Formulas · Transform Phlegm 化痰 · Sipsambang (十三方)

Open the Bind Bitter Orange Fruit Pill

Gaegyeoljisil-hwan

한글 개결지실환  ·  Pinyin Kai Jie Zhi Shi Wan

開結枳實丸

Source annotation 《十三方》 refers to the Sipsambang Go 十三方攷; no prior entry in this database uses this source.

Composition 構成

Total 340 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

  • Congealed binding with phlegm rheum
  • stagnant qi not rising or falling

Biomedical correlates

  • Functional obstruction with phlegm signs

Source text 原文

Donguibogam 東醫寶鑑

宣導凝結, 消化痰飮, 升降滯氣, 通行三焦, 滋榮心肺, 灌漑肝腎, 補助脾胃, 轉行百脉. 黑丑<span class='sochu'>頭末</span> 二兩, 皂角ㆍ旋覆花 各一兩, 枳實ㆍ白朮ㆍ半夏ㆍ南星<span class='sochu'>炮</span>ㆍ苦葶藶<span class='sochu'>炒</span>ㆍ白礬<span class='sochu'>焙</span>ㆍ大黃ㆍ靑皮ㆍ木香 各五錢. 右末, 薑汁糊和丸梧子大. 薑湯下三四十丸. 《十三方》

Translation

It diffuses and conducts what has congealed and bound, dissolves phlegm rheum, raises and lowers stagnant qi, frees and moves the three burners, enriches and nourishes the heart and lung, irrigates the liver and kidney, supplements and assists the spleen and stomach, and turns and moves the hundred vessels. Black morning glory seed <span class='sochu'>first powder</span> 2 nyang; gleditsia and inula 1 nyang each; bitter orange fruit, white atractylodes, pinellia, arisaema <span class='sochu'>blast-fried</span>, bitter lepidium <span class='sochu'>stir-fried</span>, alum <span class='sochu'>dry-roasted</span>, rhubarb, green tangerine peel and costus 5 don each. Powder them and make pills with ginger-juice paste the size of a firmiana seed. Take thirty or forty down with ginger decoction. — Sipsambang 十三方 (Donguibogam · Ha)

Clinical commentary 臨床

The indication runs to eight clauses and claims almost everything — dissolving phlegm, freeing the three burners, nourishing heart and lung, irrigating liver and kidney, supplementing spleen and stomach. The chapter records it as written. What the composition actually does is narrower and more sensible: it is Ijin-tang's phlegm group with lepidium and alum added for thick phlegm, carried on a purgative base. A formula for obstruction where phlegm rather than water is what is standing. **Contains a purgative and alum. Contraindicated in pregnancy.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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