Formulas · Purge Downward 瀉下 · Uihak Jeongjeon (醫學正傳)

Moisten the Intestines Five Kernels Pill

Jajangoin-hwan

한글 자장오인환  ·  Pinyin Zi Chang Wu Ren Wan

滋腸五仁丸

Each kernel is ground separately to a paste, then combined with the powdered red tangerine peel and bound with honey into pills the size of parasol-tree seeds; 50–60 pills with thin rice water.

Composition 構成

Total 274 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

  • Yin Blood worn away after birth with the stool bound and rough (産後陰血虛耗 大便閉澁)
  • Postpartum constipation from dryness
  • Constipation in the depleted where purging would harm

Biomedical correlates

  • Postpartum constipation
  • Constipation with dehydration or blood loss
  • Constipation in the frail

Source text 原文

Donguibogam 東醫寶鑑

治産後陰血虛耗, 大便閉澁. 橘紅末 四兩, 杏仁ㆍ桃仁 各一兩, 柏子仁 五錢, 松子仁 二錢半, 郁李仁 一錢. 右各另硏爲膏, 合橘紅末, 蜜丸梧子大, 米飮下五六十丸. 《正傳》

Translation

Treats Yin Blood worn away and exhausted after birth, with the stool bound and rough. Powdered red tangerine peel 4 nyang; apricot kernel and peach kernel, 1 nyang each; arborvitae seed 5 don; pine nut 2.5 don; bush cherry kernel 1 don. Grind each kernel separately to a paste, combine with the powdered tangerine peel, and bind with honey into pills the size of parasol-tree seeds; take 50–60 pills with thin rice water. — Jeongjeon 正傳 (Donguibogam · Buin)

Clinical commentary 臨床

Five oily kernels and a peel — the classical answer to constipation in someone who must not be purged. After a birth the bowel is dry because the blood is spent, so driving it would take from a body already short; the kernels lubricate instead, and the tangerine peel keeps the whole from sitting heavy. This is the formula to know for constipation in the frail, the elderly, and the recently delivered, and its logic has not been improved on. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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