寶鑑Bogam

Formulas · Tonify Qi & Blood 氣血雙補 · Immun (入門)

Channel-Warming Original-Qi Boosting Decoction

Ongyeongigwon-tang

한글 온경익원탕  ·  Pinyin Wen Jing Yi Yuan Tang

溫經益元湯

Composition 構成

Total 44 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

Indications 主治

Pattern-based

  • Yang collapse from excessive sweating with dizziness and shivering
  • Defensive qi emptied with the sinews and flesh twitching

Biomedical correlates

  • Hypovolaemic collapse after profuse sweating
  • Electrolyte disturbance with fasciculation

Source text 原文

Donguibogam 東醫寶鑑

治發汗過多, 衛虛亡陽, 以致頭眩ㆍ身慄ㆍ筋惕肉瞤. 熟地黃ㆍ人參ㆍ白朮ㆍ黃芪(蜜炒)ㆍ白芍藥ㆍ當歸ㆍ生乾地黃ㆍ白茯苓ㆍ陳皮ㆍ甘草(灸) 各一錢, 桂皮ㆍ附子(炮) 各五分. 右剉, 作一貼, 入薑 三片, 棗 二枚, 糯米 一撮, 水煎服. 《入門》

Translation

Treats excessive sweating where the defensive qi is emptied and the yang lost, bringing on dizziness, shivering of the body, and twitching of the sinews and flesh. Prepared rehmannia, ginseng, atractylodes, honey-fried astragalus, white peony, tangkuei, dried fresh rehmannia, poria, tangerine peel and roasted licorice, 1 don each; cinnamon bark and blast-fried aconite, 5 fun each. Cut up, make one packet, add three slices of ginger, two dates and a pinch of glutinous rice, and decoct in water. — Immun 入門 (Donguibogam · Han, lower)

Clinical commentary 臨床

A formula for iatrogenic damage: the patient was sweated too hard and the yang went with the sweat. 筋惕肉瞤 — sinews twitching and flesh fasciculating — is the classical sign of that, and anyone who has seen the tetany of salt and fluid loss will recognize the description. Eight Treasure Decoction is the core, with astragalus added for the emptied defensive qi and a small pair of cinnamon and aconite to call the yang back. The pinch of glutinous rice is not filler: it is there to hold fluid in the stomach, the same role it plays in White Tiger Decoction with Ginseng. Aconite requires a properly processed product and a trained prescriber. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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