Formulas · Regulate Qi 理氣 · Jesaengbang (濟生方)

Tangerine Peel and Apricot Kernel Pill

Gyulhaeng-hwan

한글 귤행환 · Pinyin Ju Xing Wan

橘杏丸

The day-and-night distinction turns on a single substitution: apricot kernel for the day, peach kernel for the night.

Composition 構成

Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

—
Chief 君

equal parts
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

—
Chief 君

equal parts; for difficulty by night replaced with peach kernel
Doin Tao Ren
桃仁 도인 · Peach Kernel

—
Chief 君

used in place of the apricot kernel where the difficulty is by night
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

as paste for the pills

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 ingredients measured by count or used as a vehicle, shown as —.

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

Treats qi constipation in the old and the depleted
so that the stool is of itself free of inhibition
Treats difficulty by day; for difficulty by night
peach kernel replaces apricot kernel

Indications 主治

Pattern-based

Qi constipation with lung qi not descending

Biomedical correlates

Functional constipation in the elderly

Source text 原文

Donguibogam 東醫寶鑑

治老人ㆍ虛人氣秘, 服之大便自無澁滯. 橘皮ㆍ杏仁各等分. 右爲末, 蜜丸梧子大, 米飮下七十丸. ○此治晝便難. 若夜便難, 去杏仁, 用桃仁. 《濟生》

Translation

Treats qi constipation in the old and the depleted; taken, the stool is of itself free of inhibition. Tangerine peel and apricot kernel, equal parts. Powder, make honey pills the size of a paulownia seed, and take seventy in rice water. This treats difficulty by day; if the difficulty is by night, leave out the apricot kernel and use peach kernel. — Jesaengbang 濟生 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Two drugs, and the formula's whole refinement is the note at the end: apricot kernel if the difficulty comes by day, peach kernel if by night. Apricot kernel belongs to the lung and the qi, peach kernel to the blood, and day is yang while night is yin — so the substitution follows the doctrine exactly. Whether a patient's constipation keeps hours is another matter, but as a piece of reasoning it is perfectly consistent. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.