Formulas · Invigorate Blood 活血祛瘀 · Uihak Immun (醫學入門)

Twin Aconites Powder

Ssango-san

한글 쌍오산 · Pinyin Shuang Wu San

雙烏散

The leaf carries two 初刊本 collation pairs at its foot, 𦙄 : 胷 and 㝎 : 定, but neither 𦙄 nor 㝎 occurs in this leaf: they belong to the leaves above it, which write 𦙄腹脇痛 (當歸鬚散) and 乳香㝎痛散. Both are glyph variants the house correction already covers.

Composition 構成

Cheono Chuan Wu
川烏 천오 · Aconite Main Root

12 g
Chief 君

lightly blast-fried (略炮) · toxic
Choo Cao Wu
草烏 초오 · Wild Aconite

12 g
Chief 君

lightly blast-fried (略炮) · toxic
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

20 g
Deputy 臣
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

20 g
Deputy 臣
Somok Su Mu
蘇木 소목 · Sappan Wood

20 g
Deputy 臣
Daehwang Da Huang
大黃 대황 · Rhubarb

20 g
Assistant 佐
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

20 g
Assistant 佐

dried (生乾)
Hongguk Hong Qu
紅麴 홍국 · Red Yeast Rice

20 g
Assistant 佐

dry-fried (炒)
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

—
Envoy 使

a little

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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 the aching that returns long after an old injury of any kind
Also suitable for a fresh injury that is painful
Simmered in wine in an earthen bottle, left to go cold and drunk cold

Indications 主治

Pattern-based

Old injury with recurrent pain
Fresh injury with pain

Biomedical correlates

Chronic post-traumatic pain
Acute contusion — pain

Source text 原文

Donguibogam 東醫寶鑑

治諸傷百損, 久後時常疼痛者, 及新被傷作痛亦宜. 川烏ㆍ草烏(略炮) 各三錢, 當歸ㆍ白芍藥ㆍ蘇木ㆍ大黃ㆍ生乾地黃ㆍ紅麴(炒) 各五錢, 麝香少許. 右爲末, 入瓦甁, 以酒煮放冷服. 如覺麻痺無害. 但草烏生用恐太猛, 所以略炮. 《入門》

Translation

Treats all injuries and the hundred hurts, where long afterwards there is pain from time to time; it also suits a fresh injury that is painful. Sichuan aconite and wild aconite (lightly blast-fried) 3 don each; Chinese angelica, white peony, sappanwood, rhubarb, dried fresh rehmannia and red yeast rice (dry-fried) 5 don each; a little musk. Powder them, put them into an earthenware bottle, boil them with wine, let it go cold and take it. If numbness is felt, there is no harm. But wild aconite used raw would be too violent, and so it is lightly blast-fried. — Immun 入門 (Donguibogam · Jesang)

Clinical commentary 臨床

Both aconites at 3 don, lightly blast-fried, then a blood-moving body at 5 don each — 當歸, 白芍藥, 蘇木, 大黃, 生乾地黃, 紅麴 — and a little musk. The whole powder is simmered in wine in an earthen bottle and drunk cold. The indication is the one real thing here: 久後時常疼痛, the ache that comes back long after the injury has otherwise closed. The text is unusually frank about what the patient will feel, and about why. 如覺麻痺無害 — if numbness comes on, no harm; and 但草烏生用恐太猛, 所以略炮 — raw wild aconite would be too violent, which is why it is roasted first. Read without the frame, that is a description of early aconite poisoning being accepted as the sign the dose has landed. The numbness is a sodium-channel blockade, and the same blockade in cardiac muscle is what kills. **Contains aconite, which is toxic. This must not be prepared.** It also contains musk, from a CITES-protected animal, and rhubarb, which purges — given to someone bleeding internally after a blow, a purgative makes matters worse, not better. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.