Formulas · Stabilize & Astringe 固澀 · Bomyeongjip (保命集)

Chebula Powder (Enduring Diarrhoea)

Gaja-san

한글 가자산 (구설) · Pinyin He Zi San

訶子散

A different 訶子散 from the Dansim's for loss of voice and the Deukhyo's for cold pain of the heart and spleen, both registered separately.

Composition 構成

Gaja He Zi
訶子 가자 · Chebula

40 g
Chief 君

rind, half raw and half cooked
Mokhyang Mu Xiang
木香 목향 · Costus Root

20 g
Deputy 臣
Hwangryeon Huang Lian
黃連 황련 · Coptis

12 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

8 g
Envoy 使
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

—
Envoy 使

decocted with white peony as the vehicle
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

—
Envoy 使

decocted with white atractylodes as the vehicle

Total 80 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

Treats an enduring diarrhoea that will not stop

Indications 主治

Pattern-based

Chronic diarrhoea with residual damp heat
Enduring loose stool needing both binding and clearing

Biomedical correlates

Chronic diarrhoea
Post-infectious bowel disorder

Source text 原文

Donguibogam 東醫寶鑑

治久泄不止. 訶子皮一兩(半生半熟), 木香五錢, 黃連三錢, 甘草二錢. 右爲末, 每取二錢, 以白朮ㆍ白芍藥煎湯調下. 《保命》

Translation

Treats an enduring diarrhoea that will not stop. Chebula rind, 1 nyang, half raw and half cooked; costus root, 5 don; coptis, 3 don; licorice, 2 don. Powder, and take 2 don each time stirred into a decoction of white atractylodes and white peony. — Bomyeongjip 保命 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Half the chebula raw and half cooked, which is the chapter's way of getting two actions from one drug — the cooked rind binds, the raw still clears — and a small amount of coptis so that the formula does not simply stop a bowel that still has heat in it. The vehicle matters as much as the powder: it is taken in a decoction of atractylodes and peony, so the patient receives the spleen support separately from the astringent. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.