Formulas · Transform Phlegm 化痰 · Uibang Yuchwi (醫方類聚)

Scorpion and Musk White Pellets

Galsa-baegwonja

한글 갈사백원자  ·  Pinyin Xie She Bai Wan Zi

蝎麝白元子

頻呵欠是應 — frequent yawning is the response — gives yawning as the sign that the medicine is acting, a prognostic marker not found elsewhere in the chapter.

Composition 構成

Total 622 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

  • Wind phlegm congesting the channels intractable to other treatment
  • Paralytic wind with phlegm

Biomedical correlates

  • Refractory stroke sequelae
  • Phlegm obstruction with paralysis

Source text 原文

Donguibogam 東醫寶鑑

治中風痰涎壅塞, 一切風疾, 他藥不能療者. 半夏 七兩, 南星 三兩, 白附子 二兩, 川烏ㆍ天麻ㆍ防風 各一兩, 全蝎 五錢, 麝香 半錢. 右並生爲末, 薑汁糊和丸梧子大, 薑湯下三五十丸. 癱瘓風, 溫酒下, 日三服, 數日後當有汗, 便能舒展. 經三五日頻呵欠, 是應. 《得效》

Translation

Treats wind stroke with phlegm drool congesting and blocking, and all wind diseases that other medicines cannot cure. Pinellia, 7 nyang; arisaema, 3 nyang; typhonium, 2 nyang; aconite kusnezoffii, gastrodia and saposhnikovia, 1 nyang each; whole scorpion, 5 don; musk, half a don. All used raw and powdered, made into pills the size of a paulownia seed with ginger-juice paste, and thirty to fifty taken with ginger decoction. For paralytic wind, take with warm wine three times a day; after several days there should be sweating and the limbs become able to stretch. After three to five days there is frequent yawning, which is the response. — Uibang Yuchwi 得效 (Donguibogam · Pung)

Clinical commentary 臨床

The strongest of the three white-pellet formulas, declared for the cases other medicines cannot cure, and the one with the oddest clinical marker: after three to five days the patient yawns frequently, and that is the sign the medicine is working. Repeated yawning after an aconite- and arisaema-heavy course is more plausibly a sign of central depression than of recovery, and it is worth reading as a warning rather than an endpoint. Seven nyang of raw pinellia heads the weights; musk is CITES-listed. Not to be prepared. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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