Formulas · Release the Exterior 解表 · Immun (入門)

Five Accumulations Powder

Ojeok-san

한글 오적산  ·  Pinyin Wu Ji San

五積散

Composition 構成

Total 52 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients measured by count or used as a vehicle, shown as —.

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

Indications 主治

Pattern-based

  • Wind-cold damage with headache
  • body ache and reversal cold of the limbs
  • Chest and abdominal pain with vomiting and diarrhoea
  • Internal damage from raw and cold food with external wind-cold

Biomedical correlates

  • Gastroenteritis with chills and body aches
  • Cold-induced abdominal pain with vomiting

Source text 原文

Donguibogam 東醫寶鑑

治感傷風寒, 頭痛ㆍ身疼ㆍ四肢逆冷ㆍ胸腹作痛ㆍ嘔吐ㆍ泄瀉, 或內傷生冷ㆍ外感風冷, 並皆主之. 蒼朮 二錢, 麻黃ㆍ陳皮 各一錢, 厚朴ㆍ桔梗ㆍ枳殼ㆍ當歸ㆍ乾薑ㆍ白芍藥ㆍ白茯苓 各八分, 白芷ㆍ川芎ㆍ半夏ㆍ桂皮 各七分, 甘草 六分. 右剉, 作一貼, 入薑 三片, 葱白 三莖, 水煎服. 《入門》 ○一方, 除白芷ㆍ肉桂, 餘材慢火炒令色變, 攤冷, 入桂ㆍ芷, 名曰熟料五積散. 不炒者, 名曰生料五積散. 《海藏》

Translation

Treats contraction and damage by wind-cold with headache, body ache, reversal cold of the four limbs, pain arising in the chest and abdomen, vomiting and diarrhoea; or internal damage from raw and cold food together with external contraction of wind-cold — it governs all of these. Atractylodes lancea, 2 don; ephedra and tangerine peel, 1 don each; magnolia bark, platycodon, bitter orange, tangkuei, dried ginger, white peony and poria, 8 fun each; angelica dahurica, chuanxiong, pinellia and cinnamon bark, 7 fun each; licorice, 6 fun. Cut up, make one packet, add three slices of ginger and three stalks of scallion white, and decoct in water. — Immun 入門 ○ One method sets aside the angelica dahurica and cinnamon bark, dry-fries the remaining materials over a slow fire until the colour changes, spreads them to cool and then adds the cinnamon and angelica; this is called <span class='sochu'>Sukryo-ojeok-san</span> 熟料五積散, the cooked-material form. The unfried form is called <span class='sochu'>Saengryo-ojeok-san</span> 生料五積散, the raw-material form. — Haejang 海藏 (Donguibogam · Han, upper)

Clinical commentary 臨床

Fifteen drugs and five accumulations — qi, blood, phlegm, food and cold — each with its own contingent in the formula, which is why it covers a range no tighter prescription could. The indication is the real life of it: a patient who ate something cold and then got chilled, with aching, vomiting and loose stool all at once. The cooked and raw forms in the Haejang note are a genuine pharmaceutical distinction: dry-frying everything but the two aromatics mellows the formula for a weaker patient, and the aromatics go in afterwards so their volatile oils survive. One half of 交加散. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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