寶鑑Bogam

Formulas · Tonify Qi 補氣 · Seui Deukhyobang (世醫得效方)

Five Aromatics and Atractylodes Powder

Ohyangbaekchul-san

한글 오향백출산  ·  Pinyin Wu Xiang Bai Zhu San

五香白朮散

The transcription prints 肺癕 for 肺癰, 沉香 for 沈香, 右為末 for 右爲末, and 蘓𥂁湯 for 蘇鹽湯, all normalized here. The perilla-and-salt decoction and the jujube decoction are vehicles and are not entered as ingredients.

Composition 構成

Total 108 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

  • Lung abscess (肺癰) in a patient who has stopped eating
  • Suppuration with a weak Spleen and no appetite
  • Long-standing purulent cough with wasting

Biomedical correlates

  • Convalescence from lung abscess
  • Chronic suppurative lung disease with anorexia and weight loss

Source text 原文

Donguibogam 東醫寶鑑

治肺癰, 生肺金, 益脾土, 進飮食. 人參ㆍ白朮ㆍ山藥ㆍ白茯苓ㆍ薏苡仁ㆍ白扁豆ㆍ桔梗ㆍ縮砂ㆍ蓮肉ㆍ白豆蔲ㆍ甘草 各二錢, 沈香ㆍ木香ㆍ乳香ㆍ丁香ㆍ藿香 各一錢. 右爲末, 每三錢, 蘇鹽湯調下, 大棗湯亦可. 《得效》

Translation

Treats lung abscess, engendering the Lung metal, augmenting the Spleen earth and advancing the appetite for food and drink. Ginseng, white atractylodes, Chinese yam, white poria, coix seed, hyacinth bean, platycodon, amomum, lotus seed, round cardamom and licorice, 2 don each; aquilaria, saussurea, frankincense, clove and agastache, 1 don each. Powder them, and give 3 don at a time stirred into a decoction of perilla and salt; a jujube decoction will also do. — Seui Deukhyobang 得效 (Donguibogam · Ongjeo)

Clinical commentary 臨床

This is the Spleen formula of the 肺癰 set. The bulk of it is Sagunja-tang widened out with Chinese yam, hyacinth bean, lotus seed, amomum and cardamom — the 參苓白朮散 pattern — and the five aromatics are added on top at a quarter of the weight to move what the tonics would otherwise make stagnant. 生肺金益脾土 is the stated mechanism: build the earth and the metal is engendered by it. It belongs to the stage after the pus is draining, when the patient has stopped eating and is wasting. A chronic suppurative lung disease does hollow out nutrition that way, and feeding the patient is a real part of recovery — but **the suppuration itself needs antibiotic treatment and often drainage, which no amount of Spleen support replaces.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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