Formulas · Transform Dampness 化濕 · Gogeum Uigam (古今醫鑑)

Dew-Exposed Ginger and Nourish the Stomach Decoction

Nogangyangwi-tang

한글 노강양위탕 · Pinyin Lu Jiang Yang Wei Tang

露薑養胃湯

The body of the formula is one packet of Insamyangwi-tang, cross-referenced to the Cold chapter and not spelled out here; the ingredients listed are only what this leaf adds to it. 搗 is printed as the transcription has it rather than 擣, and the 露 of the name is the overnight dew-exposure method, not a drug.

Composition 構成

Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

160 g
Chief 君

pounded for the natural juice, left out overnight in the dew, and blended into the strained decoction
Daejo Da Zao
大棗 대조 · Jujube

—
Deputy 臣

two jujubes, decocted with the packet
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Assistant 佐

one mume, decocted with the packet

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

Props up the stomach qi as the root of treatment
Transforms phlegm and dispels cold damp
Settles an enduring malaria whose attacks are days apart

Indications 主治

Pattern-based

Enduring malaria (久瘧) coming on once in three or five days
Taxation malaria (勞瘧) with the stomach qi greatly vacuous
Malaria that cutting formulas have failed to stop

Biomedical correlates

Malaria
Chronic relapsing fever
Post-malarial debility

Source text 原文

Donguibogam 東醫寶鑑

治久瘧三五日一發者. 先以生薑四兩, 搗取自然汁, 露一宿. 次早將人參養胃湯《方見寒門》一貼, 大棗二ㆍ梅一同煎, 去滓, 和薑汁, 空心溫服. 《醫鑑》

Translation

Treats the enduring malaria that comes on once in three or five days. First take fresh ginger, 4 nyang, pound it and take the natural juice, and leave it out overnight in the dew. The next morning take one packet of Insamyangwi-tang (the formula is given in the Cold chapter) with two jujubes and one mume, decoct them together, strain off the dregs, blend in the ginger juice, and take it warm on an empty stomach. — Uigam 醫鑑 (Donguibogam · Haehak)

Clinical commentary 臨床

A compound entry rather than a formula of its own: Nogang-eum's dew-exposed ginger juice blended into a packet of Insamyangwi-tang, with two jujubes and a mume decocted in. The ginger is prepared the night before and the whole thing taken warm on an empty stomach the next morning. The chapter places it exactly, and the placement is the argument. After the 截 formulas have been tried and failed, it says, the qi is greatly vacuous and propping up the stomach qi must be made the root — and then names this formula and Yangwi-dan. So the dew-exposed ginger that was a cutting device in Nogang-eum is here reduced to an adjuvant on a tonifying base, used for the slow malaria whose attacks come three or five days apart rather than daily. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.