Formulas · Dispel Wind 祛風 · Seui Deukhyobang (世醫得效方)

Great Blue Paste

Daecheong-go

한글 대청고 · Pinyin Da Qing Gao

大靑膏

The section text above the leaf prescribes this formula by name, 瀉靑丸涼驚元大靑膏. 皂子, the soapberry seed used as a size reference, is a measure and not a drug here.

Composition 構成

Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

6 g
Chief 君

1 don 5 fun · toxic
Cheonma Tian Ma
天麻 천마 · Gastrodia

4 g
Deputy 臣

1 don
Cheongdae Qing Dai
靑黛 청대 · Natural Indigo

4 g
Deputy 臣

1 don
Cheonchukhwang Tian Zhu Huang
天竺黃 천축황 · Bamboo Silica

1 g
Deputy 臣

one ja
Osa Wu She
烏蛇 오사 · Black-Striped Snake

2 g
Assistant 佐

烏蛇肉, the flesh of the black-striped snake, half a don
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

2 g
Assistant 佐

蝎梢, the scorpion tail, half a don · neurotoxic
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

1 g
Assistant 佐

one ja · cinnabar, mercuric sulfide, toxic
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

1 g
Envoy 使

one ja · musk, CITES Appendix I
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

生蜜, raw honey, worked up into a paste
Bakha Bo He
薄荷 박하 · Mint

—
Envoy 使

decocted with bamboo leaf for the vehicle
Jugyeop Zhu Ye
竹葉 죽엽 · Bamboo Leaf

—
Envoy 使

decocted with mint for the vehicle

Total 21 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

Diffuses and releases in acute fright wind
Dosed by the age of the child — a rice grain under a month, half a soap-bean at six months, a whole one at a year

Indications 主治

Pattern-based

急驚風 — acute fright wind, to be diffused outward rather than drained down

Biomedical correlates

Febrile convulsion in an infant

Source text 原文

Donguibogam 東醫寶鑑

治急驚風, 宜用此發散. 白附子一錢半, 天麻ㆍ靑黛各一錢, 烏蛇肉ㆍ蝎梢各半錢, 朱砂ㆍ天竺黃ㆍ麝香各一字. 右細末, 生蜜和成膏, 月內兒粳米大, 半歲兒半皂子大, 一歲兒一皂子大, 以薄荷竹葉煎湯化下. 《得效》

Translation

Treats acute fright wind; this is the one to use for diffusing and releasing. Typhonium, 1 don 5 fun; gastrodia and indigo, 1 don each; snake flesh and scorpion tail, half a don each; cinnabar, bamboo silica and musk, one ja each. Powder the above finely and work it up with raw honey into a paste. For a child within its first month, the size of a rice grain; at six months, half a soap-bean; at a year, a whole soap-bean; dissolved in a decoction of mint and bamboo leaf. — Seui Deukhyobang 得效 (Donguibogam · Soa)

Clinical commentary 臨床

Qian Yi's blue paste, and the one leaf in the batch that doses by age: a grain of rice inside the first month, half a soapberry seed at six months, a whole one at a year. That is real paediatric thinking and it is nearly the only quantitative instinct in the whole section — someone had noticed that a newborn is not a small adult. It is also the limit of what the period could do, because the graded unit is a seed. The composition is the wind-and-fright shelf again, with the indigo giving the paste its name and its colour: typhonium and gastrodia for the wind, snake flesh and scorpion tail as the animal antispasmodics, cinnabar and musk for the fright. 發散 in the indication marks the intention — this one is meant to push outward, as against Igyeong-hwan which drives down. **Contains cinnabar — 朱砂, mercuric sulfide — in a formula for a child, and the chapter gives no dose by weight anywhere. This must not be prepared.** The mercury paragraph under Jinsa-go-soa applies here in full. The scorpion tail is dried venomous animal, typhonium is handled as toxic throughout this corpus, and the musk is CITES Appendix I. Grading the dose by age does not make a graded dose of mercury safe; it makes the unsafety better organized. On what an acute febrile seizure actually requires, see Igyeong-hwan. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.