Formulas · Stabilize & Astringe 固澀 · Dongwon (東垣)

Three Spirits Pill for Piles

Samsin-hwan

한글 삼신환 · Pinyin San Shen Wan

三神丸

各等分, equal parts, with no weight given; 40 g each is entered as a nominal figure so the proportions hold. Not to be confused with the 三神丸 of the Dansim for menstrual pain or that of the Seojuk Dangbang for spleen-kidney diarrhoea, which share the name only.

Composition 構成

Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

40 g
Chief 君
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

40 g
Deputy 臣

calcined
Obaeja Wu Bei Zi
五倍子 오배자 · Chinese Gall

40 g
Deputy 臣

stir-fried

Total 120 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

Astringes and closes the pile
Frees the stool and loosens the bowel
Dries damp and stops seepage

Indications 主治

Pattern-based

Piles arising from long sitting and overeating
Pile with swelling and seepage of blood
Stool bound with a bearing-down pile

Biomedical correlates

Haemorrhoids
Perianal swelling
Rectal bleeding of haemorrhoidal origin

Source text 原文

Donguibogam 東醫寶鑑

治僧道流因久坐飽食發爲諸痔. 枳殼ㆍ皂角(煆)ㆍ五倍子(炒) 各等分. 右爲末, 蜜丸梧子大, 空心溫水下五七十丸. 《東垣》

Translation

Treats the piles that monks and recluses get from long sitting and eating their fill. Bitter orange, gleditsia pod (calcined) and gallnut, in equal parts. Powder them, make honey pills the size of a firmiana seed, and take fifty to seventy on an empty stomach with warm water. — Dongwon 東垣 (Donguibogam · Hueum)

Clinical commentary 臨床

僧道流因久坐飽食 — monks and recluses, from sitting long and eating their fill. The Bogam names the occupation rather than the pattern, and the mechanism is the one modern proctology gives: prolonged sitting plus a loaded bowel. Three medicinals, each doing one thing — 枳殼 moves the stool down, 皂角 calcined is the drying astringent, 五倍子 stir-fried closes the surface. Of the pile formulas in this chapter it is the plainest, and the only one that treats the habit as the disease. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.