Formulas · Clear Heat 淸熱 · Manbyeong Hoechun (萬病回春)

Stomach-Clearing Spleen-Nourishing Decoction

Cheongwiyangbi-tang

한글 청위양비탕 · Pinyin Qing Wei Yang Pi Tang

淸胃養脾湯

The transcription writes 𤍠, normalized to 熱 per the house table. The gypsum is five times the weight of every other drug in the packet, which is as the leaf prints it. This formula and 治喫泥方 are the two leaves the 1.42 section head names for 愛喫泥土, and they stand next to each other at 036b and 037a.

Composition 構成

Seokgo Shi Gao
石膏 석고 · Gypsum

4 g
Chief 君

1 don
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

0.8 g
Deputy 臣

2 fun
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

0.8 g
Deputy 臣

2 fun
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

0.8 g
Deputy 臣

2 fun
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

0.8 g
Assistant 佐

2 fun
Gamcho Gan Cao
甘草 감초 · Licorice

0.8 g
Envoy 使

2 fun

Total 8 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

Treats the child who loves to eat earth and clay, which the text ascribes to spleen vacuity with stomach heat
One packet cut up and decocted in water, taken from time to time

Indications 主治

Pattern-based

愛喫泥土 — loving to eat earth and clay
脾虛胃熱 — spleen vacuity with stomach heat

Biomedical correlates

Pica, in particular geophagy, in a child
Iron deficiency

Source text 原文

Donguibogam 東醫寶鑑

治小兒愛喫泥土, 乃脾虛胃熱所致. 石膏一錢, 陳皮ㆍ白朮ㆍ赤茯苓ㆍ甘草ㆍ黃芩各二分. 右剉作一貼, 水煎時時服之. 《回春》

Translation

Treats the child who loves to eat earth and clay, which comes of spleen vacuity with stomach heat. Gypsum, 1 don; tangerine peel, atractylodes, red poria, liquorice and scutellaria, 2 fun each. Cut the above up into one packet, decoct in water, and take it from time to time. — Manbyeong Hoechun 回春 (Donguibogam · Soa)

Clinical commentary 臨床

Gypsum at 1 don against 2 fun each of tangerine peel, atractylodes, red poria, liquorice and scutellaria: a small clearing decoction in which one cooling mineral carries five supporting drugs, given for a single behaviour rather than for a mass. There is nothing hazardous in it. The behaviour is the interesting part, and the full note on it is on 治喫泥方 (chikkikni-bang), the leaf that follows this one — geophagy is pica, pica is a classic sign of iron deficiency, and eating earth is in turn a route for lead and for the roundworm of 1.38.4 蛔疳. Read that note with this entry. What this decoction can be said for is that the chapter put the behaviour down to something in the child rather than to naughtiness, and reached for a cooling, supplementing formula instead of a purgative — which is more than can be said for the leaf next door. What it cannot do is supply iron. A child who eats earth needs a full blood count and a ferritin, iron replacement, a stool examination for ova, and in many settings a blood lead level; gypsum is calcium sulfate and does none of that. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.