Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Normalize the Qi and Harmonize the Middle Decoction

Sungihwajung-tang

한글 순기화중탕 · Pinyin Shun Qi He Zhong Tang

順氣和中湯

Composition 構成

Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Chief 君

fried in salt water
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

4 g
Chief 君

fried in vinegar
Chija Zhi Zi
梔子 치자 · Gardenia

4 g
Deputy 臣

fried black in ginger juice
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

3.2 g
Deputy 臣

earth-fried
Banha Ban Xia
半夏 반하 · Pinellia

2.4 g
Deputy 臣

toxic in the raw state; must be properly processed
Hwangnyeon Huang Lian
黃連 황련 · Coptis

2.4 g
Deputy 臣

"steeped in ginger juice, sun-dried, then fried with pig's bile"
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

2.4 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

2 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

1.2 g
Assistant 佐

written 縮砂 in the text
Jeodamjeup Zhu Dan Zhi
猪膽汁 저담즙 · Pig Bile

—
Assistant 佐

used to fry the coptis
Gamcho Gan Cao
甘草 감초 · Licorice

0.8 g
Envoy 使

honey-roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Jungnyeok Zhu Li
竹瀝 죽력 · Bamboo Sap

—
Envoy 使

stirred in at the end
Dongbyeon Tong Bian
童便 동변 · Child's Urine

—
Envoy 使

stirred in at the end

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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 retching and vomiting
stomach reflux
gnawing hunger
acid swallowing
gullet block
the vomiting of phlegm and water
and stabbing pain in the heart region and abdomen

Indications 主治

Pattern-based

Qi counterflow of the middle burner with damp heat
Phlegm fire with acid reflux

Biomedical correlates

Gastro-oesophageal reflux disease
Functional dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治嘔吐反胃ㆍ嘈雜ㆍ呑酸ㆍ噎膈ㆍ吐痰水ㆍ心腹剌痛. 陳皮(鹽水炒)ㆍ香附子(醋炒)ㆍ梔子(薑汁炒黑) 各一錢, 白朮(土炒) 八分, 白茯苓七分, 半夏ㆍ神麴ㆍ黃連(薑汁浸晒乾, 猪膽汁拌炒) 各六分, 枳實五分, 縮砂三分, 甘草(灸) 二分. 右剉, 作一貼, 入薑三, 長流水入黃土泥攪澄淸水煎, 入竹瀝ㆍ童便ㆍ薑汁, 溫服. 《醫鑑》

Translation

Treats retching and vomiting, stomach reflux, gnawing hunger, acid swallowing, gullet block, the vomiting of phlegm and water, and stabbing pain in the heart region and abdomen. Tangerine peel fried in salt water, cyperus fried in vinegar and gardenia fried black in ginger juice, 1 don each; earth-fried white atractylodes, 8 fun; white poria, 7 fun; pinellia, medicated leaven, and coptis steeped in ginger juice, sun-dried and then fried with pig's bile, 6 fun each; bitter orange, 5 fun; cardamom, 3 fun; honey-roasted licorice, 2 fun. Cut up, make one packet, add three slices of ginger, decoct it in water drawn from a running stream and settled clear after yellow clay has been stirred into it, and take it warm with bamboo sap, a boy's urine and ginger juice stirred in. — Gogeum Uigam 醫鑑 (Donguibogam · Guto)

Clinical commentary 臨床

Every drug in it is processed, and the processings are the formula: salt water for the tangerine peel, vinegar for the cyperus, ginger juice for the gardenia and the coptis, earth for the atractylodes, pig's bile over the coptis again. The aim throughout is to take the edge off cold bitter drugs so that they can be given to a stomach that is refluxing rather than merely hot. The indications — acid swallowing, gnawing hunger, vomiting of watery phlegm, pain behind the sternum — are the symptom set of gastro-oesophageal reflux, and this is the chapter's main formula for it. 嘈雜, gnawing hunger, is the Bogam's term for the hollow burning discomfort that is neither hunger nor pain, and it has a section of its own in the 內傷 chapter. **Contains pinellia, which is toxic in the raw state and must be properly processed.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.