Formulas · Reduce Food Stagnation 消食 · Gogeum Uigam (古今醫鑑)

Leaven Pill Harmonize and Preserve Pill

Gukgukbohwa-hwan

한글 국국보화환 · Pinyin Qu Qu Bao He Wan

䴰麴保和丸

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

120 g
Chief 君 3 nyang
Sansa Shan Zha
山楂 산사 · Hawthorn

80 g
Deputy 臣 flesh only (山査肉), 2 nyang
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

40 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

40 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐 stir-fried (炒)
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

40 g
Assistant 佐 child-urine processed (便香附)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

40 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

40 g
Assistant 佐 wine-fried (酒炒)
Danggui Dang Gui
當歸 당귀 · Korean Angelica

40 g
Assistant 佐 wine-washed (酒洗)
Chija Zhi Zi
梔子 치자 · Gardenia

20 g
Assistant 佐 stir-fried (炒)
Yeongyo Lian Qiao
連翹 연교 · Forsythia

20 g
Assistant 佐
Nabokja Lai Fu Zi
萊菔子 나복자 · Radish Seed

20 g
Assistant 佐 stir-fried (炒)
Mokhyang Mu Xiang
木香 목향 · Costus Root

20 g
Assistant 佐

Total 680 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

Opens depression and moves the qi
Disperses accumulation and scatters heat
Fortifies the spleen while reducing

Indications 主治

Pattern-based

Depression with food accumulation
Glomus and fullness with heat
Poor appetite with abdominal distension

Biomedical correlates

Functional dyspepsia
Chronic gastritis with food retention

Source text 原文

Donguibogam 東醫寶鑑

開鬱行氣, 消積散熱. 白朮三兩, 山査肉二兩, 蒼朮ㆍ川芎ㆍ神麴(炒)ㆍ便香附ㆍ陳皮ㆍ半夏ㆍ白茯苓ㆍ枳實ㆍ黃連(酒炒)ㆍ當歸(酒洗) 各一兩, 梔子(炒)ㆍ連翹ㆍ蘿葍子(炒)ㆍ木香各五錢. 右爲末, 薑汁泡蒸餠和丸梧子大. 薑湯下五十丸. 《醫鑑》

Translation

Opens depression and moves the qi, disperses accumulation and scatters heat. White atractylodes 3 nyang; hawthorn flesh 2 nyang; atractylodes lancea, chuanxiong, medicated leaven (stir-fried), child-urine-processed cyperus, tangerine peel, pinellia, white poria, bitter orange fruit, coptis (wine-fried) and angelica (wine-washed) 1 nyang each; gardenia (stir-fried), forsythia, radish seed (stir-fried) and costus 5 don each. Powder them, make pills with steamed cake soaked in ginger juice, the size of a firmiana seed, and take fifty down with ginger decoction. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Wolguk-hwan crossed with Bohwa-hwan, as the name states. The five medicinals of Wolguk-hwan are all present, the food-reducing set of Bohwa-hwan is grafted on, and white atractylodes at 3 nyang is put at the head of both. That last choice is the formula's argument: three nyang of a spleen supplement leading a reducing formula means the depression is being treated as a consequence of a spleen that cannot move, not as a repletion to be attacked. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.