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Formulas · Reduce Food Stagnation 消食 · Manbyeong Hoechun (萬病回春)

Thousand Gold Lump-Dispersing Pill

Cheongeumsobyeok-hwan

한글 천금소벽환  ·  Pinyin Qian Jin Xiao Pi Wan

千金消癖丸

The twenty largest formula in this round and the only one in the 積癖 section with no mineral and no violent purgative in it. 山査肉 is kept as the transcription prints it and resolves to 山査; the corpus prints 山査肉 in forty places. The asafoetida is both an ingredient and the binder, ground with water into the flour paste, and is entered once.

Composition 構成

Total 164 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

  • 癖塊 — lump masses, said to lodge in the two flanks

Biomedical correlates

  • Palpable abdominal mass in a child
  • Hepatosplenomegaly

Source text 原文

Donguibogam 東醫寶鑑

治小兒癖塊. 水紅花子(微炒)ㆍ神麴(炒)ㆍ麥芽(炒) 各四錢, 人參ㆍ白朮ㆍ白茯苓 各三錢, 使君子ㆍ胡黃連ㆍ山査肉ㆍ香附子ㆍ三稜ㆍ蓬朮(並醋炒) 各二錢, 蘆薈ㆍ阿魏ㆍ靑黛ㆍ木香ㆍ檳榔ㆍ厚朴ㆍ陳皮ㆍ甘草 各一錢. 右將阿魏硏水和麪打糊, 和丸菉豆大, 白湯下三四十丸. 《回春》

Translation

Treats lump masses in a child. Prince's feather seed (lightly fried), medicated leaven (fried) and malt (fried), 4 don each; ginseng, atractylodes and poria, 3 don each; Rangoon creeper fruit, picrorhiza, hawthorn flesh, cyperus, sparganium and zedoary (the last two both vinegar-fried), 2 don each; aloe, asafoetida, indigo, costus, areca, magnolia bark, tangerine peel and liquorice, 1 don each. Grind the asafoetida with water, work it into wheat flour and beat it to a paste, bind into pills the size of a mung bean, and send down thirty or forty with plain hot water. — Manbyeong Hoechun 回春 (Donguibogam · Soa)

Clinical commentary 臨床

Twenty drugs in four weight bands. Prince's feather seed, leaven and malt lead at 4 don; the 四君子 core of ginseng, atractylodes and poria follows at 3 don; then the worm and bitter drugs — Rangoon creeper fruit, picrorhiza, hawthorn, cyperus, sparganium, zedoary — at 2 don; and a long tail of aloe, asafoetida, indigo, costus, areca, magnolia bark, tangerine peel and liquorice at 1 don. It is a composite: a supplementing formula, a digestive formula, a worm formula and a mass-breaking formula written into one pill. For what 積癖 actually is and why a persistent abdominal mass in a child is an imaging question today, see 進食丸 (jinsik-hwan), where the differential for this batch is set out in full. Two things in it do work. **使君子 is Rangoon creeper fruit and 檳榔 is areca, and both are genuine anthelmintics** — 使君子 is still used against ascaris and 檳榔 against tapeworm — so a child whose abdominal distension came from a heavy roundworm load might really improve, and the chapter's own 1.38.4 蛔疳 is that child. A single dose of albendazole or mebendazole does the same thing now, with a known dose; an effective drug with no stated dose is still a hazard, and enough 使君子 causes hiccup, vomiting and diarrhoea. **Contains aloe (蘆薈), a stimulant laxative. The patient is a child, the chapter gives no dose by weight anywhere, and in a child already losing fluid to 疳瀉 or 吐瀉 a stimulant laxative is dangerous on its own account.** 胡黃連 and 靑黛 are bitters, and bitters are not food; the one honest limit of this formula is that the child it is written for is usually malnourished, and nothing in twenty drugs supplies a calorie. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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