Formulas · Tonify Qi & Blood 氣血雙補 · Manbyeong Hoechun (萬病回春)

Regulate the Origin Powder

Jowon-san

한글 조원산 (소아)  ·  Pinyin Tiao Yuan San

調元散

Not the 助元散 registered as `jowon-san`, a different prescription with the same romanisation: that is the 內傷門 Immun powder of white atractylodes, poria, tangerine peel, lotus seed, barley sprout and sugar, given to the elderly for poor appetite. The two names differ — 調元 against 助元 — and the collision is in the romanisation only, so this leaf takes the chapter tail and the existing entry keeps the bare id. 黃芪蜜炒 is read as 黃芪(蜜炒), the preparation of the astragalus.

Composition 構成

Total 11.4 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Indications 主治

Pattern-based

  • Kidney Qi received short at birth, with late walking, late teeth, the open skull and the five softnesses
  • Qi and Blood both depleted in a child who is slow to develop

Biomedical correlates

  • Historically used for delayed walking and general developmental delay in a child
  • Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治行遲. 山藥 五分, 白朮ㆍ白芍藥ㆍ熟地黃ㆍ當歸ㆍ川芎ㆍ黃芪(蜜炒) 各二分半, 人參ㆍ白茯苓ㆍ茯神 各二分, 甘草 一分半, 石菖蒲 一分. 右剉作一貼, 薑三棗二, 水煎服. 《回春》

Translation

Treats late walking. Chinese yam, 5 fun; white atractylodes, white peony, prepared rehmannia, Korean angelica, cnidium and honey-roasted astragalus, 2 fun 5 ri each; ginseng, white poria and poria with hostwood, 2 fun each; licorice, 1 fun 5 ri; acorus, 1 fun. Cut them up as one packet, add three slices of ginger and two jujubes, decoct in water and give. — Hoechun 回春 (Donguibogam · Soa)

Clinical commentary 臨床

What stands out here is the scale. Every weight in the formula is in 分, not 錢, and the whole packet comes to about 9.5 g of dry drug before the ginger and jujube — roughly a tenth of what an adult packet in this book weighs, and a rare instance in this chapter of the dose being adjusted downward for the patient rather than left unstated. Nothing in it is toxic: it is essentially 八物湯 with yam leading, both porias, honey-roasted astragalus and a single 分 of acorus, a mild and food-like tonic of the kind that could be given to a small child for months without harm. **The text still gives no dose by weight for the child, only for the packet.** The indication the 回春 passage above this leaf attaches to it is the broadest in the section — 行遲, 齒遲, 解顱, 五軟, 鶴膝, 睛白多愁, all 因稟受腎氣不足, all from Kidney Qi received short at birth. That list is the strongest evidence in the chapter that the author was looking at one disease and grouping it correctly by observation while having no name for it. Late walking, late teeth, the unclosed skull, the floppy limbs and the knobbed knees are the presentation of **rickets**, vitamin D deficiency, and the full statement is at 三神散 in 解顱. The single acorus 分 is the one drug here aimed at the mind rather than the body, and it points at the other half of the picture: a child who is slow to walk is often slow to speak, and that needs a cause found rather than a tonic. The treatable one is deafness — see 菖蒲丸. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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