Formulas · Reduce Food Stagnation 消食 · Dansim (丹心)

Secret Formula Transform Stagnation Pill

Bibanghwache-hwan

한글 비방화체환  ·  Pinyin Mi Fang Hua Zhi Wan

秘方化滯丸

Composition 構成

Total 142.4 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

Indications 主治

Pattern-based

  • Accumulation long-standing and deeply set
  • Accumulation newly formed and briefly lodged

Biomedical correlates

  • Chronic and acute food retention

Source text 原文

Donguibogam 東醫寶鑑

理一切氣, 化一切積, 久堅沈痼, 磨之自消, 暴積乍留, 導之立去. 奪造化有通塞之功, 調陰陽有補瀉之妙. 三稜ㆍ蓬朮(幷煨) 各四錢八分, 半夏麴ㆍ木香ㆍ丁香ㆍ靑皮ㆍ陳皮(幷去白)ㆍ黃連 各二錢半, 巴豆肉(醋浸一宿熬乾) 六錢, 烏梅肉(焙乾細末) 五錢. 右爲末, 以烏梅末, 入白麪少許, 煮作糊和丸黍米大. 每服五七丸至十丸. 欲通利則以熱湯下, 欲磨積則以陳皮湯下, 欲止泄則飮冷水. 《丹心》

Translation

Regulates all qi and transforms all accumulation. What is long fixed and deeply set it grinds until it disperses of itself; what has newly gathered and briefly lodged it conducts away at once. It seizes the work of creation in freeing and blocking, and regulates yin and yang with the marvel of supplementing and draining. Sparganium and curcuma (both roasted) 4 don 8 pun each; fermented pinellia, costus, clove, green tangerine peel, tangerine peel (white pith removed) and coptis 2.5 don each; croton kernels (vinegar-steeped overnight and reduced dry) 6 don; mume flesh (dry-roasted and finely powdered) 5 don. Powder them; with the mume powder and a little wheat flour boil a paste and form pills the size of millet. Take five to seven at a dose, up to ten. To free and disinhibit, take them down with hot water; to grind accumulation, with tangerine peel decoction; to stop diarrhoea, drink cold water. — Dansim 丹心 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Three vehicles for one pill, and the choice determines what it does — hot water to purge, tangerine peel decoction to grind, cold water to stop the purging once it has gone far enough. That last is effectively an antidote instruction built into the dosing, and it is the only one of its kind in the chapter. The claim that it grinds what is fixed and conducts away what is new distinguishes the two modes the section keeps separate elsewhere: 磨積 against 導積. Here one formula does both, and the vehicle decides which. **Contains croton, which is toxic, at 6 don. Not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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