Formulas · Regulate Qi 理氣 · Seui Deukhyobang (世醫得效方)

Grind Accumulation Pill (Lodged Accumulation)

Majeok-won

한글 마적원(식적) · Pinyin Mo Ji Yuan

磨積元

A second formula of the same name, also from the Deukhyo, appears at 1.13.23 for tea accumulation with a different composition. Since the source is identical for both, the two are separated by the section each belongs to rather than by source. Pepper is measured by the corn and scorpion by the whole animal; the gram figures are working conversions.

Composition 構成

Hocho Hu Jiao
胡椒 호초 · Black Pepper

8 g
Chief 君 150 corns
Mokhyang Mu Xiang
木香 목향 · Costus Root

10 g
Deputy 臣 2.5 don
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

10 g
Assistant 佐全蝎, 10 whole — TOXIC

Total 28 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

Grinds down qi lodged outside the huang membrane
Warms and frees the flank

Indications 主治

Pattern-based

Lodged accumulation with qi settled outside the huang membrane and flowing to the lower ribside
Qi counterflow with difficult breathing
Persisting months and years and untreated by physicians

Biomedical correlates

Chronic flank mass
Subphrenic collection

Source text 原文

Donguibogam 東醫寶鑑

治腸胃因虛, 氣癖於肓膜之外, 流於季脇, 氣逆息難. 積月頻年, 醫所不治, 久則榮衛停凝, 一朝敗濁, 潰爲癰膿, 多致不救. 胡椒一百五十粒, 木香二錢半, 全蝎十箇. 右爲末, 粟米飯和丸菉豆大. 橘皮湯下十五丸. 《得效》

Translation

Treats the intestines and stomach grown vacuous, with qi settling outside the huang membrane and flowing to the lower ribside, and qi counterflow with difficult breathing. It persists for months and years and physicians do not treat it; left long, the construction and defence stand congealed, and one morning it turns foul and putrid and breaks open as an abscess with pus, in most cases beyond saving. Pepper 150 corns; costus 2.5 don; scorpion 10 whole. Powder them, make pills with millet rice the size of a mung bean, and take fifteen down with tangerine peel decoction. — Seui Deukhyobang 得效 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Lodged accumulation is defined at 1.12 by a passage from the Neijing in which the Yellow Emperor asks about fullness below the ribside with qi counterflow persisting two or three years, and Qi Bo answers that it is called lodged accumulation, that it does not interfere with eating, and that it must not be moxaed or needled — guidance and medicine are used, and medicine alone cannot cure it. The prognosis the Deukhyo attaches is the grimmest in the chapter: left long, the whole thing turns putrid and breaks open as an abscess, and most such cases cannot be saved. That reads as a subphrenic or hepatic collection rupturing. **Contains scorpion, which is toxic. The condition described requires imaging and surgical assessment; a mass that becomes hot, painful or febrile is an emergency.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.