Formulas · Warm the Interior 溫裏 · Injae Jikji (仁齋直指方)

Warm the Lung Decoction

Onpye-tang

한글 온폐탕 · Pinyin Wen Fei Tang

溫肺湯

Not the 溫肺湯 of the Nose chapter, which is Dongwon's ephedra and astragalus formula for a nose that cannot smell. The two have only the name in common.

Composition 構成

Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Chief 君
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

4 g
Chief 君

the bark (桂皮)
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣

· toxic in the raw state
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

4 g
Deputy 臣
Omija Wu Wei Zi
五味子 오미자 · Schisandra

4 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

2 g
Assistant 佐
Agyo E Jiao
阿膠 아교 · Donkey-hide Gelatin

2 g
Assistant 佐

as beads (阿膠珠), stir-fried until puffed
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits

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 lung vacuity with a lodged cold
panting cough
and the vomiting of frothy phlegm

Indications 主治

Pattern-based

Lung vacuity cold with panting cough
Frothy sputum vomited up

Biomedical correlates

Chronic bronchitis with copious thin sputum

Source text 原文

Donguibogam 東醫寶鑑

治肺虛客寒, 喘咳嘔吐痰沫. 乾薑ㆍ桂皮ㆍ半夏ㆍ陳皮ㆍ五味子ㆍ杏仁ㆍ甘草各一錢, 細辛ㆍ阿膠珠各五分. 右剉, 作一貼, 入薑三ㆍ棗二, 水煎服. 《直指》

Translation

Treats lung vacuity with a lodged cold, panting cough and the vomiting of frothy phlegm. Dried ginger, cinnamon bark, pinellia, tangerine peel, schisandra, apricot kernel and licorice, 1 don each; asarum and ass-hide gelatin beads, 5 fun each. Cut up, make one packet, add three slices of ginger and two jujubes, and decoct in water. — Jikji 直指 (Donguibogam · Haesu)

Clinical commentary 臨床

A warm formula throughout — dried ginger and cinnamon at the head of it — with schisandra to gather the lung's qi in and ass-hide gelatin to hold the fluid. The combination of warming, astringing and moistening is what the chapter means by 肺虛客寒, a vacuous lung with a cold lodged in it: the cold has to be dispersed but the lung is too depleted to be dried out. 痰沫, frothy phlegm, in large amounts with breathlessness is the presentation. In a chronic case that is bronchial hypersecretion; in an acute one with a failing heart it is pulmonary oedema, and the two are not distinguished here. **Contains pinellia, toxic in the raw state and to be properly processed, and asarum, which modern pharmacopoeias restrict to smaller doses than the one given here.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.