
Depletion with heat in the bones after delivery

Biomedical correlates

Postpartum fatigue with low-grade fever
Prolonged postpartum recovery
Anemia-adjacent depletion after childbirth

Source text 原文

Donguibogam 東醫寶鑑

治産後蓐勞. 黃芪ㆍ鱉甲各一錢二分半, 牛膝一錢, 人參ㆍ桂心ㆍ桑寄生ㆍ當歸ㆍ白茯苓ㆍ白芍藥ㆍ桃仁ㆍ熟地黃ㆍ麥門冬ㆍ甘草各七分半, 續斷五分. 右剉, 作一貼, 空心, 水煎服. 《得效》

Translation

Treats childbed taxation after birth. Astragalus and turtle shell, 1 don 2.5 fun each; achyranthes 1 don; ginseng, cinnamon heart, mistletoe, Korean angelica, white poria, white peony, peach kernel, prepared rehmannia, ophiopogon, and licorice, 7.5 fun each; teasel root 5 fun. Cut the above, make one packet, decoct in water and take on an empty stomach. — Deukhyo 得效 (Donguibogam · Buin)

Clinical commentary 臨床

욕로 — childbed taxation — is the chapter's name for the mother who never quite recovers: months on, still exhausted, still running warm. Turtle shell is what marks this as a taxation formula rather than an ordinary postpartum tonic; it is the tradition's agent for heat that has settled at the bone level. Around it, astragalus and the Four Substances rebuild, mistletoe and teasel address the low back, and a single measure of peach kernel keeps the building from congealing. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.