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

Sparganium Transform Accumulation Pill

Samneunghwajeok-hwan

한글 삼릉화적환 · Pinyin San Leng Hua Ji Wan

三稜化積丸

The list at the head of 1.14 names this formula 三稜消積丸 while the formula heading writes 三稜化積丸. The heading form is taken as canonical.

Composition 構成

Samneung San Leng
三稜 삼릉 · Sparganium

240 g
Chief 君

wine-boiled (酒煮)
Sansa Shan Zha
山楂 산사 · Hawthorn

160 g
Chief 君

flesh only (山査肉)
Daehwang Da Huang
大黃 대황 · Rhubarb

120 g
Deputy 臣

wine-steamed (酒蒸)
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

120 g
Deputy 臣
Bongchul E Zhu
莪朮 봉출 · Zedoary

40 g
Deputy 臣

蓬朮, vinegar-boiled (醋煮)
Mokhyang Mu Xiang
木香 목향 · Costus Root

40 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

40 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

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

40 g
Assistant 佐

vinegar-fried (醋炒)
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

40 g
Assistant 佐
Sain Sha Ren
砂仁 사인 · Amomum

40 g
Assistant 佐

縮砂
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐

stir-fried (炒)
Maega Mai Ya
麥芽 맥아 · Barley Sprout

40 g
Assistant 佐

stir-fried (炒)
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

40 g
Assistant 佐

南星, soaked in ginger decoction (薑湯泡)
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Assistant 佐

ginger-processed (薑製)
Nabokja Lai Fu Zi
萊菔子 나복자 · Radish Seed

40 g
Assistant 佐

蘿葍子, stir-fried (炒)
Hwangryeon Huang Lian
黃連 황련 · Coptis

40 g
Assistant 佐

stir-fried (炒)
Doin Tao Ren
桃仁 도인 · Peach Kernel

40 g
Assistant 佐
Geonchil Gan Qi
乾漆 건칠 · Dried Lacquer

40 g
Assistant 佐

stir-fried (炒)
Gamcho Gan Cao
甘草 감초 · Licorice

40 g
Envoy 使

Total 1320 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 accumulation of every description
Disperses food and phlegm together
Moves the blood

Indications 主治

Pattern-based

Accumulation and gathering of every kind

Biomedical correlates

Chronic abdominal masses with dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治諸般積聚. 三稜(酒煮) 六兩, 山査肉四兩, 大黃(酒蒸)ㆍ檳榔各三兩, 蓬朮(醋煮)ㆍ木香ㆍ靑皮ㆍ陳皮ㆍ香附子(醋炒)ㆍ枳實ㆍ厚朴ㆍ縮砂ㆍ神麴(炒)ㆍ麥芽(炒)ㆍ南星(薑湯泡)ㆍ半夏(薑製)ㆍ蘿葍子(炒)ㆍ黃連(炒)ㆍ桃仁ㆍ乾漆(炒)ㆍ甘草各一兩. 右爲末, 醋糊和丸梧子大. 白湯下四五十丸. 《醫鑑》

Translation

Treats accumulation and gathering of every description. Sparganium (wine-boiled) 6 nyang; hawthorn flesh 4 nyang; rhubarb (wine-steamed) and areca 3 nyang each; curcuma (vinegar-boiled), costus, green tangerine peel, tangerine peel, cyperus (vinegar-fried), bitter orange fruit, magnolia bark, amomum, medicated leaven (stir-fried), barley sprout (stir-fried), arisaema (soaked in ginger decoction), pinellia (ginger-processed), radish seed (stir-fried), coptis (stir-fried), peach kernel, dried lacquer (stir-fried) and licorice 1 nyang each. Powder them, make pills with vinegar paste the size of a firmiana seed, and take forty to fifty down with plain hot water. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Twenty-one medicinals covering all four causes the chapter recognizes at once — food (hawthorn, leaven, malt, radish seed), phlegm (arisaema, pinellia), blood (peach kernel, dried lacquer) and qi (the whole middle rank) — with no toxic ingredient anywhere. That absence is what allows the dose of forty to fifty, and it makes this the general prescription a practitioner would actually reach for in place of the Gukbang pills above. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.