Formulas · Tonify Blood 補血 · Gogeum Uigam (古今醫鑑)

Moisten the Intestine Pill (Stool Not Passing)

Yunjang-hwan

한글 윤장환 (대변불통)  ·  Pinyin Run Chang Wan

潤腸丸

A different 潤腸丸 from the Jikji's earlier in this chapter under Constipation of the Stool.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 6 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

Indications 主治

Pattern-based

  • Blood vacuity dryness with obstructed stool in the aged

Biomedical correlates

  • Severe constipation in the elderly
  • Scybalous stool

Source text 原文

Donguibogam 東醫寶鑑

治老人血少, 腸胃乾燥, 大便閉結, 甚至七八日難下, 色如猪糞, 少如羊糞者. 當歸ㆍ生地黃ㆍ枳殼ㆍ桃仁ㆍ麻仁 各等分. 右爲末, 蜜丸梧子大, 空心, 米飮下四五十丸. 《醫鑑》

Translation

Treats the old with scant blood and the intestine and stomach dry, the stool shut and bound so that seven or eight days pass before it comes down with difficulty, the colour like pig's dung, or scant like sheep's dung. Tangkuei, raw rehmannia, bitter orange, peach kernel and hemp seed, equal parts. Powder, make honey pills the size of a paulownia seed, and take forty or fifty on an empty stomach in rice water. — Gogeum Uigam 醫鑑 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The description is precise enough to be used: a stool like pig's dung, or scant like sheep's dung, after seven or eight days. Sheep's-dung stool is the term still worth borrowing — small hard pellets are the sign of slow colonic transit with excessive water absorption, exactly as the Uigam's dry intestine implies. The formula is five drugs, all moistening or blood-nourishing, with no purgative, which is right for the patient described. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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