Formulas · Warm the Interior 溫裏 · Haejang (海藏)

Five Raw Ingredients Pill

Osaeng-hwan

한글 오생환  ·  Pinyin Wu Sheng Wan

五生丸

Composition 構成

Total 200 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

Indications 主治

Pattern-based

  • Yin epilepsy with a cool body and a fine slow pulse
  • Cold phlegm fits
  • Fits in a patient who is cold to the touch

Biomedical correlates

  • Epilepsy in a hypothermic or debilitated patient
  • Seizures with bradycardia

Source text 原文

Donguibogam 東醫寶鑑

治陰癎, 身涼脉細緩. 天南星ㆍ半夏ㆍ川烏ㆍ白附子ㆍ黑豆 各生用 一兩. 爲末, 薑汁糊丸梧子大, 每三丸或五丸淡薑湯呑下. 《海藏》

Translation

Treats yin epilepsy with a cool body and a fine, slow pulse. Arisaema, pinellia, aconite, typhonium and black soybean, all used raw, 1 nyang each. Powder them, make pills the size of a firmiana seed with ginger-juice paste, and swallow three or five at a time with weak ginger decoction. — Haejang 海藏 (Donguibogam · Sin)

Clinical commentary 臨床

**This must not be prepared.** The name says what is wrong with it: all five 生用, used raw — raw aconite, raw arisaema, raw pinellia and raw typhonium together, every one of which is detoxified by processing precisely because the raw drug is dangerous. The black soybean and the ginger-juice paste are the only concessions, and they are not enough. The pattern it names, 陰癎 with a cool body and a slow pulse, is real and is better met with 理中湯-type warming. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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