Formulas · Invigorate Blood 活血祛瘀 · Dansim (丹心)

Conduct the Menses Pill

Dogyeong-hwan

한글 도경환 · Pinyin Dao Jing Wan

導經丸

Pill formula, bulk amounts: powdered and bound with honey into pills the size of parasol-tree seeds; 30 pills with wine. **Note on modern practice: blister beetle (斑猫) is a cantharidin-containing toxic insect medicinal, not used in contemporary practice; rhubarb at this dose is a strong purgative. This formula is recorded for textual and historical completeness, not as a treatment protocol. Persistent amenorrhea requires medical evaluation rather than long courses of breaking medicinals.**

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

80 g
Chief 君
Danggui Dang Gui
當歸 당귀 · Korean Angelica

40 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

40 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

40 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

40 g
Assistant 佐官桂
Doin Tao Ren
桃仁 도인 · Peach Kernel

40 g
Assistant 佐
Hyeolgal Xue Jie
血竭 혈갈 · Dragon's Blood Resin

10 g
Assistant 佐
Banmyo Ban Mao
斑猫 반묘 · Blister Beetle

5 g
Assistant 佐 20 pieces, fried with glutinous rice
Honghwa Hong Hua
紅花 홍화 · Safflower

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

40 g
Envoy 使

Total 339 g per packet (첩) · representative dosage — verify against source texts.

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

Drives open a cycle wholly closed and eases the lumbar and abdominal pain with it
Purges below while the Blood is broken

Indications 主治

Pattern-based

The menses closed and not passing through (經閉不通)
Lumbar and abdominal pain with the closure (腰腹疼痛)
Refractory amenorrhea with pain

Biomedical correlates

Refractory amenorrhea with pelvic pain — historical management
Long-standing menstrual obstruction
Historical purgative-breaking therapy

Source text 原文

Donguibogam 東醫寶鑑

治經閉不通, 腰腹疼痛. 大黃二兩, 當歸ㆍ川芎ㆍ白芍藥ㆍ官桂ㆍ桃仁ㆍ甘草各一兩, 血竭二錢半, 紅花一錢, 斑猫(糯米同炒) 二十箇. 右末, 蜜丸梧子大, 酒下三十丸. 《丹心》

Translation

Treats the menses closed and not passing through, with lumbar and abdominal pain. Rhubarb 2 nyang; Korean angelica, cnidium, white peony, cassia, peach kernel, and licorice, 1 nyang each; dragon's blood resin 2.5 don; safflower 1 don; blister beetle, fried together with glutinous rice, 20 pieces. Powder the above and bind with honey into pills the size of parasol-tree seeds; take 30 pills with wine. — Dansim 丹心 (Donguibogam · Po)

Clinical commentary 臨床

The heaviest of the chapter's opening pills, and the one that shows how far the tradition would go for a cycle that had closed entirely: two ounces of rhubarb driving downward, the Four Substances behind it, dragon's blood and safflower breaking, and twenty blister beetles fried with glutinous rice to temper them. Recorded here because a complete edition records what was actually written — including the prescriptions no one should now fill. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.