Formulas · Tonify Qi 補氣 · Donguibogam · Buin

Ginseng and Atractylodes Paste

Samchul-go

한글 삼출고 · Pinyin Shen Zhu Gao

參朮膏

Cut and made into one packet: a pig's or sheep's bladder is first decocted in water, then the medicines are added, decocted again, strained, and taken warm on an empty stomach. **Note on modern practice: urinary incontinence or leakage after childbirth should be assessed by an obstetric provider — obstetric fistula and significant pelvic floor injury require surgical evaluation. Pelvic floor physical therapy is the first-line modern treatment for postpartum incontinence.**

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

10 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

8 g
Deputy 臣
Hwanggi Huang Qi
黃芪 황기 · Astragalus

6 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Doin Tao Ren
桃仁 도인 · Peach Kernel

4 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 38 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

Repairs a bladder injured in birth
Supplements the Qi that must hold the water in

Indications 主治

Pattern-based

The bladder damaged in birth
becoming dribbling urination (産後脬損成淋)
Urinary leakage or difficulty following delivery
Postpartum bladder injury

Biomedical correlates

Postpartum urinary incontinence
Bladder injury after obstructed labor — historical
Urinary difficulty following delivery

Source text 原文

Donguibogam 東醫寶鑑

治産後脬損成淋. 人參二錢半, 白朮二錢, 黃芪一錢半, 陳皮ㆍ桃仁ㆍ白茯苓各一錢, 甘草五分. 右剉, 作一貼, 水煎猪羊脬, 後入藥, 再煎去滓, 溫服空心.

Translation

Treats the bladder damaged in birth, becoming dribbling urination. Ginseng 2.5 don; white atractylodes 2 don; astragalus 1.5 don; tangerine peel, peach kernel, and white poria, 1 don each; licorice 5 fun. Cut the above and make one packet: decoct a pig's or sheep's bladder in water, then add the medicines, decoct again, strain, and take warm on an empty stomach. — Donguibogam · Buin

Clinical commentary 臨床

The vehicle is the doctrine here: a pig's or sheep's bladder decocted first, and the medicines added to that broth — like treating like, applied to an organ. What the formula itself supplies is Qi, on the reading that a bladder torn or slackened in a hard birth fails because there is nothing left to hold it closed. Peach kernel is the one mover in it, for the bruising. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.