Formulas · Reduce Food Stagnation 消食 · Uihak Jeongjeon (醫學正傳)

Needle Filings Pill

Chimsa-hwan

한글 침사환 · Pinyin Zhen Sha Wan

鍼砂丸

Composition 構成

Chimsa Zhen Sha
鍼砂 침사 · Iron Filings

320 g
Chief 君

fried red and vinegar-quenched (炒紅醋淬)
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

160 g
Deputy 臣

child-urine processed (童便製)
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

160 g
Deputy 臣
Singok Shen Qu
神麴 신곡 · Medicated Leaven

80 g
Assistant 佐

stir-fried (炒)
Injinho Yin Chen Hao
茵蔯蒿 인진호 · Capillaris

80 g
Assistant 佐

茵蔯, ginger-juice fried (薑汁炒)
Maega Mai Ya
麥芽 맥아 · Barley Sprout

80 g
Assistant 佐

stir-fried (炒)
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

60 g
Assistant 佐

芍藥
Danggui Dang Gui
當歸 당귀 · Korean Angelica

60 g
Assistant 佐
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

60 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

60 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

60 g
Assistant 佐
Samneung San Leng
三稜 삼릉 · Sparganium

40 g
Assistant 佐

vinegar-boiled (醋煮)
Bongchul E Zhu
莪朮 봉출 · Zedoary

40 g
Assistant 佐

蓬朮, vinegar-boiled (醋煮)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Chija Zhi Zi
梔子 치자 · Gardenia

20 g
Assistant 佐

stir-fried (炒)
Ganghwang Jiang Huang
薑黃 강황 · Turmeric

20 g
Assistant 佐
Geonchil Gan Qi
乾漆 건칠 · Dried Lacquer

20 g
Assistant 佐

stir-fried (炒)
Seungma Sheng Ma
升麻 승마 · Cimicifuga

20 g
Envoy 使

Total 1380 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 grain jaundice
alcohol jaundice and damp heat yellowing
Moves the blood and disperses accumulation

Indications 主治

Pattern-based

Grain jaundice
alcohol jaundice
damp heat breaking out as yellowing

Biomedical correlates

Jaundice with anaemia
Chronic liver disease with dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治穀疸, 酒疸, 濕熱發黃等證. 鍼砂(炒紅醋淬) 八兩, 香附子(童便製)ㆍ蒼朮各四兩, 神麴(炒)ㆍ茵蔯(薑汁炒)ㆍ麥芽(炒) 各二兩, 芍藥ㆍ當歸ㆍ生地黃ㆍ川芎ㆍ靑皮各一兩半, 三稜ㆍ蓬朮(幷醋煮), 陳皮各一兩, 梔子(炒)ㆍ薑黃ㆍ升麻ㆍ乾漆(炒) 各五錢. 右爲末, 醋糊和丸梧子大. 薑湯下六七十丸. 《正傳》

Translation

Treats grain jaundice, alcohol jaundice, damp heat breaking out as yellowing and the like. Needle filings, fried red and vinegar-quenched, 8 nyang; cyperus (child-urine processed) and atractylodes lancea 4 nyang each; medicated leaven (stir-fried), virgate wormwood (ginger-juice fried) and barley sprout (stir-fried) 2 nyang each; peony, angelica, dried fresh rehmannia, chuanxiong and green tangerine peel 1.5 nyang each; sparganium and curcuma (both vinegar-boiled) and tangerine peel 1 nyang each; gardenia (stir-fried), turmeric, cimicifuga and dried lacquer (stir-fried) 5 don each. Powder them, make pills with vinegar paste the size of a firmiana seed, and take sixty or seventy down with ginger decoction. — Uihak Jeongjeon 正傳 (Donguibogam · Hwangdal)

Clinical commentary 臨床

Eight nyang of needle filings, fried red and quenched in vinegar — the largest iron dose in the chapter, and the processing matters. Heating iron and quenching it in acid produces a corroded surface and iron acetate, which is far more absorbable than the metal itself. Whether or not the tradition could say so, the preparation makes the iron available. Samul-tang sits inside the formula at 1.5 nyang each, which makes this a blood supplement as well as an iron one. For the anaemic yellowing the chapter calls 黃胖, that is the right combination. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.