寶鑑Bogam

Formulas · Clear Heat 淸熱 · Seojuk (瑞竹)

Soul-Returning Elixir

Banhon-dan

한글 반혼단  ·  Pinyin Fan Hun Dan

返魂丹

The name 返魂丹 also stands in the index list at 婦人 1.38, among the birth-hastening formulas, where it is a different prescription that the corpus does not register; that occurrence is deliberately left unlinked and must not be pointed here. 褁 is left as the transcription prints it and 䓗 is given as 葱, the corpus form; the collation note 䓗 : 葱 at the page boundary below this leaf annotates its own 䓗白 and 䓗內, and records the first edition's reading as 葱. 一字 is a quarter of a 錢 and is entered as 1 g. The euryale seed that gives the pill its size and the hot wine that carries it down are method rather than ingredients. The 蝸牛 is given 不拘多少, any amount, so it carries no weight.

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

  • 十三種疔瘡危惡者 — the thirteen kinds of clove sore, in their dangerous and malignant forms
  • A clove sore whose toxin must be driven out through the skin

Biomedical correlates

  • Furuncle, carbuncle and malignant pustule — the 疔 of this chapter
  • Severe skin and soft-tissue infection

Source text 原文

Donguibogam 東醫寶鑑

治十三種疔瘡危惡者. 雄黃ㆍ白礬(枯) 各二錢, 朱砂ㆍ膽礬 各一錢半, 蟾酥ㆍ血竭ㆍ銅綠 各一錢, 輕粉ㆍ沒藥ㆍ乳香 各五分, 麝香 一字, 蝸牛(生) 不拘多少. 右爲末, 以蝸牛ㆍ蟾酥硏爛和丸芡實大. 每一丸, 令病人先嚼葱白三寸許, 放在掌心, 將藥丸褁在葱內, 以熱酒一盞呑下, 煖處臥, 汗出爲效. ○內經曰, 汗之則瘡已, 盖此藥能化毒爲汗也. 《瑞竹》

Translation

Treats the thirteen kinds of clove sore in their dangerous and malignant forms. Realgar and alum calcined to dryness, 2 don each; cinnabar and chalcanthite, 1 don 5 fun each; toad venom, dragon's blood resin and verdigris, 1 don each; calomel, myrrh and frankincense, 5 fun each; musk a quarter don; live snails, any amount. Powder the above, and grind the snails with the toad venom to a paste to bind pills the size of a euryale seed. One pill to a dose: have the patient first chew about 3 inches of scallion white and put it in the palm of the hand, wrap the pill inside the scallion, and send it down with a cupful of hot wine; then let him lie in a warm place, and sweating is the measure of effect. ○ The Inner Classic says, sweat it and the sore is finished — for this drug is able to turn the toxin into sweat. — Seojuk 瑞竹 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The same family as 淵然眞人奪命丹 and 賽命丹 in the upper part of the chapter, and built to the same plan: a mineral-and-animal attacking pill whose aim is not to cool or to drain but to force a sweat. The leaf says so outright, quoting the Inner Classic — 汗之則瘡已, sweat it and the sore is finished — and adding that the drug turns the toxin into sweat. Everything about the administration serves that: one pill only, wrapped in a chewed length of scallion white, sent down with hot wine, the patient then laid in a warm place and covered. Realgar and calcined alum lead by weight, with cinnabar and chalcanthite behind them, then toad venom, dragon's blood resin and verdigris, and calomel, myrrh and frankincense in half-don amounts; musk closes the list at a quarter don and live snails ground with the toad venom do the work of a binder. Counting the thirteen kinds of 疔 is a classification the chapter takes from the 入門 and repeats whenever a formula claims to cover the whole class. **Contains realgar, an arsenic sulphide; cinnabar and calomel, which are mercury compounds; chalcanthite and verdigris, which are copper salts; and toad venom, whose bufadienolides act on the sodium-potassium pump exactly as digoxin does and have killed people at ordinary doses. Musk is CITES-protected. Hot wine and a deliberately induced sweat speed absorption of all of it. This must not be prepared, and no substitution makes it safe.** A clove sore spreading on the face, or any rapidly advancing deep infection, needs antibiotics and surgical assessment without delay. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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