Formulas · Transform Phlegm 化痰 · Dansim (丹心)

Augmented Moisten and Downbear Pill

Gamiyunha-hwan

한글 가미윤하환 · Pinyin Jia Wei Run Xia Wan

加味潤下丸

Composition 構成

Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

320 g
Chief 君 8 nyang
Banha Ban Xia
半夏 반하 · Pinellia

80 g
Deputy 臣 cut up, mixed with the tangerine peel in 5 don of salt dissolved in water, boiled dry and roasted
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

40 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

40 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

40 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

40 g
Envoy 使
Baegyeom Bai Yan
白鹽 백염 · White Salt

20 g
Envoy 使 dissolved in water for the preliminary processing

Total 580 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

Downbears phlegm fire
Courses the qi and clears heat

Indications 主治

Pattern-based

Phlegm fire riding upward
Heat phlegm with chest oppression

Biomedical correlates

Chronic cough with thick sputum
Reflux-associated phlegm

Source text 原文

Donguibogam 東醫寶鑑

善降痰火. 橘紅八兩, 半夏(剉) 二兩, 以鹽五錢化水, 拌勻二味, 煮乾烘燥. 入南星ㆍ黃芩ㆍ黃連ㆍ甘草各一兩. 右爲末, 薑汁浸蒸餠和丸菉豆大, 白湯下五七十丸. 《丹心》

Translation

Excels at downbearing phlegm fire. Red tangerine peel 8 nyang and pinellia (cut up) 2 nyang: dissolve 5 don of salt in water, mix the two evenly in it, boil dry and roast. Then add arisaema, scutellaria, coptis and licorice, 1 nyang each. Powder them, make pills with steamed cake soaked in ginger juice, mung-bean size, and take fifty to seventy down with plain hot water. — Dansim 丹心 (Donguibogam · Damum)

Clinical commentary 臨床

Eight nyang of red tangerine peel against two of pinellia — a four-to-one ratio that makes this a qi-coursing formula carrying a phlegm formula rather than the other way round. Salt is the key to the processing: it is salty and cold, it directs downward and softens hardness, and boiling the two chief medicinals dry in salt water sets the whole formula's direction before the bitter cold herbs are even added. The name says the same thing — moisten and downbear. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.