寶鑑Bogam

Formulas · Reduce Food Stagnation 消食 · Manbyeong Hoechun (萬病回春)

Gan-Dispersing Pill

Sogam-hwan

한글 소감환  ·  Pinyin Xiao Gan Wan

消疳丸

A collation note sits inside this leaf at the page boundary, giving the transcription's 䧺 against the First Edition's 雄, but the character it annotates is not in this leaf — 䧺黃 stands three lines above, in 五疳保童元, where the normalization is applied. The note is printed nowhere in this entry. 茯苓 is unqualified and is taken as 白茯苓, as the corpus does elsewhere.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 18 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

Indications 主治

Pattern-based

  • 五疳 — the five gan taken together
  • 食疳 with 腹大 — food accumulation with a distended belly, earth-eating and foul stool

Biomedical correlates

  • Protein-energy malnutrition in a young child
  • Intestinal helminthiasis, chiefly ascariasis
  • Abdominal distension with chronic diarrhoea

Source text 原文

Donguibogam 東醫寶鑑

治五疳. 蒼朮ㆍ陳皮ㆍ厚朴ㆍ枳殼ㆍ檳榔ㆍ神麴(炒)ㆍ山楂肉ㆍ麥芽(炒)ㆍ三稜(煨)ㆍ蓬朮(煨)ㆍ縮砂ㆍ茯苓ㆍ黃連(炒)ㆍ胡黃連ㆍ蕪荑ㆍ使君子ㆍ蘆薈 各等分. 右爲末, 蒸餠和丸彈子大, 米飮化下一丸. 《回春》

Translation

Treats the five gan. Atractylodes lancea, tangerine peel, magnolia bark, bitter orange, areca nut, medicated leaven (stir-fried), hawthorn flesh, malt (stir-fried), sparganium (roasted in the ashes), zedoary (roasted in the ashes), cardamom, poria, coptis (stir-fried), picrorhiza, elm-fruit paste, Quisqualis and aloe, equal parts of each. Powder the above and bind it with steamed leavened bread into pills the size of a bullet; one pill dissolved in rice decoction. — Hoechun 回春 (Donguibogam · Soa)

Clinical commentary 臨床

平胃散 widened out. Atractylodes lancea, tangerine peel, magnolia bark and cardamom are the drying and qi-moving core; bitter orange, areca nut, hawthorn, malt, medicated leaven, sparganium and zedoary are the full food-and-mass apparatus of a 消導 formula; and then coptis and picrorhiza for the heat, two worm drugs, and aloe. Seventeen drugs in equal parts, with no quantity named for any of them, bound on steamed bread into bullet-sized pills. On the honest reading of 疳 as childhood malnutrition, and on why a drying, qi-moving, accumulation-breaking formula is the wrong direction for a wasted child, see 五疳保童元. Three of the four strongest things in this pill — sparganium, zedoary and areca nut — are reducing drugs, and a child whose belly is distended because the gut is loaded and the muscle wall is gone is not a child who should be reduced further. **The Quisqualis and the elm-fruit paste are genuine anthelmintics and ascariasis is what they treat.** A single dose of albendazole or mebendazole now does the same thing, and does it at a known dose. **That is the point: an effective drug with no stated dose is still a hazard** — here there is not even an equal-parts weight, only one bullet-sized pill. **Contains aloe — a stimulant laxative — in a pill for a small child, and the chapter gives no dose by weight anywhere.** The children in these sections are losing fluid already, by 疳瀉 and by 吐瀉; adding a purgative to that is the wrong way round, and in an infant a few hundred millilitres of stool is a circulating-volume problem. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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