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

Six Depressions Decoction (Uigam)

Yukul-tang

한글 육울탕(의감) · Pinyin Liu Yu Tang

六鬱湯

Distinct from the Dansim formula of the same name at 1.5.1, with which it shares only cyperus, atractylodes lancea, gardenia, tangerine peel, chuanxiong and red poria. Separated by source suffix.

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

4 g
Chief 君 child-urine processed (便香附)
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Singok Shen Qu
神麴 신곡 · Medicated Leaven

4 g
Assistant 佐
Chija Zhi Zi
梔子 치자 · Gardenia

4 g
Assistant 佐
Yeongyo Lian Qiao
連翹 연교 · Forsythia

4 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Assistant 佐
Paemo Bei Mu
貝母 패모 · Fritillaria

4 g
Assistant 佐
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

4 g
Assistant 佐
Jasoyeop Zi Su Ye
紫蘇葉 자소엽 · Perilla Leaf

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

6 g
Envoy 使 3 slices
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 52 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

Opens all depressed fire
Courses the qi and dissolves phlegm
Clears heat and frees the chest

Indications 主治

Pattern-based

Depressed fire arising from the six depressions
Chest oppression with heat signs
Phlegm bound with depressed qi

Biomedical correlates

Stress-related dyspepsia with heat signs
Chronic chest oppression

Source text 原文

Donguibogam 東醫寶鑑

開諸鬱火. 便香附ㆍ蒼朮ㆍ神麴ㆍ梔子ㆍ連翹ㆍ陳皮ㆍ川芎ㆍ赤茯苓ㆍ貝母ㆍ枳殼ㆍ紫蘇葉各一錢, 甘草五分. 右剉, 作一貼, 薑三片, 水煎服. 《醫鑑》

Translation

Opens all depressed fire. Child-urine-processed cyperus, atractylodes lancea, medicated leaven, gardenia, forsythia, tangerine peel, chuanxiong, red poria, fritillaria, bitter orange and perilla leaf 1 don each; licorice 5 pun. Cut up, make one packet, add 3 slices of ginger, decoct in water and take. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The same name as the formula before it and a different argument. Where the Dansim version is built on Ijin-tang and works on phlegm and damp, this one drops pinellia entirely and adds forsythia, fritillaria and perilla leaf — a formula for depression that has already turned to fire. The stated aim says so: to open depressed fire, not merely to course the qi. Eleven medicinals all at 1 don is the signature of a formula that treats a compound condition without ranking its parts, which suits a section whose premise is that the six depressions arise from one another. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.