Formulas · External Application 外用 · Uibang Yuchwi (醫方類聚)

Demon-Slaying Five Evils Pill

Salgwiosa-hwan

한글 살귀오사환  ·  Pinyin Sha Gui Wu Xie Wan

殺鬼五邪丸

鬼箭羽 is registered under 衛矛, the Decoctions chapter noting of it 又名鬼箭羽, and 丹砂 under 朱砂. The transcription prints 趐 for the wings of the blister beetle where the corpus elsewhere prints 翅; it is kept here as transcribed. 灸 for the roasting of the dysosma is the form this corpus prints throughout. 為 is given as 爲.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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

  • Evil possession and demon bewitchment (邪祟鬼魅)

Biomedical correlates

  • Acute confusional state — historical amulet and pill

Source text 原文

Donguibogam 東醫寶鑑

治邪祟鬼魅. 鬼箭羽 二兩半, 丹砂(另硏)ㆍ雄黃(另硏)ㆍ龍骨ㆍ鬼臼(灸)ㆍ赤小豆 各一兩半, 桃仁 五十箇(另硏), 芫靑 三十箇(炒, 去趐足). 右爲末, 蠟熔化和丸彈子大, 絳囊盛一丸, 繫臂上. 又另用煉蜜和丸梧子大, 米飮呑下一丸至三丸. 《類聚》

Translation

Treats evil possession and demon bewitchment. Winged euonymus twig, 2 nyang 5 don; cinnabar, ground separately, realgar, ground separately, dragon bone, dysosma rhizome, roasted, and adzuki bean, 1 nyang 5 don each; peach kernel, fifty kernels, ground separately; Chinese blister beetle, thirty, fried with the wings and feet removed. Powder the above, melt wax and bind into pills the size of a bullet; put one pill in a crimson bag and tie it to the arm. Separately, bind another batch with refined honey into pills the size of a firmiana seed and take one to three down with rice water. — Yuchwi 類聚 (Donguibogam · Sasu)

Clinical commentary 臨床

The winged euonymus twig at two and a half nyang is the chief of this one by weight, and it is the one plant drug the possession chapter reaches for again and again — the Decoctions chapter registers it as 衛矛 and notes that it is also called 鬼箭羽, the demon-arrow feather, which is the name the formulas use. Behind it, at a nyang and a half each, stand cinnabar and realgar ground separately, dragon bone, roasted dysosma and adzuki bean, with fifty peach kernels and thirty blister beetles counted out rather than weighed. One powder, two preparations. Melted wax binds the pill that goes into the crimson bag on the arm; refined honey binds the batch that is swallowed, one to three firmiana-sized pills with rice water. Most of this chapter keeps its minerals outside the body — worn, hung, burnt — and this leaf does both at once from the same mortar, which makes the swallowed dose the part that matters. The five evils of the name are not enumerated in the leaf, and the composition is best read as the chapter's standard demon-driving materials gathered in one place. **Contains Chinese blister beetle, whose cantharidin is a vesicant and severely nephrotoxic and has killed at small doses, together with cinnabar (mercuric sulfide), realgar (an arsenic sulfide) and dysosma. This must not be prepared or taken.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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