Formulas · Tonify Yin 補陰 · Uihak Immun (醫學入門)

Cooling Supplementation Pill

Naengbo-hwan

한글 냉보환 · Pinyin Leng Bu Wan

冷補丸

Given as 各等分 with no absolute weights; grams entered at 40 each as a notional equal share. The transcription prints 鹽 in its variant form 𥂁, normalised here to the corpus graph.

Composition 構成

Cheonmundong Tian Men Dong
天門冬 천문동 · Asparagus Root

40 g
Chief 君

equal part
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

40 g
Chief 君

equal part
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

40 g
Chief 君

equal part
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

40 g
Deputy 臣

生乾地黃, dried raw rehmannia, equal part
Useul Niu Xi
牛膝 우슬 · Achyranthes

40 g
Deputy 臣

equal part
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

40 g
Deputy 臣

equal part
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

40 g
Assistant 佐

equal part
Seokgok Shi Hu
石斛 석곡 · Dendrobium

40 g
Assistant 佐

equal part
Hyeonsam Xuan Shen
玄參 현삼 · Scrophularia

40 g
Assistant 佐

equal part
Jaseok Ci Shi
磁石 자석 · Magnetite

40 g
Assistant 佐

equal part
Chimhyang Chen Xiang
沈香 침향 · Agarwood

40 g
Envoy 使

沉香, equal part

Total 440 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

Supplements the Kidney from the cold side when the Kidney water has been scorched dry
Moistens and settles where a warming medicine has already been given by mistake

Indications 主治

Pattern-based

Vacuity taxation with the Kidney damaged (虛勞腎損)
Drying-hot medicines taken in error, the Kidney water scorched dry (誤服燥熱腎水焦枯)
Thirst, dim vision, deafness and lumbar pain on a Kidney-yin ground

Biomedical correlates

Iatrogenic dehydration and depletion
Sensory decline with chronic debility
Dry-mouth presentations in the depleted

Source text 原文

Donguibogam 東醫寶鑑

治虛勞腎損, 或誤服燥熱, 腎水焦枯, 口渴ㆍ目暗ㆍ耳聾ㆍ腰痛. 天門冬ㆍ麥門冬ㆍ生乾地黃ㆍ熟地黃ㆍ牛膝ㆍ白芍藥ㆍ地骨皮ㆍ石斛ㆍ玄參ㆍ磁石ㆍ沉香各等分. 右爲末, 蜜丸梧子大, 鹽湯下七十丸. 《入門》

Translation

Treats vacuity taxation with the Kidney damaged, or drying-hot medicines taken in error so that the Kidney water is scorched dry, with thirst, dim vision, deafness and lumbar pain. Asparagus root, ophiopogon, dried raw rehmannia, prepared rehmannia, achyranthes, white peony, lycium bark, dendrobium, scrophularia, magnetite and aquilaria, in equal parts. Powder the above and bind with honey into pills the size of parasol-tree seeds; take 70 pills with salted broth. — Immun 入門 (Donguibogam · Heoro)

Clinical commentary 臨床

The name is the argument. Almost every Kidney formula in this chapter warms, and this one is built to answer the damage those formulas do when they are given to the wrong patient — 誤服燥熱, drying-hot medicines taken in error, with the Kidney water scorched dry behind them. Eleven herbs in flat equal parts, and nine of them moisten: the two asparagus-family roots, the two rehmannias, dendrobium and scrophularia to restore fluid, lycium bark to take heat out of the bone. The last two are the interesting ones. Magnetite is heavy and is here to settle a yang that has been driven upward, which is what the deafness and dim vision are read as; aquilaria, aromatic and descending, is the single moving agent in an otherwise entirely filling formula, put in so that eleven rich herbs do not sit in the stomach. That pairing — one weight, one aromatic — is the chapter's standard insurance on a heavy yin prescription. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.