Formulas · Reduce Food Stagnation 消食 · Gogeum Uigam (古今醫鑑)

Preserve Harmony Pill (Uigam)

Bohwa-hwan

한글 보화환(의감) · Pinyin Bao He Wan

保和丸

A second formula of the same name from the Dansim appears at 1.13.11 for food and alcohol accumulation, and corresponds to the entry already registered from the Danggye Simbeop. The two are distinct prescriptions and are separated by source suffix.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

200 g
Chief 君 5 nyang
Sansa Shan Zha
山楂 산사 · Hawthorn

120 g
Chief 君 flesh only (山査肉)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

120 g
Deputy 臣 3 nyang
Banha Ban Xia
半夏 반하 · Pinellia

120 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

120 g
Deputy 臣
Singok Shen Qu
神麴 신곡 · Medicated Leaven

120 g
Deputy 臣
Yeongyo Lian Qiao
連翹 연교 · Forsythia

80 g
Assistant 佐 2 nyang
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

80 g
Assistant 佐 wine-fried (酒炒)
Hubak Hou Po
厚朴 후박 · Magnolia Bark

80 g
Assistant 佐
Nabokja Lai Fu Zi
萊菔子 나복자 · Radish Seed

80 g
Assistant 佐 stir-fried (炒)
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Assistant 佐 1 nyang
Maega Mai Ya
麥芽 맥아 · Barley Sprout

40 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

40 g
Assistant 佐 wine-fried (酒炒)
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

40 g
Assistant 佐 wine-fried (酒炒)

Total 1280 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 all damage from food and drink
Dissolves accumulations and glomus lumps taken over time
Fortifies the spleen

Indications 主治

Pattern-based

Damage from food and drink of every kind
Accumulations and glomus lumps
Long-standing food retention

Biomedical correlates

Chronic functional dyspepsia
Food retention with palpable mass

Source text 原文

Donguibogam 東醫寶鑑

治一切飮食所傷, 及積聚痞塊, 久服自消. 白朮五兩, 陳皮ㆍ半夏ㆍ茯苓ㆍ神麴ㆍ山査肉各三兩, 連翹ㆍ香附子(酒炒)ㆍ厚朴ㆍ蘿葍子(炒) 各二兩, 枳實ㆍ麥芽ㆍ黃連(酒炒)ㆍ黃芩(酒炒) 各一兩. 右末, 薑汁糊和丸梧子大. 茶淸下五七十丸. 《醫鑑》

Translation

Treats damage from food and drink of every kind, and accumulations and glomus lumps; taken over time they disperse of themselves. White atractylodes 5 nyang; tangerine peel, pinellia, poria, medicated leaven and hawthorn flesh 3 nyang each; forsythia, cyperus (wine-fried), magnolia bark and radish seed (stir-fried) 2 nyang each; bitter orange fruit, barley sprout, coptis (wine-fried) and scutellaria (wine-fried) 1 nyang each. Powder them, make pills with ginger juice paste the size of a firmiana seed, and take fifty to seventy down with clear tea. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The classical Bohwa-hwan with white atractylodes at five nyang put in front of it, which changes what the formula is for. The Danxi version is a straightforward food-reducing prescription; this one is aimed at accumulations and lumps that have been there long enough to need dissolving rather than dispersing, and says so — taken over time they disperse of themselves. That phrase is the section's alternative to attacking, and it is offered here in the same breath as the warning at 1.7.9 that a lump in the abdomen is never an ordinary sign. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.