Formulas · Tonify Yang 補陽 · Manbyeong Hoechun (萬病回春)

Ginseng and Atractylodes Fortify the Spleen Pill

Samchul-geonbi-hwan

한글 삼출건비환 · Pinyin Shen Zhu Jian Pi Wan

參朮健脾丸

The atractylodes is divided into four portions, each prepared differently, so that the one drug carries four actions.

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

320 g
Chief 君

eight nyang in four parts: two steeped in salt water, two in rice-water, two in vinegar, two stir-fried with scallion white
Insam Ren Shen
人蔘 인삼 · Ginseng

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

80 g
Chief 君
Bogolji Bu Gu Zhi
補骨脂 보골지 · Psoralea

80 g
Chief 君

wine stir-fried
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

80 g
Deputy 臣
Sanyak Shan Yao
山藥 산약 · Chinese Yam

80 g
Deputy 臣

stir-fried
Gugija Gou Qi Zi
枸杞子 구기자 · Goji Berry

80 g
Deputy 臣
Tosaja Tu Si Zi
菟絲子 토사자 · Cuscuta

80 g
Deputy 臣

wine prepared
Yeonjayuk Lian Zi
蓮子肉 연자육 · Lotus Seed

80 g
Deputy 臣
Cheollyeonja Chuan Lian Zi
川楝子 천련자 · Toosendan Fruit

60 g
Assistant 佐

flesh only
Omija Wu Wei Zi
五味子 오미자 · Schisandra

60 g
Assistant 佐
Useul Niu Xi
牛膝 우슬 · Achyranthes

60 g
Assistant 佐
Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

20 g
Assistant 佐

stir-fried
Hoehyang Hui Xiang
茴香 회향 · Fennel Fruit

20 g
Assistant 佐

salt stir-fried
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

20 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

20 g
Assistant 佐
Wonji Yuan Zhi
遠志 원지 · Polygala

20 g
Assistant 佐

Total 1240 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

Treats a diarrhoea of years' standing with cold pain around the navel
Warms and supplements the spleen and kidney

Indications 主治

Pattern-based

Spleen and kidney yang vacuity of long standing
Cold pain with chronic loose stool

Biomedical correlates

Chronic diarrhoea
Malabsorption

Source text 原文

Donguibogam 東醫寶鑑

治久年泄瀉, 臍腹冷痛, 以此溫補脾腎. 蒼朮八兩(二兩鹽水浸, 二兩米泔浸, 二兩醋浸, 二兩葱白炒), 人參ㆍ白朮ㆍ白茯苓ㆍ山藥(炒)ㆍ破故紙(酒炒)ㆍ枸杞子ㆍ菟絲子(酒製)ㆍ蓮肉各二兩, 川練肉ㆍ五味子ㆍ牛膝各一兩半, 川椒(炒)ㆍ茴香(鹽炒)ㆍ陳皮ㆍ木香ㆍ遠志各五錢. 右爲末, 酒糊和丸梧子大, 空心, 鹽湯下百丸. 《回春》

Translation

Treats a diarrhoea of years' standing with cold pain around the navel; this warms and supplements the spleen and kidney. Atractylodes, 8 nyang — 2 nyang steeped in salt water, 2 in rice-water, 2 in vinegar, 2 stir-fried with scallion white; ginseng, white atractylodes, white poria, stir-fried dioscorea, wine-stir-fried psoralea, lycium fruit, wine-prepared cuscuta and lotus seed, 2 nyang each; toosendan flesh, schisandra and achyranthes, 1.5 nyang each; stir-fried zanthoxylum, salt-stir-fried fennel, tangerine peel, costus root and polygala, 5 don each. Powder, make pills with wine paste the size of a paulownia seed, and take a hundred on an empty stomach in salt water. — Manbyeong Hoechun 回春 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The chapter's largest pill and the one with the most elaborate processing: eight nyang of atractylodes divided in four and prepared four different ways — salt water for the kidney, rice-water to temper, vinegar to astringe, scallion to disperse — so that a single drug is made to work in four directions at once. Whether that is pharmacologically real is doubtful; as a piece of craft it is the high point of the chapter's preparation technique. The rest is a kidney-and-spleen tonic of the usual kind, aimed at a patient who has been loose for years rather than at an episode. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.