Formulas · Purge Downward 瀉下 · Seui Deukhyobang (世醫得效方)

Spleen Accumulation Pill

Bijeok-won

한글 비적원  ·  Pinyin Pi Ji Yuan

脾積元

Croton frost is toxic; the pills are made very small (hemp-seed size) because of it.

Composition 構成

Total 150 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

  • Food accumulation with cold and obstructed stool

Biomedical correlates

  • Faecal impaction with dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治飮食停積, 腹脹呑酸, 大便秘結. 蓬朮 一兩半, 三稜 一兩, 靑皮 五錢, 良薑(以醋煮, 切片, 焙乾)ㆍ木香ㆍ百草霜ㆍ巴豆霜 各二錢半. 右爲末, 麵糊和丸麻子大, 橘皮湯下五七十丸. 《得效》

Translation

Treats food and drink stopped and accumulated with abdominal distension and acid swallowing, and the stool bound. Curcuma, 1.5 nyang; sparganium, 1 nyang; unripe tangerine peel, 5 don; lesser galangal boiled in vinegar, sliced and dried over the fire, costus root, hearth soot and croton frost, 2.5 don each. Powder, make pills with wheat-flour paste the size of a hemp seed, and take fifty to seventy in a tangerine-peel decoction. — Seui Deukhyobang 得效 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Curcuma and sparganium to break the accumulation, croton frost to drive it out — and the pills are made hemp-seed small rather than paulownia-seed small, which is the dosing precaution that tells you the physician knew what he was handling. The indication is a loaded bowel with dyspepsia above it, which is a real presentation; the means remain a violent purgative. **This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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