White Atractylodes Harmonize the Stomach Pill

Baekchulhwawi-hwan

한글 백출화위환 · Pinyin Bai Zhu He Wei Wan

白朮和胃丸

Pill formula, bulk amounts: powdered and bound with steamed cake into pills the size of parasol-tree seeds; 50 pills with thin rice water.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

60 g
Chief 君
Hubak Hou Po
厚朴 후박 · Magnolia Bark

40 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

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

32 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

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

10 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

10 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

6 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

8 g
Envoy 使
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Envoy 使 dried fresh ginger (乾生薑)

Total 230 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

Harmonizes a stomach worn down by long internal damage
Restores an appetite that has gone listless

Indications 主治

Pattern-based

Internal damage long-standing
listless and unable to eat (病久厭厭不能食)
Bowels now bound and now loose (藏府或結或溏)
Taken regularly to harmonize the Spleen and Stomach and bring food in

Biomedical correlates

Chronic dyspepsia with irregular bowels
Irritable bowel-type alternating patterns
Long-course digestive support

Source text 原文

Donguibogam 東醫寶鑑

治內傷病久, 厭厭不能食, 藏府或結或溏. 常服, 和脾胃, 進飮食. 白朮一兩半, 厚朴ㆍ半夏各一兩, 陳皮八錢, 人參五錢, 枳實ㆍ檳榔各二錢半, 甘草二錢, 木香一錢半, 乾生薑一錢. 右爲末, 蒸餠和丸梧子大. 米飮下五十丸. 《東垣》

Translation

Treats internal damage grown long-standing, listless and unable to eat, the bowels now bound and now loose. Taken regularly, it harmonizes the Spleen and Stomach and brings food in. White atractylodes 1 nyang 5 don; magnolia bark and pinellia, 1 nyang each; tangerine peel 8 don; ginseng 5 don; unripe bitter orange and areca nut, 2.5 don each; licorice 2 don; aucklandia 1.5 don; dried fresh ginger 1 don. Powder the above and bind with steamed cake into pills the size of parasol-tree seeds; take 50 pills with thin rice water. — Dongwon 東垣 (Donguibogam · Naesang)

Clinical commentary 臨床

The word in the indication that earns this formula its place is 厭厭 — listless, dispirited, unable to summon interest in food. Not nausea, not fullness: a flatness that follows long illness. And the bowel description is the one modern clinics hear constantly, now bound and now loose. Atractylodes at an ounce and a half holds the center while magnolia and pinellia clear what has settled; taken as pills, over months. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.