Formulas · Transform Phlegm 化痰 · Dansim (丹心)

White Snail Shell Pill

Baengnasagak-hwan

한글 백라사각환 · Pinyin Bai Luo Ke Wan

白螺殼丸

The seasonal additions — cnidium in spring, coptis in summer, evodia in winter — are named without weights in the source and are not listed among the ingredients.

Composition 構成

Jeollagak Tian Luo Ke
田螺殼 전라각 · River Snail Shell

40 g
Chief 君

白螺螄殼, 火煆, calcined
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

40 g
Deputy 臣

炮, blast-fried
Hwalseok Hua Shi
滑石 활석 · Talc

40 g
Deputy 臣
Chija Zhi Zi
梔子 치자 · Gardenia

40 g
Deputy 臣

炒, parched
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

40 g
Deputy 臣

"便香附子, processed in a child's urine"
Changchul Cang Zhu
蒼朮 창출 · Atractylodes Lancea

40 g
Deputy 臣
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

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

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

20 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

20 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

20 g
Assistant 佐

縮砂, amomum

Total 340 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

Treats phlegm-rheum pain of the stomach duct
Moves the Qi and dries the damp behind the phlegm

Indications 主治

Pattern-based

Phlegm-rheum with pain of the stomach duct
Epigastric pain with nausea and a thick tongue coating

Biomedical correlates

Functional dyspepsia
Gastritis with nausea

Source text 原文

Donguibogam 東醫寶鑑

一方, 治痰飮胃脘痛. 白螺螄殼(火煆)ㆍ南星(炮)ㆍ滑石ㆍ梔子(炒)ㆍ便香附子ㆍ蒼朮各一兩, 枳殼ㆍ靑皮ㆍ木香ㆍ半夏ㆍ縮砂各五錢. 右爲末, 薑汁浸蒸餠和丸菉豆大, 每五七十丸, 薑湯下. 春加川芎, 夏黃連, 冬吳茱萸. 一名白螺殼丸. 《丹心》

Translation

Another formula treats phlegm-rheum pain of the stomach duct. Calcined white snail shell, blast-fried arisaema, talc, parched gardenia, cyperus processed in a child's urine, and black atractylodes, 1 nyang each; bitter orange, green tangerine peel, costus, pinellia and amomum, 5 don each. Powder them all, steep steamed cake in ginger juice and make pills the size of mung beans; take fifty to seventy pills down with ginger decoction. In spring add cnidium, in summer coptis, in winter evodia. It is also called Baengnasagak-hwan. — Dansim 丹心 (Donguibogam · Hyung)

Clinical commentary 臨床

Eleven drugs, and the seasonal additions at the end are the interesting part: the same formula is adjusted three ways through the year, warmed in winter and cooled in summer, with nothing added in autumn. 胃脘痛, pain of the stomach duct, is epigastric pain, and the chapter's own passage distinguishes it from true heart pain — a distinction worth more than the formula, since epigastric pain that is actually cardiac is the mistake that kills. Calcined snail shell is calcium carbonate and would have worked as an antacid. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.