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

Bamboo Sap Bitter Orange and Atractylodes Pill

Jungnyeokjichul-hwan

한글 죽력지출환 · Pinyin Zhu Li Zhi Zhu Wan

竹瀝枳朮丸

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

40 g
Chief 君
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

40 g
Chief 君 boiled half a day with alum, gleditsia pod and fresh ginger, then the pod and ginger discarded and the rest dry-roasted
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Deputy 臣
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

40 g
Deputy 臣 steeped in rice-washing water and fried in salt water
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

40 g
Assistant 佐 strip scutellaria (條芩)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Sansa Shan Zha
山楂 산사 · Hawthorn

40 g
Assistant 佐 flesh only (山査肉)
Baekgaeja Bai Jie Zi
白芥子 백개자 · White Mustard Seed

40 g
Assistant 佐 stir-fried (炒)
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

40 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

20 g
Assistant 佐 ginger-juice fried (薑汁炒)
Danggui Dang Gui
當歸 당귀 · Korean Angelica

20 g
Assistant 佐 wine-washed (酒洗)
Singok Shen Qu
神麴 신곡 · Medicated Leaven

240 g
Envoy 使 6 nyang, powdered and boiled with a cup each of ginger juice and bamboo sap to make the binding paste

Total 640 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

Fortifies the spleen and disperses food
Transforms phlegm and clears fire
Dispels dizziness

Indications 主治

Pattern-based

Abundant phlegm in the elderly and the depleted
No thought of food or drink
Dizziness from phlegm

Biomedical correlates

Phlegm retention with anorexia in the elderly
Chronic dizziness with phlegm signs

Source text 原文

Donguibogam 東醫寶鑑

治老人, 虛人痰盛, 不思飮食, 健脾消食, 化痰淸火, 去眩暈. 半夏ㆍ南星(以白礬ㆍ皂角ㆍ生薑同煮半日, 去皂薑焙乾)ㆍ枳實ㆍ條芩ㆍ陳皮ㆍ蒼朮(泔浸鹽水炒)ㆍ山査肉ㆍ白芥子(炒)ㆍ白茯苓各一兩, 黃連(薑汁炒)ㆍ當歸(酒洗) 各五錢. 右爲末, 神麴六兩(作末), 以薑汁ㆍ竹瀝各一盞, 煮糊和丸梧子大, 淡薑湯, 或白湯下百丸. 《入門》

Translation

Treats abundant phlegm in the elderly and the depleted with no thought of food or drink; fortifies the spleen and disperses food, transforms phlegm and clears fire, and dispels dizziness. Pinellia; arisaema, boiled half a day with alum, gleditsia pod and fresh ginger, the pod and ginger then discarded and the rest dry-roasted; bitter orange, strip scutellaria, tangerine peel, atractylodes lancea steeped in rice-washing water and fried in salt water, hawthorn flesh, white mustard seed (stir-fried) and white poria, 1 nyang each; coptis (ginger-juice fried) and angelica (wine-washed) 5 don each. Powder them; take 6 nyang of medicated leaven, powder it and boil with a cup each of ginger juice and bamboo sap to make a paste, form pills the size of a firmiana seed, and take a hundred down with weak ginger decoction or plain hot water. — Uihak Immun 入門 (Donguibogam · Damum)

Clinical commentary 臨床

The chapter's answer for phlegm in old age, recommended alongside Rosy Heaven Paste for exactly that. Six nyang of medicated leaven — more than any single medicinal in the powder — goes into the binder alone, which makes the paste itself a digestive. Angelica at 5 don is the one supplementing medicinal, small but deliberate, since an elderly patient with abundant phlegm is rarely without blood depletion. Nothing here purges. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.