寶鑑Bogam

Formulas · Transform Phlegm 化痰 · Uigam (醫鑑)

Protect the Young and Transform Wind Elixir

Boyuhwapung-dan

한글 보유화풍단  ·  Pinyin Bao You Hua Feng Dan

保幼化風丹

The ox gall bladder is the vessel the powder is packed into and dried in, so it is kept in the preparation text rather than entered as an ingredient; the bile taken up by the powder is the point of the hundred days.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

  • The four signs and eight manifestations of fright wind (驚風四證八候)
  • Wind phlegm with fright heat (風痰驚熱)

Biomedical correlates

  • Convulsion in a child — historical management
  • Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治驚風四證八候, 去風痰驚熱. 南星ㆍ半夏ㆍ川烏ㆍ白附子 各一兩, 鬱金 五錢. 右爲末, 裝入臘月黃牛膽內, 陰乾百日, 取出硏爲末, 每一兩入雄黃ㆍ朱砂ㆍ鵬砂ㆍ焰硝 各一錢, 片腦ㆍ麝香 各少許, 共爲末, 蜜丸豌豆大, 燈心薄荷湯硏化下一二丸. 《醫鑑》

Translation

Treats the four signs and eight manifestations of fright wind, and dispels wind phlegm and fright heat. Arisaema, pinellia, chuanwu aconite and typhonium, 1 nyang each; turmeric 5 don. Powder them, pack the powder into the gall bladder of a yellow ox taken in the twelfth month, hang it in the shade to dry for a hundred days, then take it out and grind it to a powder again; to each nyang add realgar, cinnabar, borax and saltpetre, 1 don each, with a trace of borneol and a trace of musk. Powder the whole together, bind with honey into pills the size of a pea, and give one or two ground up and dissolved in a decoction of rush pith and mint. — Uigam 醫鑑 (Donguibogam · Soa)

Clinical commentary 臨床

The most elaborate preparation in this section and the most dangerous thing in it. Four acrid wind-phlegm drugs — arisaema, pinellia, chuanwu aconite and typhonium — in equal nyang shares with turmeric, packed into an ox gall bladder, hung to dry for a hundred days, then reground and fortified with realgar, cinnabar, borax and saltpetre. The bile-drying is genuine pharmacy: it is the same manoeuvre as 牛膽製南星, and it does soften a harsh drug. It does nothing to the minerals added afterwards. **Contains chuanwu aconite, which is cardiotoxic. There is almost no margin between a dose that does anything and a dose that stops the heart, no way existed to measure that margin, and the patient here is a child for whom the text gives no dose by weight at all. This must not be prepared.** **It also contains cinnabar (mercuric sulfide) and realgar (arsenic sulfide), and raw arisaema and pinellia, both of which are severe mucosal irritants unless properly processed.** The indication, 驚風四證八候, is the tradition's own checklist for a convulsing child. The child it fits is usually having a febrile seizure that will stop on its own within minutes. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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