Formulas · Stop Cough & Wheeze 止咳平喘 · Gogeum Uigam (古今醫鑑)

Five Tigers Two Matured Ingredients Decoction

Ohoijin-tang

한글 오호이진탕 · Pinyin Wu Hu Er Chen Tang

五虎二陳湯

Composition 構成

Seokgo Shi Gao
石膏 석고 · Gypsum

8 g
Chief 君
Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Chief 君
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

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

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣

processed · toxic in the raw state
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

3.2 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Assistant 佐

ground in water for its juice, stirred in at the end
Chimhyang Chen Xiang
沈香 침향 · Agarwood

2 g
Assistant 佐

ground in water for its juice, stirred in at the end
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

three slices
Saengchong Sheng Cong
生葱 생총 · Fresh Scallion

—
Envoy 使

two stalks
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

a little

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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 wheezing and roaring with urgent panting and abundant phlegm

Indications 主治

Pattern-based

Lung heat with wheeze, panting and copious phlegm

Biomedical correlates

Acute severe asthma — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治哮吼喘急痰盛. 石膏二錢, 麻黃ㆍ杏仁ㆍ陳皮ㆍ半夏ㆍ赤茯苓各一錢, 人參八分, 甘草五分, 木香ㆍ沉香各五分(水磨取汁). 右剉, 作一貼, 入薑三ㆍ葱二ㆍ蜜少許, 水煎後, 入二香汁調和服. 《醫鑑》

Translation

Treats wheezing and roaring with urgent panting and abundant phlegm. Gypsum, 2 don; ephedra, apricot kernel, tangerine peel, pinellia and red poria, 1 don each; ginseng, 8 fun; licorice, 5 fun; costus and aquilaria, 5 fun each, ground in water for their juice. Cut up, make one packet, add three slices of ginger, two stalks of scallion and a little honey, decoct in water, then stir in the juice of the two aromatics and take. — Gogeum Uigam 醫鑑 (Donguibogam · Haesu)

Clinical commentary 臨床

The five tigers are the gypsum-and-ephedra group of Ohoi-tang, and this is that formula joined to Ijin-tang for the phlegm, with ginseng put in so that a weakened patient can take it. The two aromatics are ground in water and added off the heat, which is how volatile resins are always given. **Contains pinellia, which is toxic in the raw state and must be properly processed. Ephedra is a sympathomimetic and is not to be taken by anyone with heart disease, hypertension or thyrotoxicosis, nor with a monoamine oxidase inhibitor. A patient with acute severe asthma needs emergency treatment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.