Formulas · Stop Cough & Wheeze 止咳平喘 · Uihak Immun (醫學入門)

Birthwort Pill

Duryeong-hwan

한글 두령환  ·  Pinyin Dou Ling Wan

兠鈴丸

Composition 構成

Total 132 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

Indications 主治

Pattern-based

  • Wheezing from phlegm in the lung, with the patient unable to lie flat

Biomedical correlates

  • Severe asthma with orthopnoea — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治齁䶎喘促, 不得卧. 馬兠鈴ㆍ杏仁ㆍ蟬退 各一兩, 信砒(煆) 三錢. 右爲末, 棗肉和丸葵子大, 臨卧以冷葱茶淸送下六七丸. 《入門》

Translation

Treats wheezing with hurried panting and inability to lie down. Birthwort, apricot kernel and cicada moulting, 1 nyang each; calcined white arsenic, 3 don. Grind to a powder and make pills the size of a mallow seed with jujube flesh; give six or seven at bedtime, washed down with cold scallion tea. — Uihak Immun 入門 (Donguibogam · Haesu)

Clinical commentary 臨床

**This must not be prepared. It contains arsenic, and birthwort carries aristolochic acid, which destroys the kidneys and causes urothelial cancer; neither drug has any safe dose.** Arsenic pills for asthma were in use across East Asia and in Europe into the twentieth century, and they did suppress attacks; the price was arsenical neuropathy, skin disease and cancer. The design is the 哮證 section's standard one — a mineral poison given in a tiny evening dose to stop the night attack, with apricot kernel and cicada moulting to settle the wheeze. The section offers Jageum-dan and Talmyeong-dan on the same principle, and the chapter's own advice is that such 刧劑, snatching medicines, are to be followed by a supplementing formula once the attack is broken. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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