寶鑑Bogam

Formulas · Tonify Qi & Blood 氣血雙補 · Uihak Jeongjeon (醫學正傳)

Quiet the Foetus Powder for Pox in Pregnancy

Antae-san

한글 안태산  ·  Pinyin An Tai San

安胎散

A formula of this name is already registered from the Women's chapter, antae-san-buin, and the two are different prescriptions although both come from the 正傳. That one is 熟地黃 三錢, 川芎ㆍ枳殼 各一錢半, 糯米 一合, with 薑三棗二 added, four drugs for 因驚, 胎動腹痛下血 — fetal stirring after a fright, with abdominal pain and bleeding. This leaf has twelve drugs at 各三分 plus rush pith and glutinous rice, and shares only 川芎 and the glutinous rice with the other; prepared rehmannia, the chief drug there, is absent here, and ginseng, atractylodes, angelica, white peony, cyperus, amomum, perilla, poria, tangerine peel, betel-nut pericarp and liquorice are all absent there. The shared source label makes this worth stating explicitly: same name, same book of origin, different prescription, so this one takes the chapter tail. The transcription writes 蘓 for 蘇 in 紫蘓葉, normalized here. The leaf gives no 治 clause; the indication stands in the section prose of 1.88, 胎動宜安胎散.

Composition 構成

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

Indications 主治

Pattern-based

  • 胎動 — the fetus stirring, in a pregnant woman with the pox

Biomedical correlates

  • Threatened miscarriage in smallpox in pregnancy — historical

Source text 原文

Donguibogam 東醫寶鑑

人參ㆍ陳皮ㆍ大腹皮ㆍ白朮ㆍ當歸ㆍ川芎ㆍ白芍藥ㆍ香附子(童便炒)ㆍ縮砂ㆍ紫蘇葉ㆍ赤茯苓ㆍ甘草 各三分. 右剉作一貼, 入燈心七莖ㆍ糯米百粒, 同煎服. 《正傳》

Translation

Ginseng, tangerine peel, betel-nut pericarp, white atractylodes, angelica sinensis, ligusticum, white peony, cyperus parched with boy's urine, amomum, perilla leaf, red poria and liquorice, 3 fun of each. Cut the above to make one packet, add seven stalks of rush pith and a hundred grains of glutinous rice, and boil them together; take it. — Jeongjeon 正傳 (Donguibogam · Soa)

Clinical commentary 臨床

Twelve drugs at 3 fun each with rush pith and glutinous rice added to the pot. It is a qi-and-blood formula rather than an anti-pox one: ginseng, atractylodes, angelica, ligusticum and white peony at the core, tangerine peel, cyperus, amomum, perilla leaf and betel-nut pericarp to move what the core supplies, poria and rush pith to drain, glutinous rice as the fetus-steadying food drug. Nothing in it addresses the pox. It is given for one sign, 胎動 — the fetus stirring — in a woman who has smallpox. That sign is a threatened miscarriage, and in smallpox in pregnancy it very often went on to be an actual one. Fetal loss was the usual outcome; the formula is an attempt to prevent the thing that was going to happen. There was no way to prevent it, and there still is no drug that reliably stops a miscarriage once it is under way. **Two things in this formula a modern practitioner would not give to a pregnant woman.** Betel-nut pericarp is the husk of the areca nut; the areca nut itself is a Group 1 human carcinogen and arecoline is its active alkaloid, and areca use in pregnancy is associated with low birth weight and shortened gestation. And **the cyperus is parched with 童便, a boy's urine — a human material, applied as a processing medium with no sterilization of any kind.** Perilla leaf and cyperus are both also drugs normally avoided in pregnancy. The leaf sets no dose but the single packet, and says nothing about the stage of the pregnancy. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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