Formulas · Purge Downward 瀉下 · Hwarinsim (活人心)

Zanthoxylum Seed and Fermented Soybean Pill

Chosi-won

한글 초시원 · Pinyin Jiao Chi Yuan

椒豉元

Fermented soybean is counted by the bean and croton by the kernel; no gram figures are given. The source annotation 《活人心》 refers to the Hwarinsim Bang 活人心方; no prior entry in the database uses this source.

Composition 構成

Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

4 g
Chief 君

seed only (椒目)
Damdusi Dan Dou Chi
淡豆豉 담두시 · Prepared Soybean

—
Deputy 臣

豉, 14 beans
Padu Ba Dou
巴豆 파두 · Croton Seed

—
Assistant 佐

1 kernel, dry-fried · toxic

Total 4 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

Drives out water in oedema

Indications 主治

Pattern-based

Oedema

Biomedical correlates

Refractory oedema

Source text 原文

Donguibogam 東醫寶鑑

治浮腫神方. 椒目一錢, 豉二七粒, 巴豆一箇(去皮心熬). 右硏細, 滴水和丸菉豆大. 溫水呑下三丸或五丸, 以微注爲度, 氣盛者, 巴豆或二箇, 或三箇. 《活人心》

Translation

A marvellous formula treating oedema. Zanthoxylum seed 1 don, fermented soybean fourteen beans, croton one kernel (skin and heart removed and dry-fried). Grind fine and make water-drop pills the size of a mung bean; take three or five down with warm water, taking a slight flow as the measure. Where the qi is exuberant, use two or three croton kernels. — Hwarinsim 活人心 (Donguibogam · Bujong)

Clinical commentary 臨床

Three ingredients and a croton dose titrated to the patient — one kernel ordinarily, two or three where the qi is exuberant. 以微注爲度, taking a slight flow as the measure, is the stopping rule, and it is the same kind of criterion the Accumulations chapter gives throughout: an observable endpoint rather than a fixed course. **Contains croton, which is toxic. Not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.