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

Food-Dispersing Powder (Children chapter)

Sosik-san

한글 소식산 (소아) · Pinyin Xiao Shi San

消食散

The derived id collides with a formula of a different name: 消蝕散, the 直指 corroding powder of the Sores chapter that is laid on proud flesh, is registered as `sosik-san`, and 消食散 romanizes onto it. `hanrom.py` cannot see this, because its collision check keys on the hanja name and the two names are spelled differently. Following 平肌散/平氣散, 千金散/淸音散 and 溫驚丸/溫經丸, the later leaf takes the chapter tail, so this is `sosik-san-soa`. A third near-namesake, 消食丸 `sosik-hwan`, is the 湯氏 pill of this same chapter and is a different prescription again. 陳壁土 is the earth the atractylodes is roasted in; it is entered as a separate row, as the corpus does with 東壁土炒橘皮 in `seokryeon-san`. The leaf prints 醫鍳, normalized to 醫鑑.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

10 g
Chief 君

2 don 5 fun, dry-fried in old wall earth (陳壁土炒)
Maega Mai Ya
麥芽 맥아 · Barley Sprout

4 g
Deputy 臣

1 don
Sain Sha Ren
砂仁 사인 · Amomum

4 g
Deputy 臣

縮砂, 1 don
Sansa Shan Zha
山楂 산사 · Hawthorn

4 g
Deputy 臣

山査肉, the flesh of the fruit, 1 don
Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

2.8 g
Assistant 佐

7 fun
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

2.8 g
Assistant 佐

香附米, 7 fun
Singok Shen Qu
神麴 신곡 · Medicated Leaven

2.8 g
Assistant 佐

7 fun
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

2.8 g
Assistant 佐

7 fun
Byeokto Bi Tu
壁土 벽토 · Wall Earth

—
Envoy 使

陳壁土, old wall earth — the medium the atractylodes is dry-fried in, then discarded
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

5 fun
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices (薑三片), only in the decocted form

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Treats abdominal pain from food accumulation in a child
Moves and warms the stomach qi and breaks up undigested milk and food, on a base of white atractylodes dry-fried in old wall earth
Given as 1 don of the powder in rice water, or 2 don cut coarse and decocted with three slices of ginger

Indications 主治

Pattern-based

食積腹痛 — abdominal pain from food accumulation
乳食所傷 — the belly hurt by milk and food, the section's commonest reading of infantile abdominal pain

Biomedical correlates

Functional abdominal pain and dyspepsia in a child
Constipation and simple overfeeding

Source text 原文

Donguibogam 東醫寶鑑

治食積腹痛. 白朮(陳壁土炒) 二錢半, 麥芽ㆍ縮砂ㆍ山査肉各一錢, 橘紅ㆍ香附米ㆍ神麴ㆍ靑皮各七分, 甘草五分. 右爲末, 每一錢, 米飮調下. 或剉取二錢, 入薑三片, 煎服亦可. 《醫鑑》

Translation

Treats abdominal pain from food accumulation. White atractylodes (dry-fried in old wall earth), 2 don 5 fun; barley sprout, amomum and hawthorn flesh, 1 don each; red tangerine peel, cyperus, medicated leaven and green tangerine peel, 7 fun each; licorice, 5 fun. Powder the above and give 1 don at a time stirred into rice water. Or cut 2 don coarse, add three slices of ginger, and it may also be decocted and drunk. — Uigam 醫鑑 (Donguibogam · Soa)

Clinical commentary 臨床

A food-moving powder of the ordinary kind, and the only thing unusual about it is how much of it is the atractylodes: 2 don 5 fun of 白朮 against 1 don of each of the three breaking drugs and 7 fun of each of the four peels and leavens. Barley sprout, amomum and hawthorn flesh are the digestives; red and green tangerine peel, cyperus and medicated leaven move and warm; licorice closes it. Dry-frying in old wall earth is a way of making the atractylodes less drying and more settling to the stomach, and the earth is sieved off before use. For the child the section has in mind — one whose belly hurts after too much milk or food — this is a mild and reasonable thing to give, and the second method, 2 don decocted with ginger, is essentially a warm aromatic drink. **Nothing in it is toxic, but it is a qi-moving and stomach-stimulating formula, and giving one into a bowel that is obstructed is dangerous: the stimulus has nowhere to go, and in an obstruction or an intussusception it buys time the child does not have.** The dose is 1 don of powder or 2 don decocted, with no reference to the child's size or weight. Green bilious vomiting, blood in the stool, or a rigid tender abdomen means an obstruction has to be excluded before anything is given by mouth. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.