Formulas · Dispel Wind 祛風 · Danggye Simbeop (丹溪心法)

One Character Powder for Lockjaw

Ilja-san

한글 일자산  ·  Pinyin Yi Zi San

一字散

Registered with the chapter suffix to distinguish it from the 一字散 of the Immun for throat closure. 一字 — one character — is the quarter-don dose the name refers to; 金頭蜈蚣 is the red-headed centipede, held to be the most potent.

Composition 構成

Total 44 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

  • Wind toxin with urgent convulsion
  • Lockjaw in a critical state

Biomedical correlates

  • Tetanus
  • Opisthotonos

Source text 原文

Donguibogam 東醫寶鑑

治破傷風急者. 金頭蜈蚣 一條(灸)ㆍ天麻ㆍ草烏 各五錢, 全蝎 十箇, 白芷 一錢. 右爲末, 每一字, 發熱, 茶淸調下; 發寒, 溫酒調下. 《丹心》

Translation

Treats lockjaw in its urgent form. One red-headed centipede, roasted; gastrodia and aconite kusnezoffii, 5 don each; whole scorpion, ten; angelica dahurica, 1 don. Powder; one ja each time — where there is fever, taken stirred into clear tea, and where there is chill, stirred into warm wine. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

The name is the dose: one ja, a quarter of a don, which for a powder of centipede, scorpion and aconite kusnezoffii is as small as it could usefully be made. The vehicle is chosen by the patient's temperature — tea if feverish, wine if chilled — which is a sensible touch and the only adjustment in the entry. Three toxic animal and plant drugs in one powder is nonetheless not something to prepare, and the aconite here is unprocessed. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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