Formulas · Purge Downward 瀉下 · Bonsabang (本事方)

Perilla and Hemp Gruel

Soma-juk

한글 소마죽  ·  Pinyin Su Ma Zhou

蘇麻粥

The case history is part of the Bonsa's entry and is preserved here.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

  • Qi stagnation with dry stool in the aged
  • Postpartum constipation

Biomedical correlates

  • Habitual constipation in the elderly
  • Postpartum constipation

Source text 原文

Donguibogam 東醫寶鑑

順氣滑大便. 治老人ㆍ虛人風秘ㆍ血秘, 大便艱澁; 婦人産後便秘皆宜服之. 蘇子ㆍ麻子 不拘多少, 等分, 同擣爛, 和水濾取汁, 粳米末少許, 同煮作粥食之. 久服尤佳. 《本事》 ○一老婦忽爾腹痛ㆍ頭痛ㆍ惡心不食. 正是老人風秘, 藏府壅滯, 氣聚胸中則腹脹惡心不欲食; 上至於巓則頭痛神不淸. 服此粥, 兩啜而氣泄, 下結糞十餘枚, 藏府流暢, 諸疾自去矣. 《本事》

Translation

Orders the qi and makes the stool slip. Treats wind constipation and blood constipation in the old and the depleted with the stool hard to pass, and is suited also to a woman constipated after childbirth. Perilla seed and hemp seed, any quantity in equal part, pounded to a pulp together, mixed with water and strained for the juice; boil it with a little polished-rice flour into a gruel and eat it. Taken long it is better still. An old woman suddenly had abdominal pain, headache, nausea and no appetite. This was exactly an old person's wind constipation: the viscera and bowels congested and blocked, the qi gathering in the chest so that the belly was distended and she was nauseated and would not eat, and rising to the crown so that her head ached and her spirit was unclear. She took this gruel, and at two sips the qi passed off; a dozen lumps of bound stool came down, the viscera and bowels ran free, and all her complaints went of themselves. — Bonsabang 本事 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The case attached to this entry is the best clinical narrative in the chapter and it is recognizable: an old woman with abdominal pain, headache, nausea and anorexia, which the Bonsa reads as faecal loading and treats with a seed-oil gruel; a dozen hard lumps come down and the headache and nausea go with them. That is faecal impaction presenting as systemic illness, diagnosed and relieved correctly. The gruel itself is perilla and hemp seed oil in rice — bulk and lubricant, which is what impaction wants. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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