寶鑑Bogam

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

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

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.

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