Formulas · Reduce Food Stagnation 消食 · Dansim (丹心)

Crataegus, Leaven and Atractylodes Pill

Sanja-gukchul-hwan

한글 산사국출환 · Pinyin Shan Zha Qu Zhu Wan

山査麴朮丸

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

80 g
Chief 君

stir-fried
Singok Shen Qu
神麴 신곡 · Medicated Leaven

60 g
Deputy 臣

stir-fried
Sansa Shan Zha
山楂 산사 · Hawthorn

60 g
Deputy 臣

flesh only
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

20 g
Assistant 佐

stir-fried
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

20 g
Assistant 佐

wine stir-fried
Banha Ban Xia
半夏 반하 · Pinellia

20 g
Assistant 佐

ginger prepared
Hayeop He Ye
荷葉 하엽 · Lotus Leaf

—
Envoy 使

green lotus leaf, wrapped round the rice baked for the pills

Total 260 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient measured by count or used as a vehicle, shown as —.

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 the old whose keeping is too rich
so that food injures the spleen and they are constantly loose

Indications 主治

Pattern-based

Food stagnation injuring the spleen with chronic loose stool
Rich diet with damp heat

Biomedical correlates

Chronic diarrhoea from dietary excess
Functional dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治老人奉養太過, 飮食傷脾, 常常泄瀉. 白朮(炒) 二兩, 神麴(炒)ㆍ山査肉(炒) 各一兩半, 黃芩(炒)ㆍ白芍藥(酒炒)ㆍ半夏(薑製) 各五錢. 右爲末, 以靑荷葉裹燒飯和丸梧子大, 白湯下五十丸. 《丹心》

Translation

Treats the old whose keeping is too rich, so that food and drink injure the spleen and they are constantly loose. Stir-fried white atractylodes, 2 nyang; stir-fried medicated leaven and stir-fried crataegus flesh, 1.5 nyang each; stir-fried scutellaria, wine-stir-fried white peony and ginger-prepared pinellia, 5 don each. Powder, and with rice baked wrapped in green lotus leaf make pills the size of a paulownia seed; take fifty in plain hot water. — Dansim 丹心 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The diagnosis is social as much as medical: an old man too well fed, whose chronic diarrhoea comes from a rich diet rather than a vacuity. So the formula digests and clears instead of warming and binding — hawthorn and leaven for the food, scutellaria for the heat it has generated, peony for the cramp — and the lotus-leaf wrapping is the Dansim's touch for lifting the spleen's clear qi. For the patient described, eating less would be the treatment, and the formula is the next best thing. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.