寶鑑Bogam

Formulas · Clear Heat 淸熱 · Dansim (丹心)

Dog Bezoar Pill

Gubo-hwan

한글 구보환  ·  Pinyin Gou Bao Wan

狗寶丸

狗寶, dog bezoar, is registered for this leaf as gubo, and 烏金石, glossed in the text as 石炭, as seoktan; the 罐, the jar the wax is melted in, is apparatus and stays in the source text. The transcription writes 狗寳 for 狗寶, 癕 for 癰, 𤍠 for 熱, 真 for 眞, 沉 for 沈 and 為 for 爲; the standard forms are printed, and 䃃砂, 菉豆, 盖 and 葱 are printed as the transcription and the corpus both have them. The two interlinear notes (細註), ≪癩狗腹中得之≫ and ≪卽石炭≫, are set in parentheses.

Composition 構成

Total 284.4 g per packet (첩) · representative dosage — verify against source texts. Excludes 6 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

  • Abscess and deep-rooted abscess (癰疽), back effusion (發背), bone-adjacent abscess (附骨)
  • Every kind of malignant swelling at the point of breaking out
  • Vexing thirst in the mouth, heavy limbs and generalized vigorous heat as the warning signs

Biomedical correlates

  • Severe skin and soft-tissue infection with systemic signs
  • Osteomyelitis
  • Sepsis from a soft-tissue focus — historical emergency treatment

Source text 原文

Donguibogam 東醫寶鑑

專治癰疽ㆍ發背ㆍ附骨, 諸般惡腫. 將發時, 先覺口中煩渴, 四肢沈重, 遍身壯熱, 乃其候也, 此藥主之. 粉霜ㆍ黃蠟 各三兩, 䃃砂 五錢, 蟾酥ㆍ輕粉ㆍ雄黃ㆍ狗寶(癩狗腹中得之)ㆍ乳香ㆍ烏金石(卽石炭)ㆍ沒藥 各一錢, 麝香 一分, 金頭蜈蚣 七條, 黑狗膽(臘月者) 一箇, 鯉魚膽(臘月者) 一箇, 初男乳 一合. 右爲末. 先將乳汁ㆍ蠟放在罐內, 慢火化開, 次將各藥末和成劑, 丸如菉豆大. 每三丸至五丸, 用白丁香 七箇 硏爛, 和新汲水送下. 少頃, 以熱葱白粥投之, 衣被盖定, 汗出爲效. 如無此藥, 以淵然眞人奪命丹<span class='sochu'>方見上</span>代之. 《丹心》 ○一名寸金丹, 二名返魂丹, 三名再生丸, 四名追命丹, 五名延壽丹, 六名來甦丸, 七名知命丸, 八名得道丸. 若有瘡身未爛, 服三丸則便活. 如噤口, 斡開牙關, 硏下三丸, 立生. 非人勿示. 《精義》

Translation

Treats specifically abscess and deep-rooted abscess, back effusion and bone-adjacent abscess, and every kind of malignant swelling. When it is about to break out one first feels vexing thirst in the mouth, heaviness in the four limbs and vigorous heat over the whole body: these are its signs, and this medicine governs it. Sublimed calomel and beeswax, 3 nyang each; sal ammoniac 5 don; toad venom, calomel, realgar, dog bezoar (got from the belly of a mangy dog), frankincense, black-gold stone (that is, mineral coal) and myrrh, 1 don each; musk 1 fun; red-headed centipedes, seven of them; the gall of a black dog taken in the twelfth month, one; carp gall taken in the twelfth month, one; the milk of a woman nursing her first son, 1 hop. Powder the above. First put the milk and the wax into a jar and melt them open over a slow fire, then mix in the powdered drugs to make a mass and roll pills the size of mung beans. For each dose three to five pills: grind seven sparrow droppings fine and send the pills down with them in newly drawn water. After a short while give hot scallion-white gruel on top of it, settle the bedclothes over the patient, and sweating is the sign that it has worked. If this medicine is not to be had, substitute Yeonyeonjinin Talmyeong-dan (the formula is given above). — Dansim 丹心 Its first name is Chongeum-dan, its second Banhon-dan, its third Jaesaeng-hwan, its fourth Chumyeong-dan, its fifth Yeonsu-dan, its sixth Naeso-hwan, its seventh Jimyeong-hwan, and its eighth Deukdo-hwan. If there is a sore but the body has not yet rotted, taking three pills brings the patient straight back. If the mouth is clenched shut, prise the jaws open and grind three pills down, and life is restored at once. Show it to no one unworthy. — Jeongui 精義 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The most extreme thing in the first half of this chapter, and it is openly an emergency pill. The leaf gives the warning signs that justify it — thirst, heavy limbs, vigorous heat over the whole body as the sore is about to break out — which is a description of a soft-tissue infection going systemic. Three to five mung-bean pills are sent down in cold water, hot scallion gruel is poured on top, and the patient is covered until a sweat breaks; if the jaws are clenched the text says to prise them open and grind the pills down anyway. The eight alternative names and the closing 非人勿示, "show it to no one unworthy", are the record of how such a formula circulated, and the substitution clause is the useful textual detail: if the pill cannot be had, 淵然眞人奪命丹 takes its place. The name drug, 狗寶 — a concretion taken from the belly of a mangy dog, the canine counterpart of ox bezoar — is the rarest item in it and the reason for the other seven names. All of that is history, not efficacy. **This pill contains sublimed calomel and calomel (both mercury compounds), realgar (arsenic sulphide), sal ammoniac, toad venom and centipede. It must not be prepared or taken under any circumstances; three of its ingredients are lethal in the doses given here. It also contains musk, CITES Appendix I and prohibited in trade, and dog gall, carp gall, sparrow droppings and human milk, which are raw animal and human materials.** It is recorded for textual completeness only. The condition it describes — a spreading infection with fever and systemic signs — is sepsis, and it requires emergency hospital care with intravenous antibiotics and surgical drainage. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another