Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Golden Toad Powder

Geumseom-san

한글 금섬산  ·  Pinyin Jin Chan San

金蟾散

The same preparation appears in the Oedema chapter at 2.14.18, where the source calls it Golden Toad Powder in a closing line; here it carries that name as its heading.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Indications 主治

Pattern-based

  • Qi drum distension

Biomedical correlates

  • Refractory abdominal distension

Source text 原文

Donguibogam 東醫寶鑑

治氣鼓如神. 大蝦蟆 一箇, 以縮砂推入其口, 使呑入腹, 以滿爲度, 用泥罐封固, 火煆通紅, 烟盡取出, 候冷去泥, 細硏末, 爲一服, 或酒, 或陳皮湯調下, 候散屁多, 乃見其效. 《醫鑑》

Translation

Treats qi drum distension marvellously. One large toad; push amomum into its mouth and make it swallow them into the belly until full. Seal it fast in a clay jar, calcine over fire until it glows red through, and when the smoke is spent take it out. When cool, remove the clay, grind fine to a powder and make one dose. Send it down with wine or with a decoction of tangerine peel; abundant flatus is the sign of effect. — Gogeum Uigam 醫鑑 (Donguibogam · Changman)

Clinical commentary 臨床

The identical preparation to the toad entry among the Oedema chapter's simples, and the two chapters name the same endpoint: abundant flatus is the sign of effect. Amomum is chosen as the filling because it is warm and aromatic and moves qi in the middle burner, which is where the distension sits. **Toad preparations contain bufotoxins, cardiac glycosides chemically close to digitalis, and deaths from toad-derived medicines are on record. This must not be prepared or taken.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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