寶鑑Bogam

Formulas · Tonify Qi 補氣 · Gogeum Uigam (古今醫鑑)

Harmonious Accord Drink

Bihwa-eum

한글 비화음  ·  Pinyin Bi He Yin

比和飮

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 ingredients measured by count or used as a vehicle, shown as —.

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

  • Extreme stomach vacuity rejecting food and medicine

Biomedical correlates

  • Protracted vomiting with inability to tolerate oral intake

Source text 原文

Donguibogam 東醫寶鑑

治胃虛嘔吐, 月餘不納水糓, 聞食氣卽嘔, 聞藥亦嘔. 人參ㆍ白朮ㆍ白茯苓ㆍ神麴(炒) 各一錢, 藿香ㆍ陳皮ㆍ縮砂ㆍ甘草 各五分, 陳倉米 一合. 右剉, 作一貼, 先以順流水三升泡伏龍肝末, 澄淸取一升半, 入藥及薑三ㆍ棗二, 同煎至七分, 去滓, 稍冷服, 日二三, 遂納而不吐. 別以陳倉米煎湯, 時時啜之, 全愈. 《醫鑑》

Translation

Treats stomach vacuity with vomiting for a month and more, taking neither water nor grain, retching at the smell of food and at the smell of the medicine too. Ginseng, white atractylodes, white poria and dry-fried medicated leaven, 1 don each; patchouli, tangerine peel, cardamom and licorice, 5 fun each; old stored rice, 1 hop. Cut up and make one packet. First steep powdered hearth-oven earth in three seung of water taken from a running stream, let it settle clear and draw off one seung and a half; put in the drugs with three slices of ginger and two jujubes, decoct down to seven tenths, strain, and give it slightly cooled, two or three times a day, and the patient will then keep it down without vomiting. Separately decoct old stored rice and have him sip it from time to time, and he recovers entirely. — Gogeum Uigam 醫鑑 (Donguibogam · Guto)

Clinical commentary 臨床

The formula for the worst case in the section — a patient who has vomited for a month and now retches at the smell of the medicine as well as the food — and almost everything about it is designed around that one problem. The drugs are Sagunja-tang with aromatics; the vehicle is water settled off hearth earth, the standard antiemetic vehicle; the dose is small, cooled, and repeated; and the real treatment is the rice water sipped continuously between doses. 聞藥亦嘔, retching at the smell of the medicine too, is a clinical observation that any physician who has treated persistent vomiting will recognize, and the answer the formula gives is to make the medicine taste as much like food as possible. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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