Formulas · Regulate Qi 理氣 · Uihak Gangmok (醫學綱目)

Five Diaphragm Blocks Loosen the Middle Powder

Ogyeokgwanjung-san

한글 오격관중산 · Pinyin Wu Ge Kuan Zhong San

五膈寬中散

Composition 構成

Hubak Hou Po
厚朴 후박 · Magnolia Bark

6 g
Chief 君
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

6 g
Chief 君
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

1.6 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

1.6 g
Deputy 臣
Jeonghyang Ding Xiang
丁香 정향 · Clove

1.6 g
Deputy 臣
Sain Sha Ren
砂仁 사인 · Amomum

1.6 g
Assistant 佐

written 縮砂 in the text
Mokhyang Mu Xiang
木香 목향 · Costus Root

1.2 g
Assistant 佐
Baekdugu Bai Dou Kou
白豆蔻 백두구 · Round Cardamom

0.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Yeom Yan
鹽 염 · Salt

—
Envoy 使

a little salt

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

Treats the five diaphragm blocks with food not going down

Indications 主治

Pattern-based

Qi stagnation of the middle burner
Glomus and fullness with food refusal

Biomedical correlates

Functional dyspepsia with dysphagia — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治五膈食不下. 厚朴ㆍ香附子各一錢半, 甘草五分, 靑皮ㆍ陳皮ㆍ丁香ㆍ縮砂各四分, 木香三分, 白豆蔲二分. 右爲麄末, 入薑三片ㆍ鹽少許, 水煎服. 《綱目》

Translation

Treats the five diaphragm blocks with food not going down. Magnolia bark and cyperus, 1 don 5 fun each; licorice, 5 fun; green tangerine peel, tangerine peel, clove and cardamom, 4 fun each; saussurea, 3 fun; round cardamom, 2 fun. Grind coarsely, add three slices of ginger and a little salt, and decoct in water. — Uihak Gangmok 綱目 (Donguibogam · Guto)

Clinical commentary 臨床

Jeonghyangtugyeok-tang stripped to nine drugs and given as a coarse powder: magnolia bark and cyperus lead, the rest are aromatics in fun doses, and a pinch of salt goes in at the end. It is the lighter of the pair and the one for a patient whose trouble is distension and stoppage rather than wasting. 寬中, loosening the middle, names the whole aim — not to purge and not to supplement, but to let the middle burner move again. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.