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

Crane's Crest Elixir

Hakjeong-dan

한글 학정단  ·  Pinyin He Ding Dan

鶴頂丹

The chapter appends a variant from the Jikji 直指方 using alum and red lead in equal parts, calcined, with scorpion added at administration. It is recorded in the source text and translation but not entered as a separate formula.

Composition 構成

Total 60 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

Indications 主治

Pattern-based

  • Phlegm heat stopping the throat with a sawing sound in the breath
  • Bound phlegm with fullness and pain in the chest and diaphragm
  • Stubborn phlegm blocking the orifices with loss of voice

Biomedical correlates

  • Upper airway obstruction from tenacious secretions
  • Acute laryngeal congestion

Source text 原文

Donguibogam 東醫寶鑑

治痰熱塞咽喉, 聲如拽鋸, 及痰結胸膈滿痛. 明白礬 一兩, 心紅 五錢(或黃丹亦好). 右爲末, 每取一匙, 入磁器內熔化, 乘熱, 撚作丸櫻桃大, 每一丸, 以薄荷煎湯化下. 《入門》 直指方, 控痰良方. 白礬ㆍ黃丹 各一兩, 火煆爲末, 麪糊和丸麻子大. 治諸頑痰迷塞, 關竅不通, 聲音不出. 取三十丸, 硏末, 入全蝎少許, 薑湯調灌之, 吐痰立愈.

Translation

Treats phlegm heat stopping the throat with a sound in the breath like a saw being drawn, and bound phlegm with fullness and pain in the chest and diaphragm. Clear alum 1 nyang, vermilion 5 don — red lead also serves. Powder them, take a spoonful at a time into a porcelain vessel and melt it, and while hot roll pills the size of a cherry; dissolve one in a decoction of mint and take. The Jikji gives a good formula for controlling phlegm: alum and red lead 1 nyang each, calcined and powdered, made into pills with wheat paste the size of a hemp seed. It treats all stubborn phlegm blocking the orifices so that the passages are closed and the voice will not come. Take thirty pills, grind them, add a little scorpion, and pour it down mixed with ginger decoction; the phlegm is vomited and the cure is immediate. — Uihak Immun 入門 (Donguibogam · Damum)

Clinical commentary 臨床

Named for the crimson crest of the crane, which is what the melted vermilion pill looks like. The indication is precise and alarming: a sawing sound in the breath, which is stridor, with the throat stopped by phlegm heat. **This formula must not be prepared or taken. Vermilion is mercuric sulfide and red lead is lead tetroxide; both are cumulative heavy-metal poisons with no safe dose, and the alternative given in the source substitutes one for the other. It is recorded here for textual completeness only.** The clinical picture it addresses — audible stridor with an obstructed airway and loss of voice — is an airway emergency requiring immediate medical attention. The entry is worth keeping for what it shows about the era's therapeutics: mineral caustics deployed against an obstruction the physician could hear but not reach. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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