DONGUIBOGAM; Internal Bodily Elements-Qi 氣 기 (5) Qi Pain 氣痛기통

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Written By Jun Heo(許浚, 1539~1615), Translated by Namil Kim, Wung Seok Cha et al., Published by Ministry of Health & Welfare (Korea)

① The Introduction to Medicine (入門) says, “The source qi of a person circulates with blood. When it recklessly frequents organs, pain, aggregation accumulation, and paraumbilical and hypochondriac aggregations will occur. When it gets stuck in the chest and runs upward, it results in stuffiness and fullness in the chest as well as stabbing pain. Most are caused by phlegm formed by the seven emotions or stagnation of food. In the early stages, one should resolve the stagnation by using pungent and warm medicine which enables the flow of qi, opens up the spleen and removes accumulation. In the later stages, one should eliminate the disease by removing the Fire with pungent and cold medicine.

② When qi is stuck in the upper energizer, causing stuffiness and pain in the chest, one should use a Bitter Orange and Tangerine Decoction, Platycodi Radix and Ponciri Fructus Pericarpium Decoction. [The prescription is shown in the chapter on Chest]. Or Atractylodes Clear Diaphragm Pill. [Same as the preceding].

③ When qi is stuck in the middle energizer, causing stabbing pain in the stomach and the sides, one should use a Spiritual Protection Formula, Aucklandia Break Qi Powder, and Injured Qi Asafoetida Formula.

④ When qi is stuck in the lower energizer, causing pain in the lumbar region and abdominal region, one should use Coiled Shallots Powder [the prescription is shown in the chapter on Genitals], Four Milled Herbs Decoction [the prescription is shown in the chapter on Feces], Aucklandia Smooth Qi Pill, or Aucklandia and Betel Nut Pill.

⑤ When stagnation of qi originates from the exterior, causing edema or stabbing pain in the entire body, one should use a Qi Flow Pill, Aucklandia Move Qi Drink, Triple Harmony Powder, or Five Peels Powder. [The prescription is shown in the chapter on Edema].

⑥ For qi pain, one should use a Blackened Aquilaria Decoction, Revive Health by Unblocking Qi Powder, Immortal Aquilaria and Musk Formula, A Pellet of Gold Elixir, or Minor Lindera and Aquilaria Decoction.

• Bitter Orange and Tangerine Decoction 枳橘湯 지귤탕

It cures stuffiness and pain in the chest caused by qi stagnation. Chop the following herbs and decoct in water with 4 pieces of Zingiberis Rhizoma Crudus (生薑): Citrus Unshius Pericarpium (橘皮) (8 don) and Aruantii Fructus Immaturus (枳殼) (1.5 don). Add a little bit of Curcumae Longae Rhizoma (薑黃) if qi stagnation is severe.

• Atractylodes Clear Diaphragm Pill 淸膈蒼莎丸 청격창사환

It treats dampness-heat, scatters congestion, and alleviates pain. Grind the following herbs, pound with red and ripe Trichosanthis Fructus (瓜蔞實) (peeled), and make it into pills the size of Phaseoli Radiati Semen (菉豆): Atractylodis Rhizoma (蒼朮) (2 nyang), Cyperi Rhizoma (香附子) (便香附子) (1.5 nyang), Coptidis Rhizoma (黃連), and Scutellariae Radix (黃芩) (5 don each). Take 30~50 pills at a time with warm water. One can also knead it into steamed rice cake and make it into pills, and drink it with water decocted with Zingiberis Rhizoma Crudus (生薑).

• Spiritual Protection Formula 神保元 신보원

It cures various qi pains. It also cures heart occlusion pain, stomach hypochondrium pain, and kidney qi pain. Grind the following medicines,
knead it into steamed rice cake, make it into pills the size of Cannabis Semen (麻子), and coat the pills with Cinnabaris (朱砂): 7 Scorpio (全蝎) (whole), 10 Crotonis Semen (巴豆) (peeled so that white powder comes out), Aucklandiae Radix (木香), Piperis Nigri Fructus (胡椒) (2.5 don each), and Cinnabaris (朱砂) (1 don) [half put into, and half coated on the pills]. Take 5~7 pills at a time with water decocted with Zingiberis Rhizoma Crudus (生薑) or warm wine, at any time.

• Aucklandia Break Qi Powder 木香破氣散 목향파기산

It cures qi pain. Grind the following herbs and put in salty water by 2 don each time: Cyperi Rhizoma (香附子) (4 nyang), Linderae Radix (烏藥), Curcumae Longae Rhizoma (薑黃) (2 nyang each), Aucklandiae Radix (木香), and Glycyrrhizae Radix Praeparata (灸甘草) (5 don each).

• Injured Qi Asafoetida Formula 撞氣阿魏元 당기아위원

It cures all kinds of qi pain. Grind the following herbs, knead with paste prepared with Ferulae Resina (阿魏), make it into pills the size of Euryales Semen (芡實), and coat the pills with Cinnabaris (朱砂): Curcumae Rhizoma (蓬朮) (parched), Syzygii Cortex (丁香皮) (parched), Citrus Unshius Pericarpium (陳皮), Citri Unshius Pericarpium Immaturus (靑皮), Cnidii Rhizoma (川芎), Foeniculi Fructus (茴香) (parched), Glycyrrhizae Radix Praeparata (灸甘草) (1nyang each), Amomi Fructus (砂仁), Cassiae Cortex Interior (桂心), Angelicae Dahuricae Radix (白芷) (5 don each), Ferulae Resina (阿魏) (soaked in wine for one night, ground, and made like paste), Piperis Nigri Fructus (胡椒) (2.5 don), and Zingiberis Rhizoma
Crudus (生薑) (thinly chopped, preserved with 1 nyang of salt for one night, and parched until it becomes brown) (4 nyang). Chew and swallow 3 pills at a time with water decocted with Zingiberis Rhizoma Crudus (生薑) and salt on an empty stomach.

• Aucklandia Smooth Qi Pill 木香順氣丸 목향순기환

It cures stabbing pain caused by various stagnations of qi. Grind the following herbs, knead with water, and make it into pills the size of a seed
of a foxglove tree: Pharbitidis Semen (黑丑) (grind and sift, and use the powder sifted first), Psoraleae Semen (破故紙) (2 nyang each), Aruantii Fructus Immaturus (枳殼), Citrus Unshius Pericarpium (陳皮), Cyperi Rhizoma (香附子) (1 nyang each), Aucklandiae Radix (木香), Raphani Semen (蘿蔔子), and Arecae Pericarpium (大腹皮) (5 don each). Take 50 pills at a time with warm water. It moves qi up and down and makes qi return to the kidneys.

• Aucklandia and Betel Nut Pill 木香檳榔丸 목향빈랑환

It cures stuffiness and pain caused by dampness-heat-induced qi stagnation. Grind the following herbs, knead with water, and make it into pills the size of a seed of a foxglove tree. Rhei Radix et Rhizoma (大黃) (4 nyang), Pharbitidis Semen (黑丑) (grind and sift, and use the powder sifted first), Scutellariae Radix (黃芩) (2 nyang each), Aucklandiae Radix (木香), Arecae Semen (檳榔), Coptidis Rhizoma (黃連), Angelica Gigantis Radix (當歸), Aruantii Fructus Immaturus (枳殼), Citri Unshius Pericarpium Immaturus (靑皮), Citrus Unshius Pericarpium (陳皮), Cyperi Rhizoma (香附子), Curcumae Rhizoma (蓬朮), and Phellodendri Cortex (黃柏) (1 nyang each). Take 50~70 pills at a time with warm water.

• Qi Flow Pill 流氣飮子 유기음자

It cures pain or swelling caused by wandering qi. Chop the following herbs and decoct in water with 3 pieces of Zingiberis Rhizoma Crudus (生薑) and 2 Zizyphi Fructus (大棗): Arecae Semen (檳榔) (1 don), Citrus Unshius Pericarpium (陳皮), Poria Sclerotium Rubra (赤茯苓), Angelica Gigantis Radix (當歸), Paeoniae Radix Alba (白芍藥), Cnidii Rhizoma (川芎), Astragali Radix (黃芪), Ponciri Fructus Immaturus (枳實), Pinelliae Tube Preparata (半夏製), Saposhnikoviae Radix (防風), Glycyrrhizae Radix (甘草) (7.5 pun each), Perillae Folium (紫蘇葉), Linderae Radix (烏藥), Citri Unshius Pericarpium Immaturus (靑皮), Platycodonis Radix (桔梗) (5pun each), and Aucklandiae Radix (木香) (2.5 pun).

• Aucklandia Move Qi Drink 木香流氣飮 목향유기음

It cures stuffiness, pain, or swelling caused by various stagnations of qi. Chop and divide the following herbs into 2 packages and decoct in water with 3 pieces of Zingiberis Rhizoma Crudus (生薑) and 2 Zizyphi Fructus (大棗): Citrus Unshius Pericarpium (陳皮) (1 don), Agastachis Herba (藿香), Aucklandiae Radix (木香), Magnoliae Cortex (厚朴), Citri Unshius Pericarpium Immaturus (靑皮), Cyperi Rhizoma (香附子), Liriopis Tuber (麥門冬), Angelicae Dahuricae Radix (白芷),Aquillariae Lignum (沈香) (7.5 pun each), Atractylodis Rhizoma Alba (白朮), Cinnamomi Cortex Spissus (肉桂), Akebiae Caulis (木通), Arecae Semen (檳榔), Perillae Folium (紫蘇葉) (6 pun each), Amomi Tsao-ko Fructus (草果), Glycyrrhizae
Radix (甘草) (5 pun each), Arecae Pericarpium (大腹皮), Chaenomelis Fructus (木瓜), Ginseng Radix (人參), Curcumae Rhizoma (蓬朮), Syzygii Cortex (丁香皮), Pinelliae Tube Preparata (半夏製), Poria Sclerotium Rubra (赤茯苓), and Acori Gramineri Rhizoma (石菖蒲) (3 pun each).

• Triple Harmony Powder 三和散 삼화산

It cures various stagnations of qi as well as the distention and pain that come with it. Chop the following herbs and decoct in water: Cnidii Rhizoma (川芎) (1 don), Aquillariae Lignum (沈香), Perillae Folium (紫蘇葉), Arecae Pericarpium (大腹皮), Osterici Radix (羌活), Chaenomelis Fructus (木瓜) (5 pun each), Aucklandiae Radix (木香), Atractylodis Rhizoma Alba (白朮), Arecae Semen (檳榔), Citrus Unshius Pericarpium (陳皮), and Glycyrrhizae Radix Praeparata (灸甘草) (3 pun each).

• Blackened Aquilaria Decoction 烏沈湯 오침탕

It cures the pain in the back and the epigastric region caused by various qi. Grind the following herbs finely and put in water decocted with Zingiberis Rhizoma Crudus (生薑) and salt, each by 1 don: Linderae Radix (烏藥) (1nyang), Aquillariae Lignum (沈香) (5 don), Glycyrrhizae Radix Praeparata (灸甘草) (4 don), and Ginseng Radix (人參) (3 don).

• Revive Health by Unblocking Qi Powder 復元通氣散 복원통기산

It cures sporadic systemic pain, mainly caused by blocked qi. Grind the following herbs finely and put the powder in water decocted with Zingiberis Rhizoma Crudus (生薑) or warm wine, by 2 don: Pharbitidis Semen (白丑) (grind and sift, and use the powder sifted first) (2 nyang), Foeniculi Fructus (茴香) (parched), Manitis Squama (穿山甲) (roasted until swollen by burying under an ash Fire) (1.5 nyang each), Citrus Unshius Pericarpium (陳皮) (with its inner white layer peeled off), Corydalis Tuber (玄胡索), Glycyrrhizae Radix Praeparata (灸甘草) (1 nyang each), and Aucklandiae Radix (木香) (5 don).

• Immortal Aquilaria and Musk Formula 神仙沈麝元 신선침사원

Aquillariae Lignum (沈香) (7.5 pun each), Atractylodis Rhizoma Alba (白朮), Cinnamomi Cortex Spissus (肉桂), Akebiae Caulis (木通), Arecae Semen (檳榔), Perillae Folium (紫蘇葉) (6 pun each), Amomi Tsao-ko Fructus (草果), Glycyrrhizae Radix (甘草) (5 pun each), Arecae Pericarpium (大腹皮), Chaenomelis Fructus (木瓜), Ginseng Radix (人參), Curcumae Rhizoma (蓬朮), Syzygii Cortex (丁香皮), Pinelliae Tube Preparata (半夏製), Poria Sclerotium Rubra (赤茯苓), and Acori Gramineri Rhizoma (石菖蒲) (3 pun each).

• A Pellet of Gold Elixir 一粒金丹 일립금단

It cures qi pain. Papaveris Resina (啞芙蓉) (2.5 don), Ferulae Resina (阿魏) (1 don), Aucklandiae Radix (木香), Aquillariae Lignum (沈香) (5 pun each), Bovis Calculus (牛黃) (2.5 pun). Grind Aquillariae Lignum (沈香), Aucklandiae Radix (木香), and Bovis Calculus (牛黃) and put it in a bowl with Papaveris Resina (鴉片) and Ferulae Resina (阿魏). Drop in water to melt, knead with honey, make it into pills the size of Phaseoli Radiati Semen (菉豆), and plate them with gold. Take 1 pill at a time. Take the pill with cold water for heat qi pain and boiled water for cold qi pain.

• Minor Lindera and Aquilaria Decoction 小烏沈湯 소오침탕

It cures stabbing pain in the epigastric region caused by various qi. Grind the following herbs and put it in boiled salty water by 1 don: Cyperi
Rhizoma (香附子) (2 nyang), Linderae Radix (烏藥) (1 nyang), Aquillariae Lignum (沈香), and Glycyrrhizae Radix (甘草) (2.5 don each).

• A Prescription 一方

It cures all kinds of qi pain. Grind the following herbs finely and put it in salty water by 2 don: Cyperi Rhizoma (香附子) (parched) (4 nyang), Citrus Unshius Pericarpium (陳皮) (with its inner white layer peeled off) (1 nyang), and Glycyrrhizae Radix (甘草) (raw) (2.5 don).