Formulas · Dispel Wind-Damp 祛風濕 · Uihak Jeongjeon (醫學正傳)

Saposhnikovia and Gastrodia Powder

Bangpung-cheonma-san

한글 방풍천마산 · Pinyin Fang Feng Tian Ma San

防風天麻散

微麻爲度 — slight numbness as the measure — sets the aconite's own paraesthesia as the dosing endpoint, the one place in the chapter this is stated outright.

Composition 構成

Hwalseok Hua Shi
滑石 활석 · Talc

80 g
Chief 君
Bangpung Fang Feng
防風 방풍 · Siler

20 g
Chief 君
Cheonma Tian Ma
天麻 천마 · Gastrodia

20 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

20 g
Deputy 臣
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

20 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

20 g
Deputy 臣
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

20 g
Assistant 佐
Choo Cao Wu
草烏 초오 · Wild Aconite

20 g
Assistant 佐

blast-fried · toxic
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

20 g
Assistant 佐
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

20 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

20 g
Envoy 使

Total 280 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

Treats wind damp with numbness and shifting pain
or withered hemilateral
or sudden loss of voice
Scatters constraint
opens binds
diffuses wind and frees the qi

Indications 主治

Pattern-based

Wind damp with constraint and binding in the channels
Wind damp with wandering pain and numbness

Biomedical correlates

Migratory arthralgia
Hemiplegia with pain

Source text 原文

Donguibogam 東醫寶鑑

治風濕麻痺ㆍ走注疼痛, 或偏枯, 或暴瘖. 滑石二兩, 防風ㆍ天麻ㆍ川芎ㆍ羌活ㆍ白芷ㆍ草烏(炮)ㆍ白附子ㆍ荊芥穗ㆍ當歸ㆍ甘草各五錢. 右爲末, 蜜丸彈子大, 每取半丸或一丸, 熱酒化下, 覺藥力運行ㆍ微麻爲度. 此散鬱ㆍ開結ㆍ宣風ㆍ通氣之妙劑也. 《正傳》 ○或爲末, 蜜酒調下一錢. 《正傳》

Translation

Treats wind damp with numbness and shifting pain, or withered hemilateral, or sudden loss of voice. Talc, 2 nyang; saposhnikovia, gastrodia, chuanxiong, notopterygium, angelica dahurica, blast-fried aconite kusnezoffii, typhonium, schizonepeta spike, tangkuei and licorice, 5 don each. Powder, make honey pills the size of a bullet, and take half a pill or one pill dissolved in hot wine; the measure is when the medicine's force is felt to move and there is slight numbness. This is a wonderful prescription for scattering constraint, opening binds, diffusing wind and freeing the qi. Or powder it and take 1 don stirred into honeyed wine. — Uihak Jeongjeon 正傳 (Donguibogam · Pung)

Clinical commentary 臨床

The dosing instruction makes this entry important: take half a pill or one, and stop when you feel the medicine move and a slight numbness comes. That numbness is aconitine acting on peripheral nerves, and the Jeongjeon is using the first sign of toxicity as the therapeutic endpoint — an honest and terrifying piece of clinical practice, and the clearest evidence in the book that physicians titrated aconite by effect. Talc at two nyang is the bulk and the coolant; the rest is the standard wind set. Not a formula to reproduce, but the most instructive entry in the section. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.