Formulas · Reduce Food Stagnation 消食 · Bogam (寶鑑)

Open the Bind and Conduct the Drink Pill

Gaegyeoldoin-hwan

한글 개결도인환 · Pinyin Kai Jie Dao Yin Wan

開結導引丸

Pill formula, bulk amounts: powdered and bound with steamed cake into pills the size of parasol-tree seeds; 50–70 pills with warm water. Also called Gaeuldoeum-hwan. **Note on modern practice: croton frost (巴豆霜) is a drastic purgative and toxic medicinal, restricted in contemporary practice and requiring professional prescription.**

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

40 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Deputy 臣
Taeksa Ze Xie
澤瀉 택사 · Alisma

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

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

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

40 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Assistant 佐 ginger-processed
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

20 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

20 g
Assistant 佐
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

20 g
Assistant 佐
Padu Ba Dou
巴豆 파두 · Croton Seed

6 g
Assistant 佐 frost (巴豆霜)

Total 346 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

Opens leg qi that has come from food accumulation pouring downward
Relieves the oppression below the heart that comes with it

Indications 主治

Pattern-based

Leg qi from food accumulation pouring down (脚氣因食積流注)
Glomus and oppression below the heart (心下痞悶)
Digestive stagnation with leg swelling

Biomedical correlates

Leg swelling with digestive stagnation
Epigastric fullness with lower limb symptoms
Food-related leg qi

Source text 原文

Donguibogam 東醫寶鑑

治脚氣, 因食積流注, 心下痞悶. 陳皮ㆍ白朮ㆍ澤瀉ㆍ茯苓ㆍ神麴ㆍ麥芽ㆍ半夏(薑製) 各一兩, 枳實ㆍ靑皮ㆍ乾薑各五錢, 巴豆霜一錢半. 右爲末, 蒸餠和丸梧子大, 溫水下五七十丸. 《寶鑑》 ○一名開鬱導飮丸. 《丹心》

Translation

Treats leg qi arising from food accumulation pouring downward, with glomus and oppression below the heart. Tangerine peel, white atractylodes, alisma, poria, medicated leaven, barley sprout, and ginger-processed pinellia, 1 nyang each; unripe bitter orange, green tangerine peel, and dried ginger, 5 don each; croton frost 1 don 5 fun. Powder the above and bind with steamed cake into pills the size of parasol-tree seeds; take 50–70 pills with warm water. Also called Gaeuldoeum-hwan. — Bogam 寶鑑 · Dansim 丹心 (Donguibogam · Jok)

Clinical commentary 臨床

The one leg qi formula built on a digestive base — the Five Poria and food-moving herbs, with a small measure of croton frost to force the passage. Its indication ties the legs to the epigastrium, which is the chapter's food-accumulation route: what will not move above pours down below. The alternative name, Open Constraint and Conduct the Rheum, describes it more accurately than the primary one. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.