Formulas · Invigorate Blood 活血祛瘀 · Jeeum (濟陰)

Immediate Effect Powder (Womb chapter)

Iphyo-san

한글 입효산 · Pinyin Li Xiao San

立效散

Equal parts: cut, boiled in vinegar, baked dry, and powdered; 2 don stirred into a tangerine-peel decoction, on an empty stomach. Distinct from the Immediate Effect Powder of the Fire chapter, which treats bound heat of the lower burner. Note on modern practice: chronic pelvic pain with a mass warrants gynecological evaluation and imaging.

Composition 構成

Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

20 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

20 g
Chief 君
Oyak Wu Yao
烏藥 오약 · Lindera

20 g
Deputy 臣
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

20 g
Deputy 臣
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

20 g
Deputy 臣
Bongchul E Zhu
莪朮 봉출 · Zedoary

20 g
Assistant 佐
Samneung San Leng
三稜 삼릉 · Sparganium

20 g
Assistant 佐

Total 140 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

Breaks accumulated blood that has stood for years
Moves and warms through vinegar-boiled breakers

Indications 主治

Pattern-based

Blood accumulated over years with constant pain in the abdomen (經年積血腹中常痛)
Chronic pelvic pain with mass or stasis
Old stagnation that has become habitual

Biomedical correlates

Chronic pelvic pain with stasis signs
Long-standing dysmenorrhea
Endometriosis-associated pain — supportive care

Source text 原文

Donguibogam 東醫寶鑑

治經年積血, 腹中常痛. 靑皮ㆍ陳皮ㆍ烏藥ㆍ乾薑ㆍ香附子ㆍ蓬朮ㆍ三稜各等分. 右剉, 醋煮, 焙乾爲末. 空心, 陳皮煎湯調下二錢. 《濟陰》

Translation

Treats blood accumulated over years, with constant pain within the abdomen. Green tangerine peel, tangerine peel, lindera, dried ginger, cyperus, curcuma, and sparganium, in equal parts. Cut the above, boil in vinegar, bake dry, and powder; take 2 don stirred into a tangerine-peel decoction, on an empty stomach. — Jeeum 濟陰 (Donguibogam · Po)

Clinical commentary 臨床

Seven herbs at flat equal weight, all of them movers, and all boiled in vinegar before use — the sour flavor that gathers, applied to a formula whose whole business is breaking. The indication is what marks it: not this month's pain but blood accumulated *over years*, with an abdomen that aches constantly. For the patient whose pain has stopped keeping to the cycle. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.