Formulas · Invigorate Blood 活血祛瘀 · Seui Deukhyobang (世醫得效方)

Seek the Pain Pill

Simtong-won

한글 심통원 · Pinyin Xun Tong Yuan

尋痛元

Composition 構成

Choo Cao Wu
草烏 초오 · Wild Aconite

12 g
Chief 君

used raw (生用) · toxic
Yuhyang Ru Xiang
乳香 유향 · Frankincense

12 g
Deputy 臣

heat-ironed (火熨)
Moryak Mo Yao
沒藥 몰약 · Myrrh

12 g
Deputy 臣

heat-ironed (火熨)
Oryeongji Wu Ling Zhi
五靈脂 오령지 · Flying Squirrel Feces

12 g
Assistant 佐
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

—
Assistant 佐

as the pill coating (爲衣) · toxic
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

—
Envoy 使

raw, a little

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

Treats all injuries and stops pain
Clears the Heart, moves qi and quickens the blood
One fingertip-sized pill ground down in mint decoction and ginger juice

Indications 主治

Pattern-based

Injury with pain
Blood stasis after trauma

Biomedical correlates

Post-traumatic pain

Source text 原文

Donguibogam 東醫寶鑑

治諸傷, 止痛, 淸心行氣活血如神. 草烏(生用)ㆍ乳香(火熨)ㆍ沒藥(火熨)ㆍ五靈脂各三錢, 生麝香少許. 右爲末, 酒糊丸如指頭大, 朱砂爲衣. 每一丸, 薄荷湯ㆍ薑汁磨化服. 《得效》

Translation

Treats all injuries, stops pain, and clears the Heart, moves qi and quickens the blood as if by magic. Wild aconite (used raw), frankincense (heat-ironed), myrrh (heat-ironed) and flying squirrel faeces, 3 don each; a little raw musk. Powder them and make pills with wine paste the size of a fingertip, coated with cinnabar. One pill each time, ground down in mint decoction and ginger juice and taken. — Seui Deukhyobang 得效 (Donguibogam · Jesang)

Clinical commentary 臨床

A pill rather than a powder, and the only one in this run that gives aconite raw: 草烏生用 at 3 don, with frankincense and myrrh heat-ironed to drive off their volatile fraction, 五靈脂, and a little raw musk. Bound with wine paste into fingertip-sized pills, coated with cinnabar, and each pill ground down in mint decoction and ginger juice before swallowing. The claim 如神 is attached to the analgesia, not to any repair. What the pill is actually for is pain after a blow, and the mechanism it is reaching for is the same one as 雙烏散 and 草烏散 — numbing. Giving 草烏 unprocessed is the hazardous choice; the 炮 step that 雙烏散 insists on is the one hydrolysis that lowers the diester alkaloid load, and it is omitted here. **Contains aconite, used raw, which is toxic. This must not be prepared.** **The cinnabar coating is mercuric sulfide and must not be ingested.** It also contains musk, from a CITES-protected animal. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.