Formulas · Purge Downward 瀉下 · Uihak Jeongjeon (醫學正傳)

Glomus Qi Pill (Spleen Accumulation)

Bigi-hwan

한글 비기환(비적) · Pinyin Pi Qi Wan

痞氣丸

Registered with the -bi suffix; see the note at 肥氣丸 1.8.3 on the shared Korean reading.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

32 g
Chief 君 8 don
Hubak Hou Po
厚朴 후박 · Magnolia Bark

16 g
Deputy 臣 4 don
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

12 g
Deputy 臣 3 don
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

8 g
Assistant 佐 2 don
Sain Sha Ren
砂仁 사인 · Amomum

6 g
Assistant 佐縮砂, 1.5 don
Injinho Yin Chen Hao
茵蔯蒿 인진호 · Capillaris

6 g
Assistant 佐茵蔯, 1.5 don
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

6 g
Assistant 佐 1.5 don
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Assistant 佐 1 don
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

4 g
Assistant 佐
Cheono Chuan Wu
川烏 천오 · Aconite Main Root

2 g
Assistant 佐 5 pun
Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

2 g
Assistant 佐 5 pun
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

1.6 g
Assistant 佐 cinnamon bark (桂皮), 4 pun
Padu Ba Dou
巴豆 파두 · Croton Seed

1.6 g
Assistant 佐 frost (巴豆霜), 4 pun — TOXIC
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

0.8 g
Assistant 佐 2 pun

Total 106 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

Breaks up spleen accumulation in the stomach duct
Dries damp and disinhibits jaundice

Indications 主治

Pattern-based

Spleen accumulation named glomus qi
in the stomach duct and covering an area like a platter
Slackening of the four limbs when it does not resolve
Jaundice arising
Food and drink not becoming flesh
Yellow complexion with a large vacuous pulse

Biomedical correlates

Epigastric mass with jaundice
Hepatosplenomegaly
Malabsorption with wasting

Source text 原文

Donguibogam 東醫寶鑑

治脾積. 黃連八錢, 厚朴四錢, 吳茱萸三錢, 黃芩二錢, 縮砂一錢半, 白茯苓ㆍ人參ㆍ澤瀉各一錢, 茵蔯ㆍ乾薑各一錢半, 川烏ㆍ川椒各五分, 桂皮ㆍ巴豆霜各四分, 白朮二分. 右爲末, 蜜丸梧子大. 甘草湯下, 服如上法. 《正傳》

Translation

Treats spleen accumulation. Coptis 8 don; magnolia bark 4 don; evodia 3 don; scutellaria 2 don; amomum 1.5 don; white poria, ginseng and alisma 1 don each; artemisia and dry ginger 1.5 don each; aconite and zanthoxylum 5 pun each; cinnamon bark and croton frost 4 pun each; white atractylodes 2 pun. Powder them, make honey pills the size of a firmiana seed, and take down with a decoction of licorice, dosing as above. — Uihak Jeongjeon 正傳 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Artemisia and alisma are the spleen-specific additions and they answer the indication directly: the pattern description at 1.2 names jaundice among the signs of spleen accumulation, and artemisia is the classical jaundice medicinal. White atractylodes at 2 pun is almost token — striking in a spleen formula — because the mass is being attacked and the spleen supported only enough to bear it. The phrase 飮食不爲肌膚, food and drink not becoming flesh, is the one worth carrying: eating without gaining, which the Phlegm-Rheum chapter also uses as a marker at 6.7. **Contains croton frost and aconite, both toxic. Not suitable for self-administration and contraindicated in pregnancy. Jaundice with an abdominal mass requires urgent investigation.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.