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

Pain-Answering Pill

Eungtong-won

한글 응통원  ·  Pinyin Ying Tong Yuan

應痛元

Composition 構成

Total 431.3 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

  • Pain following fracture or sprain
  • Wind cold damp invading an injured site
  • Aching of hands and feet after trauma

Biomedical correlates

  • Post-traumatic arthralgia
  • Weather-sensitive old injury
  • Post-fracture chronic pain

Source text 原文

Donguibogam 東醫寶鑑

治折傷後爲風寒濕所侵, 手足疼痛. (生)蒼朮ㆍ破故紙(半生半炒)ㆍ骨碎補ㆍ穿山甲(桑灰炒爲珠)ㆍ(生)草烏 各二兩, 茴香 一兩半. 右將草烏剉如麥大, 同連皮生薑四兩擂爛, 淹兩宿焙乾. 同前藥爲末, 酒糊和丸梧子大, 溫酒下五十丸. 少麻無妨. 《得效》

Translation

Treats pain of the hands and feet after fracture or injury, where wind, cold and damp have invaded. Raw black atractylodes, psoralea (half raw and half dry-fried), drynaria, pangolin scale (fried in mulberry ash until it forms beads), and raw kusnezoff monkshood root 2 nyang each; fennel 1.5 nyang. Cut the monkshood to the size of barley grains, grind it together with 4 nyang of unpeeled fresh ginger until pulpy, steep two nights, then dry over gentle heat. Powder together with the preceding medicinals, form into pills the size of firmiana seeds with wine paste, and take 50 pills down with warm wine. Slight numbness is no cause for concern. — Deukhyo 得效 (Donguibogam · Su)

Clinical commentary 臨床

The elaborate ginger-steeping of the raw monkshood is the formula's safety procedure, and it must not be shortened — raw 草烏 contains aconitine and is lethal at small doses. The closing line, that slight numbness is no cause for concern, is describing the early sign of aconite toxicity and reflects a therapeutic margin no contemporary practitioner should work within. Pangolin scale is prohibited (CITES I, US ESA). Recorded as a document of classical trauma medicine; the clinically usable core is the psoralea-drynaria pair for bone repair, which survives intact in modern practice. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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