寶鑑Bogam

Formulas · Tonify Qi & Blood 氣血雙補 · Hwaje Gukbang (和劑局方)

Great Dioscorea Pill

Daesanu-won

한글 대산우원  ·  Pinyin Da Shan Yu Yuan

大山芋元

Pill formula, bulk amounts: powdered and bound with the steamed flesh of 100 jujubes and refined honey into pills the size of crossbow pellets; one pill at a time, chewed down with warm wine or thin rice water.

Composition 構成

Total 886 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

Indications 主治

Pattern-based

  • Weak emaciated depletion with a feeble Spleen-Stomach
  • Qi failing to return to normal after great illness (大病後 氣不復常)
  • The gradual slide toward taxation detriment (漸成勞損)

Biomedical correlates

  • Post-illness failure to thrive
  • Chronic fatigue with poor appetite and weight loss
  • Convalescent support after major illness

Source text 原文

Donguibogam 東醫寶鑑

治虛弱羸瘦, 脾胃虛弱, 飮食減少, 或大病後, 氣不復常, 漸成勞損. 山藥 三兩七錢半, 甘草 三兩半, 大豆黃卷(炒)ㆍ熟地黃ㆍ當歸ㆍ肉桂ㆍ神麴(炒) 各一兩二錢半, 人參ㆍ阿膠 各八錢二分半, 白朮ㆍ麥門冬ㆍ防風ㆍ白芍藥ㆍ杏仁ㆍ川芎 各七錢半, 白茯苓ㆍ桔梗ㆍ柴胡 各六錢二分半, 乾薑 三錢七分半, 白斂 二錢半. 右爲末, 大棗百枚蒸取肉, 入煉蜜和丸如彈子大. 每一丸, 以溫酒或米飮, 嚼下. 《局方》

Translation

Treats weak emaciated depletion, Spleen-Stomach weakness with reduced eating, or Qi failing to return to normal after a great illness, gradually becoming taxation detriment. Dioscorea 3 nyang 7.5 don; licorice 3.5 nyang; dry-fried soybean sprout, prepared rehmannia, Korean angelica, cinnamon bark, and dry-fried medicated leaven, 1 nyang 2.5 don each; ginseng and ass-hide glue, 8 don 2.5 pun each; white atractylodes, ophiopogon, saposhnikovia, white peony, apricot kernel, and cnidium, 7.5 don each; white poria, platycodon, and bupleurum, 6 don 2.5 pun each; dried ginger 3 don 7.5 pun; ampelopsis 2.5 don. Powder the above; steam 100 jujubes and take their flesh, add refined honey, and bind into pills the size of crossbow pellets. Chew one pill down each time with warm wine or thin rice water. — Gukbang 局方 (Donguibogam · Heoro)

Clinical commentary 臨床

The Jingui's famous Dioscorea Pill in its Song-formulary dress — twenty herbs that tonify, harmonize, and gently disperse at once, built for the convalescent whose qi has not found its way home after a great illness. The formulary's insight is prophylactic: treat the drift toward taxation before it becomes the destination. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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