寶鑑Bogam

Formulas · Regulate Qi 理氣 · Uihak Immun (醫學入門)

Sixteen Ingredient Flow the Qi Drink

Sibyungmiyugi-eum

한글 십육미유기음  ·  Pinyin Shi Liu Wei Liu Qi Yin

十六味流氣飮

The Bogam carries two formulas called 十六味流氣飮; this is the 癰疽門 one, and the 婦人門 formula for 妳巖 is registered as sibyungmiyugi-eum. The two share almost the whole drug list but not the doses: the 婦人門 leaf leads with 紫蘇葉 一錢半 and adds 靑皮 一錢 at the end, where this one gives all sixteen drugs at 六分 alike. The transcription prints 癕疽 for 癰疽 and 紫蘓葉 for 紫蘇葉, normalized here.

Composition 構成

Total 38.4 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

  • Abscesses and indurations (癰疽) with no settled name
  • Unnamed malign swellings (無名惡腫)
  • Abscesses of the five viscera, taken together

Biomedical correlates

  • Soft-tissue swellings and abscesses of uncertain origin
  • Not identifiable as a modern entity where the indication is the Bogam's visceral abscesses

Source text 原文

Donguibogam 東醫寶鑑

治癰疽無名惡腫等疾, 乃表裏氣血藥也. 人參ㆍ當歸ㆍ黃芪ㆍ桔梗ㆍ防風ㆍ木香ㆍ枳殼ㆍ川芎ㆍ肉桂ㆍ白芍藥ㆍ檳榔ㆍ白芷ㆍ厚朴ㆍ紫蘇葉ㆍ烏藥ㆍ甘草 各六分. 右剉, 作一貼, 水煎服. 《入門》

Translation

Treats abscesses and indurations, unnamed malign swellings and the like; it is a drug for the Qi and Blood of both exterior and interior. Ginseng, Korean angelica, astragalus, platycodon, siler, saussurea, bitter orange peel, cnidium, cinnamon bark, white peony, areca, angelica dahurica, magnolia bark, perilla leaf, lindera and licorice, 6 fun each. Cut up, make one packet, decoct in water and take. — Uihak Immun 入門 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Sixteen drugs in equal sixths of a don, and the leaf tells you what that evenness is for: 表裏氣血藥, a drug for exterior and interior, Qi and Blood together. Ginseng, astragalus, Korean angelica and white peony hold the first two of those; saussurea, bitter orange peel, areca, magnolia bark, lindera and cinnamon bark move the Qi; siler, angelica dahurica, perilla leaf and platycodon work at the surface. Nothing in it is strong, which is the point — it is a formula for a swelling that has not declared itself. The Bogam reaches for it where it does not know what it is looking at: 無名惡腫, an unnamed malign swelling, and then at the end of the 腎癰 section, 五藏癰疽俱宜十六味流氣飮, all the visceral abscesses may use it. Those visceral categories — 心癰, 肝癰, 腎癰 — cannot be matched to modern diagnoses and are better left as the chapter's own, so this formula is best read as the Bogam's general answer when a swelling resists classification. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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