Formulas · Stabilize & Astringe 固澀 · Danggye (丹溪)

Secure the Intestines Pill (Red Dysentery)

Gojang-hwan

한글 고장환 (적리) · Pinyin Gu Chang Wan

固腸丸

A single-drug pill, distinct from the Immun's 固腸丸 of ten drugs given earlier in this chapter under the general diarrhoea formulas. The Bogam records a two-drug variant with talc added.

Composition 構成

Jeogeunbaekpi Chu Gen Bai Pi
樗根白皮 저근백피 · Ailanthus Root Bark

—
Chief 君

dried over the fire and powdered; stir-fried, since the drug is cooling and drying
Hwalseok Hua Shi
滑石 활석 · Talc

—
Assistant 佐

in the variant formula: 2 nyang of talc to 4 nyang of the bark

Total 0 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 blood dysentery and red dysentery
Used after the stale accumulation has been cleared from the intestine and stomach to dry the damp below

Indications 主治

Pattern-based

Residual damp after purging in dysentery
Bloody stool with damp

Biomedical correlates

Chronic bloody diarrhoea
Post-dysenteric colitis

Source text 原文

Donguibogam 東醫寶鑑

治血痢ㆍ赤痢. 去腸胃陳積之後, 用此以燥下濕. 樗根白皮, 焙乾爲末, 粥丸梧子大, 空心, 米飮下二三十丸. 此藥性凉而燥, 須炒用. 《丹溪》 ○一方, 樗根白皮四兩, 滑石二兩, 爲末, 粥丸. 《丹溪》

Translation

Treats blood dysentery and red dysentery. Use it after the stale accumulation has been cleared from the intestine and stomach, to dry the damp below. Ailanthus root bark, dried over the fire and powdered, made into pills with gruel the size of a paulownia seed; take twenty or thirty on an empty stomach in rice water. This drug is cooling and drying in nature and must be stir-fried before use. One formula: ailanthus root bark, 4 nyang, with talc, 2 nyang, powdered and made into pills with gruel. — Danggye 丹溪 (Donguibogam · Daebyeon)

Clinical commentary 臨床

One drug, and the instruction on when to use it is the valuable part: after the accumulation has been cleared, not before. Danggye is insisting on sequence — purge the bowel first, then dry what remains — which is the chapter's standing rule for dysentery and the opposite of the reflex to bind early. Ailanthus bark is astringent and was long used against amoebic and bacillary dysentery in both China and Korea. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.