Formulas · Regulate Qi 理氣 · Jikji (直指)

Toosendan Powder

Cheonnyeon-san

한글 천련산  ·  Pinyin Chuan Lian San

川楝散

The Wikisource transcription writes the fruit's graph as 練 throughout; the Tangaek volumes give 川楝子, and that form is used here.

Composition 構成

Total 104 g per packet (첩) · representative dosage — verify against source texts. Excludes 5 ingredients measured by count or used as a vehicle, shown as —.

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

  • Wooden kidney with hard painful swelling
  • Mounting qi with one testicle fallen

Biomedical correlates

  • Chronic epididymal or testicular induration
  • Inguinal hernia with pain

Source text 原文

Donguibogam 東醫寶鑑

治外腎脹大麻木痛硬, 謂之木腎. 又治奔豚疝氣偏墜. 川楝子 四十九箇, 先切七箇取肉, 以茴香 二錢半 同炒, 倂留; 又切七箇, 以破故紙 二錢半 同炒, 倂留; 又切七箇, 以黑丑 二錢半 同炒, 倂留; 又切七箇, 以鹽 一錢 同炒, 倂留; 又切七箇, 以斑猫 十四箇 同炒, 去猫; 又切七箇, 以巴豆肉 十四箇 同炒, 去巴; 又切七箇, 以蘿蔔子 二錢半 同炒, 去蘿蔔. 乃入下藥. 茴香(炒)ㆍ木香 各五錢, 辣桂 二錢半. 右爲末, 酒麪糊和丸梧子大, 空心鹽酒下三五十丸. ○瘀血木腎, 以前方加玄胡索 五錢 略炒, 劑之, 以沒藥末和溫酒呑下. 《直指》

Translation

Treats the outer kidney swollen large, numb, painful and hard — this is called wooden kidney. It also treats running-piglet mounting qi with one-sided descent. Forty-nine toosendan fruits. First cut seven and take the flesh, dry-frying them with fennel 2 don 5 pun, and keep both. Cut another seven and fry with psoralea 2 don 5 pun, keeping both. Another seven with black morning-glory seed 2 don 5 pun, keeping both. Another seven with salt 1 don, keeping both. Another seven with fourteen blister beetles, then discard the beetles. Another seven with fourteen croton kernels, then discard the croton. Another seven with radish seed 2 don 5 pun, then discard the radish seed. Now add the remaining medicinals: fennel (stir-fried) and saussurea 5 don each, pungent cinnamon 2 don 5 pun. Powder all, bind with a wine-and-flour paste into pills the size of parasol-tree seeds, and take thirty to fifty on an empty stomach with salted wine. For wooden kidney from static blood, add corydalis 5 don lightly fried to the above, and take the dose down with powdered myrrh in warm wine. — Jikji 直指 (Donguibogam · Jeoneum)

Clinical commentary 臨床

Seven lots of seven fruits, each fried with a different partner — the most elaborate processing method in the chapter. Four adjuvants stay in the powder; three are thrown away after they have given the fruit their nature. That is the whole logic: the blister beetle and the croton are not meant to be swallowed, only to pass something into the toosendan while the pan is hot. **Blister beetle and croton are fried with the medicine, and cantharidin and the croton resins transfer to it. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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