寶鑑Bogam

Formulas · Warm the Interior 溫裏 · Uihak Gangmok (醫學綱目)

Supplement the Spleen and Boost the True Qi Decoction

Bobiikjin-tang

한글 보비익진탕  ·  Pinyin Bu Pi Yi Zhen Tang

補脾益眞湯

The transcription writes the name with 真, and the page foot carries a collation pair giving 真 against 眞 in the Second Edition. 真 is the common variant glyph of 眞 and the corpus prints 眞 throughout — 109 occurrences against none of 真 — so the name is registered 補脾益眞湯 and the pair needs no further note. The leaf also writes 甘草灸, which is left as the transcription has it.

Composition 構成

Total 11.2 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

  • Chronic Spleen wind (慢脾風) following protracted vomiting and diarrhoea
  • Cold centre with sinking Qi and twitching in a child

Biomedical correlates

  • Historically used for the depleted, cold infant after protracted diarrhoea
  • Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治慢脾風. 丁香ㆍ木香ㆍ訶子皮ㆍ陳皮ㆍ厚朴ㆍ草果ㆍ肉豆蔲ㆍ白茯苓ㆍ人參ㆍ白朮ㆍ桂枝ㆍ半夏ㆍ附子(炮)ㆍ甘草(灸) 各二分, 全蝎(炒) 一枚. 右剉, 入薑二ㆍ棗一, 水煎灌服. 服訖, 令揉心下, 以助藥力. 《綱目》

Translation

Treats chronic Spleen wind. Clove, costus root, the rind of chebula, tangerine peel, magnolia bark, tsaoko cardamom, nutmeg, white poria, ginseng, white atractylodes, cinnamon twig, pinellia, roasted aconite and roasted liquorice, 2 fun each; one stir-fried scorpion. Cut them up, add two slices of ginger and one jujube, decoct in water and pour it in. When the dose is finished, have the area below the heart rubbed, to help the medicine along. — Gangmok 綱目 (Donguibogam · Soa)

Clinical commentary 臨床

**Contains aconite, pinellia and scorpion, all toxic. The patient is a child, the text gives no dose by weight anywhere, and this must not be prepared.** The 慢脾風 section's own text names this formula first — 速與補脾益眞湯加全蝎一枚, give it at once with a scorpion added — so this is the chapter's front-line prescription for the collapsing child. See 生附四君子湯 for what that child actually has, and for the fluid, electrolyte and glucose replacement that would have saved most of them. Fifteen drugs at 2 fun each — a little under a gram apiece — makes this the gentlest of the three 慢脾風 formulas by quantity, and most of what is in it is harmless: tangerine peel, poria, ginseng, atractylodes, liquorice, nutmeg, clove, magnolia bark. Three are not. Aconite, even roasted, has no measurable safety margin in an infant. 半夏 is severely irritant raw and the leaf does not specify its processing, which it does specify for the aconite. 全蝎 is one stir-fried scorpion, a neurotoxic animal drug with no way to standardise it. The instruction to rub below the heart after the dose is a piece of real bedside practice rather than theory, and it is the one thing here that could not hurt. Warming and rubbing a cold, shocked infant is sound; the fifteen-drug decoction is not what makes the difference, and an aromatic carminative cannot replace the salt and water the child has lost. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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