寶鑑Bogam

Formulas · Dispel Wind 祛風 · Dansim (丹心)

Drunken Immortal Powder

Chwiseon-san

한글 취선산  ·  Pinyin Zui Xian San

醉仙散

The transcription writes 𥂁 for 鹽; the standard form is printed. 幷 and 灸 are printed as the transcription has them, the corpus not normalising 並/幷 or 灸/炙. 同炒, stir-fried together, is a preparation covering the first four drugs and is given in parentheses. The calomel is not a fixed weight in the formula but 二錢 added to every 十五錢 of finished powder, and the gram figure is for that ratio. 茶淸 is recorded under sechacha, following the corpus.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • 大風癩瘡 — the great wind leprous sore
  • 在上者 — disease seated above, taken by the tooth-socket route
  • The foul yellow saliva at the tooth sockets as the sign of the drug working

Biomedical correlates

  • Hansen's disease (leprosy) — historical
  • Mercury stomatitis and salivation, as an effect of the treatment itself

Source text 原文

Donguibogam 東醫寶鑑

治大風癩瘡. 胡麻ㆍ牛蒡子ㆍ枸杞子ㆍ蔓荊子 各一兩(同炒), 白蒺藜ㆍ苦參ㆍ瓜蔞根ㆍ防風 各五錢. 右細末, 每十五錢末, 入輕粉 二錢, 拌勻. 每服一錢, 茶淸調下, 晨午夕各一服. 後五七日, 先於牙縫內出臭黃涎, 渾身疼悶如醉, 然後利下膿血惡臭氣, 病根乃去矣. 《丹心》 ○服此藥時, 須斷鹽ㆍ醬ㆍ醋ㆍ諸般魚肉ㆍ油膩ㆍ燒灸之物, 只吃淡粥及煮熟時菜, 幷烏蛇ㆍ白花蛇淡酒煮熟食之, 以助藥力. 《丹心》

Translation

Treats the great wind leprous sore. Black sesame, burdock seed, goji berry and vitex fruit, 1 nyang each, stir-fried together; tribulus, sophora root, trichosanthes root and siler, 5 don each. Powder the above fine; to every 15 don of the powder add calomel 2 don and mix evenly. One don to a dose, stirred into clear tea, one dose each morning, noon and evening. After five to seven days a foul yellow saliva comes out first from within the tooth sockets, the whole body aches and is oppressed as though drunk, and then pus and blood and a foul stinking vapour are purged downward, and the root of the disease is gone. — Dansim 丹心 ○ While taking this medicine the patient must give up salt, soy sauce, vinegar, fish and flesh of every kind, greasy things and anything roasted or broiled, and eat only thin gruel and boiled seasonal vegetables, together with black-striped snake and pit viper boiled in weak wine, to assist the strength of the medicine. — Dansim 丹心 (Donguibogam · Jechang)

Clinical commentary 臨床

The upper of the two routes the 大風瘡 section sets out: 在上者以醉仙散取臭涎惡血於齒縫中出, disease seated above is taken with Chwiseon-san, which brings the foul saliva and bad blood out through the tooth sockets, while disease seated below goes to Tongcheonjaejo-san and out through the stool. The Dansim adds that both routes run through the Yang Brightness, stomach and large intestine, and so reach the spleen and lung, which govern flesh and skin. Eight wind-and-damp drugs carry the formula, but what produces the described effect is the calomel. Salivation, a foul taste, aching and oppression after five to seven days, then purging — this is a clinical description of acute mercury poisoning, and the chapter has read it as the drug working. The dietary interdiction is severe and the chapter is explicit that the whole regimen fails without it: 若不絶味斷慾, 皆不免再發而終於不救. **Contains calomel, a mercury salt, and must not be prepared.** Mercury accumulates in kidney and brain; the stomatitis and salivation taken here as signs of cure are the first signs of toxicity, and the chapter itself records mercury poisoning as a complication of treatment at the syphilis section — 或誤服水銀輕粉而成風堆腫爛流膿出汁. Hansen's disease is curable with rifampicin, dapsone and clofazimine. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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