Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Settle the Life Elixir

Jeongsaeng-dan

한글 정생단  ·  Pinyin Ding Sheng Dan

定生丹

Composition 構成

Total 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

  • Stomach reflux with food vomited back

Biomedical correlates

  • Gastric outlet obstruction — historical treatment and prognostic test

Source text 原文

Donguibogam 東醫寶鑑

治反胃, 定生死. 雄黃ㆍ朱砂ㆍ乳香ㆍ半夏ㆍ木香ㆍ肉豆蔲ㆍ百草霜<span class='sochu'>爲衣</span> 各三錢, 沉香 一錢, 阿魏ㆍ䃃砂 各五分, 菉豆 四十粒, 烏梅 四十箇(湯泡去核). 右爲末, 以烏梅肉和擣作丸彈子大, 百草霜爲衣, 陰乾. 每一丸噙化嚥下, 以薑湯漱口, 復以陳麥餠火燒熟, 細嚼壓下. 噙藥卽燃官香一炷; 如香盡藥未化者難治, 藥先化香未盡者可愈. 《醫鑑》

Translation

Treats stomach reflux, and settles whether the patient will live or die. Realgar, cinnabar, frankincense, pinellia, saussurea, nutmeg and pot-bottom soot<span class='sochu'>used as the coating</span>, 3 don each; aquilaria, 1 don; asafoetida and sal ammoniac, 5 fun each; mung bean, forty grains; smoked plum, forty fruits, scalded and stoned. Powder them, bind with the smoked plum flesh and pound into pills the size of a bullet, coat them with pot-bottom soot and dry them in the shade. Hold one pill in the mouth each time until it melts and swallow it, rinse the mouth with ginger decoction, then burn an old wheat cake, chew it fine and send the medicine down with it. As soon as the pill is put in the mouth, light a stick of official incense: if the incense burns out before the pill has melted the case is hard to treat, and if the pill melts before the incense is spent the patient may be cured. — Gogeum Uigam 醫鑑 (Donguibogam · Guto)

Clinical commentary 臨床

The name means what it says: the formula is also a prognostic test. A stick of incense is lit as the pill goes into the mouth, and whether the pill melts before the incense burns down decides whether the case is treatable. What it actually measures is salivation and the ability to swallow, which in a patient with an obstructed gullet is a reasonable index of how far the obstruction has gone — a crude bedside test with a real physiological basis, dressed as an omen. **Contains realgar, an arsenic sulfide, cinnabar, a mercuric sulfide, and sal ammoniac. This must not be prepared.** It also contains pinellia, which is toxic in the raw state. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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