Formulas · Stabilize & Astringe 固澀 · Manbyeong Hoechun (萬病回春)

Eight Pillars Powder

Palju-san

한글 팔주산  ·  Pinyin Ba Zhu San

八柱散

Composition 構成

Total 32 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

  • Spleen and kidney yang vacuity with faecal incontinence
  • Unchecked slippery stool

Biomedical correlates

  • Faecal incontinence
  • Intractable chronic diarrhoea

Source text 原文

Donguibogam 東醫寶鑑

治滑泄不禁. 人參ㆍ白朮ㆍ肉豆蔲(煨)ㆍ乾薑(炒)ㆍ訶子(炮)ㆍ附子(炮)ㆍ鸎粟殼(蜜炒)ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 薑 二片, 烏梅 一箇, 燈心 一團, 空心, 水煎服. 《回春》

Translation

Treats a slippery diarrhoea that cannot be held back. Ginseng, white atractylodes, nutmeg roasted in dough, stir-fried dried ginger, blast-fried chebula, blast-fried aconite, honey-stir-fried poppy husk and roasted licorice, 1 don each. Cut up, make one packet, add two slices of ginger, one mume plum and one bundle of rush pith, and decoct in water on an empty stomach. — Manbyeong Hoechun 回春 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The top of the pillars series: the four of Saju-san, the two binders of Yukju-san, and now poppy husk and roasted ginger making eight. Poppy husk is the formula's real agent — opium alkaloids are the most effective antidiarrhoeal the pre-modern pharmacy had, and loperamide is a direct descendant — so this would work, and would carry every hazard of an opiate given to a dehydrated patient. It belongs at the end of the sequence, which is where the Bogam puts it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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