Formulas · Warm the Interior 溫裏 · Uihak Immun (醫學入門)

Utmost Sage Pill

Jiseong-hwan

한글 지성환 · Pinyin Zhi Sheng Wan

至聖丸

The leaf writes 肉豆蔲 with the 蔲 form, which is what the corpus prints, and 為 for 爲, normalized. The closing dose runs 七丸至十丸十五丸 in the transcription with no particle between the last two figures; it is punctuated here as 七丸至十丸, 十五丸. Section 1.38.10 冷疳 names this formula for the pattern, 宜至聖丸, and the 疳瀉 sub-section at 1.38.14 names it again.

Composition 構成

Mokhyang Mu Xiang
木香 목향 · Costus Root

8 g
Chief 君

2 don
Hubak Hou Po
厚朴 후박 · Magnolia Bark

8 g
Deputy 臣

2 don
Sagunja Shi Jun Zi
使君子 사군자 · Rangoon Creeper Fruit

8 g
Deputy 臣

2 don · a genuine anthelmintic
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

8 g
Assistant 佐

2 don
Yukdugu Rou Dou Kou
肉豆蔻 육두구 · Nutmeg

8 g
Assistant 佐

肉豆蔲, 2 don
Jeonghyang Ding Xiang
丁香 정향 · Clove

4 g
Assistant 佐

1 don
Jeonghyangpi Ding Xiang Pi
丁香皮 정향피 · Clove Bark

4 g
Assistant 佐

1 don
Singok Shen Qu
神麴 신곡 · Medicated Leaven

—
Envoy 使

神麴糊, medicated leaven paste, as the binder

Total 48 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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 cold gan — the long-standing form, with swollen eyes, a darkened face, a distended belly and slippery diarrhoea
Aromatic warming drugs bound with medicated leaven paste into hemp-seed pills, seven to fifteen in rice water

Indications 主治

Pattern-based

冷疳 — cold gan: gan gone on long, the eyes puffy, the face sallow-dark, the belly swollen, the stool slipping away green or white or greasy

Biomedical correlates

Chronic diarrhoea with wasting in a young child
Protein-energy malnutrition with oedema

Source text 原文

Donguibogam 東醫寶鑑

治冷疳. 木香ㆍ厚朴ㆍ使君子ㆍ陳皮ㆍ肉豆蔲各二錢, 丁香ㆍ丁香皮各一錢. 右爲末, 神麴糊和丸麻子大, 米飮下七丸至十丸, 十五丸. 《入門》

Translation

Treats cold gan. Costus root, magnolia bark, quisqualis fruit, tangerine peel and nutmeg, 2 don each; clove and clove bark, 1 don each. Powder the above and bind with medicated leaven paste into pills the size of hemp seeds; give seven pills up to ten, or fifteen, down in rice water. — Uihak Immun 入門 (Donguibogam · Soa)

Clinical commentary 臨床

Seven warm aromatics — costus, magnolia bark, tangerine peel, nutmeg and two parts of the clove tree — with quisqualis set among them, bound with medicated leaven. Against 熱疳's bitters this is the other half of the chapter's scheme: 冷疳 is gan gone on long, and the drugs are warming, drying and carminative rather than cooling. Read as pharmacology it is a reasonable antidiarrhoeal and antispasmodic mixture; nutmeg and clove do slow the gut. What the pattern actually describes is a child in the late stage of malnutrition: puffy eyes and a swollen belly are oedema, which is kwashiorkor; the sallow-dark face is wasting; the slippery green or greasy stool is chronic diarrhoea with fat malabsorption. The point made in full on 胡黃連丸 (`hohwangryeon-hwan`) is sharpest here — **none of this is food**, and oedematous malnutrition is the form with the highest mortality and the one that needs careful refeeding, not a carminative. For the quisqualis, see the anthelmintic statement on 使君子丸 (`sagunja-hwan`). **Nutmeg in quantity is itself toxic — myristicin causes delirium, tachycardia and vomiting — and the text gives no dose by weight anywhere for a child. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.