Formulas · Reduce Food Stagnation 消食 · Mangye (回春)

Crossing Peace Pill

Gyotae-hwan

한글 교태환  ·  Pinyin Jiao Tai Wan

交泰丸

The rhubarb's preparation is the formula's centerpiece: steeped a day and night in a decoction of Korean angelica, safflower, evodia, and dried lacquer (1 nyang each), sliced and sun-dried, tossed again with wine and dried — nine times steamed and nine times sun-dried before use. Powdered and bound with a leaven paste beaten in ginger juice into pills the size of mung beans; 70–80 pills with plain boiled water.

Composition 構成

Total 492 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

  • Chest glomus and gnawing that ease when stool is loose and worsen when bound (大便稀則胸中頗快 大便堅則痞悶難當)
  • Constipation-linked epigastric oppression
  • The gut-chest axis pattern

Biomedical correlates

  • Dyspepsia correlating with bowel habit
  • Constipation-predominant functional GI overlap
  • Gut-motility-linked chest oppression

Source text 原文

Donguibogam 東醫寶鑑

治胸中痞悶嘈雜. 大便稀則胸中頗快, 大便堅則胸中痞悶難當. 大黃(以當歸ㆍ紅花ㆍ吳茱萸ㆍ乾漆 各一兩煎水, 浸大黃一日夜, 切曬, 又以酒拌曬之, 九蒸九曬用) 四兩, 黃連(薑汁浸黃土炒)ㆍ白朮(土炒)ㆍ吳茱萸(湯泡炒) 各二兩, 當歸尾(酒洗) 一兩三錢, 枳實 一兩. 右爲末, 薑汁打神麴糊和丸菉豆大, 白湯下七八十丸. 《回春》

Translation

Treats glomus oppression and gnawing in the chest — when the stool is loose the chest is rather glad; when the stool is bound the oppression in the chest is hard to bear. Rhubarb 4 nyang (steeped a day and night in water decocted with Korean angelica, safflower, evodia, and dried lacquer, 1 nyang each; sliced and sun-dried, tossed again with wine and sun-dried — nine times steamed, nine times sun-dried before use); coptis (ginger-juice-soaked and fried with yellow earth), earth-fried white atractylodes, and scalded-fried evodia, 2 nyang each; angelica tail (wine-washed) 1 nyang 3 don; unripe bitter orange 1 nyang. Powder the above and bind with a leaven paste beaten in ginger juice into pills the size of mung beans; take 70–80 pills with plain boiled water. — Hoechun 回春 (Donguibogam · Naesang)

Clinical commentary 臨床

The formula that reads the chest by the stool — its indication is a correlation ('loose, and the chest is rather glad; bound, and the oppression is unbearable'), its name the I Ching's hexagram of heaven and earth in fruitful crossing. Nine cycles of steaming tame the rhubarb from purgative to regulator: Peace, in this doctrine, is a bowel movement's diplomacy. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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