Formulas · Warm the Interior 溫裏 · Junggyeong (仲景)

Cinnamon Twig and Ginseng Decoction

Gyejiinsam-tang

한글 계지인삼탕 · Pinyin Gui Zhi Ren Shen Tang

桂枝人參湯

Composition 構成

Gyeji Gui Zhi
桂枝 계지 · Cinnamon Twig

7.2 g
Chief 君

cut up separately and added late
Insam Ren Shen
人蔘 인삼 · Ginseng

6 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

6 g
Deputy 臣
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

6 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

7.2 g
Envoy 使

roasted

Total 32.4 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

Warms the middle and releases the exterior together
Stops diarrhoea while resolving a lingering surface pattern

Indications 主治

Pattern-based

Interior cold with diarrhoea and an exterior pattern still unresolved
Middle burner depletion with persistent fever

Biomedical correlates

Gastroenteritis with persistent fever
Chronic diarrhoea with recurrent colds

Source text 原文

Donguibogam 東醫寶鑑

桂枝(另剉)ㆍ甘草(灸) 各一錢八分, 白朮ㆍ人參ㆍ乾薑各一錢半. 右剉, 作一貼, 水二盞, 煎至一盞, 入桂枝, 煮取七分, 去滓溫服, 日二. 《仲景》

Translation

Cinnamon twig, cut up separately, and roasted licorice, 1 don 8 fun each; atractylodes, ginseng and dried ginger, 1 don 5 fun each. Cut up, make one packet; take two cups of water, decoct down to one cup, then put in the cinnamon twig, boil down to seven parts, strain and take warm, twice a day. — Junggyeong 仲景 (Donguibogam · Han, lower)

Clinical commentary 臨床

Regulate the Middle Decoction with cinnamon twig, and the instruction to cut the cinnamon separately and add it late is what makes it work. Cinnamon twig's surface-releasing action lies in its volatile oil, which a long decoction drives off; so the four interior drugs are decocted out fully and the cinnamon gets only the last few minutes. That single procedural choice lets one cup treat two levels at once. The pattern — diarrhoea from interior cold with a fever that will not clear — is common and usually mishandled in one direction or the other. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.