Formulas · Transform Phlegm 化痰 · Hwaje Gukbang (和劑局方)

Qingzhou White Round Pill

Cheongjubaegwonja

한글 청주백원자  ·  Pinyin Qing Zhou Bai Yuan Zi

靑州白圓子

The Bogam writes 圓 here where the Hand chapter passage writes 元. Both are the same formula; the Damum graph is taken as canonical and the Hand chapter passage corrected to match.

Composition 構成

Total 500 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

  • Wind phlegm congesting and abundant
  • Vomiting with dizziness
  • Hemiplegia and wind stroke sequelae
  • Twitching and involuntary movement

Biomedical correlates

  • Post-stroke hemiplegia
  • Vertigo with vomiting
  • Movement disorders with tremor

Source text 原文

Donguibogam 東醫寶鑑

治風痰壅盛, 嘔吐眩暈, 及癱瘓風. 半夏 七兩, 天南星 三兩, 白附子 二兩, 川烏 五錢. 右生爲細末, 淸水浸, 春五, 夏三, 秋七, 冬十日, 朝夕換水. 候日數足, 乃取, 納生絹袋中, 濾過其滓, 再硏濾過, 以盡爲度, 澄淸, 去水曬乾. 又爲末, 以糯米粥淸和丸菉豆大, 薑湯呑下三五十丸. 《局方》

Translation

Treats wind phlegm congesting and abundant, with vomiting and dizziness, and wind hemiplegia. Pinellia 7 nyang, arisaema 3 nyang, typhonium 2 nyang, aconite (chuan wu) 5 don. Grind all raw to a fine powder and steep in clear water — five days in spring, three in summer, seven in autumn, ten in winter — changing the water morning and evening. When the days are complete, take it out, put it in a raw silk bag and strain off the dregs; grind and strain again until nothing remains, let it settle clear, pour off the water and sun-dry. Powder it once more and make pills with clear glutinous rice congee, mung-bean size. Take thirty to fifty down with ginger decoction. — Hwaje Gukbang 局方 (Donguibogam · Damum)

Clinical commentary 臨床

Four acrid, warm, drying medicinals, three of them toxic in the raw state — and the entire method is a detoxification procedure. Days of soaking with twice-daily water changes, straining, resettling, sun-drying: what the water carries off is the irritant fraction, and what remains is the phlegm-moving action. The seasonal schedule is not decoration. Warm weather ferments the mash, so summer gets three days and winter ten. Anyone reading this as a usable prescription should note that the safety of the finished pill rests entirely on the processing being done correctly, and that raw aconite and raw pinellia are not substitutes for it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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