Formulas · Transform Phlegm 化痰 · Gogeum Uigam (古今醫鑑)

Level the Liver, Order the Qi and Protect the Center Pill

Pyeongangansungibojung-hwan

한글 평간순기보중환  ·  Pinyin Ping Gan Shun Qi Bao Zhong Wan

平肝順氣保中丸

Pill formula, bulk amounts: powdered, and medicated leaven struck with bamboo sap forms the paste that binds pills the size of mung beans; 100 pills with plain boiled water. The source states its scope plainly: it treats swallowing of sour, vomiting of sour, gnawing hunger, and belching — a formula that handles them together.

Composition 構成

Total 1136 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

  • Hidden fire in Spleen and Stomach
  • constrained and accumulating into phlegm (伏火鬱積生痰)
  • Bringing on vomiting
  • swallowing of sour
  • and gnawing hunger (嘔吐 呑酸 嘈雜)
  • Taken regularly — fortifies the Spleen
  • opens the stomach
  • transforms phlegm
  • disperses stagnation
  • clears fire
  • restrains the Liver

Biomedical correlates

  • Chronic reflux with stress component
  • Functional dyspepsia with irritability
  • Long-course management of acid and gnawing

Source text 原文

Donguibogam 東醫寶鑑

治脾胃中伏火鬱積生痰, 致令嘔吐, 呑酸, 嘈雜. 常服健脾開胃, 化痰消滯, 淸火抑肝. 白朮(土炒) 四兩, 香附(童便浸三日炒) 三兩, 陳皮 二兩半, 川芎ㆍ枳實ㆍ黃連(薑炒)ㆍ神麴(炒)ㆍ山査肉 各二兩, 半夏(製) 一兩半, 梔子(薑汁炒)ㆍ蘿葍子(炒)ㆍ白茯苓ㆍ乾生薑ㆍ吳茱萸 各一兩, 麥芽(炒) 七錢, 靑皮(香油炒) 六錢, 縮砂(炒)ㆍ甘草(灸) 各四錢, 木香 三錢. 右爲末, 竹瀝打神麴爲糊和丸菉豆大, 白湯下百丸. 此方治呑酸吐酸ㆍ嘈雜噫氣, 兼治之劑也. 《醫鑑》

Translation

Treats fire lying hidden within the Spleen and Stomach, constrained and accumulating until it engenders phlegm, bringing on vomiting, swallowing of sour, and gnawing hunger. Taken regularly, it fortifies the Spleen and opens the stomach, transforms phlegm and disperses stagnation, clears fire and restrains the Liver. Earth-fried white atractylodes 4 nyang; cyperus soaked three days in child's urine and fried, 3 nyang; tangerine peel 2 nyang 5 don; cnidium, unripe bitter orange, ginger-fried coptis, dry-fried medicated leaven, and hawthorn flesh, 2 nyang each; prepared pinellia 1 nyang 5 don; ginger-juice-fried gardenia, dry-fried radish seed, white poria, dried fresh ginger, and evodia, 1 nyang each; dry-fried barley sprout 7 don; sesame-oil-fried green tangerine peel 6 don; dry-fried amomum and roasted licorice, 4 don each; aucklandia 3 don. Powder the above; strike medicated leaven with bamboo sap to make a paste and bind pills the size of mung beans; take 100 pills with plain boiled water. This formula treats swallowing of sour and vomiting of sour, gnawing hunger and belching — a preparation that handles them together. — Uigam 醫鑑 (Donguibogam · Naesang)

Clinical commentary 臨床

Nineteen herbs, and the title names three separate jobs in order — level the Liver, order the Qi, protect the center — which is the chapter's whole theory of reflux compressed into six characters. The pairing of coptis with evodia at two to one is the classical Zuo Jin arrangement for acid rising from a constrained liver; around it, atractylodes and cyperus at four and three ounces hold the center and move what has bound. Bamboo sap in the binder is the last touch, for the phlegm the constraint has cooked. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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