Formulas · Harmonize 和解 · Junggyeong (仲景)

Fresh Ginger Heart-Draining Decoction

Saenggangsasim-tang

한글 생강사심탕 · Pinyin Sheng Jiang Xie Xin Tang

生薑瀉心湯

Composition 構成

Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

8 g
Chief 君
Banha Ban Xia
半夏 반하 · Pinellia

8 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

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

6 g
Deputy 臣
Hwangnyeon Huang Lian
黃連 황련 · Coptis

4 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

three dates

Total 38 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Disperses water and food stagnation below the heart
Harmonizes the stomach and stops rumbling

Indications 主治

Pattern-based

Epigastric stuffiness with belching of food smell and borborygmus with diarrhoea
Water retention in the stomach with cold and heat intermingled

Biomedical correlates

Functional dyspepsia with bloating and loose stool
Small intestinal bacterial overgrowth

Source text 原文

Donguibogam 東醫寶鑑

生薑ㆍ半夏各二錢, 人參ㆍ乾薑各一錢半, 黃連ㆍ甘草各一錢, 黃芩五分. 右剉, 作一貼, 入棗三枚, 水煎服. 《仲景》

Translation

Fresh ginger and pinellia, 2 don each; ginseng and dried ginger, 1 don 5 fun each; coptis and licorice, 1 don each; scutellaria, 5 fun. Cut up, make one packet, add three dates and decoct in water. — Junggyeong 仲景 (Donguibogam · Han, lower)

Clinical commentary 臨床

Pinellia Heart-Draining Decoction with fresh ginger added at a chief's dose, and the addition tells you the pattern: water sitting in the stomach, which gives the belching of raw food smell and the rumbling that runs down into diarrhoea. Fresh ginger moves water where dried ginger warms, and the Bogam keeps both. The cold-warm pairing is the heart-draining architecture — coptis and scutellaria above, the two gingers below, ginseng, licorice and dates holding the middle — and of the five heart-draining formulas this is the one for the stomach that sloshes. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.