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Formulas · Tonify Yin 補陰 · Sipyak Sinseo (十藥神書)

Preserve Harmony Decoction

Bohwa-tang

한글 보화탕  ·  Pinyin Bao He Tang

保和湯

Decocted with 3 slices of ginger to half, strained; a large spoonful of malt syrup is stirred in until melted, and taken after food, three times daily. The Sinseo appends a modification table: for exuberant blood add cattail pollen, madder, and lotus node; for exuberant phlegm add arisaema, pinellia, tangerine peel, bitter orange, and trichosanthes seed; for urgent panting add mulberry root bark, lepidium seed, and tangerine peel; for exuberant heat add gardenia, scutellaria lamina, and forsythia; for exuberant wind add saposhnikovia, schizonepeta, and inula; for exuberant cold add ginseng and cinnamon bark. Note on modern practice: aristolochia fruit (馬兜鈴) contains aristolochic acid and is prohibited in contemporary U.S. practice due to nephrotoxicity; modern prescribing omits or substitutes it — the formula stands as recorded.

Composition 構成

Total 42.8 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

  • Taxation cough with Lung wilting and expectoration of pus and blood (勞嗽肺痿唾膿血)
  • Consumption-adjacent respiratory presentations
  • The Lung-directed second of Ge Kejiu's ten

Biomedical correlates

  • Chronic productive cough with blood-streaked sputum
  • Bronchiectasis-adjacent presentations (supportive)
  • Historical consumption regimens

Source text 原文

Donguibogam 東醫寶鑑

治虛勞, 勞嗽, 肺痿, 唾膿血. 知母ㆍ貝母ㆍ天門冬ㆍ款冬花 各一錢, 麥門冬ㆍ天花粉ㆍ薏苡仁ㆍ杏仁ㆍ五味子 各七分, 馬兜鈴ㆍ紫菀ㆍ百合ㆍ桔梗ㆍ阿膠ㆍ當歸ㆍ生乾地黃(酒炒)ㆍ甘草(灸) 各三分半, 紫蘇葉ㆍ薄荷 各二分. 右剉, 作一貼, 薑三煎至半去滓, 入飴糖一大匙, 攪熔化, 食後服, 日三次. 《新書》

Translation

Treats vacuity taxation with taxation cough, Lung wilting, and expectoration of pus and blood. Anemarrhena, fritillaria, asparagus root, and coltsfoot flower, 1 don each; ophiopogon, trichosanthes root, coix seed, apricot kernel, and schisandra, 0.7 don each; aristolochia fruit, aster root, lily bulb, platycodon, ass-hide glue, Korean angelica, wine-fried dried raw rehmannia, and roasted licorice, 0.35 don each; perilla leaf and mint, 0.2 don each. Cut the above, make one packet, decoct with 3 slices of ginger to half and strain; stir in one large spoonful of malt syrup until melted, and take after food, three times daily. — Sinseo 新書 (Donguibogam · Heoro)

Clinical commentary 臨床

Ge Kejiu's lung formula is an aviary of moisteners — nineteen light herbs, none over a don, finished with a spoon of syrup so the medicine coats on its way down. Built for the cough that has started bringing blood: everything soft, everything soothing, the era's palliative respiratory care. **馬兜鈴 is the fruit of 쥐방울덩굴, Aristolochia, and carries aristolochic acid — nephrotoxic, and a Group 1 carcinogen. 草部下 1.112 states the point that matters here: the acid is in the seed as well as the pericarp and the book's light dry-frying does not destroy it, so there is no preparation of this drug that makes it safe. It must be omitted.** This formula is the worst exposure pattern for it in the corpus — a decoction taken 日三次, three times a day, for 勞嗽, a cough that by definition does not resolve quickly. Aristolochic acid nephropathy is a cumulative injury, and a long course of small doses is the shape it takes. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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