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

Ginseng and Astragalus Supplement the Lung Decoction

Samgibopye-tang

한글 삼기보폐탕 · Pinyin Shen Qi Bu Fei Tang

參芪補肺湯

The transcription prints 肺癕 for 肺癰, 發𤍠 for 發熱 and 山茱茰 for 山茱萸, all normalized here. 甘草灸 is printed without brackets and is read as 甘草(灸). 薑三 is three slices of ginger with 片 omitted.

Composition 構成

Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

6 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Chief 君
Hwanggi Huang Qi
黃芪 황기 · Astragalus

2.8 g
Chief 君
Mokdanpi Mu Dan Pi
牡丹皮 목단피 · Moutan Bark

4 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

2.8 g
Deputy 臣
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Deputy 臣
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.8 g
Assistant 佐
Sansuyu Shan Zhu Yu
山茱萸 산수유 · Cornus

2.8 g
Assistant 佐
Sanyak Shan Yao
山藥 산약 · Chinese Yam

2.8 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

2.8 g
Assistant 佐
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

2.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

灸, roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 40 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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 abscess with cough, purulent bloody sputum, fever and thirst
Supplements the Qi and the Yin together while the suppuration drains
Cools the Blood with moutan bark on a supplementing base

Indications 主治

Pattern-based

Lung abscess (肺癰) with cough and pus and blood brought up
Fever with thirst in a depleted patient
Long-draining suppuration with wasting

Biomedical correlates

Lung abscess in a debilitated patient
Bronchiectasis with recurrent purulent exacerbations
Convalescence from empyema

Source text 原文

Donguibogam 東醫寶鑑

治肺癰, 咳吐膿血, 發熱作渴. 熟地黃一錢半, 牡丹皮一錢, 人參ㆍ黃芪ㆍ白朮ㆍ白茯苓ㆍ陳皮ㆍ山茱萸ㆍ當歸ㆍ山藥ㆍ五味子ㆍ麥門冬各七分, 甘草(灸) 五分. 右剉, 作一貼, 薑三, 水煎服. 《入門》

Translation

Treats lung abscess with cough, pus and blood brought up, fever and thirst. Prepared rehmannia, 1 don 5 fun; moutan bark, 1 don; ginseng, astragalus, white atractylodes, white poria, tangerine peel, cornus, Korean angelica, Chinese yam, schisandra and ophiopogon, 7 fun each; roasted licorice, 5 fun. Cut up, make one packet, add three slices of ginger, decoct in water and take. — Uihak Immun 入門 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Structurally this is Yukmijihwang-won — prepared rehmannia, moutan bark, poria, cornus and Chinese yam, with alisma left out — set inside a Qi tonic of ginseng, astragalus, atractylodes and licorice, and finished with the schisandra-and-ophiopogon pair that the corpus uses for a Lung burnt dry. It supplements in three directions at once because the patient it is written for is losing substance in three ways: pus, fever and thirst. 肺癰 with 咳吐膿血 and 發熱作渴 is a lung abscess, bronchiectasis or an empyema, and this is the formula for the depleted end of it — the patient who cannot afford another cooling, draining prescription. **Purulent bloody sputum with fever needs chest imaging, sputum culture and antibiotics, and often drainage; a tonic formula does not treat the infection.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.