Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Open the Gate Pill

Tonggwan-hwan

한글 통관환 · Pinyin Tong Guan Wan

通關丸

Composition 構成

Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

80 g
Chief 君

黃栢, wine-fried
Jimo Zhi Mu
知母 지모 · Anemarrhena

80 g
Chief 君

wine-fried
Hwalseok Hua Shi
滑石 활석 · Talc

80 g
Deputy 臣
Moktong Mu Tong
木通 목통 · Akebia

40 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

12 g
Envoy 使

Total 292 g per packet (첩) · representative dosage — verify against source texts.

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 inability to pass urine

Indications 主治

Pattern-based

Urine blocked from heat in the lower burner

Biomedical correlates

Urinary retention
Prostatic obstruction

Source text 原文

Donguibogam 東醫寶鑑

治小便不通. 黃栢ㆍ知母(幷酒炒)ㆍ滑石各二兩, 木通一兩, 肉桂三錢. 右爲末, 水丸梧子大, 空心白湯下百丸. 《醫鑑》

Translation

Treats inability to pass urine. Phellodendron, anemarrhena (both wine-fried) and talc 2 nyang each; akebia 1 nyang; cinnamon 3 don. Powder them, make water pills the size of a firmiana seed, and take a hundred on an empty stomach with plain hot water. — Gogeum Uigam 醫鑑 (Donguibogam · Sobyeon)

Clinical commentary 臨床

Jasin-hwan with talc and akebia added. The Uigam gives it the name — 通關, open the gate — that Jasin-hwan itself later came to be known by. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.