寶鑑Bogam

Formulas · Tonify Qi & Blood 氣血雙補 · Donguibogam · Naesang

Heavenly Truth Pill

Cheonjin-won

한글 천진원  ·  Pinyin Tian Zhen Yuan

天眞元

A food-medicine of the most elaborate kind. The first four herbs are powdered; seven geun of lean mutton is split open, the powder packed inside, and the whole bound and tied shut, then boiled in four bottles of glutinous rice wine until the wine has gone. Two doe of water are added and it is boiled again until the meat has fallen to a paste. The astragalus, ginseng, atractylodes, and powdered cooked glutinous rice are then stirred in evenly, and the whole pounded into pills the size of parasol-tree seeds. One hundred pills three times daily, about three hundred pills a day, with warm wine or salted water; where the mass will not form pills, steamed cake is pounded in with it. Note on modern practice: severe wasting with inability to eat requires medical evaluation and nutritional support.

Composition 構成

Total 2480 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

  • Internal damage with Spleen and Kidney both vacuous (脾腎俱虛)
  • Food and drink not going in
  • the fluids dried and exhausted (津液枯竭)
  • The form wasted and haggard (形容羸瘁)

Biomedical correlates

  • Severe malnutrition and wasting
  • Cachexia-adjacent presentations
  • Advanced depletion with appetite loss

Source text 原文

Donguibogam 東醫寶鑑

治內傷, 脾腎俱虛, 飮食不進, 津液枯竭, 形容羸瘁. 肉蓯蓉ㆍ山藥(生者)ㆍ天門冬 各十兩, 當歸 十二兩. 右四味爲末. 精羊肉 七斤, 批開, 入藥末在內, 裹定扎縛, 入糯米酒四甁中, 煮令酒乾, 再入水二升又煮, 候肉爛如泥, 乃入黃芪末 五兩ㆍ人參末 三兩ㆍ白朮末 二兩ㆍ熟糯米飯焙末 十兩, 拌勻同擣作丸梧子大. 每服一百丸, 日三次, 一日約服三百丸. 若難作丸, 則入蒸餠同擣爲丸, 溫酒或鹽湯送下.

Translation

Treats internal damage with Spleen and Kidney both vacuous, food and drink not going in, the fluids dried and exhausted, the form wasted and haggard. Cistanche, fresh dioscorea, and asparagus root, 10 nyang each; Korean angelica 12 nyang. Powder these four. Take 7 geun of lean mutton, split it open and pack the powder inside, bind it shut, and boil it in four bottles of glutinous rice wine until the wine is gone; add two doe of water and boil again until the meat has fallen to a paste. Then stir in evenly 5 nyang of powdered astragalus, 3 nyang of powdered ginseng, 2 nyang of powdered white atractylodes, and 10 nyang of cooked glutinous rice baked and powdered, and pound the whole into pills the size of parasol-tree seeds. Take 100 pills three times daily — about 300 pills a day — with warm wine or salted water. Where pills will not form, pound in steamed cake. — Donguibogam · Naesang

Clinical commentary 臨床

The chapter's answer to a patient too far gone to eat, and its method is the argument: the medicine is not taken with food, it is cooked *into* seven geun of mutton until the meat itself dissolves. What results is closer to a concentrated food than to a pill, which is exactly right for someone whose fluids have dried and whose flesh has gone. Three hundred pills a day is not a large dose of medicine — it is a small meal, delivered in the only form such a patient can manage. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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