Formulas · Warm the Interior 溫裏 · Jikji (直指)

Firm the Intestines Powder

Siljang-san

한글 실장산 · Pinyin Shi Chang San

實腸散

Composition 構成

Yukdugu Rou Dou Kou
肉豆蔻 육두구 · Nutmeg

4 g
Chief 君

roasted in dough (煨)
Gaja He Zi
訶子 가자 · Chebula

4 g
Chief 君

訶子皮, the rind
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Sain Sha Ren
砂仁 사인 · Amomum

4 g
Deputy 臣

縮砂, ground
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

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

2 g
Assistant 佐
Daejo Da Zao
大棗 대조 · Jujube

8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

mix-fried (灸)

Total 46 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 vacuity cold of the large intestine with abdominal pain and diarrhoea

Indications 主治

Pattern-based

Large-intestine vacuity cold — abdominal pain, diarrhoea

Biomedical correlates

Chronic diarrhoea with cold signs

Source text 原文

Donguibogam 東醫寶鑑

治大腸虛寒, 腹痛泄瀉. 厚朴ㆍ肉豆蔲(煨)ㆍ訶子皮ㆍ縮砂(硏)ㆍ陳皮ㆍ蒼朮ㆍ赤茯苓各一錢, 木香ㆍ甘草(灸) 各五分. 右剉, 作一貼, 薑三片, 棗二枚, 水煎服. 《直指》

Translation

Treats vacuity cold of the large intestine, with abdominal pain and diarrhoea. Magnolia bark, nutmeg (roasted in dough), chebula rind, amomum (ground), tangerine peel, atractylodes lancea and red poria 1 don each; costus and licorice (mix-fried) 5 pun each. Cut up, make one packet, and decoct in water with 3 slices of ginger and 2 jujubes. — Jikji 直指 (Donguibogam · Daejang)

Clinical commentary 臨床

Nutmeg and chebula to hold the bowel, Pyeongwi-san's atractylodes and magnolia bark to dry it, and costus and amomum to keep the holding from binding. 實, firming — the opposite of Sabaek-tang's draining, and the two formulas are 10.6.2's cold and heat. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.