寶鑑Bogam

Formulas · Stop Cough & Wheeze 止咳平喘 · Manbyeong Hoechun (萬病回春)

Cockcrow Pill

Gyemyeong-hwan

한글 계명환  ·  Pinyin Ji Ming Wan

雞鳴丸

加味子 — the transcription reads 加 where the first edition reads 五, that is 五味子, schisandra, which is plainly what is meant; the collation note stands at the foot of leaf 046a. The transcription's reading is printed and the drug is entered as schisandra. A second 雞鳴丸, the 中朝 formula for panting and cough generally, follows a few lines later in the chapter and is registered separately.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • Cough of any of the eighteen kinds
  • Wheezing panting with blood in the sputum

Biomedical correlates

  • Chronic cough with haemoptysis — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治十八般咳嗽ㆍ哮喘ㆍ吐血諸證如神. 知母(炒) 四兩, 旋覆花ㆍ陳皮ㆍ馬兠鈴ㆍ麻黃ㆍ甘草(灸) 各一兩, 桔梗ㆍ人參 各五錢, 阿膠珠ㆍ欵冬花ㆍ加味子 各四錢, 杏仁ㆍ葶藶子(炒)ㆍ半夏(製) 各三錢. 右爲末, 蜜丸彈子大, 每一丸, 烏梅ㆍ薑ㆍ棗煎湯嚼下, 日三. ○十八般者, 肝咳ㆍ心咳ㆍ脾咳ㆍ肺咳ㆍ腎咳ㆍ胃咳ㆍ小腸咳ㆍ大腸咳ㆍ膽咳ㆍ膀胱咳ㆍ三焦咳ㆍ內因咳ㆍ外因咳ㆍ不內外因咳ㆍ氣咳ㆍ寒咳ㆍ熱咳ㆍ暴咳也. 《回春》

Translation

Treats the eighteen kinds of cough, wheezing panting and the spitting of blood, with wonderful effect. Dry-fried anemarrhena, 4 nyang; inula flower, tangerine peel, aristolochia fruit, ephedra and honey-roasted licorice, 1 nyang each; platycodon and ginseng, 5 don each; donkey-hide glue beads, coltsfoot flower and schisandra, 4 don each; apricot kernel, dry-fried lepidium seed and processed pinellia, 3 don each. Grind to a powder and make honey pills the size of a bullet; one pill each time, chewed down with a decoction of smoked plum, ginger and jujube, three times a day. ○ The eighteen kinds are: liver cough, heart cough, spleen cough, lung cough, kidney cough, stomach cough, small intestine cough, large intestine cough, gallbladder cough, bladder cough, triple burner cough, cough from internal causes, cough from external causes, cough from causes neither internal nor external, qi cough, cold cough, heat cough and sudden cough. — Manbyeong Hoechun 回春 (Donguibogam · Haesu)

Clinical commentary 臨床

A universal cough pill, and the eighteen kinds listed at the end are the chapter's whole classification set out in one line — eleven by organ, three by cause, four by quality. A single formula for all of them is the opposite of the chapter's usual method, and that is what the name claims: one pill, chewed three times a day, for whatever kind of cough the patient has. The composition is sound enough on its own terms: anemarrhena in bulk for the heat, ephedra and platycodon to open the lung, inula and lepidium to move the phlegm down, glue and schisandra to hold the blood and the qi. **Contains aristolochia fruit, which carries aristolochic acid: nephrotoxic and carcinogenic, a cause of end-stage renal failure and urothelial cancer, and not to be used. Contains ephedra, a sympathomimetic, and pinellia, which is toxic in the raw state. Blood in the sputum needs investigation, not a cough pill.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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