Formulas · Invigorate Blood 活血祛瘀 · Uihak Jeonggam (醫學正傳)

Disperse Wind and Quicken the Blood Decoction

Sopung-hwalhyeol-tang

한글 소풍활혈탕 · Pinyin Shu Feng Huo Xue Tang

踈風活血湯

或腫或紅 — either swollen or red — is a rare instance of the Bogam specifying the local appearance of the joint rather than the pattern.

Composition 構成

Danggui Dang Gui
當歸 당귀 · Korean Angelica

4 g
Chief 君
Honghwa Hong Hua
紅花 홍화 · Safflower

1.2 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Wiryeongseon Wei Ling Xian
威靈仙 위령선 · Clematis

4 g
Deputy 臣
Bangi Fang Ji
防己 방기 · Sinomenium

4 g
Deputy 臣
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

4 g
Deputy 臣
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Deputy 臣
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

4 g
Assistant 佐
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

4 g
Assistant 佐

toxic
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Assistant 佐
Gyeji Gui Zhi
桂枝 계지 · Cinnamon Twig

4 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices

Total 41.2 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 stabbing pain pouring through the hundred joints of the four limbs
Dispels wind damp and phlegm and breaks up dead blood

Indications 主治

Pattern-based

Wind damp with phlegm and dead blood in the joints
Blood stasis with damp heat in the joints

Biomedical correlates

Gout
Acute arthritis with swelling and redness

Source text 原文

Donguibogam 東醫寶鑑

治四肢百節流注刺痛, 皆是風濕ㆍ痰ㆍ死血所致, 其痛處或腫或紅. 當歸ㆍ川芎ㆍ威靈仙ㆍ白芷ㆍ防己ㆍ黃栢ㆍ南星ㆍ蒼朮ㆍ羌活ㆍ桂枝各一錢, 紅花三分. 右剉, 作一貼, 入薑五片, 水煎服. 《醫鑑》

Translation

Treats stabbing pain pouring through the hundred joints of the four limbs, all of it caused by wind damp, phlegm and dead blood, the painful place being either swollen or red. Tangkuei, chuanxiong, clematis, angelica dahurica, stephania, phellodendron, arisaema, atractylodes lancea, notopterygium and cinnamon twig, 1 don each; safflower, 3 fun. Cut up, make one packet, add five slices of ginger and decoct in water. — Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

The indication is the best in the section because it describes what the physician sees: stabbing pain travelling through the joints, and the painful place either swollen or red. Red and swollen is inflammation, and the formula answers it with phellodendron and stephania for the heat and damp, safflower and tangkuei for the stasis, and arisaema for the thickening the tradition called phlegm. Three fun of safflower against ten drugs at a full don is a deliberate proportion — enough to move the blood, not enough to drive it. A defensible prescription for an acute inflamed joint. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.