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

Augmented Four Seven Decoction

Gamisachil-tang

한글 가미사칠탕 · Pinyin Jia Wei Si Qi Tang

加味四七湯

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

4 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

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

2.8 g
Assistant 佐 stir-fried (炒)
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

2.8 g
Assistant 佐
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

2.8 g
Assistant 佐 blast-fried (炮)
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

2 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

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

2 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

2 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

2 g
Assistant 佐縮砂
Baekdugu Bai Dou Kou
白豆蔻 백두구 · Round Cardamom

1.2 g
Assistant 佐
Ikjiin Yi Zhi Ren
益智仁 익지인 · Alpinia

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

10 g
Envoy 使 5 slices

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

Courses depressed qi and dissolves bound phlegm
Frees the throat and downbears counterflow
Warms the center and disperses food accumulation

Indications 主治

Pattern-based

Plum-pit qi — phlegm bound in the throat that will neither be spat out nor swallowed
Depression of the seven affects with phlegm stagnation
Chest and diaphragm glomus and oppression

Biomedical correlates

Globus pharyngeus
Functional dysphagia
Stress-related throat tightness

Source text 原文

Donguibogam 東醫寶鑑

治痰氣鬱結, 窒碍於咽喉之間, 咯之不出, 嚥之不下, 謂之梅核氣者. 半夏ㆍ陳皮ㆍ赤茯苓各一錢, 神麴(炒)ㆍ枳實ㆍ南星(炮) 各七分, 靑皮ㆍ厚朴ㆍ紫蘇葉ㆍ檳榔ㆍ縮砂各五分, 白豆蔲ㆍ益智仁各三分. 右剉, 作一貼, 入薑五片, 水煎服. 《醫鑑》

Translation

Treats phlegm and qi depressed and bound, obstructing the space of the throat so that it will neither be coughed up nor swallowed down — what is called plum-pit qi. Pinellia, tangerine peel and red poria 1 don each; medicated leaven (stir-fried), bitter orange and arisaema (blast-fried) 7 pun each; green tangerine peel, magnolia bark, perilla leaf, areca and amomum 5 pun each; round cardamom and alpinia 3 pun each. Cut up, make one packet, add 5 slices of ginger, decoct in water and take. — Gogeum Uigam 醫鑑 (Donguibogam · Damum)

Clinical commentary 臨床

Sachil-tang — the Four Seven Decoction — is named for the seven affects it treats and the four medicinals it started from, and it is the classical prescription for plum-pit qi. What the augmentation adds is a whole digestive layer: medicated leaven, bitter orange, areca, amomum, round cardamom and alpinia. That is a formula for qi stuck in the middle burner grafted onto a formula for qi stuck in the throat, and it reflects the chapter's view that a lump felt at the throat usually has its root lower down. Perilla leaf is the one medicinal directed upward and outward, and it is the classical signature of this family. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.