寶鑑Bogam

Formulas · Transform Phlegm 化痰 · Jeoneul (錢乙)

Embrace the Dragon Pill

Poryong-hwan

한글 포룡환  ·  Pinyin Bao Long Wan

抱龍丸

Composition 構成

Total 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

  • Fright wind with recurrent convulsion, fever and stupor (驚風潮搐 身熱昏睡)
  • Phlegm heat in the Heart, Lung and Liver

Biomedical correlates

  • Febrile convulsion with drowsiness in a child — historical management
  • Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治驚風潮搐, 身熱昏睡, 能下痰熱, 乃心肺肝藥也. 牛膽製南星 一兩(無膽星則只取生者, 剉炒熟用之), 天竺黃 五錢, 雄黃ㆍ朱砂 各二錢半, 麝香 一錢. 右爲末, 煮甘草膏和丸皂莢子大<span class='sochu'>一云芡實大</span>, 溫水化下. 百日內兒一丸作三次服, 五歲兒一二丸服. 臘雪水煮甘草和藥尤佳. 《錢乙》 ○抱者保也, 龍者肝也. 肝爲母, 心爲子, 母安則子安. 況心藏神, 肝藏魂, 神魂旣定, 驚從何生. 《丹心》

Translation

Treats fright wind with recurrent convulsion, a hot body and stuporous sleep; it is able to bring phlegm heat down, and is a medicine for the Heart, Lung and Liver. Arisaema processed in ox bile, 1 nyang (if no bile-processed arisaema is to hand, take only the raw root, cut it up and fry it until done); bamboo sugar 5 don; realgar and cinnabar, 2 don 5 fun each; musk 1 don. Powder them, bind with licorice boiled to a paste into pills the size of a soap-bean seed — one text says the size of a gorgon-nut seed — and dissolve them down in warm water. For a child under a hundred days, one pill divided into three doses; for a child of five, one or two pills a dose. Boiling the licorice in last winter's snow water to bind the drugs is better still. 《錢乙》 ○ 抱 means to protect, and 龍 means the Liver. The Liver is the mother and the Heart is the child; when the mother is at peace the child is at peace. And since the Heart stores the spirit and the Liver stores the soul, once spirit and soul are settled, where should fright come from? — Jeoneul 錢乙 · Dansim 丹心 (Donguibogam · Soa)

Clinical commentary 臨床

The best-known paediatric formula in the tradition, and it is five drugs: bile-processed arisaema 1 nyang, bamboo sugar 5 don, realgar and cinnabar 2 don 5 fun each, musk 1 don, bound with licorice boiled to a paste. Qian Yi's own prescription, and the one leaf in 急驚風 that grades the dose by age — one pill split into three for a baby under a hundred days, one or two for a five-year-old. That is the closest the whole chapter comes to paediatric dosing, and it is still only a pill count. **Contains arisaema (天南星). Raw arisaema is a severe mucosal irritant — the calcium oxalate in it causes immediate burning, swelling and salivation, and in a small child a swollen airway is the danger — and it is safe to handle only after proper processing.** The ox-bile preparation is exactly that processing, and the leaf is honest that a substitute of merely fried raw root may be used instead, which is the version to refuse. **It also contains cinnabar (mercuric sulfide) and realgar (arsenic sulfide), at 2 don 5 fun each in a pill given to an infant, and musk from a CITES Appendix I animal. This must not be prepared.** The 丹心 gloss at the foot is the formula's name explained: 抱 is 保, to protect, and 龍 is the Liver — settle the mother and the child settles. It is a tidy piece of five-phase reasoning and it is why the pill is called what it is. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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