Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Already Fording Decoction

Gije-tang

한글 기제탕 · Pinyin Ji Ji Tang

旣濟湯

The Fire chapter gives only the modification, the base medicinals being carried over from Jukyeopseokgo-tang without weights; the Sudden Turmoil chapter prints the same formula in full with its weights, cited from Dansim, and those are the weights given here.

Composition 構成

Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

8 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

blast-fried (炮) · toxic
Jugyeop Zhu Ye
竹葉 죽엽 · Bamboo Leaf

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

honey-roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices
Gaengmi Jing Mi
粳米 갱미 · Non-glutinous Rice

—
Envoy 使

a hundred grains

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients measured by count or used as a vehicle, shown as —.

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

Treats vacuity vexation after sudden turmoil with spontaneous diarrhoea and cold limbs

Indications 主治

Pattern-based

After sudden turmoil
vacuity vexation with spontaneous diarrhoea and cold hands and feet

Biomedical correlates

Post-gastroenteritis exhaustion with hypotension

Source text 原文

Donguibogam 東醫寶鑑

治霍亂後, 虛煩自利, 手足冷. 卽竹葉石膏湯, 去石膏, 加炮附子二錢也. 《入門》 ○治霍亂後虛煩不得眠. 麥門冬二錢, 人參ㆍ竹葉ㆍ半夏ㆍ附子(炮)ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 入薑五片ㆍ粳米百粒, 水煎服. 《丹心》

Translation

Treats vacuity vexation after sudden turmoil, with spontaneous diarrhoea and cold hands and feet. That is, Bamboo Leaf and Gypsum Decoction with the gypsum removed and 2 don of blast-fried aconite added. — Uihak Immun 入門. Treats vacuity vexation with inability to sleep after sudden turmoil. Ophiopogon, 2 don; ginseng, bamboo leaf, pinellia, blast-fried aconite and honey-roasted licorice, 1 don each. Cut up, make one packet, add five slices of ginger and a hundred grains of rice, and decoct in water. — Dangye Simbeop 丹心 (Donguibogam · Hwa, Gwallan)

Clinical commentary 臨床

One substitution and the formula reverses direction: take out the gypsum, put in aconite, and a cold clearing prescription becomes a warm one. The name is the same hexagram as Gijecheongsin-san above — fire below and water above — but the problem here is the opposite. The vexation is real and so is the cold, and the formula treats both at once rather than choosing. 虛煩 with cold limbs and diarrhoea after acute illness is collapse rather than heat, which is why the chapter places it at 5.14 rather than among the fire formulas. **Contains aconite, which is toxic. Cold extremities with vexation after severe vomiting and diarrhoea indicate circulatory failure and require urgent medical care.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.