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

Coptis and Radish Seed Pill

Yeonna-hwan

한글 연나환 · Pinyin Lian Luo Wan

連蘿丸

Carries two alternative names in the chapter: 白芥丸 in the Immun and 消積丸 in current usage (俗方). The formula is cited by the Damum chapter and again at 1.13.1 among the food-accumulation prescriptions.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

60 g
Chief 君 1.5 nyang — half dry-fried with 5 don of evodia and the evodia discarded, half dry-fried with 5 don of alpinia and the alpinia discarded
Baekgaeja Bai Jie Zi
白芥子 백개자 · White Mustard Seed

60 g
Deputy 臣 stir-fried (炒)
Nabokja Lai Fu Zi
萊菔子 나복자 · Radish Seed

60 g
Deputy 臣 stir-fried (炒)
Chija Zhi Zi
梔子 치자 · Gardenia

40 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

40 g
Assistant 佐
Samneung San Leng
三稜 삼릉 · Sparganium

40 g
Assistant 佐
Bongchul E Zhu
莪朮 봉출 · Zedoary

40 g
Assistant 佐
Doin Tao Ren
桃仁 도인 · Peach Kernel

40 g
Assistant 佐
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

40 g
Assistant 佐
Sansa Shan Zha
山楂 산사 · Hawthorn

40 g
Assistant 佐 flesh only (山査肉)
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

20 g
Assistant 佐

Total 520 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

Disperses food accumulation
dead blood and phlegm-rheum formed into lumps
Clears heat and moves the qi

Indications 主治

Pattern-based

Lumps in both ribsides with pain
Rumbling in the abdomen
Gnawing discomfort and dizziness

Biomedical correlates

Functional dyspepsia with masses
Chronic gastritis with dizziness

Source text 原文

Donguibogam 東醫寶鑑

治食積, 死血, 痰飮成塊, 在兩脇作痛, 雷鳴, 嘈雜, 眩暈. 黃連一兩半(取一半以吳茱萸五錢同炒去茱萸, 一半以益智五錢同炒去益智), 白芥子ㆍ蘿葍子(幷炒) 各一兩半, 梔子ㆍ川芎ㆍ三稜ㆍ蓬朮ㆍ桃仁ㆍ香附子ㆍ山査肉ㆍ神麴各一兩, 靑皮五錢. 右爲末, 蒸餠和丸梧子大. 白湯呑下五六十丸. 《入門》一名白芥丸. 《入門》今名消積丸. 《俗方》

Translation

Treats food accumulation, dead blood and phlegm-rheum formed into lumps, lying in both ribsides with pain, with rumbling in the abdomen, gnawing discomfort and dizziness. Coptis 1.5 nyang — half of it dry-fried with 5 don of evodia, the evodia then discarded, and half dry-fried with 5 don of alpinia, the alpinia then discarded; white mustard seed and radish seed (both stir-fried) 1.5 nyang each; gardenia, chuanxiong, sparganium, curcuma, peach kernel, cyperus, hawthorn flesh and medicated leaven 1 nyang each; green tangerine peel 5 don. Powder them, make pills with steamed cake the size of a firmiana seed, and take fifty or sixty down with plain hot water. Also called Baekgae-hwan; now called Sojeok-hwan. — Uihak Immun 入門 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The coptis processing is the technique worth noting. The same nyang and a half is split in two, one half fried with evodia and the other with alpinia, and both partners are then thrown away. Evodia is acrid and hot and directs coptis toward the liver; alpinia is warm and aromatic and directs it toward the spleen. One medicinal is thereby sent to two places at once, and its bitter cold is tempered without adding anything to the finished pill. The three causes named in the indication — food accumulation, dead blood, phlegm-rheum — are exactly the three the chapter assigns to right, left and centre at 1.6, so this is the formula for a lump that will not be sorted into one of the three. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.