Formulas · Reduce Food Stagnation 消食 · Uihak Immun (醫學入門)

Dispel the Yellow Pill

Toehwang-hwan

한글 퇴황환  ·  Pinyin Tui Huang Wan

退黃丸

The source specifies 6 nyang of finished Pyeongwi-san rather than its constituents; it is expanded here into atractylodes lancea, tangerine peel, magnolia bark and licorice in the formula's standard proportions, the total held to 6 nyang.

Composition 構成

Total ≈2780 g per packet (첩) · representative dosage — verify against source texts. Volume measures (升 seung, 合 hop, 斗 mal) are approximated at 1合≈60g and marked ≈.

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

  • Jaundice
  • water swelling
  • abdominal distension
  • sloppy diarrhoea

Biomedical correlates

  • Iron-deficiency anaemia with oedema
  • Jaundice with dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治黃疸, 水腫, 腹脹, 溏泄等證. 靑礬 二兩, 鍋內熔化, 入陳黃米 四升, 用醋拌勻, 慢火炒, 令烟盡, 入平胃散 六兩同炒, 少頃去火毒, 爲末, 醋糊丸梧子大. 每七十丸, 空心, 臨臥, 米飮下, 忌糯米ㆍ油ㆍ麪ㆍ生ㆍ冷ㆍ硬物. 此方, 卽周益公陰騭丸也. 盖靑礬乃銅之精液, 用醋製以平肝, 愈於鍼砂. 如服鍼砂, 必忌鹽而後復發, 靑礬則不忌鹽不復發. 《入門》

Translation

Treats jaundice, water swelling, abdominal distension, sloppy diarrhoea and the like. Green vitriol 2 nyang, melted in a pot; add 4 seung of aged yellow millet, stir evenly with vinegar, and dry-fry over a slow fire until the smoke is spent. Add 6 nyang of Calm the Stomach Powder and fry together; after a short while remove the fire toxin, powder, and make pills with vinegar paste the size of a firmiana seed. Take seventy at a time on an empty stomach and at bedtime with rice broth, avoiding glutinous rice, oil, wheat, raw, cold and hard foods. This formula is Zhou Yigong's Eumjeul-hwan. Green vitriol is the essence of copper, and processed with vinegar it levels the liver, surpassing needle filings. Where needle filings are taken, salt must be avoided or it recurs afterwards; with green vitriol, salt need not be avoided and it does not recur. — Uihak Immun 入門 (Donguibogam · Hwangdal)

Clinical commentary 臨床

The comparison at the end is the most interesting claim in the chapter's iron literature: green vitriol is preferred to needle filings because with filings the patient must avoid salt or the condition returns, while with vitriol no salt restriction is needed and it does not recur. Green vitriol is ferrous sulfate, already in a soluble salt form; needle filings are metallic iron needing acid to be absorbed. Whether or not the salt reasoning holds, the practical observation — that one works more reliably than the other — is consistent with the chemistry. **Contains ferrous sulfate in quantity. Iron overdose is dangerous, particularly to children. Not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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