Formulas · Regulate Qi 理氣 · Uihak Immun (醫學入門)

Four Fryings Toosendan Pill

Sacho-cheollyeon-hwan

한글 사초천련환 · Pinyin Si Chao Chuan Lian Wan

四炒川練丸

Composition 構成

Cheollyeonja Chuan Lian Zi
川楝子 천련자 · Toosendan Fruit

640 g
Chief 君

川楝肉, 1 geun, divided into four parts and each part fried with a different adjuvant
Mokhyang Mu Xiang
木香 목향 · Costus Root

40 g
Deputy 臣

1 nyang
Bogolji Bu Gu Zhi
補骨脂 보골지 · Psoralea

40 g
Deputy 臣

1 nyang
Banmyo Ban Mao
斑猫 반묘 · Blister Beetle

—
Assistant 佐

49 beetles, fried with the first part and then discarded · toxic
Pageuk Ba Ji Tian
巴戟 파극 · Morinda Root

—
Assistant 佐

1 nyang
Padu Ba Dou
巴豆 파두 · Croton Seed

—
Assistant 佐

49 kernels, fried with the third part and then discarded · toxic
Bu Fu
麩 부 · Wheat Bran

—
Envoy 使

1 hop to each of the first three parts
Yeom Yan
鹽 염 · Salt

—
Envoy 使

1 nyang
Hoehyang Hui Xiang
茴香 회향 · Fennel Fruit

—
Envoy 使

1 hop

Total 720 g per packet (첩) · representative dosage — verify against source texts. Excludes 6 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

Treats every mounting qi with swelling
pain and retraction; taken long it cuts the root

Indications 主治

Pattern-based

Chronic mounting qi with swelling and retraction

Biomedical correlates

Chronic inguinal hernia

Source text 原文

Donguibogam 東醫寶鑑

治一切疝氣腫痛縮小, 久服斷根. 川楝肉一斤, 作四分. 一分用麩一合ㆍ斑猫四十九枚同炒; 一分用麩一合ㆍ巴戟一兩同炒; 一分用麩一合ㆍ巴豆四十九枚同炒; 一分用鹽一兩ㆍ茴香一合同炒. 俱以麩黃色爲度, 揀去同炒藥, 只取川楝肉. 再加木香ㆍ破故紙(炒) 各一兩, 爲末, 酒糊和丸梧子大. 每五十丸, 鹽湯下, 日三服. 《入門》

Translation

Treats every mounting qi with swelling, pain and retraction; taken long it cuts the root. Toosendan flesh 1 geun, divided into four parts. Fry the first with bran 1 hop and forty-nine blister beetles; the second with bran 1 hop and morinda 1 nyang; the third with bran 1 hop and forty-nine croton kernels; the fourth with salt 1 nyang and fennel 1 hop. In each case fry until the bran turns yellow, then pick out the adjuvants and keep only the toosendan flesh. Add saussurea and psoralea (stir-fried) 1 nyang each, powder, and bind with a wine-and-flour paste into pills the size of parasol-tree seeds. Take fifty a dose with salt decoction, three times a day. — Uihak Immun 入門 (Donguibogam · Jeoneum)

Clinical commentary 臨床

The same method as Cheonnyeon-san reduced to four lots instead of seven, with bran added as a heat-carrier and a timer: when the bran has gone yellow the frying is done. Everything fried with the fruit is picked back out, so by the time it is made the pill holds three medicinals — and the Immun still promises it cuts the root. **Blister beetle and croton are fried with the medicine and their principles transfer to it. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.