Formulas · Clear Heat 淸熱 · Dansim (丹心)

Divide and Disperse Central Fullness Pill

Jungmanbunso-hwan

한글 중만분소환  ·  Pinyin Zhong Man Fen Xiao Wan

中滿分消丸

Composition 構成

Total 252 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

Indications 主治

Pattern-based

  • Central fullness with drum distension
  • qi distension and water distension — heat distension only
  • not cold distension

Biomedical correlates

  • Ascites with heat signs
  • Abdominal distension with dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治中滿鼓脹, 及氣脹水脹, 然只治熱脹, 不治寒脹. 厚朴 一兩, 人參ㆍ白朮ㆍ薑黃ㆍ黃芩ㆍ黃連ㆍ枳實ㆍ半夏 各五錢, 知母 四錢, 澤瀉ㆍ陳皮 各三錢, 白茯苓ㆍ縮砂ㆍ乾生薑 各二錢, 猪苓ㆍ甘草 各一錢. 右爲末, 水浸蒸餠和丸梧子大. 熱湯下百丸. 《丹心》

Translation

Treats central fullness with drum distension, and qi distension and water distension; but it treats heat distension only, and does not treat cold distension. Magnolia bark 1 nyang; ginseng, white atractylodes, turmeric, scutellaria, coptis, bitter orange fruit and pinellia 5 don each; anemarrhena 4 don; alisma and tangerine peel 3 don each; white poria, amomum and dried fresh ginger 2 don each; polyporus and licorice 1 don each. Powder them, make pills with steamed cake soaked in water, the size of a firmiana seed, and take a hundred down with hot water. — Dansim 丹心 (Donguibogam · Changman)

Clinical commentary 臨床

Dongwon's best-known distension formula, and the source line is unusually explicit about its limits: heat distension only, not cold. Placing that qualification in the indication rather than leaving it to be inferred is rare in this chapter. The composition holds three things together — magnolia bark and bitter orange fruit to disperse, coptis and scutellaria and anemarrhena to clear, ginseng and white atractylodes to support — with the Oryeong-san group underneath to drain. It is the most balanced prescription in the section and the one that reaches the widest range of distension. Compare Jungmanbunso-tang at 3.5.5.1, which shares the name and treats the opposite pattern. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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