寶鑑Bogam

Formulas · Release the Exterior 解表 · Immun (入門)

Nine-Ingredient Notopterygium Decoction

Gumiganghwal-tang

한글 구미강활탕  ·  Pinyin Jiu Wei Qiang Huo Tang

九味羌活湯

A collation note in the Kyujanggak transcription records that the first printing reads 二 where this edition has 一 in 一錢二分, i.e. 二錢二分; the dose is given here as the received 1 don 2 fun.

Composition 構成

Total 40 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Indications 主治

Pattern-based

  • Wind-cold in any season with headache and aching joints
  • Fever and aversion to cold with no sweat and a floating tight pulse

Biomedical correlates

  • Common cold
  • Influenza-like illness with body aches

Source text 原文

Donguibogam 東醫寶鑑

不問四時, 但有頭痛ㆍ骨節痛ㆍ發熱ㆍ惡寒ㆍ無汗, 脉浮緊, 宜用此以代麻黃爲穩當. 《節庵》 ○有汗不得服麻黃, 無汗不得服桂枝, 若誤服則其變不可勝言. 故立此法, 使不犯三陽禁忌, 乃解表神方. 羌活ㆍ防風 各一錢半, 蒼朮ㆍ川芎ㆍ白芷ㆍ黃芩ㆍ生地黃 各一錢二分, 細辛ㆍ甘草 各五分. 右剉, 作一貼, 入生薑 三片, 大棗 二枚, 葱白 二莖, 水煎服. 《入門》 ○一名羌活衝和湯. 《醫鑑》 ○羌活治太陽肢節痛, 乃撥亂反正之主也. 防風治一身盡痛, 聽軍將命令而行. 蒼朮雄壯上行之氣, 能除濕氣, 下安太陰. 甘草緩裏急, 和諸藥. 川芎治厥陰頭痛在腦. 生地黃治少陰心熱在內. 黃芩治太陰肺熱在胸. 白芷治陽明頭痛在額. 細辛治少陰腎經苦頭痛. 《正傳》

Translation

Whatever the season, wherever there is headache, aching of the bones and joints, fever, aversion to cold and no sweating, with a floating tight pulse, this should be used in place of ephedra as the safer course. — Jeolam 節庵 ○ Where there is sweating, ephedra must not be given; where there is no sweating, cinnamon twig must not be given; and if either is given in error, the consequences are beyond telling. This method was therefore established so as not to transgress the prohibitions of the three yang, and it is a marvellous formula for resolving the exterior. Notopterygium and saposhnikovia, 1 don 5 fun each; atractylodes lancea, chuanxiong, angelica dahurica, scutellaria and fresh rehmannia, 1 don 2 fun each; asarum and licorice, 5 fun each. Cut up, make one packet, add three slices of fresh ginger, two jujubes and two stalks of scallion white, and decoct in water. — Immun 入門 ○ Also called <span class='sochu'>Ganghwal-chunghwa-tang</span> 羌活衝和湯. — Uigam 醫鑑 ○ Notopterygium treats the taiyang pain of the limbs and joints and is the commander who quells disorder and restores right order. Saposhnikovia treats pain throughout the whole body and goes where the general's orders send it. Atractylodes lancea, with its bold upward-moving qi, can remove damp qi and settle the taiyin below. Licorice eases urgency within and harmonizes the other drugs. Chuanxiong treats the jueyin headache that lies in the brain. Fresh rehmannia treats the shaoyin heart heat that lies within. Scutellaria treats the taiyin lung heat that lies in the chest. Angelica dahurica treats the yangming headache that lies in the forehead. Asarum treats the bitter headache of the shaoyin kidney channel. — Jeongjeon 正傳 (Donguibogam · Han, upper)

Clinical commentary 臨床

The most-used surface-releasing formula in Korean practice, and the reason is in the text itself: ephedra is unsafe in a patient who is already sweating, cinnamon twig in one who is not, and the prescriber often cannot tell which they have. This formula transgresses neither prohibition. The closing commentary from Jeongjeon is the clearest piece of writing on channel-specific drug selection in the whole Bogam — each drug assigned to a channel and a region of the head — and it is worth learning as written. Scutellaria and fresh rehmannia are the two that make it a four-season formula rather than a winter one. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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