Formulas · Reduce Food Stagnation 消食 · Yuchwi (類聚)

Loosen the Centre Pill

Gwanjung-hwan

한글 관중환  ·  Pinyin Kuan Zhong Wan

寬中丸

Source annotation 《類聚》 refers to the Uibang Yuchwi 醫方類聚. No prior entry in the database uses this source; the form Yuchwi (類聚) is entered here as a new value.

Composition 構成

Total 600 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

  • Seven concretions and eight aggregations
  • five accumulations and six gatherings
  • String-like and aggregated qi lumps
  • Chest and abdominal distension with pain
  • Sallow complexion with wasted flesh

Biomedical correlates

  • Chronic abdominal distension with mass
  • Functional dyspepsia with weight loss

Source text 原文

Donguibogam 東醫寶鑑

治七癥八瘕, 五積六聚, 痃癖氣塊, 胸腹脹痛, 面黃肌瘦, 一切沈滯之疾. 蒼朮(炒)ㆍ烏藥ㆍ香附子 各二兩, 三稜ㆍ蓬朮(幷醋煮焙)ㆍ靑皮ㆍ陳皮ㆍ乾薑(炮)ㆍ良薑(炮)ㆍ茴香(炒)ㆍ神麴(炒)ㆍ麥芽(炒) 各一兩. 右爲末, 醋糊和丸梧子大. 薑湯下五十丸. 《類聚》

Translation

Treats the seven concretions and eight aggregations, the five accumulations and six gatherings, string-like and aggregated qi lumps, chest and abdominal distension with pain, sallow complexion with wasted flesh, and every disease of long-standing stagnation. Atractylodes lancea (stir-fried), lindera and cyperus 2 nyang each; sparganium and curcuma (both vinegar-boiled and dry-roasted), green tangerine peel, tangerine peel, dry ginger (blast-fried), lesser galangal (blast-fried), fennel (stir-fried), medicated leaven (stir-fried) and barley sprout (stir-fried) 1 nyang each. Powder them, make pills with vinegar paste the size of a firmiana seed, and take fifty down with ginger decoction. — Yuchwi 類聚 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Warm throughout with no cold medicinal at all, and no purgative — atractylodes lancea, lindera and cyperus at two nyang lead, with the two gingers behind them. The name says what it does: loosen the centre rather than break the mass. Among the general prescriptions of this section it is the one for a patient already sallow and wasted, which the indication states outright. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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