Formulas · Stabilize & Astringe 固澀 · Uihak Immun (醫學入門)

Augmented Costus and Coptis Pill (Vacuity Dysentery)

Gami-hyangryeon-hwan

한글 가미향련환 (허리) · Pinyin Jia Wei Xiang Lian Wan

加味香連丸

啞芙蓉 is opium. The Bogam gives it at 2 don to 4 nyang of coptis — about a twentieth of the formula by weight.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

160 g
Chief 君

steeped in an evodia decoction and stir-fried
Mokhyang Mu Xiang
木香 목향 · Costus Root

40 g
Deputy 臣
Apyeon Ya Pian
鴉片 아편 · Opium (controlled substance)

8 g
Assistant 佐

opium · toxic · narcotic
Jinchangmi Chen Cang Mi
陳倉米 진창미 · Aged Granary Rice

—
Envoy 使

aged rice paste for the pills
Yeonjayuk Lian Zi
蓮子肉 연자육 · Lotus Seed

—
Envoy 使

a lotus-seed decoction as the vehicle

Total 208 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 vacuity dysentery and enduring dysentery and all the dysenteries

Indications 主治

Pattern-based

Chronic dysentery with exhaustion
Enduring dysentery with damp heat

Biomedical correlates

Chronic dysentery
Chronic colitis

Source text 原文

Donguibogam 東醫寶鑑

治虛痢及久痢ㆍ一切諸痢. 黃連四兩(以吳茱萸煎水浸炒), 木香一兩, 啞芙蓉二錢. 右爲末, 陳米糊和丸菉豆大, 每二三十丸, 以蓮肉煎湯呑下, 被蓋就睡, 奏效神矣. 《入門》

Translation

Treats vacuity dysentery and enduring dysentery and all the dysenteries. Coptis, 4 nyang, steeped in an evodia decoction and stir-fried; costus root, 1 nyang; opium, 2 don. Powder, make pills with aged-rice paste the size of a mung bean, and swallow twenty or thirty each time with a lotus-seed decoction; cover up and go to sleep, and the effect is marvellous. — Uihak Immun 入門 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Opium, named outright, in the chapter's most effective and most dangerous prescription. The Immun's instruction to cover up and go to sleep describes what the drug does, and the marvellous effect is not in doubt: opium stops a dysentery. It also masks a worsening colitis, stops the gut in a patient who may be septic, and is addictive — which is why this formula, unlike most in the chapter, could not be made as written today. **This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.