Formulas · External Application 外用 · Dansim (丹心)

Vitex Powder

Manhyeong-san

한글 만형산 · Pinyin Man Jing San

蔓荊散

鹽 and 葱白 are printed with the standard glyphs for the transcription's 𥂁 and 𢚱. 麄 is left as the transcription prints it, which is also the corpus's form. The two collation notes standing at the page break inside this leaf, 真 : 眞 and 来 : 來, annotate the 自然銅散 leaf above and are recorded there.

Composition 構成

Wanhyeongyeop Wan Jing Ye
頑荊葉 완형엽 · Vitex Leaf

40 g
Chief 君

1 nyang; schizonepeta in its place if unavailable
Manhyeongja Man Jing Zi
蔓荊子 만형자 · Vitex

40 g
Chief 君

1 nyang
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

40 g
Deputy 臣

1 nyang
Sesin Xi Xin
細辛 세신 · Asarum

40 g
Deputy 臣

1 nyang
Bangpung Fang Feng
防風 방풍 · Siler

40 g
Deputy 臣

1 nyang
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

40 g
Deputy 臣

1 nyang
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

40 g
Assistant 佐

桂皮, 1 nyang
Jeonghyangpi Ding Xiang Pi
丁香皮 정향피 · Clove Bark

40 g
Assistant 佐

1 nyang
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

40 g
Assistant 佐

1 nyang
Yeom Yan
鹽 염 · Salt

—
Envoy 使

a spoonful to each nyang of the powder
Chongbaek Cong Bai
蔥白 총백 · Scallion White

—
Envoy 使

連鬚葱白, five stalks with the rootlets left on
Jangsu Jiang Shui
漿水 장수 · Fermented Millet Water

—
Envoy 使

5 seung, as the liquid of the wash

Total 360 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Treats a fall or a beating with sinew and bone broken and static Blood knotted and painful
A hot wash, not a draught: the coarse powder is boiled with salt, scallion white and fermented millet water and poured over the painful place
Renewed as soon as it goes cold

Indications 主治

Pattern-based

打落筋骨折傷 — injury from a fall with sinew and bone broken
瘀血結痛 — static Blood knotted into a fixed pain

Biomedical correlates

Contusion and closed fracture — warm topical soak
Post-traumatic localised pain

Source text 原文

Donguibogam 東醫寶鑑

治打落筋骨折傷, 瘀血結痛. 頑荊葉(無則荊芥代之)ㆍ蔓荊子ㆍ白芷ㆍ細辛ㆍ防風ㆍ川芎ㆍ桂皮ㆍ丁香皮ㆍ羌活各一兩. 右爲麄末, 每一兩入鹽一匙, 連鬚葱白五莖, 漿水五升, 煎七沸, 淋洗痛處, 冷則易. 《丹心》

Translation

Treats injury from a fall or a beating with sinew and bone broken and static blood knotted and painful. Vitex leaf (schizonepeta in its place if there is none), vitex fruit, angelica dahurica, asarum, saposhnikovia, cnidium, cinnamon bark, clove bark and notopterygium, 1 nyang each. Make a coarse powder of the above; to each nyang add a spoonful of salt, five stalks of scallion white with the rootlets left on and 5 seung of fermented millet water, boil it up seven times, and pour it over the painful place, renewing it when it goes cold. — Dansim 丹心 (Donguibogam · Jesang)

Clinical commentary 臨床

The bone-setting group's one external member. Nine aromatic and wind-dispelling drugs are coarsely powdered and boiled up with salt, whole scallion and fermented millet water, and the hot liquid is poured over the painful place and renewed as it cools. The drugs are the chapter's usual surface-opening set — vitex leaf and fruit, angelica dahurica, asarum, saposhnikovia, notopterygium — with cinnamon bark and clove bark for warmth. As a treatment this is a hot aromatic soak, and that is close to the limit of what it can be. A warm soak over a bruise or a closed fracture eases pain and stiffness for as long as it is on; nothing named here crosses intact skin in a quantity that reaches the injured bone. The one real caution is the opposite of the usual one: over broken skin or an open fracture, a non-sterile herbal wash made with fermented water is a route for infection, and an open fracture needs irrigation, antibiotics and surgical debridement rather than a poultice. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.