Formulas · Purge Downward 瀉下 · Injae Jikji (仁齋直指方)

Bitter Orange Cut Powder

Jigakjwa-san

한글 지각좌산 · Pinyin Zhi Ke Cuo San

枳殼剉散

Composition 構成

Hubak Hou Po
厚朴 후박 · Magnolia Bark

8 g
Chief 君
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

8 g
Chief 君
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

8 g
Deputy 臣
Daehwang Da Huang
大黃 대황 · Rhubarb

4 g
Deputy 臣

steamed (蒸)
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

10 g
Envoy 使
Daejo Da Zao
大棗 대조 · Jujube

8 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

mix-fried (灸)

Total 50 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

Opens the chest and purges heat distension

Indications 主治

Pattern-based

Heat distension

Biomedical correlates

Abdominal distension with constipation

Source text 原文

Donguibogam 東醫寶鑑

治熱脹. 厚朴ㆍ枳殼ㆍ桔梗各二錢, 大黃(蒸)ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 薑五棗二水煎服. 《直指》

Translation

Treats heat distension. Magnolia bark, bitter orange and platycodon 2 don each; rhubarb (steamed) and licorice (mix-fried) 1 don each. Cut up, make one packet, add 5 slices of ginger and 2 jujubes, decoct in water and take. — Injae Jikji 直指 (Donguibogam · Changman)

Clinical commentary 臨床

Platycodon standing level with magnolia bark and bitter orange is what distinguishes this from the formula above. Platycodon opens the lung and lifts, so the formula works at both ends — opening above while purging below — where Chilmulhubak-tang works downward only. Steaming the rhubarb softens its action, which suits distension without urgent repletion. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.