Formulas · Transform Phlegm 化痰 · Uihak Immun (醫學入門)

Control the Drool Pill

Gongyeon-hwan

한글 공연환  ·  Pinyin Kong Xian Wan

控涎丸

First-edition collation: the first edition reads 竺 where this text has 笁 before 鐵粉. What 竺鐵粉 names is not certain — 竺 may stand for 天竺黃, in which case two medicinals have been run together — and the ingredient is entered here as iron powder alone.

Composition 構成

Total 82 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

  • Long-standing epilepsy with stubborn drool
  • Fits with copious saliva
  • Epilepsy that has bred other signs over years

Biomedical correlates

  • Refractory epilepsy
  • Sialorrhoea with seizures

Source text 原文

Donguibogam 東醫寶鑑

治諸癎久不愈, 頑涎散聚, 變生諸證. 白殭蠶(薑汁浸一宿)ㆍ川烏(生)ㆍ半夏 各五錢, 全蝎 七枚, 竺鐵粉 三錢, 甘遂 二錢半. 右爲末, 薑汁糊和丸菉豆大, 朱砂爲衣, 薑湯下十五丸. 《入門》

Translation

Treats any epilepsy long unhealed, with stubborn drool gathering and scattering and breeding other signs. Silkworm (steeped overnight in ginger juice), aconite (raw) and pinellia, 5 don each; seven whole scorpions; iron powder, 3 don; kansui, 2 don 5 fun. Powder them, make pills the size of a mung bean with ginger-juice paste, coat with cinnabar, and take fifteen with ginger decoction. — Immun 入門 (Donguibogam · Sin)

Clinical commentary 臨床

**This must not be prepared.** Raw aconite with kansui and a cinnabar coating: a drastic purgative and two cardiotoxins in one pill. 頑涎散聚, 變生諸證 — stubborn drool gathering and scattering and breeding further signs — is the Immun's account of why a long epilepsy acquires new symptoms, and it is the reasoning behind the whole phlegm-expelling line of 5.13. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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