Formulas · Transform Phlegm 化痰 · Piryongbang (必用方)

Regulate the Center and Sweep Phlegm Decoction

Ijunghwaldam-tang

한글 이중활담탕 · Pinyin Li Zhong Huo Tan Tang

理中豁痰湯

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Chief 君
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

2.8 g
Deputy 臣 processed (製)
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Gwaruin Gua Lou Ren
瓜蔞仁 과루인 · Trichosanthes Seed

2.8 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.8 g
Assistant 佐
Cheonmundong Tian Men Dong
天門冬 천문동 · Asparagus Root

2.8 g
Assistant 佐
Maega Mai Ya
麥芽 맥아 · Barley Sprout

2.8 g
Assistant 佐 stir-fried (炒)
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2 g
Assistant 佐 wine-fried (酒炒)
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

2 g
Assistant 佐 salt-water fried (鹽水炒)
Hwangryeon Huang Lian
黃連 황련 · Coptis

2 g
Assistant 佐 ginger-juice fried (薑汁炒)
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

2 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

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

12 g
Envoy 使 6 spoons, added at service
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

4 g
Envoy 使 2 spoons of juice, added at service
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

Total 54 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

Sweeps heat phlegm from the diaphragm and stomach
Supplements qi and enriches yin while clearing

Indications 主治

Pattern-based

Heat phlegm in the diaphragm and stomach
Phlegm heat with underlying qi and yin depletion

Biomedical correlates

Chronic gastritis with phlegm heat
Persistent phlegm cough in depleted patients

Source text 原文

Donguibogam 東醫寶鑑

治膈上, 胃中熱痰, 妙. 白朮ㆍ白芍藥各一錢, 人參ㆍ白茯苓ㆍ半夏(製)ㆍ瓜蔞仁ㆍ陳皮ㆍ天門冬ㆍ麥芽(炒) 各七分, 黃芩(酒炒)ㆍ香附子(鹽水炒)ㆍ黃連(薑汁炒)ㆍ䓀莄各五分, 枳實ㆍ甘草各三分. 右剉, 作一貼, 水煎去滓, 入薑汁二匙, 竹瀝六匙, 調服. 《必用方》

Translation

Treats heat phlegm above the diaphragm and in the stomach, with marked effect. White atractylodes and white peony 1 don each; ginseng, white poria, pinellia (processed), trichosanthes seed, tangerine peel, asparagus and barley sprout (stir-fried) 7 pun each; scutellaria (wine-fried), cyperus (salt-water fried), coptis (ginger-juice fried) and platycodon 5 pun each; bitter orange and licorice 3 pun each. Cut up, make one packet, decoct in water and strain, then stir in 2 spoons of ginger juice and 6 spoons of bamboo sap and take. — Piryongbang 必用方 (Donguibogam · Damum)

Clinical commentary 臨床

Sixteen medicinals in small doses, none above a don, which is the signature of a formula meant for a long-standing condition in a patient who cannot take a heavy hand. The three bitter colds are each processed with a different agent — wine, salt water, ginger juice — so that scutellaria is lifted, cyperus is directed downward and coptis is warmed enough not to chill the stomach it is meant to clear. Bamboo sap at six spoons is the largest single quantity in the formula and it is added after decocting, unheated, which preserves what heat would drive off. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.