Formulas · Transform Phlegm 化痰 · Uihak Immun (醫學入門)

Phlegm-Dispersing Poria Pill

Sodambokryeong-hwan

한글 소담복령환  ·  Pinyin Xiao Tan Fu Ling Wan

消痰茯苓丸

Composition 構成

Total 140.7 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

  • Arm pain with inability to raise the arm
  • Pain shifting from side to side
  • Sunken and fine pulse

Biomedical correlates

  • Frozen shoulder with phlegm signs
  • Bilateral migratory shoulder pain

Source text 原文

Donguibogam 東醫寶鑑

治痰飮流注, 臂痛不能擧, 時復轉移, 脉沈細. 半夏 二兩, 赤茯苓 一兩, 枳殼 五錢, 朴硝 二錢半. 右爲末, 薑汁糊和丸梧子大, 薑湯下三五十丸. 無朴硝, 則以焰硝代之. 《入門》 ○有人爲痰飮所苦, 兩手戰掉, 痛不能擧, 服此卽愈. 《得效》

Translation

Treats phlegm-rheum pouring and flowing, arm pain with inability to raise the arm, shifting from time to time, with a sunken and fine pulse. Pinellia 2 nyang, red poria 1 nyang, bitter orange 5 don, crude mirabilite 2.5 don. Powder the above, form into pills the size of firmiana seeds with ginger juice paste, and take 30 to 50 pills down with ginger decoction. If crude mirabilite is unavailable, substitute saltpetre. — Immun 入門. There was a man tormented by phlegm-rheum whose two hands shook and trembled, with pain and inability to raise them; on taking this he was cured. — Deukhyo 得效

Clinical commentary 臨床

The sunken fine pulse is what separates this from a wind-damp presentation, and the shifting from side to side is the signature of phlegm rather than of structural injury. The substitution clause — saltpetre for crude mirabilite — is one of the few explicit dispensary contingencies in the chapter, and worth noting that Heo Jun considered the two interchangeable here despite their different chemistry. Both are now largely unavailable; contemporary practice reaches for the pinellia-poria-bitter orange core alone. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another