ABSTRACT
The author's first paper entitled “The First Recipe for Amomi Semen to the Kampo Formula, Anchu-san” was published in Volume 47 Number 2 of the Japanese Journal of Oriental Medicine. In this paper, the first appearance of the crude drug Bukuryo (Hoelen) in the formula Anchu-san-ka-bukuryo, which is listed in the Standardized Drug Prices of Japan, is examined.<br>The only manufacturer of this product remarked that the ‘Explanation of Clinical Applications of Kampo Formulas, ’ by Yakazu Domei, is the source of the formula Anchu-san-ka-bukuryo, since it includes the statement, “In many cases, Hoelen 5.0 is added.” In the ‘Hoizokucho, ’ published by Murase Toshu in 1889 (Meiji 22), however, it is noted that the addition of Hoelen to Ju fang Anchu-san is most suitable. In the “‘Kokonhoi’ and its Clinical Applications, ” published in Volume 2 Number 9 of the Journal of Kampo Medicine, Yakazu states that the ‘Hoizokucho’ can supplement the ‘Kokonhoi’, and that these two books are the best reference texts. It seems clear that Yakazu must have known about the presence of Hoelen in the ‘Hoizokucho, ’ since the description of Hoelen in the ‘Explanation of Clinical Applications of Kampo Formulas’ appears to be based on the ‘Hoizokucho.’ Yakazu confirmend this to the author when asked about this point. These considerations suggest that the source of Hoelen in Anchu-san-ka-bukuryo is the ‘Hoizokucho.’
ABSTRACT
Anchu-san is included in the ‘Tai Ping Hui Min He Ji Ju Fang’ (a Song dynasty pharmacopoeia), with the constituent crude drugs listed as Kanzo (Glycyrrhizae Radix), Gengosaku (Corydalis Tuber), Ryokyo (Alpiniae Officinarum Rhizoma), Kankyo (Zingiberis Siccatum Rhizoma), Uikyo (Foeniculi Fructus), Nikkei (Cinnamomi Cortex) and Borei (Ostreae Testa). However, in modern-day Japan, the same formula usually contains Keihi (Cinnamomi Cortex), Borei, Shukusha (Amomi Semen), Engosaku (Corydalis Tuber), Uikyo, Kanzo and Ryokyo. The ‘Futsugo-yakushitsu-hokan, ’ (late 19th century) lists the latter formula in the section on decoctions and the former formula in the section on powdered medicines. In the ‘Shochitekiyo’ of the late Edo period (1603-1867), it is said that Hara Nanyo added Shukusha to the pharmacopoeia prescription, for a total of eight ingredients, and tripled the amount of Borei as another device. In ‘Sokei-tei-iji-shogen, ’ (1820) the latter device is included with the note that it is effective for treating pyloric stenosis. The former device may well have been a secret formula of his family of physicians.<br>In many texts, uses of the formula, Anchu-san, were not limited to the directions given in the pharma copoeia, and decocting the formula was relatively common. For severe cases of stagnation, the addition of Bushi (Aconiti Tuber) was recommended, and Shinra (river snail) was also used inplace of the Borei.<br>Anchu-san appears primarily in texts from the late Edo period onwards. If copies of books with unclear dates are not considered, Anchu-san was not used significantly as a prescription until the 19th century.