Formulas · Dispel Wind 祛風 · Dongwon (東垣)

Qi-Freeing Siler Decoction

Tonggibangpung-tang

한글 통기방풍탕 · Pinyin Tong Qi Fang Feng Tang

通氣防風湯

Composition 構成

Hwanggi Huang Qi
黃芪 황기 · Astragalus

3.75 g
Chief 君
Seungma Sheng Ma
升麻 승마 · Cimicifuga

3.75 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

3.75 g
Deputy 臣
Bangpung Fang Feng
防風 방풍 · Siler

1.9 g
Deputy 臣
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

1.9 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

1.9 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

1.9 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

1.1 g
Assistant 佐
Baekdugu Bai Dou Kou
白豆蔻 백두구 · Round Cardamom

0.75 g
Assistant 佐
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

0.75 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.9 g
Envoy 使

Total 23.3 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

Courses wind and frees Lung Qi
Raises clear yang to the shoulder and back
Relieves shoulder and back pain

Indications 主治

Pattern-based

Cold damp striking the greater yang channel with shoulder and back pain
Inability to turn and look behind
Wind-heat riding the Lung with severe Lung Qi constraint

Biomedical correlates

Upper back and shoulder pain
Interscapular pain with respiratory involvement

Source text 原文

Donguibogam 東醫寶鑑

治太陽經中寒濕, 肩背痛, 不可回顧. 又云, 肩背痛, 乃風熱乘肺, 肺氣鬱甚也. 黃芪ㆍ升麻ㆍ柴胡各一錢, 防風ㆍ羌活ㆍ陳皮ㆍ人參ㆍ甘草各五分, 靑皮三分, 白豆蔲ㆍ黃柏各二分. 右剉, 煎服. 《東垣》

Translation

Treats cold and damp striking the greater yang channel, with pain of the shoulder and back and inability to turn and look behind. It is also said: shoulder and back pain is wind-heat riding the Lung, with Lung Qi severely constrained. Astragalus, cimicifuga and bupleurum 1 don each; siler, notopterygium, aged tangerine peel, ginseng and licorice 0.5 don each; green tangerine peel 0.3 don; round cardamom and phellodendron 0.2 don each. Cut the above, decoct and take. — Dongwon 東垣 (Donguibogam · Bae)

Clinical commentary 臨床

Li Dongyuan's signature construction: astragalus with cimicifuga and bupleurum to raise clear yang, which is why the formula treats a back that hurts without treating the back directly. The text gives two readings of the same complaint in succession — cold-damp in the greater yang, and wind-heat constraining the Lung — and the formula answers both, with the wind medicines addressing the first and the Qi-raising core the second. The tiny quantities of green tangerine peel, cardamom and phellodendron are corrective rather than therapeutic: they keep the raising action from becoming a dry ascent. Compare the chapter's assertion at 背熱 that the back belongs to the Lung, which is the theoretical premise this formula rests on. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.