Formulas · Warm the Interior 溫裏 · Seui Deukhyobang (世醫得效方)

Restore the Origin Elixir

Bogwon-dan

한글 복원단  ·  Pinyin Fu Yuan Dan

復元丹

Composition 構成

Total 580 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

  • True fire depleted so that earth cannot restrain water
  • Swelling and distension with hurried panting
  • Cold thighs and dry tongue
  • Unable to lie flat
  • Urine not passing

Biomedical correlates

  • Congestive cardiac oedema
  • Refractory oedema with cold extremities

Source text 原文

Donguibogam 東醫寶鑑

夫心腎眞火, 能生脾肺眞土, 今眞火旣虧, 不能滋養眞土, 故土不制水, 水液妄行, 三焦不瀉, 樞機不運, 腫脹滿溢, 喘息奔急, 股冷舌乾, 不能正偃, 小便不通. 澤瀉 二兩半, 附子(炮) 二兩, 木香ㆍ茴香(炒)ㆍ川椒ㆍ獨活ㆍ厚朴ㆍ白朮(略炒)ㆍ橘皮ㆍ吳茱萸ㆍ桂心 各一兩, 肉豆蔲(煨)ㆍ檳榔 各五錢. 右爲末, 糊丸梧子大. 紫蘇湯下五十丸. 此藥世傳屢驗, 其間君臣佐使與造物同妙. 當屛去諸藥, 一日三服. 且禁慾絶醎半年. 《得效》

Translation

The true fire of heart and kidney is able to engender the true earth of spleen and lung. Now that the true fire is depleted, it cannot enrich and nourish the true earth; therefore earth does not restrain water, the water humour moves recklessly, the three burners do not drain, the pivot does not turn — and there is swelling and distension to overflowing, panting breath that rushes and hurries, cold thighs and dry tongue, inability to lie straight, and urine that will not pass. Alisma 2.5 nyang; aconite (blast-fried) 2 nyang; costus, fennel (stir-fried), zanthoxylum, pubescent angelica, magnolia bark, white atractylodes (lightly stir-fried), tangerine peel, evodia and cinnamon heart 1 nyang each; nutmeg (roasted) and areca 5 don each. Powder them and make paste pills the size of a firmiana seed; take fifty down with a decoction of perilla leaf. This medicine has been proved again and again in common transmission, and in it chief, deputy, assistant and envoy share the marvel of creation itself. All other medicines should be set aside, and it taken three times a day. Desire is to be refrained from and salt cut off for half a year. — Seui Deukhyobang 得效 (Donguibogam · Bujong)

Clinical commentary 臨床

The longest aetiology in the chapter and the one that states its physiology most fully: the true fire of heart and kidney engenders the true earth of spleen and lung, and when the fire fails the earth cannot restrain water. The sign list that follows reads as congestive cardiac failure — swelling to overflowing, rushing breath, cold thighs, unable to lie flat, no urine. 不能正偃, unable to lie straight, is orthopnoea, and the Phlegm-Rheum chapter names the same sign at 6.4.6 for propping rheum. Both chapters are describing the same patient from different sides. **Contains aconite at 2 nyang, which is toxic. Not suitable for self-administration. Breathlessness that prevents lying flat is a cardiac emergency requiring immediate assessment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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