Formulas · Warm the Interior 溫裏 · Uihak Immun (醫學入門)

Thunderclap Powder

Byeongnyeok-san

한글 벽력산 · Pinyin Pi Li San

霹靂散

The burial in cold ash after blast-frying is a second cooling stage in the aconite's preparation, particular to this formula. The variant 黑龍散 is from the Boggam.

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

—
Chief 君

one root, blast-fried and buried in cold ash, then half of it cut fine · toxic
Seacha Xi Ya Cha
細芽茶 세아차 · Fine Tea Buds

4 g
Deputy 臣
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

half a spoon of boiled honey, stirred in

Total 4 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 the pattern of yin exuberance blocking the yang
Taken cold
after which the agitation stops and sleep comes

Indications 主治

Pattern-based

Yin exuberance blocking the yang with false heat
True cold with agitation

Biomedical correlates

Circulatory collapse with agitation
Septic shock with restlessness

Source text 原文

Donguibogam 東醫寶鑑

治陰盛隔陽證. 附子一箇, 炮過, 以冷灰培半時許, 取出, 切半箇細剉, 入臘茶一錢, 水一盞, 煎至六分, 去渣, 入熟蜜半匙, 放冷服之. 須臾躁止得睡ㆍ汗出差. 《入門》 ○一方, 附子一枚, 燒存性, 冷灰培, 爲末, 入臘茶二錢, 分作二貼, 每取一貼, 水一盞, 蜜半匙, 同煎放冷服, 名曰黑龍散. 《寶鑑》

Translation

Treats the pattern of yin exuberance blocking the yang. One aconite root, blast-fried and then buried in cold ash for about half an hour; take it out, cut half of it fine, add 1 don of winter tea and 1 cup of water, boil down to 6 fun, strain, stir in half a spoon of boiled honey and take cold. After a while the agitation stops and he sleeps, and with the sweating there is recovery. Another version: one aconite root calcined with the nature retained, buried in cold ash and powdered, with 2 don of winter tea added, divided into two packets; take one packet with 1 cup of water and half a spoon of honey, decoct together and take cold — this is called Heungnyong-san. — Uihak Immun 入門 · Dongwon Boggam 寶鑑 (Donguibogam · Han)

Clinical commentary 臨床

Aconite given cold, with tea and honey, to a patient who is agitated — and every part of that is deliberate. Yin exuberance blocking the yang means the patient looks hot and is cold, so he needs aconite; but he will not keep down anything warm, so the decoction is cooled and sweetened and the aconite itself is buried in cold ash after frying. Tea is the one drug in the pharmacy that reads as both bitter-cold and descending, and it is here to carry the aconite past a stomach that would reject it. The endpoint — the agitation stops and he sleeps — is the right one to watch for. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.