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

Running Piglet Pill

Bundon-hwan

한글 분돈환  ·  Pinyin Ben Tun Wan

奔豚丸

Composition 構成

Total 108.8 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

Indications 主治

Pattern-based

  • Kidney accumulation named running piglet
  • rising from the lower abdomen to below the heart like a piglet running
  • now down and now up without fixed time
  • Panting counterflow with wilting bones and scant qi when it does not resolve
  • Black complexion with a large replete pulse at the inch

Biomedical correlates

  • Lower abdominal mass
  • Panic-associated abdominal surging

Source text 原文

Donguibogam 東醫寶鑑

治腎積. 厚朴 七錢, 黃連 五錢, 川練子 三錢, 白茯苓ㆍ澤瀉ㆍ菖蒲 各二錢, 玄胡索 一錢半, 全蝎ㆍ附子ㆍ獨活 各一錢, 川烏ㆍ丁香ㆍ巴豆霜 各五分, 肉桂 二分. 右末, 蜜丸梧子大. 鹽湯下, 服如上法. 《正傳》

Translation

Treats kidney accumulation. Magnolia bark 7 don; coptis 5 don; toosendan 3 don; white poria, alisma and acorus 2 don each; corydalis 1.5 don; scorpion, aconite (fu zi) and pubescent angelica 1 don each; aconite (chuan wu), clove and croton frost 5 pun each; cinnamon bark 2 pun. Powder them, make honey pills the size of a firmiana seed, and take down with salt decoction, dosing as above. — Uihak Jeongjeon 正傳 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The only one of the five where coptis is not chief — magnolia bark leads and coptis drops to 5 don, the lowest of the set, because a kidney accumulation is read as the coldest. Aconite, scorpion and clove come in instead, and salt decoction as the vehicle directs the whole formula to the kidney. Running piglet is the most vividly named of the five accumulations and the section at 1.18 calls it the hardest of them to treat, noting that it arises from fright and terror and that what surges to the throat follows the spirit upward. The formula at 1.8.9 treats the same condition from the opposite direction, with no purgative at all. **Contains croton frost and two aconite preparations, all toxic. Not suitable for self-administration and contraindicated in pregnancy.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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