Formulas · Transform Phlegm 化痰 · Uihak Gangmok (醫學綱目)

Five Epilepsies Pill

Ogan-hwan

한글 오간환 · Pinyin Wu Jian Wan

五癎丸

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

80 g
Chief 君

washed in wine and baked
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

40 g
Chief 君

roasted
Baekgangjam Bai Jiang Can
白殭蠶 백강잠 · Silkworm

60 g
Deputy 臣

stir-fried
Osa Wu She
烏蛇 오사 · Black-Striped Snake

40 g
Deputy 臣
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

20 g
Deputy 臣
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

160 g
Assistant 佐

pounded, steeped in half a seung of water, the juice rubbed out and boiled down with the alum, then ground
Baekban Bai Fan
白礬 백반 · Alum

40 g
Assistant 佐
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

12 g
Assistant 佐

ground separately
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

10 g
Assistant 佐

water-ground
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

8 g
Assistant 佐

stir-fried
Unghwang Xiong Huang
雄黃 웅황 · Realgar

6 g
Assistant 佐

ground separately
Ogong Wu Gong
蜈蚣 오공 · Centipede (toxic)

—
Assistant 佐

half a centipede, head and feet removed, roasted

Total 476 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

Moves phlegm and extinguishes wind
Stops spasm and convulsion
Opens the orifices in a fit

Indications 主治

Pattern-based

Withdrawal-epilepsy new or long-standing
Fits with convulsion and frothing
Wind phlegm fits of any of the five kinds

Biomedical correlates

Epilepsy
Convulsive disorders

Source text 原文

Donguibogam 東醫寶鑑

治癲癎不間新久. 半夏二兩(酒洗焙), 白殭蠶(炒) 一兩半, 南星(炮)ㆍ烏蛇肉ㆍ白礬各一兩, 白附子五錢, 麝香三錢(另硏), 朱砂二錢半(水飛), 全蝎二錢(炒), 雄黃一錢半(另硏), 蜈蚣半條(去頭足灸), 皂角四兩(槌碎, 水半升浸, 揉汁與白礬同熬乾, 硏). 右爲末, 薑汁麵糊和丸梧子大, 每三十丸薑湯下. 《綱目》

Translation

Treats withdrawal-epilepsy, new or long-standing alike. Pinellia, 2 nyang (washed in wine and baked); silkworm (stir-fried), 1 nyang 5 don; arisaema (roasted), black snake flesh and alum, 1 nyang each; typhonium, 5 don; musk, 3 don (ground separately); cinnabar, 2 don 5 fun (water-ground); scorpion, 2 don (stir-fried); realgar, 1 nyang 5 fun (ground separately); centipede, half a one (head and feet removed, roasted); gleditsia pod, 4 nyang (pounded, steeped in half a seung of water, the juice rubbed out and boiled down to dryness with the alum, then ground). Powder them, make pills the size of a firmiana seed with ginger-juice and wheat-flour paste, and take thirty with ginger decoction. — Gangmok 綱目 (Donguibogam · Sin)

Clinical commentary 臨床

**This must not be prepared.** Cinnabar with realgar, and musk from a protected species. The gleditsia is handled as in 追風祛痰丸 — its juice boiled down with the alum so that the two enter as one — which is the formula's one point of real craft. 不間新久, new and old alike, is the claim; the composition is the chapter's standard wind-phlegm set at double strength. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.