寶鑑Bogam

Formulas · Purge Downward 瀉下 · Uibang Yuchwi (醫方類聚)

Chase Out Wind Powder for Great Wind Sores

Chupung-san

한글 추풍산 (제창)  ·  Pinyin Zhui Feng San

追風散

The Donguibogam has two formulas named 追風散. The other, from the Jikji, is the nineteen-drug head-wind powder built on 川烏ㆍ石膏ㆍ白殭蠶ㆍ川芎ㆍ防風ㆍ荊芥ㆍ甘草 registered as chupung-san; this three-drug purge in the sores chapter shares nothing with it but the name and so takes the chapter tail. The 大風瘡 body text at 019b names this formula 追虱散, and the transcription carries the collation note at the page foot that the 初刊本 reads 風 where the transcription reads 虱, so the first edition has 追風散 there; the leaf head is 追風散 and that is the name registered. The transcription writes 欝金 for 鬱金 and 虫 for 蟲; the corpus forms are printed. 蟬肚者, the cicada-belly grade of curcuma, is base text and not an interlinear note, so it is given in parentheses as a substance gloss. 大風油 is the pressed oil of 大風子 and has no herb entry of its own; it is recorded under daepungja, following the corpus treatment of 胡麻油 under homa.

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

  • 大風瘡 — the great wind sore
  • The second of the three staged days — 第二日服
  • Vermin and stagnant blood held to be the substance of the disease

Biomedical correlates

  • Hansen's disease (leprosy) — historical

Source text 原文

Donguibogam 東醫寶鑑

第二日服, 瀉血追蟲. 錦紋大黃 六兩, 鬱金(蟬肚者) 一兩八錢, 炒皂角刺 一兩半. 右爲末, 初服五錢或六錢, 入大風油 一錢半, 朴硝少許入內, 好溫酒一椀調化, 五更空心服之. 直待辰時, 又如前調藥一椀, 入熟蜜少許, 勿令患人知. 先以水盥漱淨, 然後服藥, 必以蜜解口, 切不可臥. 良久痛瀉數次不妨, 以薄粥補之. ○此藥老弱者難治, 五十以下者可治. 精壯者十日內三服, 謂如正月初一日服<a href='/formulas/sopung-san-jechang'>消風散</a>, 初二日服追風散, 初三日服<a href='/formulas/mapung-hwan'>磨風丸</a>, 又如此周而復始. 瘦弱者十日內一服. 《類聚》

Translation

Taken on the second day; it drains the blood and drives out the worms. Brocade-veined rhubarb 6 nyang; curcuma tuber of the cicada-belly grade 1 nyang 8 don; gleditsia spine, stir-fried, 1 nyang 5 don. Powder the above. For the first dose take 5 don or 6 don, add chaulmoogra oil 1 don 5 fun and a little crude mirabilite, dissolve the whole in a bowl of good warm wine, and take it at the fifth watch on an empty stomach. Wait until the hour of the dragon and stir up another bowl as before, adding a little boiled honey, without letting the patient know. First rinse the mouth clean with water, then take the medicine, and be sure to clear the mouth afterwards with honey. On no account let the patient lie down. After a good while there will be a painful purging several times over, which is not to be feared; restore the patient with a thin gruel. ○ This medicine is hard to treat the old and weak with; those under fifty may be treated. The vigorous and strong take three doses in ten days — that is, on the first of the first month take Sopung-san, on the second Chupung-san, on the third Mapung-hwan, and so round again from the beginning. The thin and weak take one dose in ten days. — Yuchwi 類聚 (Donguibogam · Jechang)

Clinical commentary 臨床

Day two, and the whole formula is a purge: rhubarb at six nyang, curcuma, and stir-fried gleditsia spine, with chaulmoogra oil and a pinch of mirabilite stirred in at the time of dosing. 瀉血追蟲 — drain the blood, chase out the worms — is the stated object, and the worms are meant literally; 通天再造散 in the next leaf has the practitioner inspect what comes out and read the colour for how old the disease is. The procedural detail is unusual and worth reading. The dose goes down at the fifth watch, before dawn; a second bowl follows at the hour of the dragon with honey stirred in 勿令患人知, without letting the patient know, because the first bowl will have made the second hard to face. The mouth is rinsed before and cleared with honey after, and the patient is on no account to lie down. 良久痛瀉數次不妨 concedes what is coming. **Contains rhubarb and crude mirabilite in purgative quantity, and chaulmoogra oil, which is toxic. This must not be prepared.** Chaulmoogra is the one drug in this chapter with a real history against leprosy — it was the standard treatment worldwide until the sulfones of the 1940s — but it is an irritant and hepatotoxic, and the dose here is incidental to a cathartic. A course of three such purges in ten days in a wasted patient is dangerous on its own account, which is why 老弱者難治 is in the leaf. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another