寶鑑Bogam

Formulas · Transform Phlegm 化痰 · Haejang (海藏)

Five Rheums Decoction

Oeum-tang

한글 오음탕  ·  Pinyin Wu Yin Tang

五飮湯

Composition 構成

Total 59.2 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

  • The five rheums — retained
  • lurking
  • phlegm
  • spilling and flowing
  • Cold pattern phlegm-rheum

Biomedical correlates

  • Chronic fluid retention
  • Oedema with digestive weakness

Source text 原文

Donguibogam 東醫寶鑑

治五飮, 一曰留飮, 二曰癖飮, 三曰痰飮, 四曰溢飮, 五曰流飮. 旋覆花ㆍ人參ㆍ陳皮ㆍ枳實ㆍ白朮ㆍ茯苓ㆍ厚朴ㆍ半夏ㆍ澤瀉ㆍ猪苓ㆍ前胡ㆍ桂心ㆍ白芍藥ㆍ甘草 各七分. 右剉, 作一貼, 薑 十片, 水煎服, 最效. 《海藏》

Translation

Treats the five rheums: first retained rheum, second lurking rheum, third phlegm-rheum, fourth spilling rheum, fifth flowing rheum. Inula flower, ginseng, tangerine peel, bitter orange, white atractylodes, poria, magnolia bark, pinellia, alisma, polyporus, peucedanum, cinnamon heart, white peony and licorice 7 pun each. Cut up, make one packet, add 10 slices of ginger, decoct in water and take; most effective. — Haejang 海藏 (Donguibogam · Damum)

Clinical commentary 臨床

Fourteen medicinals, all at 7 pun, and ten slices of ginger — more ginger than any other formula in the chapter. The design is a composite: Ijin-tang for the phlegm, Oryeong-san minus cinnamon twig for the water, Sagunja-tang for the spleen, with inula flower and peucedanum on top to downbear. Nothing is emphasized because it is meant to cover all five categories at once, which the chapter recommends for cold-pattern rheum where the patient cannot be attacked. Note that the list of five rheums here differs from the eight of 6.4 — this is the older Zhongjing enumeration, and the chapter carries both without reconciling them. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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