Formulas · Dispel Wind 祛風 · Uihak Gangmok (醫學綱目)

Major Centipede Powder

Dae-ogong-san

한글 대오공산 · Pinyin Da Wu Gong San

大蜈蚣散

左蟠龍 is an alternative name for 野鴿糞, wild pigeon droppings, as the Bogam states under 左龍丸. The two variants and the minor version So-ogong-san are given in the source and are not registered separately.

Composition 構成

Ogong Wu Gong
蜈蚣 오공 · Centipede (toxic)

—
Chief 君

two
Eopyo Yu Biao
魚鰾 어표 · Isinglass (Fish Swim Bladder)

20 g
Deputy 臣

stir-fried
Baekhapbun Bai Ge Fen
白鴿糞 백합분 · Pigeon Droppings

20 g
Deputy 臣

stir-fried until the smoke stops

Total 40 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

Treats lockjaw with convulsion and the body arched backward
Taken in saposhnikovia decoction
with Jwaryong-hwan to follow if it does not resolve

Indications 主治

Pattern-based

Wind toxin with convulsion and opisthotonos
Lockjaw passing inward

Biomedical correlates

Tetanus
Opisthotonos

Source text 原文

Donguibogam 東醫寶鑑

治破傷風, 搐搦ㆍ反張. 蜈蚣二條, 魚鰾(炒)ㆍ左蟠龍(炒烟盡) 各五錢. 右爲末, 每二錢, 以防風煎湯調服. 服此不解, 覺轉入裏, 當服<a href='/formulas/jwaryong-hwan'>左龍丸</a>. 《綱目》 ○一方, 蜈蚣一條, 江鰾三錢, 爲末, 每一錢, 防風ㆍ羌活煎湯調下. 《入門》 ○一方, 口噤ㆍ身反張ㆍ不省人, 蜈蚣一條, 全蝎(炒) 二箇. 右爲末, 擦牙內或吹鼻中, 名曰小蜈蚣散. 《丹心》

Translation

Treats lockjaw with convulsion and the body arched backward. Centipede, two; stir-fried isinglass and wild pigeon droppings stir-fried until the smoke stops, 5 don each. Powder; 2 don each time, taken stirred into a saposhnikovia decoction. If taking this does not resolve it and it is felt to be turning inward, Jwaryong-hwan should be taken. One version: one centipede and 3 don of isinglass, powdered; 1 don each time, taken stirred into a decoction of saposhnikovia and notopterygium. One version, for the jaw clenched, the body arched backward and the patient unaware: one centipede and two stir-fried whole scorpions, powdered and rubbed inside the teeth or blown into the nose, called So-ogong-san. — Uihak Gangmok 綱目 · Uihak Immun 入門 · Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

Three preparations in one entry, with an explicit escalation: take this, and if the disease is felt to turn inward, go to Jwaryong-hwan. That staging — surface, then interior — is the organizing idea of the whole 破傷風 section and is borrowed wholesale from the cold-damage literature. The minor version, rubbed on the gums or blown into the nose, is for the patient who cannot swallow, which is most patients with tetanus. Centipede is toxic and the formula is historical. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.