Formulas · Tonify Qi & Blood 氣血雙補 · Uigam (醫鑑)

Nourish Blood Fortify Sinew Strengthen Stride Pill

Yanghyeoljanggeungeonbo-hwan

한글 양혈장근건보환 · Pinyin Yang Xue Zhuang Jin Jian Bu Wan

養血壯筋健步丸

Powdered; seven lengths of pig's spinal marrow are worked in with refined honey to bind pills the size of parasol-tree seeds; 100 pills with salted broth. **Note on modern practice: tiger bone is CITES Appendix I and is substituted or omitted.**

Composition 構成

Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

160 g
Chief 君
Useul Niu Xi
牛膝 우슬 · Achyranthes

80 g
Deputy 臣 wine-steeped
Duchung Du Zhong
杜仲 두충 · Eucommia Bark

80 g
Deputy 臣 ginger-juice-fried
Danggui Dang Gui
當歸 당귀 · Korean Angelica

80 g
Deputy 臣 wine-washed
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

60 g
Deputy 臣 wine-fried
Hwanggi Huang Qi
黃芪 황기 · Astragalus

40 g
Deputy 臣 salt-water-fried
Sanyak Shan Yao
山藥 산약 · Chinese Yam

40 g
Deputy 臣
Bogolji Bu Gu Zhi
補骨脂 보골지 · Psoralea

40 g
Deputy 臣 salt-water-fried
Insam Ren Shen
人蔘 인삼 · Ginseng

40 g
Deputy 臣
Gugija Gou Qi Zi
枸杞子 구기자 · Goji Berry

40 g
Deputy 臣
Tosaja Tu Si Zi
菟絲子 토사자 · Cuscuta

40 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

40 g
Deputy 臣 dry-fried
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

80 g
Assistant 佐
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

80 g
Assistant 佐 salt-water-fried
Omija Wu Wei Zi
五味子 오미자 · Schisandra

40 g
Assistant 佐
Hogol Hu Gu
虎骨 호골 · Tiger Bone (prohibited)

40 g
Assistant 佐 tiger shin bone, butter-roasted — see note
Gupan Gui Ban
龜板 구판 · Tortoise Plastron

40 g
Assistant 佐 butter-roasted
Bangpung Fang Feng
防風 방풍 · Siler

24 g
Assistant 佐
Bangi Fang Ji
防己 방기 · Sinomenium

20 g
Assistant 佐 wine-washed
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

12 g
Assistant 佐 wine-washed

Total 1076 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

Rebuilds Qi and Blood both vacuous so that walking returns
Clears damp heat while the sinews are fortified

Indications 主治

Pattern-based

Qi and Blood both vacuous with both legs wilting and soft (氣血兩虛兩脚痿軟)
Unable to walk or move about
Depletion with a damp heat component

Biomedical correlates

Chronic leg weakness with fatigue
Mobility loss with depletion
Long-course restorative therapy

Source text 原文

Donguibogam 東醫寶鑑

治氣血兩虛, 兩脚痿軟, 不能行動. 熟地黃四兩, 牛膝(酒浸)ㆍ杜沖(薑汁炒)ㆍ當歸(酒洗)ㆍ蒼朮ㆍ黃柏(鹽水炒) 各二兩, 白芍藥(酒炒) 一兩半, 黃芪(鹽水炒)ㆍ山藥ㆍ五味子ㆍ破故紙(鹽水炒)ㆍ人參ㆍ枸杞子ㆍ兎絲子ㆍ白朮(炒)ㆍ虎脛骨ㆍ龜板(幷酥灸) 各一兩, 防風六錢, 防己(酒洗) 五錢, 羌活(酒洗) 三錢. 右爲末, 猪脊髓七條, 入煉蜜和丸梧子大, 鹽湯下百丸. 《醫鑑》

Translation

Treats Qi and Blood both vacuous, with both legs wilting and soft and unable to walk or move about. Prepared rehmannia 4 nyang; wine-steeped achyranthes, ginger-juice-fried eucommia, wine-washed Korean angelica, atractylodes, and salt-water-fried phellodendron, 2 nyang each; wine-fried white peony 1 nyang 5 don; salt-water-fried astragalus, dioscorea, schisandra, salt-water-fried psoralea, ginseng, lycium fruit, cuscuta, dry-fried white atractylodes, tiger shin bone and turtle plastron both butter-roasted, 1 nyang each; saposhnikovia 6 don; wine-washed stephania 5 don; wine-washed notopterygium 3 don. Powder the above; work in seven lengths of pig's spinal marrow with refined honey and bind pills the size of parasol-tree seeds; take 100 pills with salted broth. — Uigam 醫鑑 (Donguibogam · Jok)

Clinical commentary 臨床

Twenty ingredients, and the design answers a mixed picture that the simpler formulas cannot: profound Qi and Blood depletion *with* damp heat still present. Atractylodes and phellodendron are in it at four ounces apiece — the chapter's essential pair for wilting — sitting inside what is otherwise a large tonic. Pig's spinal marrow in the binder is the like-for-like reasoning aimed at the spine, as in the Lumbus chapter's Ducheung-hwan. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.