Formulas · Transform Phlegm 化痰 · Hwalsim (活心)

Nine Immortals Snatch Back Life Elixir

Guseontalmyeong-dan

한글 구선탈명단 · Pinyin Jiu Xian Duo Ming Dan

九仙奪命丹

Composition 構成

Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

80 g
Chief 君
Baekban Bai Fan
白礬 백반 · Alum

40 g
Deputy 臣

calcined
Banha Ban Xia
半夏 반하 · Pinellia

20 g
Deputy 臣

ginger-processed; toxic in the raw state and must be properly processed
Hubak Hou Po
厚朴 후박 · Magnolia Bark

20 g
Deputy 臣

ginger-processed; also decocted with the ginseng to make the paste
Damdusi Dan Dou Chi
淡豆豉 담두시 · Prepared Soybean

40 g
Assistant 佐

ground
Mokhyang Mu Xiang
木香 목향 · Costus Root

8 g
Assistant 佐
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

8 g
Assistant 佐

ginger-processed; toxic in the raw state and must be properly processed
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Assistant 佐

also decocted with the magnolia bark to make the paste
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

Total 224 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

Treats stomach reflux and gullet-blocked food

Indications 主治

Pattern-based

Phlegm and qi binding at the gullet
Stomach reflux with food vomited back

Biomedical correlates

Gastric outlet obstruction — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治反胃噎食, 其效如神. 枳殼二兩, 白礬(枯) 一兩, 半夏ㆍ厚朴(並薑製) 各五錢, 木香ㆍ南星(薑製) 各二錢, 人參ㆍ甘草各一錢, 豆豉(硏過) 一兩. 右爲末, 夜晴露過, 以人參ㆍ厚朴煎湯調糊作餠如小錢大, 慢火焙乾. 每一餠嚼碎, 以薑湯調平胃散送下. 忌生冷ㆍ酒麪. 《活心》

Translation

Treats stomach reflux and gullet-blocked food, with wonderful effect. Bitter orange peel, 2 nyang; calcined alum, 1 nyang; pinellia and magnolia bark, both ginger-processed, 5 don each; saussurea and ginger-processed arisaema, 2 don each; ginseng and licorice, 1 don each; ground fermented soybean, 1 nyang. Powder them and leave the powder out overnight in the open on a clear night; make a paste with a decoction of ginseng and magnolia bark, form cakes the size of a small coin, and dry them slowly over a low fire. Chew one cake to pieces each time and send it down with Level the Stomach Powder stirred into ginger decoction. Raw and cold food, wine and wheaten food are to be avoided. — Hwalsim 活心 (Donguibogam · Guto)

Clinical commentary 臨床

A cake to be chewed rather than a pill to be swallowed, which is the same accommodation as Sinseontalmyeong-dan's lozenge: a patient who cannot swallow is given something that can be worked down in pieces. Bitter orange peel at two nyang is the bulk of it, with alum to astringe and the ginger-processed pair for the phlegm. 夜晴露過 — left out overnight under a clear sky — is a preparation step the Bogam uses for formulas held to need the night air's coolness. **Contains pinellia and arisaema, both toxic in the raw state; both must be properly processed, as the source specifies.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.