寶鑑Bogam

Formulas · Calm the Spirit 安神 · Uihak Immun (醫學入門)

Life-Preserving Elixir

Bomyeong-dan

한글 보명단  ·  Pinyin Bao Ming Dan

保命丹

The transcription writes 𤍠 for 熱, 搗 for 擣 and 為 for 爲; the standard forms are printed. A collation note reading 真 : 眞(First Edition) sits inside this leaf at the 022a/022b page break, but 真 does not occur anywhere in this leaf: the character it annotates is the 眞珠 of 牛黃抱龍丸, the leaf above. It is a plain glyph variant already covered by the corpus normalisation and nothing is acted on here.

Composition 構成

Total 62 g per packet (첩) · representative dosage — verify against source texts. Excludes 5 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

  • 急慢驚風 — acute and chronic fright wind
  • 尙有陽證 — yang signs still present, the child not yet collapsed into the cold picture
  • 有熱 — with heat, when the two additions are made

Biomedical correlates

  • Febrile seizure in a child
  • Seizure of a depleted child after prolonged diarrhoea, before circulatory collapse

Source text 原文

Donguibogam 東醫寶鑑

治急慢驚風, 尙有陽證者, 常服安神化痰. 全蝎 十四箇, 防風ㆍ南星ㆍ蟬退ㆍ白殭蚕ㆍ天麻ㆍ琥珀 各二錢, 白附子ㆍ辰砂 各一錢, 麝香 五分. 有熱, 加牛黃ㆍ片腦 各五分. 右爲末, 粳米飯擣丸皂子大, 金箔爲衣, 乳汁或薄荷湯化下一丸. 《入門》

Translation

Treats acute and chronic fright wind where yang signs are still present; taken regularly it quiets the spirit and transforms phlegm. Fourteen scorpions; saposhnikovia, arisaema, cicada moult, silkworm stiffened by disease, gastrodia and amber, 2 don each; typhonium and cinnabar, 1 don each; musk, 5 fun. Where there is heat, add ox gallstone and borneol, 5 fun each. Powder the above, pound it into pills the size of a soap-bean with cooked non-glutinous rice, and coat them with gold leaf. One pill, dissolved down in breast milk or a mint decoction. — Immun 入門 (Donguibogam · Soa)

Clinical commentary 臨床

A pill for the convulsing child who has not yet gone cold — 尙有陽證者, the one in whom yang signs are still present — and the only formula in the section meant to be taken regularly rather than in a crisis. The composition is the chapter's wind-and-phlegm set: scorpion and stiffened silkworm as the convulsion drugs, arisaema and saposhnikovia and gastrodia, cicada moult, amber to settle, with cinnabar and musk, and ox gallstone and borneol held back for the febrile child. Fourteen scorpions is the largest single item and the one that governs the reading. Whole dried scorpion is the material, its venom content varies from animal to animal, and fourteen of them in a batch of pills divided by eye cannot be dosed. For the acute fright wind this is given for, nothing needed to be given at all: a febrile seizure in a previously well child stops by itself. For the chronic kind, the statement of what the child actually needed is given with 雙金丸. **This formula contains 全蝎, whole scorpion, fourteen of them; scorpion venom is a neurotoxin and the dose of dried scorpion is unmeasurable. It contains 朱砂 (written 辰砂), cinnabar, which is mercuric sulfide, and 天南星, which is toxic raw. 麝香 is musk, from a CITES Appendix I deer. The patient is a child and the text gives no dose by weight anywhere — the pills are sized by eye to a soap-bean and one is given. The gold leaf of the coating is inert and harmless. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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