Formulas · Transform Phlegm 化痰 · Manbyeong Hoechun (萬病回春)

Trichosanthes and Bitter Orange Decoction

Gwarujigak-tang

한글 과루지각탕 · Pinyin Gua Lou Zhi Ke Tang

瓜蔞枳殼湯

The second medicinal is lost at a page break in the source; the detached graphs 枳實 appear at the foot of the same page and the reading is restored as 〔枳實〕. Note that the formula is titled 枳殼 while the composition specifies 枳實 — the discrepancy is in the source and is left as it stands.

Composition 構成

Gwaruin Gua Lou Ren
瓜蔞仁 과루인 · Trichosanthes Seed

4 g
Chief 君
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

4 g
Deputy 臣
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Assistant 佐
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Assistant 佐
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

4 g
Assistant 佐
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

4 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Assistant 佐 broad lamina, wine-fried (片芩酒炒)
Paemo Bei Mu
貝母 패모 · Fritillaria

4 g
Assistant 佐 stir-fried (炒)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

2 g
Assistant 佐縮砂
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Assistant 佐
Jungnyeok Zhu Li
竹瀝 죽력 · Bamboo Sap

10 g
Envoy 使 stirred in with ginger juice after decocting
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

Total 55.2 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

Dissolves depressed phlegm and frees the chest
Courses the qi and downbears counterflow

Indications 主治

Pattern-based

Phlegm depression with chest fullness
Panting and haste on exertion
Lassitude in rising and lying down

Biomedical correlates

Chronic productive cough with chest oppression
Exertional dyspnoea with phlegm

Source text 原文

Donguibogam 東醫寶鑑

治痰鬱. 瓜蔞仁ㆍ〔枳實〕ㆍ桔梗ㆍ川芎ㆍ蒼朮ㆍ香附ㆍ杏仁ㆍ片芩(酒炒)ㆍ貝母(炒)ㆍ陳皮各一錢, 縮砂ㆍ木香各五分, 甘草三分. 右剉, 作一貼, 水煎, 入竹瀝薑汁調服. 《回春》

Translation

Treats phlegm depression. Trichosanthes seed, bitter orange fruit, platycodon, chuanxiong, atractylodes lancea, cyperus, apricot kernel, scutellaria in broad lamina (wine-fried), fritillaria (stir-fried) and tangerine peel 1 don each; amomum and costus 5 pun each; licorice 3 pun. Cut up, make one packet, decoct in water, stir in bamboo sap and ginger juice, and take. — Manbyeong Hoechun 回春 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Closely related to Gwarujisil-tang in the Phlegm-Rheum chapter at 6.5.5.6, also from the Hoechun, which shares its trichosanthes, bitter orange fruit, platycodon, fritillaria, tangerine peel, scutellaria, amomum, costus and licorice. The difference is what each adds: that formula takes red poria, gardenia and angelica and aims at bound phlegm with chest pain; this one takes chuanxiong, atractylodes lancea, cyperus and apricot kernel and aims at phlegm held down by depressed qi. The three added here are precisely the medicinals this chapter names as the general solvent for depression. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.