Formulas · Transform Phlegm 化痰 · Uihak Immun (醫學入門)
Qianjin Point the Way Pill
Cheongeumjimi-hwan
한글 천금지미환 · Pinyin Qian Jin Zhi Mi Wan
The chapter adds 一方, 六味各一錢等分 — a variant using six medicinals in equal parts of 1 don — without naming the additional two. This is the formula usually known as Jimi Bokryeong-hwan 指迷茯苓丸, and it resolves the 茯苓丸 that the Back chapter refers to without composition.
Composition 構成
- Banhaguk半夏麴 반하국 · Fermented Pinellia80 g
Chief 君 2 nyang - Baekbokryeong白茯苓 백복령 · Poria (white)40 g
Deputy 臣 cut up; for depleted patients steamed with breast milk, for thin patients steeped in wine with amomum and steamed, the amomum then removed and the poria steamed again in fresh rehmannia juice - Jigak枳殼 지각 · Bitter Orange40 g
Assistant 佐 fried with wheat bran in vinegar water (用麥麩醋水炒) - Punghwacho風化硝 풍화초 · Weathered Mirabilite10 g
Assistant 佐 2.5 don
Total 170 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
- Softens and disperses phlegm lodged in the channels
- Percolates off rheum without harsh purging
Indications 主治
Pattern-based
- Phlegm of every description
- Damp phlegm flowing upward into the arms so that they cannot be raised
- Phlegm accumulation in patients who cannot be attacked
Biomedical correlates
- Frozen shoulder with phlegm signs
- Chronic phlegm retention
Source text 原文
Donguibogam 東醫寶鑑
治一切痰飮爲患. 半夏麴 二兩, 白茯苓(剉, 虛人乳汁拌蒸, 瘦人縮砂同酒浸蒸, 去縮砂, 又生地黃汁浸蒸)ㆍ枳殼(用麥麩醋水炒) 各一兩, 風化硝 二錢半. 右爲末, 薑汁糊和丸梧子大, 每服三五十丸, 薑湯下. 旬日以往, 大便溏滑, 是潛消痰積之驗也. 《入門》 脾胃痰, 神麴糊和丸. 血分痰, 酒糊丸. 氣分上焦痰, 蒸餠糊和丸. 骨節四肢痰, 鹽酒入薑汁糊和丸. 足痰, 牛膝膏和丸. 痰病深痼, 牛膏和丸, 多服可以汗吐下, 如倒倉法. 《入門》
Translation
Treats affliction by phlegm-rheum of every kind. Fermented pinellia 2 nyang; white poria, cut up — for a depleted patient steamed with breast milk, for a thin patient steeped in wine with amomum and steamed, the amomum then discarded and the poria steeped again in fresh rehmannia juice — and bitter orange, fried with wheat bran in vinegar water, 1 nyang each; efflorescent mirabilite 2.5 don. Powder them, make pills with ginger juice paste the size of a firmiana seed, and take thirty to fifty at a dose down with ginger decoction. After ten days or so the stool turns soft and slippery, which is the sign that the phlegm accumulation is quietly dispersing. For phlegm of the spleen and stomach bind with medicated leaven paste; for phlegm in the blood aspect with wine paste; for phlegm in the qi aspect and upper burner with steamed cake paste; for phlegm in the joints and four limbs with salt and wine in ginger juice paste; for phlegm in the feet with achyranthes paste; for deep-set phlegm disease with beef paste, which taken freely can induce sweating, vomiting and purging as in the Overturn the Granary method. — Uihak Immun 入門 (Donguibogam · Damum)