Formulas · Reduce Food Stagnation 消食 · Tangssi (湯氏)

Food-Dispersing Pill

Sosik-hwan

한글 소식환 · Pinyin Xiao Shi Wan

消食丸

The 一名 given by the Hoechun is 消乳丸, which reads as soyu-hwan; that identifier is unoccupied in the corpus and no separate entry is made for it, since it is the same prescription under another name. 依上法服之 refers back to 進食丸 immediately above — two or three pills in rice water for a one-year-old.

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

20 g
Chief 君

fried (炒), 5 don
Sain Sha Ren
砂仁 사인 · Amomum

10 g
Deputy 臣

縮砂, 2 don 5 fun
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

10 g
Deputy 臣

2 don 5 fun
Samneung San Leng
三稜 삼릉 · Sparganium

10 g
Assistant 佐

2 don 5 fun, a blood-breaking drug
Bongchul E Zhu
莪朮 봉출 · Zedoary

10 g
Assistant 佐

蓬朮, zedoary, 2 don 5 fun, a blood-breaking drug
Singok Shen Qu
神麴 신곡 · Medicated Leaven

10 g
Assistant 佐

2 don 5 fun, also made into the paste that binds the pills
Maega Mai Ya
麥芽 맥아 · Barley Sprout

10 g
Assistant 佐

2 don 5 fun

Total 80 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

Treats old food that will not digest
Disperses milk accumulation and food accumulation
Pills the size of a hemp seed, taken as for the formula above

Indications 主治

Pattern-based

宿食不消 — food standing overnight and not digesting
乳積ㆍ食積 — milk accumulation and food accumulation

Biomedical correlates

Functional dyspepsia and abdominal distension in a child

Source text 原文

Donguibogam 東醫寶鑑

治宿食不消, 消乳積ㆍ食積. 香附子(炒) 五錢, 縮砂ㆍ陳皮ㆍ三稜ㆍ蓬朮ㆍ神麴ㆍ麥芽各二錢半. 右爲末, 神麴糊和丸麻子大, 依上法服之. 《湯氏》 ○一名消乳丸. 《回春》

Translation

Treats old food that will not digest; disperses milk accumulation and food accumulation. Cyperus (fried), 5 don; amomum, tangerine peel, sparganium, zedoary, medicated leaven and malt, 2 don 5 fun each. Powder the above, bind with medicated-leaven paste into pills the size of a hemp seed, and take as in the method above. — Tangssi 湯氏 ○ One name for it is Soyu-hwan. — Manbyeong Hoechun 回春 (Donguibogam · Soa)

Clinical commentary 臨床

The mildest formula in the 積癖 run and the only one with nothing poisonous in it. Fried cyperus at double weight leads, with amomum and tangerine peel to move stagnant qi in the stomach, medicated leaven and malt as the two digestive ferments, and sparganium and zedoary as the pair this section reaches for whenever a mass has to be broken up. The leaven does double duty: it is also the paste that binds the pills. For what 積癖 actually is and why a persistent abdominal mass in a child is an imaging question today, see 進食丸 (jinsik-hwan), where the differential for this batch is set out in full. Judged against what the text claims, this one is close to harmless. Malt and leaven contain amylases and the aromatics are carminative, so a distended, uncomfortable, overfed infant might well seem better after it — which is exactly the trap. The formulas of this section were used on real masses, and a formula that appears to help with wind buys time that a child with a tumour or an intussusception does not have. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.