Formulas · Reduce Food Stagnation 消食 · Gogeum Uigam (古今醫鑑)

Three Supplements Bitter Orange and Atractylodes Pill

Sambojichul-hwan

한글 삼보지출환 · Pinyin San Bu Zhi Zhu Wan

三補枳朮丸

Pill formula, bulk amounts: powdered, and rice cooked with lotus leaf binds pills the size of parasol-tree seeds; 70–80 pills with a ginger decoction.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

80 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Deputy 臣 white pith removed
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Deputy 臣
Paemo Bei Mu
貝母 패모 · Fritillaria

32 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

20 g
Assistant 佐 wine-fried
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

20 g
Assistant 佐 wine-fried
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

20 g
Assistant 佐 salt-water-fried
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

20 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

20 g
Assistant 佐
Sansa Shan Zha
山楂 산사 · Hawthorn

20 g
Assistant 佐
Maea Mai Ya
麥芽 맥아 · Barley Sprout

12 g
Assistant 佐
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

12 g
Assistant 佐 vinegar-fried
Sain Sha Ren
砂仁 사인 · Amomum

4 g
Envoy 使

Total 340 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

Supplements the Spleen and Stomach while phlegm is transformed and heat cleared
Disperses food and orders the Qi on the classic bitter-orange frame

Indications 主治

Pattern-based

Supplementing Spleen and Stomach
transforming phlegm and clearing heat (補脾胃化痰淸熱)
Dispersing food and ordering the Qi (消食順氣)
Digestive stagnation with phlegm heat

Biomedical correlates

Functional dyspepsia with heat signs
Reflux-type discomfort with fullness
Long-course digestive regulation

Source text 原文

Donguibogam 東醫寶鑑

補脾胃, 化痰淸熱, 消食順氣. 白朮二兩, 陳皮(去白)ㆍ枳實各一兩, 貝母八錢, 黃連ㆍ黃芩(幷酒炒)ㆍ黃柏(鹽水炒)ㆍ白茯苓ㆍ神麴ㆍ山査肉各五錢, 麥芽ㆍ香附子(醋炒) 各三錢, 縮砂一錢. 右爲末, 荷葉煮飯和丸梧子大, 薑湯下七八十丸. 《醫鑑》

Translation

Supplements the Spleen and Stomach, transforms phlegm and clears heat, disperses food and orders the Qi. White atractylodes 2 nyang; tangerine peel with the white pith removed, and unripe bitter orange, 1 nyang each; fritillaria 8 don; coptis and scutellaria (both wine-fried), salt-water-fried phellodendron, white poria, medicated leaven, and hawthorn flesh, 5 don each; barley sprout and vinegar-fried cyperus, 3 don each; amomum 1 don. Powder the above and bind with rice cooked with lotus leaf into pills the size of parasol-tree seeds; take 70–80 pills with a ginger decoction. — Uigam 醫鑑 (Donguibogam · Naesang)

Clinical commentary 臨床

Bitter Orange and Atractylodes with the three yellows added — hence 'three supplements,' though what the yellows actually do is drain. Each is processed toward a different level: coptis and scutellaria in wine for the upper, phellodendron in brine for the lower. Beneath them the ordinary digestive crew handles food and Qi. The lotus-leaf-and-rice binder is the signature of this whole family, going back to Jichul-hwan itself, and it appears wherever a formula means to lift as well as move. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.