Formulas · Transform Phlegm 化痰 · Dongwon (東垣)

Dispel Rheum Bitter Orange Pill

Gyeoneumjisil-hwan

한글 견음지실환 · Pinyin Juan Yin Zhi Shi Wan

蠲飮枳實丸

Composition 構成

Heukchuk Hei Chou
黑丑 흑축 · Black Morning Glory Seed

120 g
Chief 君 first-milled powder only (取頭末), 3 nyang
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Deputy 臣 bran-fried (麩炒)
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Deputy 臣 processed (製)
Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

40 g
Assistant 佐

Total 240 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

Expels rheum and disperses phlegm
Guides the qi downward and clears the diaphragm

Indications 主治

Pattern-based

Rheum and phlegm with chest and diaphragm obstruction
Phlegm accumulation with constipation

Biomedical correlates

Phlegm retention with constipation
Chest congestion

Source text 原文

Donguibogam 東醫寶鑑

逐飮消痰, 導氣淸膈. 黑牽牛子取頭末三兩, 枳實(麩炒)ㆍ半夏(製)ㆍ橘紅各一兩. 右爲末, 麪糊和丸梧子大, 每取五十丸, 薑湯下. 《東垣》

Translation

Expels rheum and disperses phlegm, guides the qi downward and clears the diaphragm. Black morning glory seed, first-milled powder only, 3 nyang; bitter orange (bran-fried), pinellia (processed) and red tangerine peel 1 nyang each. Powder them, make pills with wheat paste the size of a firmiana seed, and take fifty at a dose down with ginger decoction. — Dongwon 東垣 (Donguibogam · Damum)

Clinical commentary 臨床

取頭末 — take only the first milling — appears in three formulas in this section and is worth understanding. Morning glory seed is milled and only the fraction that passes first is used; the coarse residue is discarded. That first fraction is the most active part, so the instruction concentrates the purgative rather than economizing. Three nyang of it against one nyang each of the other three makes this a downward-driving formula with a phlegm formula attached. **Morning glory seed is a drastic purgative and is contraindicated in pregnancy and in depleted patients.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.