Formulas · Invigorate Blood 活血祛瘀 · Gogeum Uigam (古今醫鑑)

Transform Static Blood Powder

Hwaeo-san

한글 화어산 · Pinyin Hua Yu San

化瘀散

蘇木, 大黃, 溫 and 《醫鑑》 are printed with the standard glyphs for the transcription's 蘓木, 大黄, 温 and 醫鍳. The collation note 坐 : 生 standing at the foot of this leaf does not belong to it: the character it annotates is in the 杖傷 section's own prose above, where the list of flogging-wound formulas writes 補氣坐血湯 for 補氣生血湯, and the First Edition reads 生 there.

Composition 構成

Somok Su Mu
蘇木 소목 · Sappan Wood

12 g
Chief 君

3 don
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

12 g
Chief 君

當歸尾, the tail of the root; 3 don
Daehwang Da Huang
大黃 대황 · Rhubarb

8 g
Deputy 臣

2 don · purgative
Honghwa Hong Hua
紅花 홍화 · Safflower

8 g
Deputy 臣

2 don
Dongbyeon Tong Bian
童便 동변 · Child's Urine

—
Envoy 使

a child's urine, mixed with the warm wine as the vehicle · human material

Total 40 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

Treats a heavy beating with the Blood rising to attack the Heart, with vexation and oppression
Breaks the static Blood and leads it out below with sappanwood, the angelica tail, rhubarb and safflower
Taken 3 don at a time stirred into warm wine and a child's urine

Indications 主治

Pattern-based

杖打重 — a severe flogging
血上攻心, 煩悶 — Blood rising to attack the Heart with vexation and oppression

Biomedical correlates

Collapse after a severe beating — in modern terms haemorrhagic shock or crush injury, not static Blood
Agitation and chest oppression after blunt trauma

Source text 原文

Donguibogam 東醫寶鑑

治杖打重, 血上攻心, 煩悶. 蘇木ㆍ當歸尾各三錢, 大黃ㆍ紅花各二錢. 右爲末, 每三錢, 溫酒ㆍ童便調和服. 《醫鑑》

Translation

Treats a heavy beating with the blood rising to attack the Heart and vexing oppression. Sappanwood and the tail of the Korean angelica root, 3 don each; rhubarb and safflower, 2 don each. Powder the above and take 3 don at a time stirred together into warm wine and a child's urine. — Gogeum Uigam 醫鑑 (Donguibogam · Jesang)

Clinical commentary 臨床

Four drugs, all of them Blood drugs, for the worst hour after a severe beating: sappanwood and the tail of the Korean angelica root at 3 don, rhubarb and safflower at 2, taken in warm wine with a child's urine. The reasoning is the chapter's standing one — the Blood struck out of the vessels has risen and is pressing on the Heart, hence the agitation and the oppression in the chest, and it must be broken up and led out downward. That reading has to be named for what it is. A man agitated, oppressed and near collapse after a heavy flogging is in shock from blood loss, or has a chest or abdominal injury, or has crush damage to large muscles. Rhubarb purges, which takes fluid out of a circulation that is already short; wine opens the vessels further; and a child's urine does nothing but carry an infection risk. This is one of several places where the chapter's instinct to drive the Blood out below would harm the patient it describes. Such a patient needs fluid, pressure control, imaging and surgical assessment. **Contains rhubarb (大黃), a purgative given to a patient who may be bleeding internally, and a child's urine (童便), a human material. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.