Formulas · Purge Downward 瀉下 · Dongwon (東垣)

Seven Proclamations Pill

Chilseon-hwan

한글 칠선환 · Pinyin Qi Xuan Wan

七宣丸

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

40 g
Chief 君
Mokhyang Mu Xiang
木香 목향 · Costus Root

20 g
Deputy 臣
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

20 g
Deputy 臣
Gaja He Zi
訶子 가자 · Chebula

20 g
Assistant 佐

rind
Doin Tao Ren
桃仁 도인 · Peach Kernel

—
Assistant 佐

twelve kernels
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

as paste for the pills

Total 100 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Treats heat lodged in the intestine and stomach with the stool bound

Indications 主治

Pattern-based

Heat accumulation with qi stagnation and constipation

Biomedical correlates

Constipation with heat
Faecal impaction

Source text 原文

Donguibogam 東醫寶鑑

治熱留腸胃, 大便秘結. 大黃一兩, 木香ㆍ檳榔ㆍ訶子皮各五錢, 桃仁十二箇. 右爲末, 蜜丸梧子大, 溫水下五十丸. 《東垣》

Translation

Treats heat lodged in the intestine and stomach with the stool bound. Rhubarb, 1 nyang; costus root, areca and chebula rind, 5 don each; peach kernel, twelve kernels. Powder, make honey pills the size of a paulownia seed, and take fifty in warm water. — Dongwon 東垣 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Rhubarb with two qi movers, a blood mover and — surprisingly — chebula, an astringent, in a purgative. That last is the formula's intelligence: chebula both binds and frees according to preparation, and its presence keeps the purge from running on into diarrhoea. For a habitual constipation needing repeated dosing rather than a single clear-out, that matters. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.