Formulas · Dispel Wind-Damp 祛風濕 · Uihak Immun (醫學入門)

Settle the Pain Powder for Wind Toxin

Jeongtong-san

한글 정통산 · Pinyin Ding Tong San

定痛散

Registered with the chapter suffix to distinguish it from the 定痛散 of the Hoechun for toothache. Tiger bone's trade is prohibited.

Composition 構成

Changija Cang Er Zi
蒼耳子 창이자 · Cocklebur Fruit

30 g
Chief 君
Golswaebo Gu Sui Bu
骨碎補 골쇄보 · Drynaria

30 g
Chief 君
Hogyeonggol Hu Jing Gu
虎脛骨 호경골 · Tiger Shin Bone (prohibited)

20 g
Chief 君

prohibited
Jayeondong Zi Ran Tong
自然銅 자연동 · Pyrite

30 g
Deputy 臣
Hyeolgal Xue Jie
血竭 혈갈 · Dragon's Blood Resin

30 g
Deputy 臣
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

30 g
Deputy 臣
Jeokjakyak Chi Shao
赤芍藥 적작약 · Red Peony

30 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

30 g
Deputy 臣
Useul Niu Xi
牛膝 우슬 · Achyranthes

30 g
Deputy 臣
Gupan Gui Ban
龜板 구판 · Tortoise Plastron

20 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

30 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

30 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

30 g
Assistant 佐
Cheonma Tian Ma
天麻 천마 · Gastrodia

10 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

10 g
Assistant 佐
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

10 g
Assistant 佐
Ogapi Wu Jia Pi
五加皮 오가피 · Acanthopanax

10 g
Assistant 佐
Molyak Mo Yao
沒藥 몰약 · Myrrh

30 g
Envoy 使

Total 440 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 wind toxin attacking and pouring between the skin and the bone marrow with pain in no constant place
quiet by day and severe at night
the sinews and vessels cramping so that they cannot bend or stretch
Dispels wind toxin from the bones and stops pain

Indications 主治

Pattern-based

Wind toxin lodged between skin and marrow with nocturnal pain
Wind damp with contracture

Biomedical correlates

Nocturnal bone pain
Chronic inflammatory arthritis

Source text 原文

Donguibogam 東醫寶鑑

治風毒攻注皮膚ㆍ骨髓之間, 痛無常處, 晝靜夜劇, 筋脉拘攣ㆍ不得屈伸. 蒼耳子ㆍ骨碎補ㆍ自然銅ㆍ血竭ㆍ白附子ㆍ赤芍藥ㆍ當歸ㆍ肉桂ㆍ白芷ㆍ沒藥ㆍ防風ㆍ牛膝各七錢半, 虎脛骨ㆍ龜板各五錢, 天麻ㆍ檳榔ㆍ羌活ㆍ五加皮各二錢半. 右爲末, 每一錢, 溫酒調下. 《入門》

Translation

Treats wind toxin attacking and pouring between the skin and the bone marrow, the pain in no constant place, quiet by day and severe at night, and the sinews and vessels cramping so that they cannot bend or stretch. Xanthium fruit, drynaria, pyrite, dragon's blood, typhonium, red peony, tangkuei, cassia bark, angelica dahurica, myrrh, saposhnikovia and achyranthes, 7 don 5 fun each; tiger shin bone and tortoise plastron, 5 don each; gastrodia, areca, notopterygium and acanthopanax bark, 2 don 5 fun each. Powder; 1 don each time, taken stirred into warm wine. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

Eighteen drugs and the most bone-directed formula in the chapter: drynaria, pyrite, tortoise plastron, tiger bone and acanthopanax are all drugs the tradition assigned to the bones rather than the joints or the flesh. The indication matches — pain between the skin and the marrow, quiet by day and severe at night — and nocturnal bone pain is a symptom that still means something. Tiger bone is prohibited; drynaria, dragon's blood and myrrh are the parts that remain usable. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.