Formulas · Tonify Yang 補陽 · Gogeum Uigam (古今醫鑑)

Already Crossed Pill

Gije-hwan

한글 기제환  ·  Pinyin Ji Ji Wan

旣濟丸

The Wikisource transcription garbles 韭子, 肉蓯蓉, 牡蠣(煆) and 酒糊; all restored from the standard names.

Composition 構成

Total 200 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

  • Bladder vacuity — urine not held

Biomedical correlates

  • Urinary incontinence, Enuresis

Source text 原文

Donguibogam 東醫寶鑑

治膀胱虛, 小便不禁. 兎絲子(酒製)ㆍ益智仁(炒)ㆍ白茯苓ㆍ韭子(炒)ㆍ肉蓯蓉(酒洗)ㆍ當歸ㆍ熟地黃 各五錢, 黃栢ㆍ知母(幷鹽炒)ㆍ牡蠣(煆)ㆍ山茱萸(酒蒸去核) 各三錢五分, 五味子 一錢. 右爲末, 酒糊和丸梧子大, 空心, 鹽湯下百丸. 《醫鑑》

Translation

Treats bladder vacuity with urine not held. Cuscuta (wine-processed), alpinia (stir-fried), white poria, leek seed (stir-fried), cistanche (wine-washed), angelica and cooked rehmannia 5 don each; phellodendron and anemarrhena (both salt-fried), oyster shell (calcined) and cornus (wine-steamed and pitted) 3 don 5 pun each; schisandra 1 don. Powder them, bind with wine paste into pills the size of a firmiana seed, and take a hundred on an empty stomach with salt decoction. — Gogeum Uigam 醫鑑 (Donguibogam · Banggwang)

Clinical commentary 臨床

旣濟, the hexagram Already Crossed — water above fire, everything in its place — and the formula is the Kidney chapter's two lines in one pill: the warm supplements that hold (cuscuta, alpinia, leek seed, cistanche) and the cold pair that firms (phellodendron, anemarrhena), with oyster shell and cornus to astringe. The Appendix on the Aged's 2.2.2 sent the old man with frequent urination to a formula like this. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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