• Journal of Korean Medical classics
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• v.35 no.4
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• pp.127-141
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• 2022

Objectives : The mechanism of Gegenjieji-tang from the Han chapter of Donguibogam was studied. Focus was on the wind medicinals which constituted a large part of the formula. Methods : Medical texts from which Gegenjieji-tang originated were searched in the Zhongyifangjidacidian with which application, composition, and treatment mechanism of the Gegenjieji-tang as written in medical texts such as the Donguibogam were compared. Based on related research and medical texts, it could be determined that many ingredients of the formula were wind medicinals as suggested by Li Dongyuan. The meaning of such composition was analyzed through texts such as the Piweilun, after which mechanism of the Gegenjieji-tang was examined. Results : Based on the Zhongyifangjidacidian, Gegenjieji-tang of the Donguibogam seems to have originated from the Chaigejiejitang of the Shanghanliushu, as medicinal composition and medical application written in texts such as the Donguibogam and Shanghanliushu, along with treatment mechanism, are found to be similar to each other. Gegenjieji-tang is applied to relieve the flesh and the Stomach Channel of pathogenic Qi. The formula includes gegen, chaihu, qianghu, and shengma, which are wind medicinals according to Li Dongyuan. Wind medicinals generally have the property of uplifting and dispersing Qi. The four aforementioned herbs relieve fire stagnation and relieve heat in the flesh and muscles. Conclusions : Based on the composition of the formula which includes the four herbs that uplifts and disperses Qi, and relieves fire stagnation, it could be understood that the Gegenjieji-tang has the effect of easing the flesh through loosening Qi stagnation. Gegenjieji-tang is not simply used to purge pathogenic Qi, but to communicate the bodily Qi ultimately easing the flesh.

• Journal of Sasang Constitutional Medicine
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• v.22 no.2
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• pp.135-142
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• 2010

1. Objectives: The purpose of this case is to report that a Tae-eumin patient diagnosed as drug-induced liver injury (DILI) caused by Galgeunhaegi-tang (Gegenjieji-tang) treated with Taeumjowe-tang reduced ephedra to 2g (Taiyintiaowei-tang) and then liver function test Results: improved. 2. Methods: We diagnosed him as Tae-eumin Exterior cold disease induced from the esophagus affected by cold. We made him stop taking Galgeunhaegi-tang (Gegenjieji-tang) and take Taeumjowe-tang reduced ephedra to 2g. (Taiyintiaowei-tang) 3. Results: After our treatment, the symptom and the liver function test Results: improved. 4. Conclusions: The wrong diagnosis of constitution and pathological syndromes can be caused drug-induced liver injury. Taeumjowe-tang reduced ephedra to 2g (Taiyintiaowei-tang) may have an effect on treatment of drug-induced liver injury of Tae- eumin.

• Journal of Sasang Constitutional Medicine
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• v.22 no.2
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• pp.123-134
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• 2010

1. Objectives: This study reports two cases of repetitive episodic tension-type headache patients who were each constitutionally typed as the Taeeum type and the Soyang type and respectively treated with Yanggyeoksanhwa-tang and Galgeunhaegi-tang. 2. Methods: The patients' subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout hospitalization period. When deemed necessary, other assessment tools were engaged (Migraine-Specific Quality of Life questionnaire, Migraine Disablity Assessment questionnaire, Headache Impact Test-6, etc.). 3. Results: The Soyang Type patient's headache improved by the end of hospitalization, with a dramatic drop in the VAS score from VAS 10 to VAS 2. The Taeeum Type patient's headache also showed improvement, with an equally dramatic decrease in the VAS score from VAS 10 to VAS 2. 4. Conclusion: Although the two patients were experiencing the same symptoms of repetitive episodic tension-type headache, they were each given different medicinal interventions in accordance to their respective constitutional types. This series of cases is notable in that the two widely different medications (Yanggyeoksanhwa-tang and Galgeunhaegi-tang) were applied to specifically conforming pathologies (the Sogal symptomatology and the Ganyeol symptomatology, respectively) to produce equally dramatic improvements.

• Journal of Physiology & Pathology in Korean Medicine
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• v.28 no.6
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• pp.683-688
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• 2014

Fever of Unknown Origin(FUO) is defined as a temperature higher than 38.3'C that persists without diagnosis for at least 3 weeks despite appropriate investigation. The purpose of this study was to analyze the effectiveness of oriental medical treatment on the patient with FUO. We treated a female patient with FUO by oriental medical treatment with appropriate herbal medicine and balanced acupuncture. We prescribed Galgunhaegi-tang (Gegenjieji-tang) for 5 days and Handayeolso-tang(Handuoreshao-tang) for 9 days. At the same period, we also applied acupuncture and checked body temperature. In order to measure a pain of the patient, we used Visual Analogue Scale(VAS). It was found that Galgunhaegi-tang had little effect at this time, but the administration of Handayeolso-tang brought the positive effect on the patient. The body temperature of the patient was lowered and VAS score was reduced apparently after treatment. Handayeolso-tang might be used for relieving symptoms of FUO.