Formulas · Dispel Wind 祛風 · Uihak Immun (醫學入門)

Gold-head and Aconite Powder

Geumo-san

한글 금오산 · Pinyin Jin Wu San

金烏散

The leaf gives two alternative names, 麝香散 and 定命散. Neither is registered from this leaf, and both romanise onto ids already held by different formulas — `sahyang-san` is 四香散 of the Uihak Immun in the Distension chapter, and `jeongmyeong-san` is 定命散 of Hagan in the Blood chapter for bloody sweat. The gold or silver vessel is apparatus.

Composition 構成

Ogong Wu Gong
蜈蚣 오공 · Centipede (toxic)

—
Chief 君

金頭赤脚蜈蚣, gold-headed red-legged centipede, half of one, steeped in wine and roasted · toxic
Cheono Chuan Wu
川烏 천오 · Aconite Main Root

—
Deputy 臣

川烏尖, the tips of the aconite root, three of them · aconite, toxic
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

—
Assistant 佐

生麝香, raw musk, a little (少許) · CITES Appendix I

Total 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

Treats navel wind in a newborn
Given internally, half a ja at a time, in a decoction boiled in a gold or silver vessel

Indications 主治

Pattern-based

Navel wind — the severe case, where 調氣益黃散 has not held

Biomedical correlates

Neonatal tetanus

Source text 原文

Donguibogam 東醫寶鑑

治臍風. 金頭赤脚蜈蚣半條(酒浸, 灸), 川烏尖三箇, 生麝香少許. 右爲末, 每取半字, 以金銀器煎湯調下. 《入門》 ○一名麝香散. 《得效》 ○一名定命散. 《丹心》

Translation

Treats navel wind. Half a gold-headed, red-legged centipede (steeped in wine and roasted), three aconite root tips, a little raw musk. Grind to a powder and take half a ja at a time, stirred into a decoction boiled in a gold or silver vessel. — Immun 入門 (Donguibogam · Soa) ○ Also called Sahyang-san 麝香散. — Deukhyo 得效 ○ Also called Jeongmyeong-san 定命散. — Dansim 丹心

Clinical commentary 臨床

Half a centipede, three aconite tips and a little raw musk, at half a ja a dose. 1.17.2 臍風 reserves it for the severe case — 甚者用金烏散 — after 調氣益黃散 has been tried, and the escalation is from animal venoms to a plant poison: 川烏尖, the tips of the aconite root, are the most alkaloid-dense part of the most dangerous common drug in the pharmacopoeia. The reasoning is internally consistent. A baby rigid with spasm looks cold and shut down, and aconite is the tradition's great warming and wind-driving agent, so the sickest child gets the strongest wind drug. The pharmacology runs the other way. Aconitine blocks voltage-gated sodium channels and kills by ventricular arrhythmia; adult fatalities are recorded from a few grams of inadequately processed root, and these tips are given raw in count, not weight. For what the condition is, why none of this reaches it, and what cord care actually prevents it, see the note on `heolcho-san-soa`. **Contains aconite — the raw root tips, the most toxic part — together with centipede, a neurotoxic venom, and raw musk, CITES Appendix I and prohibited in trade. The patient is a newborn, dosed by count and by pinch with no weight given anywhere in the chapter, with roughly 250 ml of blood, an immature blood–brain barrier and kidneys that clear poorly. Of the ten formulas in this section this is the one most likely to kill the patient outright. This must not be prepared or given.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.