Formulas · Reduce Food Stagnation 消食 · Dongwon (東垣)

Loosen the Center and Advance Food Pill

Gwanjungjinsik-hwan

한글 관중진식환 · Pinyin Kuan Zhong Jin Shi Wan

寬中進食丸

Pill formula, bulk amounts: powdered and bound with steamed cake into pills the size of parasol-tree seeds; 50–70 pills with thin rice water.

Composition 構成

Maea Mai Ya
麥芽 맥아 · Barley Sprout

40 g
Chief 君 sprouted and made into flour (麥芽麪)
Banha Ban Xia
半夏 반하 · Pinellia

28 g
Deputy 臣
Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

28 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

8 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Deputy 臣
Chodugu Cao Dou Kou
草豆蔲 초두구 · Katsumada Galangal Seed

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

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

16 g
Assistant 佐
Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

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

8 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

8 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

6 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

4 g
Assistant 佐
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

4 g
Envoy 使 dried fresh ginger
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Mokhyang Mu Xiang
木香 목향 · Costus Root

2 g
Envoy 使

Total 208 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

Nourishes the form and the Qi so that eating becomes a pleasure again
Loosens a center too crowded to want food

Indications 主治

Pattern-based

Nourishing form and Qi with gladness in food and drink (滋形氣喜飮食)
Poor appetite with fullness after little
Digestive stagnation on a depleted frame

Biomedical correlates

Poor appetite with early satiety
Functional dyspepsia with fatigue
Convalescent appetite restoration

Source text 原文

Donguibogam 東醫寶鑑

滋形氣, 喜飮食. 麥芽麪一兩, 半夏ㆍ猪苓各七錢, 草豆蔲ㆍ神麴各五錢, 枳實四錢, 橘皮ㆍ白朮ㆍ白茯苓ㆍ澤瀉各二錢, 縮砂一錢半, 乾生薑ㆍ人參ㆍ靑皮ㆍ甘草各一錢, 木香五分. 右爲末, 蒸餠和丸梧子大, 米飮下五七十丸. 《東垣》

Translation

Nourishes the form and the Qi, and brings gladness in food and drink. Barley-sprout flour 1 nyang; pinellia and polyporus, 7 don each; round cardamom and medicated leaven, 5 don each; unripe bitter orange 4 don; red tangerine peel, white atractylodes, white poria, and alisma, 2 don each; amomum 1.5 don; dried fresh ginger, ginseng, green tangerine peel, and licorice, 1 don each; aucklandia 5 fun. Powder the above and bind with steamed cake into pills the size of parasol-tree seeds; take 50–70 pills with thin rice water. — Dongwon 東垣 (Donguibogam · Naesang)

Clinical commentary 臨床

The title is the strategy: loosen the center first, and food advances of itself. An ounce of barley-sprout flour leads — the chapter's standing agent for grain that will not move — with pinellia and polyporus behind it, and only small measures of ginseng and atractylodes to supply. That proportion is the judgment: this patient is not empty so much as crowded, and filling them further would be the wrong move. Note the indication's phrasing, which is characteristic of this chapter — not *able* to eat, but **glad** to. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.