寶鑑Bogam

Formulas · Regulate Qi 理氣 · Uihak Immun (醫學入門)

Clove Pierce the Diaphragm Decoction

Jeonghyangtugyeok-tang

한글 정향투격탕  ·  Pinyin Ding Xiang Tou Ge Tang

丁香透膈湯

Composition 構成

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

Indications 主治

Pattern-based

  • Qi stagnation of the middle burner with food not going down
  • Spleen and stomach vacuity with glomus below the heart

Biomedical correlates

  • Functional dysphagia with gastroparesis — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治五噎十膈, 痞塞不通. 白朮 一錢三分, 甘草 九分, 人參ㆍ白茯苓ㆍ縮砂ㆍ香附子 各七分, 沉香ㆍ藿香ㆍ陳皮ㆍ厚朴 各五分, 丁香ㆍ木香ㆍ麥芽ㆍ靑皮ㆍ肉豆蔲ㆍ白豆蔲 各三分, 草果ㆍ神麴ㆍ半夏 各二分. 右剉, 作一貼, 薑三ㆍ棗二, 水煎服. 《入門》 ○十膈者, 冷ㆍ風ㆍ氣ㆍ伏ㆍ熱ㆍ悲ㆍ憂ㆍ水ㆍ食ㆍ喜也. 《綱目》

Translation

Treats the five gullet blocks and ten diaphragm blocks, with glomus and stoppage that will not pass. White atractylodes, 1 don 3 fun; licorice, 9 fun; ginseng, white poria, cardamom and cyperus, 7 fun each; aquilaria, patchouli, tangerine peel and magnolia bark, 5 fun each; clove, saussurea, barley sprout, green tangerine peel, nutmeg and round cardamom, 3 fun each; tsaoko, medicated leaven and pinellia, 2 fun each. Cut up, make one packet, add three slices of ginger and two jujubes, and decoct in water. The ten diaphragm blocks are those of cold, wind, qi, hiding, heat, grief, anxiety, water, food and joy. — Uihak Immun 入門 · Uihak Gangmok 綱目 (Donguibogam · Guto)

Clinical commentary 臨床

Nineteen drugs, almost all of them aromatic and almost all in very small doses — three fun, two fun — with only atractylodes and licorice given any weight. That shape is deliberate: the formula is meant to be warm and fragrant rather than strong, and to move a blocked middle without draining a patient who is already not eating. The ten diaphragm blocks listed in the Gangmok's gloss are worth reading as a classification of what the tradition thought could stop food: four of the ten are states of feeling, which is the same judgment the chapter makes at 噎膈反胃病因 when it cites 張雞峯 to the effect that gullet block is a disease of thought. **Contains pinellia, which is toxic in the raw state and must be properly processed.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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