Immature Bitter Orange Powder

Jisil-san

한글 지실산 · Pinyin Zhi Shi San

枳實散

Composition 構成

Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

20 g
Chief 君

5 don
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

20 g
Deputy 臣

stir-fried (炒), 5 don
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

20 g
Deputy 臣

雀腦芎, 5 don
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

ginger and jujube decoction, or wine, as draught

Total 100 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 a man's liver qi insufficient with pain in both flanks

Indications 主治

Pattern-based

Liver qi insufficient — flank pain
a fine stringlike pulse

Biomedical correlates

Flank pain with fatigue

Source text 原文

Donguibogam 東醫寶鑑

治男子肝氣不足, 兩脇痛. 枳實一兩, 白芍藥(炒)ㆍ雀腦芎ㆍ人參各五錢. 右爲細末, 每二錢, 以薑棗湯調下, 酒亦可. 《本事》

Translation

Treats a man's liver qi insufficient with pain in both flanks. Immature bitter orange 1 nyang; white peony (stir-fried), sparrow-brain chuanxiong and ginseng 5 don each. Powder finely and take 2 don at a time stirred into ginger and jujube decoction, or wine. — Bonsa 本事 (Donguibogam · Hyeop)

Clinical commentary 臨床

The counterpart to the draining formulas: a flank pain in a weak patient with a thin stringy pulse, treated with ginseng and peony alongside the bitter orange. 16.11's rule is that the same pain in a strong and a weak body is not the same disease. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.