Formulas · Tonify Blood 補血 · Injae Jikji (仁齋直指方)

Ginseng, Chuanxiong and Angelica Decoction

Insamgunggwi-tang

한글 인삼궁귀탕 · Pinyin Ren Shen Xiong Gui Tang

人參芎歸湯

A different formula from the 人參芎歸湯 of the distension chapter, which is a blood-moving formula with zedoary, costus and squirrel faeces for static blood distension. The two share the three drugs of the name.

Composition 構成

Danggwi Dang Gui
當歸 당귀 · Korean Angelica

6 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

6 g
Chief 君
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

6 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Deputy 臣
Agyo E Jiao
阿膠 아교 · Donkey-hide Gelatin

2.8 g
Deputy 臣

as beads (阿膠珠)
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

2.8 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

2.8 g
Assistant 佐

· toxic in the raw state
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.8 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

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

2.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients 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 dry cough arising from taxation vacuity with scant blood
where dry heat overrides the lung
with the hawking of pus and blood
and cough on the least exposure to cold

Indications 主治

Pattern-based

Dry cough in taxation vacuity with scant blood
Hawking of pus and blood with aversion to cold

Biomedical correlates

Chronic cough with haemoptysis — historical treatment
Tuberculosis

Source text 原文

Donguibogam 東醫寶鑑

治乾嗽, 因虛勞少血, 燥熱乗肺, 咯唾膿血, 動輒冒寒咳嗽. 當歸ㆍ川芎ㆍ白芍藥各一錢半, 赤茯苓ㆍ人參ㆍ半夏ㆍ陳皮ㆍ阿膠珠ㆍ細辛ㆍ五味子ㆍ甘草各七分. 右剉, 作一貼, 薑三ㆍ棗二, 水煎服. 《直指》

Translation

Treats dry cough arising from taxation vacuity with scant blood, where dry heat overrides the lung, with the hawking and spitting of pus and blood, and coughing at the least exposure to cold. Chinese angelica, chuanxiong and white peony, 1 don 5 fun each; red poria, ginseng, pinellia, tangerine peel, ass-hide gelatin beads, asarum, schisandra and licorice, 7 fun each. Cut up, make one packet, and decoct with three slices of ginger and two jujubes. — Jikji 直指 (Donguibogam · Haesu)

Clinical commentary 臨床

Samul-tang without the rehmannia, carrying Ijin-tang's poria, pinellia and tangerine peel, with ass-hide gelatin for the blood and schisandra and asarum for the cough. Blood drugs at a don and a half against cough drugs at seven fun: the weighting says plainly which the formula takes to be the cause. The presentation it is for — a dry cough, blood and pus in the sputum, wasting, and coughing whenever the patient is chilled — is pulmonary tuberculosis as it was seen before any treatment existed. **A patient coughing blood needs chest imaging and sputum examination.** **Contains pinellia, toxic in the raw state and to be properly processed, and asarum, which modern pharmacopoeias restrict to smaller doses.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.