寶鑑Bogam

Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Return to Life and Protect Life Elixir

Hoesaengbomyeong-dan

한글 회생보명단  ·  Pinyin Hui Sheng Bao Ming Dan

回生保命丹

The transcription writes 醫鍳 for 醫鑑; the standard form is printed. The date flesh and rice flour are the binding paste rather than therapeutic drugs, but they are named in the leaf and are listed; 牙皂 is entered under 皂角, where the corpus already keeps 猪牙皂角.

Composition 構成

Total 174.4 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

  • Heat toxin and stasis bound in the sinews and bones
  • Calomel toxin with swelling and pain

Biomedical correlates

  • Late syphilis with bone involvement — historical treatment
  • Mercury poisoning following treatment

Source text 原文

Donguibogam 東醫寶鑑

治楊梅ㆍ天疱頑瘡及輕粉毒, 筋骨腫痛, 不拘新久皆效. 槐花 一兩, 輕粉 四錢二分, 朱砂 四錢, 川芎ㆍ白芷ㆍ雄黃 各三錢, 當歸(炒) 二錢, 丁香ㆍ血竭ㆍ孩兒茶 各一錢, 乳香ㆍ沒藥 各五分, 牛黃 四分. 右爲末, 棗肉入米粉打糊和丸黍米大, 用土茯苓 一兩ㆍ牙皂 半箇, 同煎湯呑下, 日三服. 《醫鑑》

Translation

Treats stubborn plum-blossom and heavenly blister sores, and calomel toxin with swelling and pain of the sinews and bones; it works whether the case is new or long-standing. Pagoda-tree flower 1 nyang, calomel 4 don 2 fun, cinnabar 4 don, chuanxiong, angelica dahurica and realgar 3 don each, tangkuei (stir-fried) 2 don, clove, dragon's blood and gambir 1 don each, frankincense and myrrh 5 fun each, ox gallstone 4 fun. Grind to powder; work date flesh with rice flour into a paste and bind pills the size of millet grains. Take them down with a decoction made from smilax 1 nyang and half a soap-bean pod boiled together, three doses a day. — Uigam 醫鑑 (Donguibogam · Jechang)

Clinical commentary 臨床

This is the leaf where the contradiction at the centre of the section is on open display. It is prescribed, among other things, for 輕粉毒 — calomel toxin — and the second drug on its own list is 4 don 2 fun of calomel, with 4 don of cinnabar beside it and 3 don of realgar after that. The logic is the homeopathy of the period: the toxin that lodged in the sinews and bones is to be drawn out by the same substance, driven by pagoda-tree flower, the aromatic blood-movers and a little ox gallstone, and carried on a smilax-and-soap-bean decoction three times a day. In practice this would have poisoned the patient further. Sixteen grams of calomel divided into millet-sized pills and taken three times daily over any length of time is a cumulative mercury dose, and the symptoms it treats — swelling and pain of the limbs, wasting, weakness — are the symptoms it causes. The chapter says as much at 2.2. **Contains mercury. This must not be prepared or taken.** Calomel and the other mercury salts in this section are absorbed through the gut and through broken skin, and they accumulate: salivation, loosened teeth, a metallic taste, tremor, kidney injury and the nerve damage the chapter itself calls weakness and paralysis of the limbs. The chapter records this at 2.2 as a complication of its own treatment — mercury poisoning after taking quicksilver or calomel in error, with wind-heaps, swelling, ulceration and running pus. Several of the formulas in this section are offered as the cure for the poisoning the others cause. **It also contains realgar (雄黃), an arsenic sulfide, and cinnabar (朱砂), a mercuric sulfide.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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