Formulas · Transform Phlegm 化痰 · Uihak Immun (醫學入門)

Chlorite Schist Pill

Cheongmongseok-hwan

한글 청몽석환  ·  Pinyin Qing Meng Shi Wan

靑礞石丸

Two problems in the source. The pinellia carries a processing note but no weight; 〔二兩〕 is restored on the parallel with arisaema, which is listed immediately before it at 2 nyang with a matching two-day soak. A graph is also lost in 「入罐內▨」 describing how the crock is closed; the sense is supplied by the salt-clay lute that follows, and the lacuna is left unfilled. Medicated leaven appears only as the binding paste and is entered without a weight.

Composition 構成

Total 620 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

  • Damp-heat phlegm with food accumulation
  • Aggregations and glomus fullness
  • Phlegm that has formed a nest-sac

Biomedical correlates

  • Chronic dyspepsia with phlegm retention
  • Abdominal masses of functional origin

Source text 原文

Donguibogam 東醫寶鑑

治濕熱痰, 去食積痰. 靑礞石 二兩(同焰硝二兩, 入罐內, 鹽泥固濟, 曬乾, 火煆紅, 候冷取出), 天南星 二兩(白礬末五錢和, 水浸二日), 半夏 〔二兩〕(皂角水浸二日), 片芩(薑汁炒)ㆍ赤茯苓ㆍ枳實(麩炒) 各三兩, 風化硝(用蘿葍同煮, 硝化, 去蘿葍濾淨, 入牛膽內風乾, 取五錢). 右爲末, 薑汁煮神麴爲糊和丸梧子大, 白湯下三五十丸. 此藥重在風化硝. 《入門》

Translation

Treats damp-heat phlegm and removes food accumulation phlegm. Chlorite schist 2 nyang, sealed in a crock with 2 nyang of niter under a salt-clay lute, sun-dried, calcined until red and left to cool before removal; arisaema 2 nyang, mixed with 5 don of powdered alum and steeped in water two days; pinellia 2 nyang, steeped two days in gleditsia pod water; scutellaria in broad lamina, ginger-juice fried, red poria, and bitter orange, bran-fried, 3 nyang each; efflorescent mirabilite, boiled with radish until the mirabilite dissolves, the radish discarded and the liquid strained clear, then placed inside an ox gallbladder and wind-dried, 5 don taken. Powder them, make a paste of medicated leaven boiled in ginger juice, form pills the size of a firmiana seed, and take thirty to fifty down with plain hot water. The weight of this medicine lies in the efflorescent mirabilite. — Uihak Immun 入門 (Donguibogam · Damum)

Clinical commentary 臨床

The chapter tells you where to look: the weight of this medicine lies in the efflorescent mirabilite. That is the most heavily processed ingredient in the formula — boiled with radish, strained, then sealed inside an ox gallbladder and left to dry in the wind. Bitter cold bile and salty cold mirabilite together make a softening agent for phlegm that has hardened into a mass, which is the food phlegm the section describes. Chlorite schist calcined with niter is the classical phlegm-breaking mineral and appears again in Roll the Phlegm Pill at 6.20.12. **This formula contains calcined mineral medicinals and processed aconite-family preparations and is not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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