Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Chase the Qi and Nourish the Blood Pill

Chugiyanghyeol-hwan

한글 추기양혈환 · Pinyin Chen Qi Yang Xue Wan

趂氣養血丸

Pill formula, bulk amounts: powdered and bound with a vinegar paste into pills the size of parasol-tree seeds; 100 pills on an empty stomach with thin rice water. **Note on modern practice: a palpable mass in the flank warrants medical evaluation and imaging.**

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

80 g
Chief 君 child-urine-processed (便香附)
Danggui Dang Gui
當歸 당귀 · Korean Angelica

40 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

40 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

40 g
Deputy 臣 wine-fried
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

40 g
Deputy 臣 earth-fried
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

40 g
Assistant 佐 oil-fried
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Assistant 佐
Oyak Wu Yao
烏藥 오약 · Lindera

40 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

40 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

40 g
Assistant 佐 dry-fried to black
Baekgaeja Bai Jie Zi
白芥子 백개자 · White Mustard Seed

40 g
Assistant 佐 dry-fried
Samneung San Leng
三稜 삼릉 · Sparganium

32 g
Assistant 佐 vinegar-fried
Bongchul E Zhu
莪朮 봉출 · Zedoary

32 g
Assistant 佐 vinegar-fried
Maea Mai Ya
麥芽 맥아 · Barley Sprout

24 g
Assistant 佐 dry-fried
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

24 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

12 g
Envoy 使

Total 684 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

Disperses a mass that has risen in the right flank after birth
Moves the Qi and the food stagnation beneath it while the Blood is rebuilt

Indications 主治

Pattern-based

Right flank distended with a lump after birth
like a taut cord standing (右脇膨脹有塊如竪弦一條)
Pain on contact with cold (着冷便疼)
Postpartum flank mass with Qi stagnation

Biomedical correlates

Postpartum flank mass or distension
Chronic right upper quadrant discomfort after birth
Digestive stagnation with palpable fullness

Source text 原文

Donguibogam 東醫寶鑑

治産後右脇膨脹有塊, 如竪弦一條, 着冷便疼. 便香附二兩, 當歸ㆍ川芎ㆍ白芍藥(酒炒)ㆍ白朮(土炒)ㆍ靑皮(油炒)ㆍ陳皮ㆍ枳實ㆍ烏藥ㆍ厚朴ㆍ神麴ㆍ乾薑(炒黑)ㆍ白芥子(炒) 各一兩, 三稜ㆍ蓬朮(幷醋炒) 各八錢, 麥芽(炒)ㆍ肉桂各六錢, 木香三錢. 右爲末, 醋糊和丸梧子大, 空心, 以米飮呑下百丸. 《醫鑑》

Translation

Treats the right flank distended with a lump after birth, like a taut cord standing upright, which pains on meeting cold. Child-urine-processed cyperus 2 nyang; Korean angelica, cnidium, wine-fried white peony, earth-fried white atractylodes, oil-fried green tangerine peel, tangerine peel, unripe bitter orange, lindera, magnolia bark, medicated leaven, dried ginger fried to black, and dry-fried white mustard seed, 1 nyang each; vinegar-fried sparganium and curcuma, 8 don each; dry-fried barley sprout and cinnamon bark, 6 don each; aucklandia 3 don. Powder the above and bind with a vinegar paste into pills the size of parasol-tree seeds; take 100 pills on an empty stomach with thin rice water. — Uigam 醫鑑 (Donguibogam · Buin)

Clinical commentary 臨床

The observation in the indication is unusually specific — a lump in the right flank standing like a taut cord, which hurts when it meets cold. Eighteen herbs answer it on three fronts at once: cyperus and the Qi-movers for the stagnation, sparganium and curcuma for the mass, and barley sprout and medicated leaven because the chapter reads a postpartum flank mass as partly a matter of food that has not moved. The Four Substances underneath keep all that moving from emptying a woman who has just given birth. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.