Formulas · Reduce Food Stagnation 消食 · Gogeum Uigam (古今醫鑑)

Disperse Accumulation and Preserve the Centre Pill

Sojeokbojung-hwan

한글 소적보중환 · Pinyin Xiao Ji Bao Zhong Wan

消積保中丸

The dose measure is lost at a page break, reading 白湯下八十▨; the detached graph 丸 appears at the foot of the same page and the reading is restored as 〔丸〕.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

120 g
Chief 君 earth-fried (土炒), 3 nyang
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

80 g
Deputy 臣 white pith removed (去白), 2 nyang
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

40 g
Assistant 佐
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

40 g
Assistant 佐 vinegar-fried (醋炒)
Nabokja Lai Fu Zi
萊菔子 나복자 · Radish Seed

40 g
Assistant 佐 stir-fried (炒)
Baekgaeja Bai Jie Zi
白芥子 백개자 · White Mustard Seed

40 g
Assistant 佐 stir-fried (炒)
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐 stir-fried (炒)
Hwangryeon Huang Lian
黃連 황련 · Coptis

40 g
Assistant 佐 ginger-juice fried (薑汁炒)
Chija Zhi Zi
梔子 치자 · Gardenia

40 g
Assistant 佐 ginger-juice fried (薑汁炒)
Bongchul E Zhu
莪朮 봉출 · Zedoary

32 g
Assistant 佐 vinegar-fried (醋炒), 8 don
Samneung San Leng
三稜 삼릉 · Sparganium

32 g
Assistant 佐 vinegar-fried (醋炒), 8 don
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

28 g
Assistant 佐 7 don
Maega Mai Ya
麥芽 맥아 · Barley Sprout

24 g
Assistant 佐 stir-fried (炒), 6 don
Geonchil Gan Qi
乾漆 건칠 · Dried Lacquer

20 g
Assistant 佐 stir-fried (炒), 5 don
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

16 g
Assistant 佐 sesame-oil fried (香油炒), 4 don
Sain Sha Ren
砂仁 사인 · Amomum

16 g
Assistant 佐 stir-fried (炒), 4 don
Mokhyang Mu Xiang
木香 목향 · Costus Root

12 g
Assistant 佐 3 don
Aui A Wei
阿魏 아위 · Asafoetida

12 g
Assistant 佐 3 don

Total 712 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

Scatters glomus and removes lumps
Fortifies the spleen while dispersing accumulation

Indications 主治

Pattern-based

Glomus with lumps
Accumulation in a patient who cannot be attacked outright

Biomedical correlates

Abdominal masses with digestive weakness
Chronic dyspepsia with palpable mass

Source text 原文

Donguibogam 東醫寶鑑

散痞除塊. 白朮(土炒) 三兩, 陳皮(去白) 二兩, 半夏ㆍ白茯苓ㆍ香附(醋炒)ㆍ蘿葍子(炒)ㆍ白芥子(炒)ㆍ神麴(炒)ㆍ黃連(薑汁炒)ㆍ梔子(薑汁炒) 各一兩, 檳榔七錢, 蓬朮ㆍ三稜(幷醋炒) 各八錢, 麥芽(炒) 六錢, 乾漆(炒) 五錢, 靑皮(香油炒)ㆍ縮砂(炒) 各四錢, 木香ㆍ阿魏各三錢. 右爲末, 以薑汁酒糊和丸梧子大. 白湯下八十〔丸〕. 《醫鑑》

Translation

Scatters glomus and removes lumps. White atractylodes (earth-fried) 3 nyang; tangerine peel (white pith removed) 2 nyang; pinellia, white poria, cyperus (vinegar-fried), radish seed (stir-fried), white mustard seed (stir-fried), medicated leaven (stir-fried), coptis (ginger-juice fried) and gardenia (ginger-juice fried) 1 nyang each; areca 7 don; curcuma and sparganium (both vinegar-fried) 8 don each; barley sprout (stir-fried) 6 don; dried lacquer (stir-fried) 5 don; green tangerine peel (sesame-oil fried) and amomum (stir-fried) 4 don each; costus and asafoetida 3 don each. Powder them, make pills with ginger juice and wine paste the size of a firmiana seed, and take eighty down with plain hot water. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Nineteen medicinals and every one of them processed. What holds the formula together is the name: preserve the centre while dispersing accumulation. Three nyang of earth-fried white atractylodes leads, which is the same move as in Gukgukbohwa-hwan at 1.5.4 — a spleen supplement put at the head of a reducing formula so that what follows does not empty the patient. Asafoetida and dried lacquer at the small end are the two that actually dissolve a mass, and both are used sparingly. The section's own rule at 1.7.4 governs the whole design: after the lump goes, greatly supplement. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.