Formulas · Tonify Qi & Blood 氣血雙補 · Maekgyeol (脉訣)

Ginseng and Astragalus Decoction for an Intermittent Pulse

Insamhwanggi-tang

한글 인삼황기탕 (맥) · Pinyin Ren Shen Huang Qi Tang

人參黃芪湯

Not the Yeokro formula registered as insamhwanggi-tang; the two share a name only.

Composition 構成

Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

8 g
Chief 君

2 don
Hwanggi Huang Qi
黃芪 황기 · Astragalus

4 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Chief 君

5 pun
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Cheonmundong Tian Men Dong
天門冬 천문동 · Asparagus Root

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

4 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2 g
Deputy 臣

5 pun
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

2 g
Deputy 臣

5 pun
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

2 g
Deputy 臣

5 pun
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

14 g
Envoy 使

7 slices
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

5 pun

Total 56 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

Enriches and nourishes the blood and qi
harmonizes construction and defence
orders the three burners and frees the blood vessels; treats an intermittent pulse in miscellaneous diseases

Indications 主治

Pattern-based

Blood and qi depleted — an intermittent pulse

Biomedical correlates

Arrhythmia with debility

Source text 原文

Donguibogam 東醫寶鑑

滋養血氣, 調和榮衛, 和順三焦, 通行血脈. 治雜病脈代. 陳皮二錢, 黃芪ㆍ白芍藥ㆍ桔梗ㆍ天門冬ㆍ半夏ㆍ當歸各一錢, 人參ㆍ白茯苓ㆍ熟地黃ㆍ地骨皮ㆍ甘草各五分. 右剉, 作一貼, 薑七片, 煎服. 《脈訣》

Translation

Enriches and nourishes the blood and qi, harmonizes construction and defence, orders the three burners and frees the blood vessels; treats an intermittent pulse in miscellaneous diseases. Tangerine peel 2 don; astragalus, white peony, platycodon, asparagus, pinellia and angelica 1 don each; ginseng, white poria, cooked rehmannia, lycium root bark and licorice 5 pun each. Cut up, make one packet, add 7 slices of ginger, decoct and take. — Maekgyeol 脉訣 (Donguibogam · Maek)

Clinical commentary 臨床

An intermittent pulse in a patient who is not in a fever — where Jagamcho-tang answers the same pulse in cold damage. Tangerine peel doubled at the head, because 15.24 reads the skipped beat as qi that cannot keep up rather than blood that has run out. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.