Formulas · Warm the Interior 溫裏 · Piryong (必用)

Nourish the Spleen Pill

Yangbi-hwan

한글 양비환 · Pinyin Yang Pi Wan

養脾丸

Pill formula, bulk amounts: powdered and worked with honey, each nyang of the mass divided into eight large pills; one pill per dose, chewed down with a ginger decoction.

Composition 構成

Geongang Gan Jiang
乾薑 건강 · Dried Ginger

160 g
Chief 君
Sain Sha Ren
砂仁 사인 · Amomum

160 g
Chief 君
Gamcho Gan Cao
甘草 감초 · Licorice

120 g
Deputy 臣 roasted
Maega Mai Ya
麥芽 맥아 · Barley Sprout

40 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

40 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

40 g
Assistant 佐
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

40 g
Assistant 佐

Total 600 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

Warms the vacuously cold Spleen-Stomach so food can disperse
Settles the distension retching and diarrhea of the cold middle

Indications 主治

Pattern-based

Spleen-Stomach vacuity cold with food undispersed (脾胃虛冷飮食不消)
Abdominal distension with retching or diarrhea
Cold-type chronic digestive failure

Biomedical correlates

Cold-pattern chronic dyspepsia
Digestive weakness with loose stool in cold-sensitive patients
Geriatric cold-type indigestion

Source text 原文

Donguibogam 東醫寶鑑

治脾胃虛冷, 飮食不消, 或腹脹嘔泄. 乾薑ㆍ縮砂各四兩, 甘草(灸) 三兩, 麥芽ㆍ白茯苓ㆍ人參ㆍ白朮各一兩. 右爲末, 蜜和每一兩分作八丸, 每一丸, 薑湯嚼下. 《必用》

Translation

Treats Spleen-Stomach vacuity cold with food and drink undispersed, or abdominal distension with retching and diarrhea. Dried ginger and amomum, 4 nyang each; roasted licorice 3 nyang; barley sprout, white poria, ginseng, and white atractylodes, 1 nyang each. Powder the above, work with honey, and divide each nyang into eight pills; chew one pill down each time with a ginger decoction. — Piryong 必用 (Donguibogam · Naesang)

Clinical commentary 臨床

The dosage column tells you the diagnosis — dried ginger and amomum at four ounces while ginseng and atractylodes wait at one: this stomach is not weak so much as cold, and the pill is built like a hearth. Chewed, not swallowed, so the warmth starts at the mouth. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.