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

Uncaria Powder

Jodeung-san

한글 조등산 · Pinyin Diao Teng San

釣藤散

湯氏 is not among the source labels the corpus already carries; it is romanised Tangssi here and flagged for the editor. The alternative name 釣藤飮 would romanise to jodeung-eum, which is unoccupied in the database, and it is not registered separately because the leaf gives it as a variant of this formula rather than as its own prescription.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Chief 君
Seogak Xi Jiao
犀角 서각 · Rhinoceros Horn (prohibited)

2 g
Chief 君

prohibited — CITES Appendix I
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

0.8 g
Deputy 臣

toxic
Cheonma Tian Ma
天麻 천마 · Gastrodia

0.8 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

0.4 g
Envoy 使

Total 6 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 heaven-hung convulsion, as the formula above does
A short decoction given for the arched head and upturned eyes

Indications 主治

Pattern-based

Heaven-hung convulsion (天吊) with the head and eyes turned upward
Fright wind with twitching in a child

Biomedical correlates

Historically used for opisthotonos with upward gaze deviation in an infant
Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治同上. 人參ㆍ犀角各五分, 全蝎ㆍ天麻各二分, 甘草一分. 右剉, 水煎服. 《入門》 ○一名釣藤飮, 有釣藤一味. 《湯氏》

Translation

Treats the same as above. Ginseng and rhinoceros horn, 5 fun each; scorpion and gastrodia, 2 fun each; liquorice, 1 fun. Cut them up, decoct in water and give. — Immun 入門 ○ One name for it is Jodeung-eum 釣藤飮, which has uncaria as a single added drug. — Tangssi 湯氏 (Donguibogam · Soa)

Clinical commentary 臨床

**Contains scorpion, which is toxic, and rhinoceros horn, which is prohibited. The patient is a child and the text gives no dose by weight anywhere — this must not be prepared.** 犀角 is rhinoceros horn at 5 fun, joint-largest here. All five rhinoceros species are protected and international trade is banned under CITES Appendix I; the demand this tradition created is a direct cause of the poaching. It is also, pharmacologically, keratin — the same protein as a fingernail — and there is no mechanism by which it lowers a fever. 全蝎 is scorpion, a neurotoxic animal drug. Ginseng, gastrodia and liquorice are harmless at these amounts. The formula is named for uncaria and does not contain any. 釣鉤藤, the hooked stem of *Uncaria rhynchophylla*, enters only in the variant the leaf records at the end — 一名釣藤飮, 有釣藤一味, called Jodeung-eum, with uncaria as the one added drug. That is worth being precise about, because uncaria is the single drug in this round of the chapter with a plausible pharmacology. It contains the indole alkaloids rhynchophylline and isorhynchophylline, which in rodent and cell work modulate calcium channels and NMDA receptors and show sedative, anticonvulsant and blood-pressure-lowering effects. What is not known is whether any of that matters in a person: there are no adequate controlled trials, no established dose, no paediatric data, and no good evidence about how much alkaloid a decoction of the raw hook-stem actually delivers. Plausible pharmacology is not a treatment, and it would be dishonest to present it as one. What the child in front of this formula has is set out under 九龍控涎散 — opisthotonos with fixed upward gaze, which in an infant means meningitis or raised intracranial pressure until proven otherwise, and both are emergencies that need hospital assessment rather than a decoction. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.