Formulas · Dispel Wind 祛風 · Danggye Simbeop (丹溪心法)

Not to Be Exchanged for Gold Elixir

Bulhwangeum-dan

한글 불환금단 · Pinyin Bu Huan Jin Dan

不換金丹

The closing instruction gives the medicine a second, topical use on the side opposite the deviation; the pill is the same preparation in both cases.

Composition 構成

Bakha Bo He
薄荷 박하 · Mint

120 g
Chief 君
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

40 g
Deputy 臣
Baekgangjam Bai Jiang Can
白殭蠶 백강잠 · Silkworm

40 g
Deputy 臣
Bangpung Fang Feng
防風 방풍 · Siler

40 g
Deputy 臣
Cheonma Tian Ma
天麻 천마 · Gastrodia

40 g
Deputy 臣
Cheono Chuan Wu
川烏 천오 · Aconite Main Root

20 g
Assistant 佐

raw · toxic
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

20 g
Assistant 佐
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

20 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

20 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

20 g
Assistant 佐
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

20 g
Assistant 佐

tail tips only · toxic
Gamcho Gan Cao
甘草 감초 · Licorice

40 g
Envoy 使
Gwakhyang Huo Xiang
藿香 곽향 · Korean Mint

20 g
Envoy 使

Total 460 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 stroke with deviation of the mouth
Taken internally and also smeared on the sound cheek to straighten the face

Indications 主治

Pattern-based

Wind in the facial channels with deviation of the mouth
Wind phlegm in the channels of the face

Biomedical correlates

Bell's palsy
Facial nerve palsy

Source text 原文

Donguibogam 東醫寶鑑

治中風口喎. 薄荷三兩, 荊芥穗ㆍ白殭蚕ㆍ防風ㆍ天麻ㆍ甘草各一兩, 川烏(生)ㆍ白附子ㆍ羌活ㆍ細辛ㆍ川芎ㆍ蝎梢ㆍ藿香各五錢. 右爲末, 蜜丸彈子大, 茶淸嚼下一丸. 如喎向左, 以此藥塗右腮便正. 《丹心》

Translation

Treats wind stroke with deviation of the mouth. Mint, 3 nyang; schizonepeta spike, silkworm, saposhnikovia, gastrodia and licorice, 1 nyang each; raw aconite kusnezoffii, typhonium, notopterygium, asarum, chuanxiong, scorpion tail tips and agastache, 5 don each. Powder, make honey pills the size of a bullet, and chew one down with clear tea. If the deviation is to the left, smear this medicine on the right cheek and it will straighten. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

Two routes from one pill, and the topical instruction is the interesting half. Smear it on the cheek opposite the deviation: the reasoning is that the pulled side must be relaxed and the slack side left alone, and the drugs chosen for the purpose — raw aconite, typhonium, scorpion, asarum — are all local irritants and surface anaesthetics. That is not a bad guess about what facial palsy needs, and the chapter's 天仙膏 two entries later makes the same bet more aggressively. Raw aconite kusnezoffii is the formula's danger; it is cardiotoxic and this pill is to be chewed. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.