Formulas · Transform Phlegm 化痰 · Gogeum Uigam (古今醫鑑)

Modified Poria Pill

Gagambokryeong-hwan

한글 가감복령환 · Pinyin Jia Jian Fu Ling Wan

加減茯苓丸

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

112.5 g
Chief 君 soaked 7 days in decoction of alum, gleditsia pod and fresh ginger
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

75 g
Deputy 臣 salt-water fried
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

75 g
Deputy 臣 wine fried
Hwanggi Huang Qi
黃芪 황기 · Astragalus

75 g
Deputy 臣 salt-water fried
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

56.25 g
Assistant 佐
Bakcho Pu Xiao
朴硝 박초 · Crude Mirabilite

48.75 g
Assistant 佐
Haedongpi Hai Tong Pi
海桐皮 해동피 · Castor Aralia Bark

37.5 g
Assistant 佐 wine washed
Ganghwang Jiang Huang
薑黃 강황 · Turmeric

37.5 g
Assistant 佐
Mogwa Mu Gua
木瓜 모과 · Chinese Quince

37.5 g
Assistant 佐
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

18.75 g
Envoy 使薄桂 bakgye — thin bark
Gamcho Gan Cao
甘草 감초 · Licorice

18.75 g
Envoy 使

Total 592.5 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

Transforms damp phlegm obstructing the channels
Frees the network vessels of the arm
Supplements Qi and nourishes Blood while dispersing

Indications 主治

Pattern-based

Damp phlegm congesting the channels
Both arms painful and unable to comb or wash
Chronic arm pain with underlying vacuity

Biomedical correlates

Bilateral frozen shoulder
Chronic bilateral brachialgia with functional limitation

Source text 原文

Donguibogam 東醫寶鑑

治濕痰壅滯, 經絡不通, 兩臂作痛, 不能梳洗. 半夏三兩(以白礬ㆍ皂角ㆍ生薑各一兩煎湯, 浸七日取用), 陳皮(鹽水炒)ㆍ白芍藥(酒炒)ㆍ黃芪(鹽水炒) 各二兩, 白茯苓一兩半, 朴硝一兩三錢, 海桐皮(酒洗)ㆍ薑黃ㆍ木瓜各一兩, 薄桂ㆍ甘草各五錢. 右爲末, 薑汁, 竹瀝糊和丸梧子大, 白湯下百丸. 《醫鑑》

Translation

Treats damp phlegm congesting and stagnating with the channels and network vessels blocked, both arms hurting, unable to comb the hair or wash. Pinellia 3 nyang (decoct alum, gleditsia pod and fresh ginger 1 nyang each, soak seven days, then use); aged tangerine peel (salt-water fried), white peony (wine fried), and astragalus (salt-water fried) 2 nyang each; white poria 1.5 nyang; crude mirabilite 1 nyang 3 don; castor aralia bark (wine washed), turmeric, and Chinese quince 1 nyang each; thin cinnamon bark and licorice 5 don each. Powder the above, form into pills the size of firmiana seeds with ginger juice and bamboo sap paste, and take 100 pills down with plain hot water. — Uigam 醫鑑 (Donguibogam · Su)

Clinical commentary 臨床

The functional marker — 不能梳洗, unable to comb the hair or wash the face — is a better outcome measure than any pain scale, and it is exactly what a modern shoulder assessment tests. This is the largest and most considered of the phlegm formulas here: astragalus and white peony hold the Qi and Blood while the mirabilite and pinellia do demolition work, which is why it suits chronic bilateral cases where a purely dispersing formula would deplete. The seven-day pinellia soak in alum, gleditsia and ginger is a full processing protocol, not a garnish. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.