Formulas · Transform Phlegm 化痰 · Bonsa (本事)

Spirit Atractylodes Pill

Sinchul-hwan

한글 신출환  ·  Pinyin Shen Zhu Wan

神朮丸

Composition 構成

Total 780 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

Indications 主治

Pattern-based

  • Phlegm-rheum that has formed a nest-sac (窠囊)
  • Gurgling water sounds in the abdomen
  • Vomiting of sour fluid
  • Abrupt gain and loss of flesh

Biomedical correlates

  • Gastroparesis
  • Gastric retention with succussion splash
  • Chronic functional dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治痰飮成窠囊, 漉漉有聲, 或嘔吐酸水. 蒼朮(泔浸去皮焙乾) 一斤(爲細末), 白脂麻 五錢(水二盞硏濾取汁), 大棗 三十枚(爛煮硏去皮核取肉). 以麻汁調和成稀膏, 搜和朮末, 熟杵, 丸如桐子大, 每日, 空心, 溫水下百丸至二百丸. 初服時必膈微燥, 進山梔子散一服, 不躁. 《本事》

Translation

Treats phlegm-rheum that has formed a nest-sac, with gurgling sounds and sometimes vomiting of sour water. Atractylodes lancea 1 geun, soaked in rice-washing water, peeled, dry-roasted and ground to a fine powder; white sesame 5 don, ground with two cups of water and strained for the juice; jujube 30 fruits, boiled soft and ground, skin and pits discarded and only the flesh taken. Blend the sesame juice into a thin paste, work it into the atractylodes powder, pound until well done, and roll pills the size of a firmiana seed. Each day on an empty stomach take one to two hundred pills down with warm water. On first taking it the diaphragm is bound to feel slightly parched; one dose of Gardenia Powder settles it. — Bonsa 本事 (Donguibogam · Damum)

Clinical commentary 臨床

窠囊 — 'nest and sac' — is the chapter's term for rheum that has stopped moving and taken up residence, as against the rheum that shifts from place to place in the other seven categories. The clinical picture given here, gurgling water in the gut with sour vomiting and weight that swings up and down, reads as gastric retention with a succussion splash. The formula is a single-herb engine: a full geun of atractylodes dried and powdered, with sesame juice and jujube flesh serving only as binder and buffer. That much drying medicinal taken daily as a pill has a predictable cost, and the text says so plainly — the diaphragm will feel scorched — and supplies Gardenia Powder as the counterweight. The two formulas are one prescription in two parts and should always be read together. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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