寶鑑Bogam

Formulas · Regulate Qi 理氣 · Dansim (丹心)

Six Depressions Decoction (Dansim)

Yukul-tang

한글 육울탕(단심)  ·  Pinyin Liu Yu Tang

六鬱湯

A second formula of the same name from the Uigam 醫鑑 follows at 1.5.2 with a different composition; the two are distinct prescriptions and are separated by source suffix.

Composition 構成

Total 43.6 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

Indications 主治

Pattern-based

  • The six depressions — qi
  • damp
  • heat
  • phlegm
  • blood and food
  • Chest and ribside oppression with fullness
  • Bound qi that will not disperse

Biomedical correlates

  • Functional dyspepsia with stress component
  • Somatic symptoms of chronic stress

Source text 原文

Donguibogam 東醫寶鑑

通治六鬱. 香附子 二錢, 川芎ㆍ蒼朮 各一錢半, 陳皮ㆍ半夏(製) 各一錢, 赤茯苓ㆍ梔子仁 各七分, 縮砂ㆍ甘草 各五分. 右剉, 作一貼, 薑三, 水煎服. 《丹心》 氣鬱, 加木香ㆍ檳榔ㆍ烏藥ㆍ紫蘇葉. 濕鬱, 加白朮ㆍ羌活ㆍ防己. 熱鬱, 加黃連ㆍ連翹. 痰鬱, 加南星ㆍ瓜蔞仁ㆍ海粉. 血鬱, 加桃仁ㆍ牡丹皮ㆍ韭汁. 食鬱, 加山査子ㆍ神麴ㆍ麥芽. 《入門》

Translation

Treats all six depressions generally. Cyperus 2 don; chuanxiong and atractylodes lancea 1.5 don each; tangerine peel and pinellia (processed) 1 don each; red poria and gardenia kernel 7 pun each; amomum and licorice 5 pun each. Cut up, make one packet, add 3 slices of ginger, decoct in water and take. For qi depression add costus, areca, lindera and perilla leaf. For damp depression add white atractylodes, notopterygium and stephania. For heat depression add coptis and forsythia. For phlegm depression add arisaema, trichosanthes seed and sea hare egg mass. For blood depression add peach kernel, moutan bark and chive juice. For food depression add hawthorn, medicated leaven and barley sprout. — Dansim 丹心 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The base formula for the whole section, and its six modifications map one to one onto the six subsections that follow — qi, damp, heat, phlegm, blood, food. That correspondence is worth holding, because it means the section is not six separate diseases but one formula turned six ways. Cyperus leads at 2 don, with chuanxiong and atractylodes lancea behind it. Those three are the core the Dansim names elsewhere as the general solvent for depression, and the rest of the formula is Ijin-tang supplying the phlegm and damp side. The additions for blood depression include chive juice, which is why Fresh Chive Drink appears in this section as a formula in its own right. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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