Formulas · Transform Dampness 化濕 · Gogeum Uigam (古今醫鑑)

Nourish the Stomach Elixir

Yangwi-dan

한글 양위단 · Pinyin Yang Wei Dan

養胃丹

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Atractylodes Lancea

80 g
Chief 君
Sangsan Chang Shan
常山 상산 · Dichroa Root (toxic)

80 g
Chief 君

wine-steamed · toxic
Banha Ban Xia
半夏 반하 · Pinellia

60 g
Deputy 臣

toxic raw — requires processing
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

60 g
Deputy 臣
Hubak Hou Po
厚朴 후박 · Magnolia Bark

60 g
Deputy 臣
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

40 g
Assistant 佐
Gwakhyang Huo Xiang
藿香 곽향 · Korean Mint

40 g
Assistant 佐
Chogwa Cao Guo
草果 초과 · Tsaoko Fruit

40 g
Assistant 佐
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Assistant 佐

49 fruits, flesh only
Gamcho Gan Cao
甘草 감초 · Licorice

20 g
Envoy 使

honey-fried (灸)

Total 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

Dries dampness and warms the centre
Cuts short malarial paroxysms that have become habitual
Rebuilds the Stomach so the pattern has nothing to return to

Indications 主治

Pattern-based

Chronic malaria (久瘧) unhealed for two or three years
Old malaria (老瘧) recurring on a worn-out Stomach
Damp and phlegm lodged in the centre with poor appetite and a thick tongue coat

Biomedical correlates

Malaria
Relapsing febrile illness with periodic chills and fever
Post-infectious dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治久瘧二三年不愈者. 蒼朮ㆍ常山(酒蒸) 各二兩, 半夏ㆍ陳皮ㆍ厚朴各一兩半, 赤茯苓ㆍ藿香ㆍ草果各一兩, 甘草(灸) 五錢, 烏梅四十九箇(取肉). 右爲末, 淡薑湯打糊和丸梧子大, 薑湯下五七十丸. 《醫鑑》

Translation

Treats chronic malaria that has not healed in two or three years. Atractylodes and wine-steamed dichroa, 2 nyang each; pinellia, aged tangerine peel and magnolia bark, 1.5 nyang each; red poria, Korean mint and tsaoko fruit, 1 nyang each; honey-fried licorice 5 don; mume plum 49 fruits, flesh only. Powder the above, beat a paste with a thin ginger decoction and bind into pills the size of parasol-tree seeds; take 50 to 70 pills down with a ginger decoction. — Uigam 醫鑑 (Donguibogam · Haehak)

Clinical commentary 臨床

A pill built on the Insamyangwi-tang frame — atractylodes, pinellia, aged tangerine peel, magnolia bark, red poria and tsaoko — with ginseng dropped out and dichroa put in at the head of the formula alongside the atractylodes. The name keeps the parent's claim while the composition changes the aim: the base is there to hold the centre, and the dichroa is there to break the paroxysm. What the chapter is reaching for here is the patient in whom the thing has gone on for years. Mume plum at forty-nine fruits is the other half of the design, sour and astringing against drugs that are all drying and dispersing, and the ginger-decoction paste and ginger-decoction draught both exist to keep an aromatic pill from turning the stomach. Two or three years of recurring chills and fever is the description of relapsing or inadequately treated malaria, and the digestive wreckage the formula addresses is real whatever the cause. **Contains dichroa, which is emetic and hepatotoxic. This must not be prepared.** Pinellia is toxic raw and must be properly processed. A relapsing periodic fever needs blood films or a rapid antigen test and modern antimalarial treatment; this formula is recorded as history. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.