Formulas · Tonify Yin 補陰 · Gogeum Uigam (古今醫鑑)

Enrich the Yin Rehmannia Pill

Jaeumjihwang-hwan

한글 자음지황환  ·  Pinyin Zi Yin Di Huang Wan

滋陰地黃丸

Registered with the chapter suffix to keep it apart from the Jaeumjihwang-hwan of the Ears chapter.

Composition 構成

Total 1060 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

Indications 主治

Pattern-based

  • Vacuity taxation with vomited and spat blood
  • coughing and hawking blood
  • fever with phlegmy cough
  • night sweating and palpitation
  • or the menses out of order or not coming

Biomedical correlates

  • Tuberculosis with amenorrhoea

Source text 原文

Donguibogam 東醫寶鑑

治虛勞, 吐衄咳唾血, 發熱痰嗽, 盜汗心惴, 或經水不調不通. 熟地黃(薑汁浸焙) 四兩, 山茱萸ㆍ山藥ㆍ天門冬ㆍ麥門冬ㆍ生乾地黃(酒洗)ㆍ知母(酒炒)ㆍ貝母(炒)ㆍ當歸(酒洗)ㆍ香附米(童便浸炒) 各二兩, 白茯苓ㆍ牡丹皮ㆍ澤瀉 各一兩半. 右爲末, 蜜丸梧子大, 空心, 鹽湯呑下百丸. 《醫鑑》

Translation

Treats vacuity taxation with vomited and spat blood, coughing and hawking blood, fever with phlegmy cough, night sweating and palpitation, or the menses out of order or not coming. Cooked rehmannia (ginger-juice steeped and dry-roasted) 4 nyang; cornus, dioscorea, asparagus, ophiopogon, fresh dried rehmannia (wine-washed), anemarrhena (wine-fried), fritillaria (stir-fried), angelica (wine-washed) and cyperus (child-urine steeped and stir-fried) 2 nyang each; white poria, moutan bark and alisma 1 nyang 5 don each. Powder them, make honey pills the size of a firmiana seed, and take a hundred on an empty stomach with salt decoction. — Gogeum Uigam 醫鑑 (Donguibogam · Buin)

Clinical commentary 臨床

Yukmijihwang-hwan with the two ophiopogons, anemarrhena and fritillaria added — the base enriched and directed at the lung. The presentation is pulmonary tuberculosis with amenorrhoea, and the chapter treats the two as one condition: the blood spent by the disease is the blood the menses would have used. **Coughing blood with night sweats and weight loss requires urgent investigation for tuberculosis.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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