寶鑑Bogam

Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Divine Achievement Powder

Singong-san

한글 신공산  ·  Pinyin Shen Gong San

神功散

為 is printed 爲, 聴 is printed 聽, 觧 is printed 解 and 䧟 is printed 陷, following the corpus; 麄 and 椀 are printed as the transcription gives them, both being the forms the corpus prefers. 引經散, the channel-guiding powder, is the leaf's own name for the fired glutinous-rice component and is not a separately registered formula. The 東流水 east-flowing water, the 黃泥 luting clay, the silk bag, the paper and the porcelain jar are apparatus and water and are left in the source text only. 好酒 is a vehicle and is not entered in the ingredient list, following the corpus.

Composition 構成

Total 1120 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

  • 痘毒太盛 — the pox toxin at its height
  • 陷者卽起 — the sinking pock said to rise at once
  • 血紅一片不分地界 — a single sheet of blood-red with no boundary between the pocks

Biomedical correlates

  • Confluent and haemorrhagic smallpox — historical
  • Mercury poisoning from an orally administered mercuric sulfide preparation

Source text 原文

Donguibogam 東醫寶鑑

治痘毒太盛, 以此解之, 毒氣卽散, 陷者卽起. 川芎ㆍ當歸ㆍ升麻ㆍ甘草 各六兩. 右爲麄末, 一起取東流水煎三次, 每次用水三椀, 文武火煎至一椀半濾下, 又煎二次, 共藥水四椀半聽用. 又用好朱砂 四兩, 以絹袋懸入磁罐, 加煎藥水封固, 水煮盡爲度, 取出焙乾爲末, 以紙羅過聽用. 再以引經散, 用糯米 二三合, 以紙包緊, 外用黃泥固濟, 入火煉紅, 冷定打碎, 取米黃色者用之, 白色者不用. 每服以末砂 一錢ㆍ米末 一錢ㆍ煉蜜 二匙ㆍ好酒 二匙ㆍ百沸湯 一小鍾, 共一處調勻, 用茶匙喂盡取效. 《醫鑑》

Translation

Treats the pox toxin at its height; resolve it with this and the toxic qi disperses at once and the sinking pock rises at once. Cnidium, tangkuei, cimicifuga and liquorice, 6 nyang of each. Make the above into a coarse powder, and all together take east-flowing water and decoct it three times; each time use three bowls of water, boil it down over a flame alternately gentle and fierce to one bowl and a half, and strain it off. Decoct it a second and a third time, and set aside the four bowls and a half of drug liquor in all for use. Then take 4 nyang of good cinnabar, hang it in a silk bag into a porcelain jar, pour in the decocted drug liquor and seal it fast, and boil it until the liquor is wholly gone; take it out, dry it over a gentle heat, powder it, pass it through a paper sieve and set it aside for use. Then for the channel-guiding powder take 2 or 3 hop of glutinous rice, wrap it tightly in paper, lute the outside with yellow clay, put it in the fire and heat it until it glows red, let it cool, break it open, and take the grains that are yellow for use; the white ones are not used. For each dose take 1 don of the finished cinnabar powder, 1 don of the rice powder, two spoons of refined honey, two spoons of good wine and a small cupful of much-boiled water, mix them all evenly together in one place, and feed it all with a teaspoon for effect. — Uigam 醫鑑 (Donguibogam · Soa)

Clinical commentary 臨床

A long and careful manufacture for a simple end: to get four nyang of cinnabar into a child. Cnidium, tangkuei, cimicifuga and liquorice, six nyang of each, are decocted three times over and the pooled liquor is boiled away around a silk bag of cinnabar hung in a sealed jar, so that the mineral is left impregnated with the drug extract. It is then dried, powdered and sieved. A second powder is made by firing glutinous rice in a clay-luted paper packet and keeping only the grains that have gone yellow — the leaf calls this the channel-guiding powder, the thing that is to carry the cinnabar where it is wanted. A dose is a don of each, with honey, wine and hot water, fed to the child by teaspoon until it is gone. The indication is the worst thing in the chapter. 1.74 prescribes this formula where the pox comes out looking like mosquito bites or silkworm eggs, or as a single sheet of blood-red with no boundary between one pock and the next, the toxic qi at its height. That sheet of blood-red is bleeding into the skin: haemorrhagic smallpox, which killed essentially everyone who had it, usually within the first week and before the pustular stage was reached. Nothing could be done for such a child in 1613 and nothing much more can be done now; the chapter has identified the gravest form of the disease correctly and has nothing to offer it. **Cinnabar is mercuric sulfide. This leaf boils four nyang of it — about 160 grams — into the drug liquor and then gives one don, about four grams, of the resulting powder at every dose, to an infant, by teaspoon, in honey and wine so that the whole of it is taken. Mercuric sulfide is poorly absorbed from the gut, which is why the tradition thought it safe, but absorption is not nil, it rises sharply with gut inflammation — and this child has an inflamed gut — and the mercury that is absorbed goes to the kidney and to the brain. There is no safe dose at any age. In an infant the blood–brain barrier is immature and the developing nervous system is the organ at risk, and the injury does not reverse. The full statement on cinnabar given to children in this chapter is at jinsa-go-soa; the quantity on this leaf is larger than on any other. The patient is a child and the leaf gives no dose scaled to age or weight. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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