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

Exchange the Bones Powder

Hwangol-san

한글 환골산 · Pinyin Huan Gu San

換骨散

The transcription writes 醫鍳 for 醫鑑; the standard form is printed.

Composition 構成

Tobongnyeong Tu Fu Ling
土茯苓 토복령 · Smilax

160 g
Chief 君

4 nyang
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

60 g
Deputy 臣

the thorn (皂角刺), 1 nyang 5 don
Gwarugeun Gua Lou Gen
瓜蔞根 과루근 · Trichosanthes Root

40 g
Deputy 臣
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

40 g
Deputy 臣
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

40 g
Assistant 佐
Mahwang Ma Huang
麻黃 마황 · Ephedra

40 g
Assistant 佐
Chija Zhi Zi
梔子 치자 · Gardenia

40 g
Assistant 佐
Yeongyo Lian Qiao
連翹 연교 · Forsythia

40 g
Assistant 佐
Yuhyang Ru Xiang
乳香 유향 · Frankincense

6 g
Assistant 佐
Moryak Mo Yao
沒藥 몰약 · Myrrh

6 g
Assistant 佐

Total 472 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 aching of the sinews and bones in heavenly blister sores
Divided into ten packets; each boiled from three bowls down to one and drunk in two goes

Indications 主治

Pattern-based

Sore toxin sunk into the sinews and bones
Heat toxin with stasis in the deep tissues

Biomedical correlates

Syphilitic periostitis and bone pain — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治天疱瘡筋骨疼痛. 土茯苓四兩, 皂角刺一兩半, 天花粉ㆍ當歸ㆍ荊芥ㆍ麻黃ㆍ梔子ㆍ連翹各一兩, 乳香ㆍ沒藥各一錢半. 右剉, 分作十貼, 每取一貼, 水三椀, 煎至一椀, 分二次服之. 《醫鑑》

Translation

Treats aching of the sinews and bones in heavenly blister sores. Smilax 4 nyang, the soap-bean thorn 1 nyang 5 don, trichosanthes root, tangkuei, schizonepeta, ephedra, gardenia and forsythia 1 nyang each, frankincense and myrrh 1 don 5 fun each. Cut up and divide into ten packets; take one packet in three bowls of water, decoct down to one bowl, and drink it in two goes. — Uigam 醫鑑 (Donguibogam · Jechang)

Clinical commentary 臨床

The name is the claim: the bones are to be exchanged for new ones. Four nyang of smilax and an nyang and a half of soap-bean thorn lead, with trichosanthes root and tangkuei to moisten and move, schizonepeta and ephedra to open the surface, gardenia and forsythia to drain heat, and a small weight of frankincense and myrrh to move the blood in the deep tissue. Dividing it into ten packets and boiling three bowls down to one makes a concentrated dose drunk in two halves — a form that suits a long course of bone pain. Set beside 香鰾湯 and 茯苓湯, which treat the same complaint from the same section, this is the version that leans on smilax and the cooling drugs rather than on warmth. The pain is periosteal and the formula is not treating its cause. **Ephedra (麻黃) raises blood pressure and heart rate and is unsafe in heart disease, hypertension and thyroid disease; it is a controlled substance in many jurisdictions.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.