Formulas · Invigorate Blood 活血祛瘀 · Uihak Immun (醫學入門)
Thunderclap Elixir
Byeongnyeok-dan
한글 벽력단 · Pinyin Pi Li Dan
蛇退 is this transcription's form of 蛇蛻, the snake slough, and 蚕退紙 is the paper the silkworm eggs were laid on. The left-foot straw sandal from the road, 路上左脚草鞋, has no entry in the herb dictionary and is left out of the ingredient list; it is a named component of the original at 1 don. 研 is given as 硏 and 即 as 卽, following the corpus. The weights read oddly: the snake slough is given both as one whole slough and at 2 don.
Composition 構成
- Satoe蛇蛻 사퇴 · Snake Slough8 g
Chief 君one whole slough, calcined with the nature retained
- Jamtoe蚕退 잠퇴 · Silkworm Moult8 g
Chief 君silkworm egg paper, calcined with the nature retained
- Baldu頭髮 발두 · Human Hair4 g
Deputy 臣a man's hair, burnt to ash
- Heugyeon黑鉛 흑연 · Lead (toxic)10 g
Assistant 佐melted in a pan over the fire with the mercury until it sets to a sand, then ground fine · toxic
- Sueun水銀 수은 · Mercury (toxic)3 g
Assistant 佐melted in a pan over the fire with the lead until it sets to a sand, then ground fine · toxic
- Yuhyang乳香 유향 · Frankincense2 g
Assistant 佐 - Jeosimhyeol猪心血 저심혈 · Pig Heart Blood—
Envoy 使heart blood of a gelded boar, as the binder
- Geumbak金箔 금박 · Gold Leaf—
Envoy 使gold leaf, for the coating
Total 35 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
- Treats a sudden collapse of the qi at the moment of birth
- Used at once where the child is dead and the mother may yet be saved
Indications 主治
Pattern-based
- At the birth the qi suddenly withers, eyes rolled up and jaw locked (臨産驀然氣痿, 目翻口噤)
- Black face and blue lips with froth at the mouth, mother and child both lost (面黑唇靑, 子母俱殞)
- Cheeks faintly red, the child dead and the mother living (兩臉微紅, 子死母活)
Biomedical correlates
- Eclamptic seizure with collapse
- Amniotic fluid embolism
- Obstetric shock with intrauterine death
Source text 原文
Donguibogam 東醫寶鑑
治臨産驀然氣痿, 目翻口噤, 面黑唇靑, 口中沫出, 子母俱殞. 兩臉微紅, 子死母活, 急用此救之. 蛇退 一條ㆍ蚕退紙 幷燒存性, 各二錢, 男子頭髮燒灰ㆍ路上左脚草鞋燒存性 各一錢, 乳香 五分, 黑鉛 二錢半, 水銀 七分半, 二物入銚中火上熔化結砂子, 硏細. 右爲末, 以獖猪心血和丸梧子大, 金箔爲衣, 每取二三丸, 倒流水送下. 如不下, 化開灌之. 《入門》 ○一名霹靂奪命丹. 《正傳》
Translation
Treats the case where at the birth the qi suddenly withers, the eyes roll up and the jaw locks, the face blackens and the lips go blue and froth comes from the mouth, and mother and child are both lost. Where the cheeks are faintly red the child is dead and the mother lives: use this at once to save her. One whole snake slough and silkworm egg paper, both calcined with the nature retained, 2 don each; a man's hair burnt to ash, and a left-foot straw sandal picked up from the road calcined with the nature retained, 1 don each; frankincense, 5 fun; black lead, 2 don 5 fun; quicksilver, 7 fun and a half; the last two are put in a pan and melted over the fire until they set to a sand, then ground fine. Powder the above, bind with the heart blood of a gelded boar into pills the size of parasol-tree seeds, coat them with gold leaf, and give two or three pills at a time, sent down with water drawn against the current; if she cannot swallow, dissolve them and pour it in. Another name is Byeongnyeoktalmyeong-dan. — Immun 入門 · Jeongjeon 正傳 (Donguibogam · Buin)