Formulas · Tonify Qi 補氣 · Manbyeong Hoechun (萬病回春)

Make the Intestine Solid Powder (Enduring Dysentery)

Siljang-san

한글 실장산 (구리) · Pinyin Shi Chang San

實腸散

A different 實腸散 from the Jikji's for vacuity cold diarrhoea, which is registered separately.

Composition 構成

Sanyak Shan Yao
山藥 산약 · Chinese Yam

40 g
Chief 君

stir-fried
Hwangmi Huang Mi
黃米 황미 · Yellow Millet

—
Deputy 臣

one hop of stir-fried yellow millet
Satang Sha Tang
砂糖 사당 · Granulated Sugar

—
Envoy 使

stirred with hot water into the powder to a paste

Total 40 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients 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 an enduring dysentery without distinction of red or white
bringing yellow stool back in its place

Indications 主治

Pattern-based

Chronic dysentery with spleen vacuity

Biomedical correlates

Chronic dysentery
Convalescent colitis

Source text 原文

Donguibogam 東醫寶鑑

治久痢, 不分赤白, 用此藥換出黃糞來. 山藥(炒) 一兩, 炒黃米一合. 右爲末, 用砂糖調熱湯和勻藥末, 適稀稠, 漸漸服, 後用淸米湯漱口最效. 《回春》

Translation

Treats an enduring dysentery without distinction of red or white; this medicine brings yellow stool back in its place. Stir-fried dioscorea, 1 nyang; stir-fried yellow millet, one hop. Powder, stir sugar into hot water and mix it with the drug powder to the right consistency, take it little by little, and afterwards rinse the mouth with clear rice water — most effective. — Manbyeong Hoechun 回春 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The indication is the most practical sentence in the chapter: it brings yellow stool back. That is the recovery endpoint a physician can actually see — the exudate giving way to ordinary faeces — and the Hoechun names it as the goal rather than naming a pattern. The preparation is food: toasted dioscorea and millet with sugar, taken as a paste little by little. For a patient coming off a long dysentery it is the right thing, and nothing in it is a drug at all. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.