寶鑑Bogam

Formulas · Warm the Interior 溫裏 · Gogeum Uigam (古今醫鑑)

Return to Life and Nourish the Stomach Elixir

Hoesaengyangwi-dan

한글 회생양위단  ·  Pinyin Hui Sheng Yang Wei Dan

回生養胃丹

The gelded pig's stomach (獖猪肚) in which the atractylodes and lotus seed are cooked has no entry of its own in the herb list and so is not in the ingredient list above; its preparation is given in full in the source text.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Indications 主治

Pattern-based

  • Spleen vacuity cold with phlegm drool
  • Stomach reflux with constipation

Biomedical correlates

  • Chronic gastroparesis with constipation — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治脾土虛寒, 聚成痰涎, 以致大便燥澁ㆍ小便赤而多ㆍ嘔吐酸水, 漸成反胃結腸之證. 蒼朮(換泔浸六日)ㆍ蓮肉(酒浸) 各四兩. 取獖猪肚 一箇, 以壁土揉擦洗淨, 入蒼ㆍ蓮, 綿縫好, 酒煮爛, 擣細揑作小餠烘乾. 南星(細切, 薑汁浸一宿, 伏龍肝同炒去土)ㆍ半夏(湯洗, 醋浸七日, 蒸熟)ㆍ橘紅(伏龍肝同炒去土)ㆍ粟米(薑汁浸蒸焙) 各四兩, 人參ㆍ白朮ㆍ白茯苓ㆍ厚朴ㆍ蓬朮ㆍ三稜(二味並醋炒)ㆍ蓽澄茄ㆍ縮砂ㆍ白豆蔲ㆍ糓芽(炒)ㆍ麥芽(炒)ㆍ甘草 各一兩, 丁香ㆍ木香ㆍ沉香 各五錢. 右爲末, 稀麪糊和丸梧子大, 米飮呑下六七十丸. 《醫鑑》

Translation

Treats spleen earth vacuity cold gathering into phlegm drool, so that the stool is dry and bound, the urine red and frequent, and sour water is vomited, turning by degrees into stomach reflux and bound bowel. Black atractylodes steeped six days in rice-washing water, the water changed daily, and lotus seed flesh steeped in wine, 4 nyang each: take one gelded pig's stomach, rub it with wall earth and wash it clean, put the atractylodes and lotus seed inside, sew it up with cotton, cook it soft in wine, pound it fine, press it into small cakes and dry them over the fire. Arisaema finely cut, steeped a night in ginger juice and fried with hearth earth, the earth discarded; pinellia washed in hot water, steeped seven days in vinegar and steamed through; tangerine peel fried with hearth earth, the earth discarded; and millet steeped in ginger juice, steamed and baked dry, 4 nyang each. Ginseng, white atractylodes, white poria, magnolia bark, curcuma and sparganium, these last two both vinegar-fried, cubeb, cardamom, round cardamom, fried millet sprout, fried barley sprout and licorice, 1 nyang each; clove, saussurea and aquilaria, 5 don each. Powder them, make pills the size of a paulownia seed with a thin wheat paste, and swallow sixty to seventy with rice water. — Gogeum Uigam 醫鑑 (Donguibogam · Guto)

Clinical commentary 臨床

The longest preparation in the chapter and one of the longest in the book: twenty-odd drugs, four of them processed with hearth earth, two cooked inside a pig's stomach sewn shut, and the whole thing finally bound with wheat paste. The design underneath all that is Yukgunja-tang with sprouts and aromatics added — a spleen-warming, food-moving pill — and the elaboration is about getting it into a stomach that rejects everything. 結腸, bound bowel, paired with 大便燥澁 is the same observation as 嘔吐噎膈反胃宜通大便: in these patients the vomiting and the constipation are one problem seen from two ends. **The pig's stomach and the hearth earth are not materials to reproduce, and the formula contains arisaema and pinellia, both toxic in the raw state and requiring proper processing.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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