Formulas · Tonify Yang 補陽 · Seui Deukhyobang (世醫得效方)

Rescue from Peril Superior Elixir

Jeuiisang-dan

한글 제위상단  ·  Pinyin Ji Wei Shang Dan

濟危上丹

Given as 各等分 with no absolute weights; grams entered at 40 each as a notional equal share.

Composition 構成

Total 320 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

Indications 主治

Pattern-based

  • Blood lost in excess at delivery
  • vacuity carried to its extreme and engendering wind — the lips green
  • the flesh cold
  • sweat coming out and the eyes closing
  • life hanging on a moment

Biomedical correlates

  • Postpartum haemorrhagic shock

Source text 原文

Donguibogam 東醫寶鑑

治産時下血過多, 虛極生風, 脣靑肉冷, 汗出目瞑, 命在須臾, 切不可用正風藥, 亟投此. 乳香ㆍ硫黃ㆍ五靈脂ㆍ太陰玄精石ㆍ陳皮ㆍ桑寄生ㆍ阿膠ㆍ卷柏 各等分. 右將前四石藥硏, 微火炒, 再硏細, 方入後四藥爲末, 以生地黃汁和丸梧子大, 溫酒下二三十丸. 《得效》

Translation

Treats blood lost in excess at the time of delivery, vacuity carried to its extreme and engendering wind — the lips green, the flesh cold, sweat coming out and the eyes closing, life hanging on a moment. On no account use the proper wind medicines; give this urgently. Frankincense, sulphur, flying squirrel faeces, selenite, tangerine peel, mulberry mistletoe, ass-hide glue and selaginella in equal parts. Grind the first four mineral medicines, stir-fry them over a low fire and grind fine again, then add the latter four powdered; bind with fresh rehmannia juice into pills the size of a firmiana seed and take twenty or thirty down with warm wine. — Seui Deukhyobang 得效 (Donguibogam · Buin)

Clinical commentary 臨床

切不可用正風藥 — on no account use the proper wind medicines — is the warning the formula exists for. The presentation looks like wind stroke and is not: it is shock from blood loss, and dispersing wind medicinals would finish the patient. 脣靑肉冷, 汗出目瞑 — lips green, flesh cold, sweat out, eyes closing — describes haemorrhagic shock accurately. **This is haemorrhagic shock and requires transfusion and uterotonics. Contains sulphur.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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