Formulas · Transform Phlegm 化痰 · Immun (入門)

Atractylodes Phellodendron and Ailanthus Bark Pill

Changbaekjeopi-hwan

한글 창백저피환 · Pinyin Cang Bai Chu Pi Wan

蒼柏樗皮丸

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Atractylodes Lancea

40 g
Chief 君
Jeogeunbaekpi Chu Gen Bai Pi
樗根白皮 저근백피 · Ailanthus Root Bark

40 g
Chief 君

樗根白皮
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

40 g
Deputy 臣

黃栢
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Deputy 臣

processed
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

40 g
Deputy 臣

roasted
Haeseok Hai Shi
海石 해석 · Clam Shell (the Bogam reads 海石卽蛤蜊殼)

40 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

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

40 g
Assistant 佐
Hwalseok Hua Shi
滑石 활석 · Talc

—
Assistant 佐

in summer, replacing the dry ginger
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

40 g
Envoy 使

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Dries the damp phlegm behind a stout patient's white discharge
Binds with a vinegar paste while it dries

Indications 主治

Pattern-based

White discharge in a stout person — this being damp phlegm (肥人白帶是濕痰)
Damp phlegm pouring down below
Chronic discharge in a heavy damp constitution

Biomedical correlates

Chronic vaginal discharge with damp pattern
Recurrent leucorrhoea in overweight patients

Source text 原文

Donguibogam 東醫寶鑑

治肥人白帶, 是濕痰. 蒼朮ㆍ黃栢ㆍ樗根白皮ㆍ海石ㆍ半夏(製)ㆍ南星(炮)ㆍ川芎ㆍ香附子ㆍ乾薑各等分. 右爲末, 醋糊和丸梧子大, 白湯下五七十丸. 夏月去乾薑, 代滑石. 《入門》

Translation

Treats white discharge in a stout person, this being damp phlegm. Atractylodes lancea, phellodendron, ailanthus root bark, pumice, processed pinellia, roasted arisaema, cnidium, cyperus and dry ginger, in equal parts. Powder the above and bind with a vinegar paste into pills the size of parasol-tree seeds; take 50–70 pills with plain boiled water. In the summer months leave out the dry ginger and put talcum in its place. — Immun 入門 (Donguibogam · Po)

Clinical commentary 臨床

The twin of Geumbaekjeopi-hwan, and the pair is the chapter's clearest piece of constitutional thinking: in a thin patient discharge is heat, in a stout one it is damp phlegm. Both pills are built on ailanthus bark and phellodendron and both are bound with vinegar, but where the thin patient's version adds two cooling drugs and keeps peony in to protect the blood, this one adds the phlegm group — pinellia, arisaema and pumice — with atractylodes lancea on top and dry ginger underneath to keep the drying from turning cold. The summer substitution is the detail that shows the formula was used. Dry ginger comes out and talcum goes in when the weather itself is hot and damp, which leaves the structure intact and changes only its temperature. **Contains pinellia and arisaema, which are toxic raw. Both must be properly processed, as the leaf specifies, and this must not be prepared otherwise.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.