Formulas · Transform Phlegm 化痰 · Wang Eun-gun (王隱君)

Roll the Phlegm Pill

Gondam-hwan

한글 곤담환 · Pinyin Gun Tan Wan

滾痰丸

The chapter appends a graded dosing table by presentation: a hundred pills for loss of mind and will with mania; thirty to fifty taken regularly for wind stroke hemiplegia with abundant phlegm and constipation; seventy or eighty for unaccountable aching through the sinews and bones, for belching and acid swallowing with a blocked mass of qi in the chest, for palpitation below the heart with strange symptoms, and for acute throat closure with red eyes; fifty or sixty for hard swellings of the jaw and cheek, nodules around the neck, and mouth or tongue ulceration. Recorded in full in the chapter text rather than in this entry.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

320 g
Chief 君 wine-steamed (酒蒸), 8 nyang
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

320 g
Chief 君 decayed parts removed (去朽), 8 nyang
Cheongmongseok Qing Meng Shi
靑礞石 청몽석 · Chlorite Schist

40 g
Deputy 臣 1 nyang, sealed in a crock with 1 nyang of niter under salt-clay lute, sun-dried, calcined red and cooled; correct when the schist has taken a gold colour
Yeomcho Yan Xiao
焰硝 염초 · Saltpetre

40 g
Assistant 佐 calcined together with the chlorite schist
Chimhyang Chen Xiang
沈香 침향 · Agarwood

20 g
Envoy 使 5 don

Total 740 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

Drains damp-heat phlegm accumulation
Rolls phlegm downward out of the throat and diaphragm
Treats the hundred diseases that arise from phlegm

Indications 主治

Pattern-based

Damp-heat phlegm accumulation transforming into a hundred diseases
Loss of mind and will with mania
Wind stroke hemiplegia with abundant phlegm and constipation
Aching through the sinews and bones that cannot be accounted for
Palpitation below the heart with strange symptoms

Biomedical correlates

Refractory phlegm-heat conditions
Psychiatric presentations with phlegm signs
Chronic unexplained pain syndromes

Source text 原文

Donguibogam 東醫寶鑑

治濕熱痰積, 變生百病. 大黃(酒蒸)ㆍ黃芩(去朽) 各八兩, 靑礞石一兩(同焰硝一兩入罐內盖定, 鹽泥固濟曬乾, 火煆紅, 候冷取出, 以礞石如金色爲度), 沈香五錢. 右爲末, 滴水和丸梧子大, 茶淸, 溫水任下四五十丸. 服藥必須臨睡, 送下至咽, 卽便仰臥, 令藥在咽膈之間徐徐而下. 漸逐惡物入腹入腸, 方能見效.

Translation

Treats damp-heat phlegm accumulation transforming into a hundred diseases. Rhubarb (wine-steamed) and scutellaria (decayed parts removed) 8 nyang each; chlorite schist 1 nyang, sealed in a crock with 1 nyang of niter under a salt-clay lute, sun-dried, calcined until red and left to cool — correct when the schist has taken a gold colour; aloeswood 5 don. Powder them, make pills with dripped water the size of a firmiana seed, and take forty or fifty down with clear tea or warm water. The medicine must be taken at bedtime: send it down as far as the throat and lie back at once, so that it passes slowly through the throat and diaphragm, gradually driving the foul matter into the belly and bowels. Only then will it take effect. — Wang Eun-gun 王隱君 (Donguibogam · Damum)

Clinical commentary 臨床

The formula that the whole chapter is arranged around. Wang Eun-gun's phlegm treatise at 6.3 argues that the hundred strange diseases all issue from phlegm — the chapter calls this an insight no earlier writer had reached — and he composed this single prescription to treat the lot of them. The administration instruction is unusual and specific: take it at bedtime, get it as far as the throat, then lie flat at once so it descends slowly through the throat and diaphragm rather than dropping straight to the stomach. The formula is meant to work on the way down, sweeping the passage, which is what 滾 — to roll — refers to. **Contains a strong purgative at 8 nyang together with a calcined mineral. Not suitable for self-administration and contraindicated in pregnancy.** The chapter's own dosing table runs from thirty to a hundred pills depending on presentation, which is a very wide range and a further reason this belongs in trained hands. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.