Formulas · Reduce Food Stagnation 消食 · Yeokro (易老)

Purple Sinking Pill

Jachim-hwan

한글 자침환  ·  Pinyin Zi Chen Wan

紫沉丸

Composition 構成

Total 104 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

  • Middle-burner vomiting with food accumulation and pain
  • Vomiting with constipation from accumulation

Biomedical correlates

  • Gastric stasis with impaction — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治中焦吐食, 由食積與寒氣相格, 故吐而疼, 此主之. 陳皮 五錢, 半夏麴ㆍ代赭石ㆍ縮砂ㆍ烏梅肉 各三錢, 丁香ㆍ檳榔 各二錢, 沉香ㆍ木香ㆍ杏仁ㆍ白朮 各一錢, 白豆蔲ㆍ巴豆霜 各五分. 右爲末, 醋糊和丸黍米大, 每五十丸, 薑湯下. ○一法, 橘皮 一箇(去白)ㆍ生薑 一塊(煨熟)煎湯, 下紫沉丸百丸, 一日二服, 後大便通, 不吐則止. 《易老》

Translation

Treats middle-burner vomiting of food, which arises when food accumulation and cold qi are at odds, so that there is vomiting with pain; this governs it. Tangerine peel, 5 don; pinellia leaven, ochre, cardamom and smoked plum flesh, 3 don each; cloves and areca, 2 don each; aquilaria, costus, apricot kernel and white atractylodes, 1 don each; round cardamom and croton frost, 5 fun each. Grind to a powder and make pills the size of a millet grain with vinegar paste; fifty pills each time, given down with ginger decoction. ○ One method: decoct one tangerine peel with the white removed and a lump of fresh ginger roasted in the ashes, and give a hundred Jachim-hwan down with it, twice a day; when the stool passes and the vomiting stops, leave off. — Yeokro 易老 (Donguibogam · Guto)

Clinical commentary 臨床

The formula 吐病有三 names at 2.6 for the middle-burner kind, where vomiting and pain come of an accumulation. The design follows that analysis exactly: aromatics and ochre to bring the stomach qi down, areca and costus to move the qi, and croton frost as the 小毒藥 — the slightly poisonous drug — to break the accumulation itself. The instruction to stop as soon as the stool passes and the vomiting ends is the safeguard on it. **Contains croton frost, which is a violent purgative and toxic, and pinellia leaven. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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