Formulas · Transform Phlegm 化痰 · Uihak Gangmok (醫學綱目)

Break Accumulation and Conduct Rheum Pill

Pajeokdoeum-hwan

한글 파적도음환 · Pinyin Po Ji Dao Yin Wan

破積導飮丸

Composition 構成

Baekchuk Bai Chou
白丑 백축 · White Morning Glory Seed

24 g
Chief 君 first-milled powder only (頭末), 6 don
Bongchul E Zhu
莪朮 봉출 · Zedoary

20 g
Deputy 臣蓬朮
Samneung San Leng
三稜 삼릉 · Sparganium

20 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

20 g
Deputy 臣
Mokhyang Mu Xiang
木香 목향 · Costus Root

20 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

20 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

20 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

20 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

20 g
Assistant 佐
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

20 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

20 g
Assistant 佐
Maega Mai Ya
麥芽 맥아 · Barley Sprout

20 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

20 g
Assistant 佐茯苓
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

20 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

20 g
Assistant 佐
Padu Ba Dou
巴豆 파두 · Croton Seed

4 g
Assistant 佐 30 kernels, skin, heart, membrane and oil removed — TOXIC
Gamcho Gan Cao
甘草 감초 · Licorice

20 g
Envoy 使

Total 328 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

Breaks water accumulation and phlegm-rheum accumulation
Conducts rheum downward and out

Indications 主治

Pattern-based

Water accumulation with pain drawing through chest and ribside
Gurgling sounds in the abdomen
Phlegm-rheum accumulation

Biomedical correlates

Fluid retention with abdominal distension
Pleural effusion with dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治水積, 痰飮積. 木香ㆍ檳榔ㆍ陳皮ㆍ靑皮ㆍ枳實ㆍ枳殼ㆍ蓬朮ㆍ三稜ㆍ半夏ㆍ神麴ㆍ麥芽ㆍ茯苓ㆍ乾薑ㆍ澤瀉ㆍ甘草各五錢, 白丑(頭末) 六錢, 巴豆三十粒(去皮心膜油). 右爲末, 薑汁糊和丸梧子大. 薑湯下三五十丸. 《綱目》

Translation

Treats water accumulation and phlegm-rheum accumulation. Costus, areca, tangerine peel, green tangerine peel, bitter orange fruit, bitter orange, curcuma, sparganium, pinellia, medicated leaven, barley sprout, poria, dry ginger, alisma and licorice 5 don each; white morning glory seed, first milling only, 6 don; croton 30 kernels, with skin, heart, membrane and oil removed. Powder them, make pills with ginger juice paste the size of a firmiana seed, and take thirty to fifty down with ginger decoction. — Uihak Gangmok 綱目 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Seventeen medicinals with only two doing the driving — white morning glory seed and croton — and fifteen supporting them. The water accumulation subsection at 1.13.8 recommends Sipjo-tang and Samhwa Sinu-hwan first and offers this alongside Gungha-tang from the Phlegm-Rheum chapter, so the same condition is addressed by three chapters at once. Compare Gyeoneumjisil-hwan at Damum 6.20.5, which uses black morning glory seed for the same purpose. **Contains croton and morning glory seed, both drastic purgatives, croton toxic. Contraindicated in pregnancy and not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.