Formulas · Drain Dampness 利水滲濕 · Uihak Jeongjeon (醫學正傳)

Set the Spleen Right Powder

Jeongbi-san

한글 정비산 · Pinyin Zheng Pi San

正脾散

甘草灸 is printed with 灸, moxibustion, where 炙, roasting, is meant — the usual block-cut exchange; honey-roasted liquorice is intended. 便香附子 is cyperus steeped in child's urine. The rush pith and akebia are the vehicle, decocted separately, and carry no weight of their own.

Composition 構成

Bongchul E Zhu
莪朮 봉출 · Zedoary

—
Chief 君

blast-fried, equal part
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

—
Deputy 臣

soaked in child's urine, equal part
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

—
Deputy 臣

equal part
Hoehyang Hui Xiang
茴香 회향 · Fennel Fruit

—
Assistant 佐

equal part
Gamcho Gan Cao
甘草 감초 · Licorice

—
Envoy 使

honey-roasted, equal part
Deungsimcho Deng Xin Cao
燈心草 등심초 · Rush Pith

—
Envoy 使

in the decoction the powder is stirred into
Moktong Mu Tong
木通 목통 · Akebia

—
Envoy 使

in the decoction the powder is stirred into

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 7 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 swelling over the whole body after childbirth
Moves the qi and warms the centre so the water can go

Indications 主治

Pattern-based

Swelling over the whole body after childbirth (産後通身浮腫)
Postpartum oedema with a distended belly and poor appetite

Biomedical correlates

Postpartum oedema
Fluid retention after delivery

Source text 原文

Donguibogam 東醫寶鑑

治産後通身浮腫. 蓬朮(炮)ㆍ便香附子ㆍ陳皮ㆍ茴香ㆍ甘草(灸) 各等分. 右爲末, 每二錢, 燈心木通煎湯調下. 《正傳》

Translation

Treats swelling over the whole body after childbirth. Blast-fried zedoary, cyperus prepared in child's urine, tangerine peel, fennel and honey-roasted liquorice in equal parts. Powder the above and take 2 don at a time, stirred into a decoction of rush pith and akebia. — Jeongjeon 正傳 (Donguibogam · Buin)

Clinical commentary 臨床

A postpartum swelling formula that works on the qi rather than on the water. Zedoary, cyperus, tangerine peel and fennel are all movers — four aromatics for a belly that is distended and slow — and the only thing in it aimed straight at urine is the vehicle, the rush pith and akebia decoction the powder is stirred into. Setting the spleen right is the whole claim of the name: the swelling is read as the centre having failed to move water on, so the centre is what is treated. Swelling after delivery is common and usually settles by itself, but it is also how pre-eclampsia, a cardiomyopathy of pregnancy and a venous thrombosis announce themselves, and those are measured and imaged, not decocted. **The cyperus is prepared in child's urine, a human-derived material that is not used in contemporary practice; it is recorded here as text.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.