Formulas · Tonify Qi & Blood 氣血雙補 · Manbyeong Hoechun (萬病回春)

Ginseng and Bamboo Sap Drink

Insamjungnyeok-eum

한글 인삼죽력음 · Pinyin Ren Shen Zhu Li Yin

人參竹瀝飮

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

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

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

4 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

4 g
Deputy 臣
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

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

4 g
Assistant 佐
Sanjoin Suan Zao Ren
酸棗仁 산조인 · Sour Jujube Seed

4 g
Assistant 佐

炒, parched
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Assistant 佐
Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Assistant 佐
Jungnyeok Zhu Li
竹瀝 죽력 · Bamboo Sap

—
Assistant 佐

竹瀝, bamboo sap stirred into the strained decoction; no weight given
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

棗二, two jujubes
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Envoy 使

梅一, one mume plum
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

薑汁, ginger juice stirred into the strained decoction; no weight given

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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

Supplements qi and blood in a vacuity malaria
Clears the phlegm heat that thickens the tongue and halts the speech

Indications 主治

Pattern-based

Vacuity malaria (虛瘧) with clouding and exhaustion
Copious sweating with abundant phlegm
Tongue enlarged and speech halting with a vacuous and forceless pulse

Biomedical correlates

Prolonged febrile illness with exhaustion and confusion
Dehydration and delirium after relapsing fever
Malaria in a debilitated patient

Source text 原文

Donguibogam 東醫寶鑑

治虛瘧, 昏倦汗多, 痰盛舌大語澁, 脉虛無力. 白茯苓ㆍ人參ㆍ白朮ㆍ當歸ㆍ生地黃ㆍ酸棗仁(炒)ㆍ麥門冬ㆍ知母ㆍ陳皮ㆍ白芍藥各一錢, 甘草三分. 右剉, 作一貼, 入棗二ㆍ梅一, 水煎, 調竹瀝ㆍ薑汁服. 《回春》

Translation

Treats vacuity malaria with clouding and exhaustion, copious sweating, abundant phlegm, an enlarged tongue and halting speech, and a vacuous, forceless pulse. White poria, ginseng, white atractylodes, Korean angelica, raw rehmannia, parched sour jujube seed, ophiopogon, anemarrhena, aged tangerine peel and white peony, 1 don each; licorice, 3 fun. Cut them up, make one packet, add two jujubes and one mume plum, decoct in water, then stir in bamboo sap and ginger juice and take. — Hoechun 回春 (Donguibogam · Haehak)

Clinical commentary 臨床

A qi and blood tonic with a phlegm-heat drug poured in at the end. The base is the Sagunja-tang four with the Samul-tang blood drugs standing in for cinnabar-free sedation — angelica, raw rehmannia and white peony — and ophiopogon, anemarrhena and sour jujube seed on top of them for the heat that has dried the patient out. Bamboo sap and ginger juice go in after straining, not into the pot, which is how the Hoechun handles a sap that will not survive boiling. 舌大語澁 with 昏倦 is the detail that makes this leaf worth reading: an enlarged tongue, speech that will not come, clouding and heavy sweating in someone who has been febrile a long while. That is a patient who is dehydrated and delirious, and the formula's instinct — put fluid and substance back — is the right one, even if what such a patient needs is rehydration and treatment of the infection. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.