Formulas · Regulate Qi 理氣 · Seui Deukhyobang (世醫得效方)

Transform the Qi Decoction

Hwagi-tang

한글 화기탕 · Pinyin Hua Qi Tang

化氣湯

Composition 構成

Bongchul E Zhu
莪朮 봉출 · Zedoary

20 g
Chief 君
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

20 g
Deputy 臣 dried fresh ginger (乾生薑)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

20 g
Deputy 臣
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

20 g
Deputy 臣
Jeonghyangpi Ding Xiang Pi
丁香皮 정향피 · Clove Bark

20 g
Assistant 佐
Hoehyang Hui Xiang
茴香 회향 · Fennel Fruit

20 g
Assistant 佐 stir-fried (炒)
Sain Sha Ren
砂仁 사인 · Amomum

10 g
Assistant 佐縮砂, 2.5 don
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

10 g
Assistant 佐 cinnamon heart (桂心)
Mokhyang Mu Xiang
木香 목향 · Costus Root

10 g
Assistant 佐
Hocho Hu Jiao
胡椒 호초 · Black Pepper

5 g
Assistant 佐 1 don 1 ja
Chimhyang Chen Xiang
沈香 침향 · Agarwood

5 g
Assistant 佐 1 don 1 ja
Gamcho Gan Cao
甘草 감초 · Licorice

20 g
Envoy 使 mix-fried (灸)

Total 180 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

Transforms lodged accumulation aggregated below the flank
Warms the centre and moves qi

Indications 主治

Pattern-based

Lodged accumulation aggregated below the abdomen and ribside
One-sided distension and swelling fullness that does not interfere with eating
Untouched by other medicines

Biomedical correlates

Chronic flank distension
Functional abdominal fullness

Source text 原文

Donguibogam 東醫寶鑑

治息積, 癖於腹脇之下, 偏脹膨滿, 不妨飮食, 諸藥不能療. 蓬朮ㆍ乾生薑ㆍ陳皮ㆍ靑皮ㆍ丁香皮ㆍ茴香(炒)ㆍ甘草(灸) 各五錢, 縮砂ㆍ桂心ㆍ木香各二錢半, 胡椒ㆍ沈香各一錢一字. 右爲末, 每取二錢, 以生薑ㆍ紫蘇葉ㆍ鹽少許煎湯調下. 《得效》

Translation

Treats lodged accumulation aggregated below the abdomen and ribside, with one-sided distension and swelling fullness which does not interfere with food and drink, and which no other medicine can cure. Curcuma, dried fresh ginger, tangerine peel, green tangerine peel, clove bark, fennel (stir-fried) and licorice (mix-fried) 5 don each; amomum, cinnamon heart and costus 2.5 don each; pepper and aloeswood 1 don 1 ja each. Powder them and take 2 don at a time, stirred into a decoction of fresh ginger, perilla leaf and a little salt. — Seui Deukhyobang 得效 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Twelve warm aromatics and nothing that breaks a mass, which matches the indication precisely: the accumulation does not interfere with eating, so there is nothing obstructing to remove, and what is treated is the qi that has settled where it should not. 不妨飮食 — it does not interfere with food and drink — is the diagnostic hinge for the whole section, taken directly from the Neijing passage at 1.12, and it separates lodged accumulation from every other accumulation in the chapter. Note the 一字 measure, a quarter of a don, used for the two most expensive medicinals. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.