Formulas · Expel Worms 驅蟲 · Seui Deukhyobang (世醫得效方)

Cinnabar Pill

Jinsa-won

한글 진사원 · Pinyin Chen Sha Yuan

辰砂元

A collation note in the Kyujanggak transcription records 大 : 入 at this leaf, the first printing reading 入 where this edition has 大 in 皂角子大; the received reading is kept. 辰砂 is the Jinju-sourced cinnabar and resolves to the cinnabar entry under 朱砂.

Composition 構成

Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

40 g
Chief 君

the Jinju cinnabar (辰砂)
Awi A Wei
阿魏 아위 · Asafoetida

40 g
Deputy 臣

the genuine article

Total 80 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

Settles the enduring malaria without damaging the original qi
Disperses what is bound and kills the malarial agent
Calms the spirit

Indications 主治

Pattern-based

Enduring malaria (久瘧) with the original qi already depleted
Taxation malaria (勞瘧) that cutting formulas would finish
Malarial mother mass (瘧母)

Biomedical correlates

Malaria
Chronic relapsing fever
Post-malarial debility

Source text 原文

Donguibogam 東醫寶鑑

治久瘧不損元氣. 辰砂ㆍ阿魏(眞者) 各一兩. 右硏勻, 稀米糊和丸皂角子大, 空心以人參湯化下一丸. 《得效》

Translation

Treats the enduring malaria without damaging the original qi. Cinnabar and asafoetida, the genuine article, 1 nyang each. Grind them together evenly and roll pills with a thin rice paste, the size of a gleditsia seed; on an empty stomach dissolve one pill down in ginseng decoction. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

Two drugs and one pill a day, and the claim in the first line is the point of the entry: it settles an enduring malaria 不損元氣, without damaging the original qi. That is written against everything else in this group. The chapter has just warned that dichroa and the cutting formulas kill patients whose original qi has gone, and this is the Deukhyo's answer — asafoetida to disperse what is bound and kill the malarial agent, cinnabar to settle, a thin rice paste to bind, and ginseng decoction as the vehicle so that even the swallow supplements. The dose is a single pill the size of a gleditsia seed on an empty stomach, which is as gentle as this chapter gets. **Contains cinnabar (辰砂), which is mercuric sulfide and a source of mercury poisoning. This must not be prepared.** The historical reasoning is worth keeping; the prescription is not one to reproduce in any form. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.