Formulas · Calm the Spirit 安神 · Uihak Gangmok (醫學綱目)

Divinely Effective Powder for Chronic Fright Wind

Sinhyo-san

한글 신효산 (만경풍)  ·  Pinyin Shen Xiao San

神效散

The 一點血 of the rhyme is the child's own finger blood, used as the vehicle; it is not a materia medica item and has no herb id, so it is described in the translation only. The fourth line of the rhyme is counted in the verse but the text itself says 右三味, three drugs.

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

  • Chronic fright wind in a depleted child

Biomedical correlates

  • Convulsion in a wasted, dehydrated infant
  • Hypoglycaemic or electrolyte-derangement seizure

Source text 原文

Donguibogam 東醫寶鑑

治慢驚風. ○歌曰, 一粒丁香, 一箇蝎, 一字辰砂, 一點血. ○右三味, 俱爲末. 男用男左手中指血, 女用女右手中指血, 蘸藥末, 擦兒唇上, 卽愈. 《綱目》

Translation

Treats chronic fright wind. ○ The rhyme runs: one clove of clove, one scorpion, 1 ja of cinnabar, one drop of blood. ○ Powder the three drugs together. For a boy use blood from the middle finger of the boy's left hand, for a girl from the middle finger of the girl's right hand; dip the powder in it, rub it on the child's lips, and he recovers at once. — Gangmok 綱目 (Donguibogam · Soa)

Clinical commentary 臨床

A clove, a scorpion and a pinch of cinnabar, worked into a paste with a drop of blood from the child's finger and smeared on his lips. 卽愈 — and he recovers at once. This is the first 慢驚風 leaf of the section, so the clinical frame belongs here and the other leaves point back to it. 慢驚風 is not the common febrile seizure of a previously well child. It is the chronic picture: a child who has had a long diarrhoea and is now pale, cold, limp and drowsy, with slow twitching. That child is convulsing because something systemic has gone wrong — dehydration and electrolyte derangement, hypoglycaemia, hypocalcaemia, sometimes meningitis or the encephalopathy of severe malnutrition. The prognosis really was as bad as the chapter says. **The intervention that would have saved most of these children is fluid and electrolyte replacement.** Oral rehydration solution does it for a few cents a child, and it did not exist until the twentieth century; no formula in this section, this one included, replaces a single millilitre of what the child has lost. **Contains cinnabar, which is mercuric sulfide. The patient is a child, and the text gives no dose by weight anywhere.** Mercury injures a developing nervous system irreversibly, at exposures that leave an adult unharmed, and 1 ja is a pinch measured against nothing. **It also contains scorpion, a neurotoxic animal venom whose dose in dried material cannot be measured.** It must not be prepared. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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