Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Augmented Leaven Pill

Gamigukguk-hwan

한글 가미국국환 · Pinyin Jia Wei Qu Qu Wan

加味䴰麴丸

The chuanxiong is written 蕪芎 here and at several other points in this chapter; the two graphs denote the same medicinal.

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

160 g
Chief 君 steeped in rice-washing water and fried in ginger juice; 4 nyang
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

160 g
Chief 君蕪芎
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

160 g
Deputy 臣 child-urine processed (便香附)
Singok Shen Qu
神麴 신곡 · Medicated Leaven

160 g
Deputy 臣 stir-fried (炒)
Chija Zhi Zi
梔子 치자 · Gardenia

160 g
Assistant 佐 stir-fried (炒)
Sansa Shan Zha
山楂 산사 · Hawthorn

80 g
Assistant 佐 flesh only, steamed (山査肉蒸); 2 nyang
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

60 g
Assistant 佐 white pith removed (去白); 1.5 nyang
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

60 g
Assistant 佐 stir-fried (炒)
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

60 g
Assistant 佐 stir-fried (炒)

Total 1060 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

Resolves all depressions
Opens the chest and diaphragm
Rouses the appetite

Indications 主治

Pattern-based

The six depressions with chest and diaphragm blockage
No appetite for food and drink

Biomedical correlates

Functional dyspepsia with anorexia
Stress-related appetite loss

Source text 原文

Donguibogam 東醫寶鑑

解諸鬱, 開胸膈, 進飮食. 蒼朮(泔浸薑汁炒)ㆍ蕪芎ㆍ便香附ㆍ神麴(炒)ㆍ梔子(炒) 各四兩, 陳皮(去白)ㆍ白朮(炒)ㆍ黃芩(炒) 各一兩半, 山査肉(蒸) 二兩. 右爲末, 稀糊和丸梧子大. 白湯下五六十丸. 《醫鑑》

Translation

Resolves all depressions, opens the chest and diaphragm, and rouses the appetite. Atractylodes lancea (steeped in rice-washing water and fried in ginger juice), chuanxiong, child-urine-processed cyperus, medicated leaven (stir-fried) and gardenia (stir-fried) 4 nyang each; tangerine peel (white pith removed), white atractylodes (stir-fried) and scutellaria (stir-fried) 1.5 nyang each; hawthorn flesh (steamed) 2 nyang. Powder them, make pills with thin paste the size of a firmiana seed, and take fifty or sixty down with plain hot water. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The five medicinals of Wolguk-hwan kept at full strength, 4 nyang each, with four more added at less than half that weight. Compared with the Harmonize and Preserve version above, this one keeps the parent formula in the foreground and merely supports it, where that one submerged it under three nyang of white atractylodes. Two augmentations of the same base, from the same source, pulling in opposite directions. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.