Formulas · Expel Worms 驅蟲 · Jeoneul (錢乙)

Quiet the Worms Powder (Children chapter)

Angchung-san

한글 안충산 (소아) · Pinyin An Chong San

安蟲散

The leaf carries no source label of its own. The 腹痛腹脹 section prose names 安蟲散 and 安蟲丸 together and closes with 《錢乙》, so the entry is attributed to Jeoneul and the source label is left out of `source_trans`, which ends with the chapter tail alone. The name is also an unflagged homonym: 安蟲散 is already registered as `angchung-san`, the 局方 powder of the Worms chapter, and that collision is invisible both to the batch's dup list, which keys on the raw glyphs 安虫散 against 安蟲散, and to `hanrom.py`. The two are not the same prescription. The 局方 powder has no composition of its own — 右以化蟲丸材爲細末 — so it is 化蟲丸 reground, which gives 胡粉, 白礬, 檳榔 and 苦練根 at 5 don and 鶴虱 at 3 don, dosed at 1 don in rice water for anyone. This leaf names the same five drugs explicitly and puts them all at 2 don, dose one ja or 5 fun graded by the size of the child, with a pill form and an alternative name the 局方 entry does not have. Same five drugs, different proportions, different dose, different lineage — a homonym, so it takes the chapter tail. Glyph forms follow the corpus majority: 蟲 is printed for the transcription's 虫 (120 occurrences against 8) and 苦練根 is kept as the transcription and the corpus both write it (12 against 1).

Composition 構成

Hobun Hu Fen
胡粉 호분 · White Lead (toxic)

8 g
Chief 君

2 don, dry-fried yellow (炒黃) · ceruse, lead carbonate, toxic
Billang Bing Lang
檳榔 빈랑 · Areca Seed

8 g
Chief 君

2 don
Goryeongeunpi Ku Lian Gen Pi
苦練根皮 고련근피 · Chinaberry Root Bark (toxic)

8 g
Chief 君

苦練根, chinaberry root bark, 2 don
Hakseul He Shi
鶴虱 학슬 · Carpesium Fruit

8 g
Deputy 臣

2 don
Baekban Bai Fan
白礬 백반 · Alum

8 g
Assistant 佐

2 don, half raw and half calcined (半生半枯)
Jangsu Jiang Shui
漿水 장수 · Fermented Millet Water

—
Envoy 使

溫漿水, warm fermented millet water, the vehicle for the pill form
Cheongyu Qing You
淸油 청유 · Clear Sesame Oil

—
Envoy 使

淸油, clear sesame oil, stirred into the millet water

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients measured by count or used as a vehicle, shown as —.

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

Treats worm pain — the colic the section separates from food pain and depletion pain by the purple-black lips and the drooling of clear water
Five drugs in equal weight, powdered, one ja to a dose and 5 fun for a bigger child, in rice water
Also rolled with rice paste into hemp-seed pills, five to a one-year-old in warm fermented millet water with clear sesame oil stirred in, and then called Quiet the Worms Pill

Indications 主治

Pattern-based

蟲痛 — worm pain, crying and writhing with clear water and foam from the mouth, the face blue-yellow, coming and going, the lips purple-black
蛔厥 — roundworm reversal

Biomedical correlates

Ascariasis — roundworm infestation
Abdominal pain in a child from intestinal parasites

Source text 原文

Donguibogam 東醫寶鑑

治蟲痛. 胡粉(炒黃)ㆍ檳榔ㆍ苦練根ㆍ鶴虱ㆍ白礬(半生半枯) 各二錢. 右爲末, 每服一字, 大兒五分, 米飮調下. ○或以米糊和丸麻子大, 一歲兒五丸, 溫漿水入淸油打勻送下, 名曰安蟲丸.

Translation

Treats worm pain. Ceruse (dry-fried yellow), areca, chinaberry root bark, carpesium and alum (half raw and half calcined), 2 don each. Powder the above; one ja to a dose, 5 fun for a bigger child, stirred into rice water. ○Or roll it with rice paste into pills the size of a hemp seed, five pills for a child of one year, sent down in warm fermented millet water with clear sesame oil stirred in until it is even; this is called Quiet the Worms Pill. (Donguibogam · Soa)

Clinical commentary 臨床

Qian Yi's worm powder, and the one place in this section where the name of the formula and the disease actually meet. Three of the five drugs are genuine anthelmintics and two of them are still in use: **areca (檳榔) and chinaberry root bark (苦練根) are real vermifuges**, carpesium (鶴虱) is another, and what they treat is **ascariasis** — roundworm. The section's description of the child is a good clinical picture of it: crying and writhing with pain about the heart and belly, vomiting clear water and foam, the face blue-yellow, the pain coming and going, and the lips purple-black. A heavy worm load really does cause colic, and a bolus of worms can obstruct the bowel or block the bile duct. So this formula was aimed at the right target, and today **a single dose of albendazole or mebendazole does the same job** — safely, cheaply, in one swallow, with cure rates over ninety per cent. That is the honest comparison. **Contains ceruse (胡粉), which is white lead — lead carbonate — in a formula given to an infant. This must not be prepared.** Lead is a developmental neurotoxin with no safe level of exposure; in a small child it costs cognitive ability permanently, and the gut absorbs several times more of it than an adult's does. The alum adds nothing good. The dosing here is better than most of the chapter — one ja for a small child, 5 fun for a bigger one, five pills for a one-year-old — so the text does grade it by the child's age and size, but **it gives no dose by weight here**, and a lead compound has no dose at which it is safe to give a baby anyway. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.