Formulas · Invigorate Blood 活血祛瘀 · Hwaje Gukbang (和劑局方)

Sudden Smile Powder

Silso-san

한글 실소산  ·  Pinyin Shi Xiao San

失笑散

Composition 構成

Total 16 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

  • Blood stasis with sharp fixed pain
  • Postpartum or menstrual lower abdominal pain with clots
  • Stasis pain of the epigastrium and chest

Biomedical correlates

  • Acute dysmenorrhea with clots
  • Postpartum cramping pain
  • Sharp fixed abdominal pain of stasis type

Source text 原文

Donguibogam 東醫寶鑑

治産後兒枕, 臍腹痛欲死, 百藥不效. 五靈脂ㆍ蒲黃(炒) 各等分. 右爲末, 每二錢, 和醋熬成膏, 入水一盞, 煎至七分, 熱服, 立效. 《局方》

Translation

Treats the child's pillow after birth — pain of the navel and abdomen severe enough that one wishes to die, and which a hundred medicines have not helped. Flying-squirrel droppings and dry-fried cattail pollen, in equal parts. Powder the pair; take 2 don, mixed with vinegar and simmered to a paste, then added to a cup of water and decocted down to seven tenths, taken hot — immediate effect. — Gukbang 局方 (Donguibogam · Buin). Note on modern practice: severe or worsening postpartum pain requires obstetric evaluation.

Clinical commentary 臨床

Named for the pain that stops so fast the patient laughs before realizing it — two humble substances that became the core of every lower-burner stasis formula after them. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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