Formulas · Clear Heat 淸熱 · Bonsa (普濟本事方)

Three Wastings Pill

Samso-hwan

한글 삼소환  ·  Pinyin San Xiao Wan

三消丸

Single-medicinal pill; the source fixes no amount (不以多少 — 'as much as one has'). The fine coptis powder is kneaded with the natural juice of pounded winter melon into cakes, shade-dried, re-powdered, and re-steeped in the juice — seven times over — then finally rolled with the juice into pills the size of parasol-tree seeds; 50–70 pills with a barley-kernel decoction. Also called Gwaryeon-hwan 瓜連丸 (Jikji 直指).

Composition 構成

Total 40 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

Indications 主治

Pattern-based

  • All three wastings (通治消渴)
  • Heat-predominant thirst hunger and polyuria
  • Latent fire needing sustained clearing

Biomedical correlates

  • Polydipsia-polyphagia-polyuria presentations
  • Heat-predominant diabetic patterns
  • Long-course maintenance clearing

Source text 原文

Donguibogam 東醫寶鑑

通治消渴. 黃連淨, 爲細末, 不以多少, 冬瓜搗取自然汁和作餠. 陰乾再爲末, 再浸再乾至七次, 卽用冬瓜汁和丸梧子大. 煎大麥仁湯, 送下五七十丸. 《本事》 ○一名瓜連丸. 《直指》

Translation

Treats wasting-thirst generally. Clean coptis, ground to a fine powder — no fixed amount — is kneaded with the natural juice of pounded winter melon and formed into cakes; these are shade-dried and re-powdered, steeped again and dried again, up to seven times in all, then bound with the winter-melon juice into pills the size of parasol-tree seeds. Take 50–70 pills, sent down with a decoction of barley kernels. — Bonsa 本事. Also called Gwaryeon-hwan. — Jikji 直指 (Donguibogam · Sogal)

Clinical commentary 臨床

One herb, seven baptisms — each pass through winter-melon juice files another edge off the coptis, until the bitterest medicine in the cabinet is gentle enough to take for a season. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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