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

Bamboo Sap Reach the Phlegm Pill

Jungnyeokdaldam-hwan

한글 죽력달담환 · Pinyin Zhu Li Da Tan Wan

竹瀝達痰丸

The chlorite schist weight is lost in the source, which reads 靑礞石(碎) ▨兩. A detached 一 appears at the foot of the same page alongside a stray 焇, the variant graph for 硝, and the saltpetre calcined with it is given at 1 nyang; 〔一〕兩 is restored on that basis. Bamboo sap is measured in bowls and used as a processing medium rather than weighed, and is entered without a gram figure.

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

80 g
Chief 君 ginger-processed (薑製), 2 nyang
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

80 g
Deputy 臣 white pith removed (去白)
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

80 g
Deputy 臣 lightly stir-fried (微炒)
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

80 g
Deputy 臣
Daehwang Da Huang
大黃 대황 · Rhubarb

80 g
Assistant 佐 wine-steeped, steamed and sun-dried (酒浸蒸曬乾)
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

80 g
Assistant 佐 wine-fried (酒炒)
Insam Ren Shen
人蔘 인삼 · Ginseng

60 g
Assistant 佐 1.5 nyang
Cheongmongseok Qing Meng Shi
靑礞石 청몽석 · Chlorite Schist

40 g
Assistant 佐 crushed, calcined to a gold colour with the saltpetre — 〔一〕兩, restored
Yeomcho Yan Xiao
焰硝 염초 · Saltpetre

40 g
Assistant 佐 calcined together with the chlorite schist (同火煆如金色)
Chimhyang Chen Xiang
沈香 침향 · Agarwood

20 g
Assistant 佐 5 don
Gamcho Gan Cao
甘草 감초 · Licorice

60 g
Envoy 使 mix-fried (灸), 1.5 nyang
Jungnyeok Zhu Li
竹瀝 죽력 · Bamboo Sap

0 g
Envoy 使 one and a half large bowls, mixed through the powder with ginger juice and sun-dried, repeated five or six times, then used with ginger juice to bind the pills

Total 700 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

Moves phlegm out through the stool without damaging original qi
Reaches phlegm lodged in the four limbs
Downbears phlegm fire

Indications 主治

Pattern-based

Phlegm lodged in the four limbs
Lumps over the body from damp phlegm
Phlegm accumulation in patients who cannot be purged harshly

Biomedical correlates

Phlegm retention with limb heaviness
Subcutaneous nodules of uncertain origin

Source text 原文

Donguibogam 東醫寶鑑

能運痰從大便出, 不損元氣, 妙. 丹溪曰, 痰在四肢, 非竹瀝不開, 此藥是也. 半夏(薑製)ㆍ陳皮(去白)ㆍ白朮(微炒)ㆍ白茯苓ㆍ大黃(酒浸蒸曬乾)ㆍ黃芩(酒炒) 各二兩, 人參ㆍ甘草(灸) 各一兩半, 靑礞石(碎) 〔一〕兩, 焰硝一兩(同火煆如金色), 沈香五錢. 右爲末, 以竹瀝一大椀半, 薑汁三匙, 拌勻曬乾, 如此五六度, 因以竹瀝, 薑汁, 和丸小豆大, 每百丸, 臨臥時, 以米飮或薑湯呑下. 《入門》一名竹瀝運痰丸.

Translation

Able to move phlegm out by way of the stool without damaging the original qi, with marked effect. Danxi said that phlegm in the four limbs will not open without bamboo sap, and this is that medicine. Pinellia (ginger-processed), tangerine peel (white pith removed), white atractylodes (lightly stir-fried), white poria, rhubarb (wine-steeped, steamed and sun-dried) and scutellaria (wine-fried) 2 nyang each; ginseng and licorice (mix-fried) 1.5 nyang each; chlorite schist (crushed) 1 nyang and saltpetre 1 nyang, calcined together to a gold colour; aloeswood 5 don. Powder them; take one and a half large bowls of bamboo sap and three spoons of ginger juice, mix through evenly and sun-dry, repeating five or six times; then bind with bamboo sap and ginger juice into pills the size of a small bean, and take a hundred at bedtime down with rice broth or ginger decoction. Also called Jungnyeok Undam-hwan. — Uihak Immun 入門 (Donguibogam · Damum)

Clinical commentary 臨床

The claim in the first line is the formula's whole argument: it moves phlegm out through the stool without damaging the original qi. Rhubarb is present, but wine-steeped, steamed and sun-dried, which strips most of its purgative violence; ginseng and licorice at 1.5 nyang hold the centre. Set this against Control Drool Elixir, which attacks the same problem with kansui and euphorbia and cannot be given to a depleted patient at all — the two formulas bracket the range of what the chapter is willing to do. Danxi's line about phlegm in the four limbs is the reason for the extraordinary bamboo sap procedure. Five or six cycles of soaking the powder in sap and drying it means the finished pill is saturated with a medicinal that would ordinarily be added at the end and taken fresh. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.