寶鑑Bogam

Formulas · Clear Heat 淸熱 · Dansim (丹心)

Marvellously Effective Snatch-Back-Life Elixir

Sinhyotalmyeong-dan

한글 신효탈명단  ·  Pinyin Shen Xiao Duo Ming Dan

神效奪命丹

褁 is left as the transcription prints it and 䓗 is given as 葱, the corpus form. The collation note 䓗 : 葱 at the page boundary of leaf 010a stands after two leaves that each write 䓗 — this one's 生䓗白 and the 蟾酥丸's 䓗酒 — and the first edition's reading 葱 applies to both; the note is recorded in the 蟾酥丸 entry as well. 一字 is a quarter of a 錢 and is entered as 1 g. The twenty snails are a count item and carry no weight. 梧子大, the firmiana seed that gives the pill its size, is method rather than an ingredient.

Composition 構成

Total 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

  • Clove sore and malign sore (疔瘡, 惡瘡)
  • 破傷風昏沉危急 — lockjaw after a wound, with stupor and imminent danger

Biomedical correlates

  • Furuncle, carbuncle and malignant pustule
  • Tetanus — the 破傷風 of this chapter

Source text 原文

Donguibogam 東醫寶鑑

治疔瘡ㆍ惡瘡及破傷風昏沉危急者. 朱砂 三錢半(爲衣), 輕粉ㆍ血竭 各二錢, 枯白礬ㆍ蟾酥 各一錢, 銅綠 一字, 蝸牛 二十箇. 右末, 用初男乳汁和丸梧子大, 朱砂爲衣. 患人自嚼生葱白數根, 吐出褁藥一丸, 以溫酒呑下. 如吐逆, 以熱酒壓下, 遍身汗出, 毒氣自消. 《丹心》

Translation

Treats clove sore and malign sore, and lockjaw from a wound where the patient is sunk in stupor and in imminent danger. Cinnabar 3 don 5 fun, used as the coating; calomel and dragon's blood resin, 2 don each; alum calcined to dryness and toad venom, 1 don each; verdigris a quarter don; snails, twenty. Powder the above and bind with the milk of a woman nursing her first son into pills the size of a firmiana seed, coated with the cinnabar. Have the patient chew several stalks of raw scallion white himself and spit them out, wrap one pill in them, and send it down with warm wine. If he retches, force it down with hot wine; the whole body sweats and the toxic Qi disperses of itself. — Dansim 丹心 (Donguibogam · Ongjeo)

Clinical commentary 臨床

A 奪命 pill of the usual shape, with one indication the others in the family do not carry: 破傷風, lockjaw after a wound, with the patient sunk in stupor. That is tetanus, and putting it in the same leaf as clove sore makes sense within the chapter's logic, since both are read as a wound toxin striking inward. The toad venom and the sweating method are the same as in 返魂丹 and 淵然眞人奪命丹; what differs is the binder. The binder is the leaf's distinguishing feature and its most uncomfortable one — 初男乳汁, the milk of a woman nursing her first son, which the Donguibogam specifies in this exact form elsewhere for 何首烏丸. The choice is sympathetic, the first milk of a first son being the purest and most yang; it carries no pharmacology. The administration is the family's, with one practical addition: if the patient retches the pill back, hot wine is used to force it down, which in a patient already stuporous is a clear aspiration risk. **Contains cinnabar and calomel, which are mercury compounds; verdigris, a copper salt; and toad venom, whose bufadienolides act on the sodium-potassium pump exactly as digoxin does and have killed people at ordinary doses. It is bound with human milk and forced down with hot wine in a patient who may be unconscious. This must not be prepared.** Tetanus is prevented by immunisation and treated with antitoxin, wound debridement, antibiotics and intensive supportive care; a spreading clove sore needs antibiotics and surgery. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another