Formulas · Warm the Interior 溫裏 · Hwaje Gukbang (和劑局方)

Supreme Sage Return and Restore Elixir

Jiseongnaebok-dan

한글 지성내복단  ·  Pinyin Zhi Sheng Lai Fu Dan

至聖來復丹

Composition 構成

Total 360 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

  • The qi neither rising nor descending
  • and all critical and urgent patterns
  • cold or hot
  • slow or urgent — centre qi stroke
  • qi ascent
  • qi pain and qi depression alike

Biomedical correlates

  • Acute collapse
  • Shock

Source text 原文

Donguibogam 東醫寶鑑

治氣不升降, 一切危急之證, 可冷可熱, 可緩可急, 如中氣, 上氣, 氣痛, 氣鬱皆效. 硝石ㆍ硫黃 各一兩, 同爲細末, 入椀內以微火溫炒, 以柳木篦不住手攪, 令陰陽氣相入. 不可火太過, 恐傷藥力. 再硏極細, 名二氣末. 太陰玄精石(硏飛) 一兩, 五靈脂(硏水飛澄去砂石曬乾)ㆍ靑皮ㆍ陳皮(幷去白) 各二兩, 爲末和勻, 以好醋打麪糊搜和丸, 如豌豆大, 每服三十粒, 或五十粒, 空心, 粥飮呑下. 《局方》

Translation

Treats the qi neither rising nor descending and all critical and urgent patterns — usable in cold or heat, in slow or urgent cases; in centre qi stroke, qi ascent, qi pain and qi depression alike it takes effect. Nitre and sulphur 1 nyang each, powdered fine together, put in a bowl and stir-fried gently over a low fire, stirred without pause with a willow spatula so that the qi of yin and yang enter each other; the fire must not be too strong, lest it harm the medicine's force; ground very fine again, and called the Two Qi Powder. Glauberite (ground and water-floated) 1 nyang; flying squirrel faeces (ground, water-floated, settled to remove sand and grit, and sun-dried), green tangerine peel and tangerine peel (both with the white pith removed) 2 nyang each; powdered and mixed evenly, bound with good vinegar beaten into flour paste, and made into pills the size of a pea. Take thirty, or fifty, on an empty stomach, sent down with congee. — Hwaje Gukbang 局方 (Donguibogam · Gi)

Clinical commentary 臨床

Nitre and sulphur fried together — an oxidizer and a fuel, which is why the Gukbang says to keep the fire low and stir without stopping. 二氣末, the Two Qi Powder, is the name for the product: nitre is cold and sulphur hot, and the two ground together were held to be yin and yang made one. 可冷可熱, 可緩可急 — usable in cold or heat, slow or urgent — is the claim, and the reasoning is that a medicine of both natures suits either. The Medicine Use chapter's 5.31 cited this formula as its example of the utmost yang assisted by the utmost yin. **Sulphur and nitre heated together are a fire hazard. Sulphur taken internally is toxic. Acute collapse requires emergency assessment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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