寶鑑Bogam

Formulas · Purge Downward 瀉下 · Uihak Immun (醫學入門)

Great Unity Purple Gold Elixir

Taeeuljageum-dan

한글 태을자금단  ·  Pinyin Tai Yi Zi Jin Dan

太乙紫金丹

The leaf heads the formula 太乙紫金丹 and gives two alternate names in its first line — 一名紫金錠, 一名萬病解毒丹. Both are used elsewhere in the book: the Worm chapter stands the medicine up under the short name 紫金錠子, registered as jageumjeongja, where it carries two case records and sends the reader here with 方見解毒 for the composition, and the Spectral Affliction and Abscesses chapters cite it the same way, 癰疽 下 at 1.10.6 under the name 萬病解毒丹. This entry is where the composition stands. The transcription reads 山茨茗 and a collation note at the foot of the leaf records 茗 : 菰(First Edition); the transcription's reading is printed, and the 得效's 萬病解毒元 two pages on writes the same drug 山茨菰. A second collation note on the same page, 丸 : 元(First Edition), annotates 萬病解毒丸 in the prose line above the leaves, not anything in this leaf, and has not been acted on. 蚊蛤 is 文蛤, which is 五倍子, gallnut, and is listed as such. 山茨茗 is 山慈菰, the Chinese tulip bulb (Iphigenia indica, or the Cremastra pseudobulb), which has no herb id and is left out of the ingredient list although it is a chief drug of the formula. The transcription writes 搗 for 擣, 浄 for 淨, 温 for 溫, 黄 for 黃 and 䑕 for 鼠; the standard forms are printed, and 並 is printed as the transcription has it.

Composition 構成

Total 312 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

  • 蠱毒ㆍ挑生毒 — worm toxin and the planted toxin
  • Poisoning by puffer fish, malign mushroom or the flesh of beasts dead of disease
  • 山嵐瘴氣毒 — the toxin of mountain miasma
  • Poisoning by any drug, mineral, plant, bird, beast or insect
  • Hanging, drowning, possession and fright-death with the heart still warm
  • Snake, dog and malign insect bites

Biomedical correlates

  • Food poisoning — tetrodotoxin, mushroom and spoiled-meat poisoning
  • Acute poisoning of unknown substance
  • Snake and insect bite

Source text 原文

Donguibogam 東醫寶鑑

一名紫金錠, 一名萬病解毒丹. 治蠱毒ㆍ挑生毒ㆍ狐狸ㆍ鼠莽ㆍ惡菌ㆍ河豚ㆍ死牛馬肉毒ㆍ山嵐瘴氣毒ㆍ諸藥金石草木鳥獸百蟲一切諸毒. 蚊蛤(去蟲土) 三兩, 山茨茗(去皮焙) 二兩, 紅芽大戟(洗焙) 一兩半, 續隨子(去皮油) 一兩, 麝香 三錢. 右爲末, 糯米粥和勻, 擣千餘杵, 每一料分作四十錠. 每服半錠, 重者一錠, 並用薄荷湯化下. ○修合時, 宜端午ㆍ七夕ㆍ重陽日, 或遇天德ㆍ月德日, 在淨室焚香齋戒, 勿令婦人ㆍ孝服人ㆍ雞犬見之. ○自縊ㆍ落水ㆍ鬼迷ㆍ驚死, 心頭溫者, 並冷水磨灌卽醒. 蛇犬諸惡蟲傷, 以酒化服, 水磨塗傷處. 《入門》

Translation

Another name for it is Jageum-jeong, the Purple Gold Lozenge, and another is Manbyeong Haedok-dan, the Cure-All Resolve Toxin Elixir. It treats worm toxin and the planted toxin; the toxins of fox and civet, of rat-poison herb, of malign mushroom, of puffer fish and of the flesh of cattle and horses dead of disease; the toxin of mountain miasma and pestilential vapour; and every toxin whatsoever of drug, mineral, plant and tree, bird, beast and the hundred insects. Gallnut (the worms and grit removed) 3 nyang, Chinese tulip bulb (peeled and baked) 2 nyang, red-sprout euphorbia (washed and baked) 1 nyang 5 don, caper spurge seed (husked and the oil pressed out) 1 nyang, and musk 3 don. Powder them, mix evenly with glutinous rice gruel and pound with a thousand strokes and more; each batch is divided into forty lozenges. Half a lozenge to a dose, a whole one in the grave case, in both cases dissolved and sent down in mint decoction. ○ For the compounding, the Dano, the Chilseok or the Jungyang festival is suitable, or a day that falls on the Heavenly Virtue or the Monthly Virtue; burn incense in a clean room and keep the fast, and do not let women, people in mourning dress, hens or dogs see it. ○ For hanging, drowning, bewilderment by ghosts and death from fright, where the region of the heart is still warm, grind it in cold water in every case and pour it in, and the patient wakes at once. For snake and dog bites and the bites of all malign insects, dissolve it in wine and give it, and grind it in water and spread it on the bitten place. — Immun 入門 (Donguibogam · Haedok)

Clinical commentary 臨床

Five drugs, and two of them are Euphorbia purgatives: 紅芽大戟 and 續隨子, caper spurge seed. Gallnut is a powerful astringent, the Chinese tulip bulb is the chapter's cooling toxin-resolver, and musk is the aromatic that was believed to carry the whole into the interior. What the lozenge actually does is make the patient vomit and purge, which is why the chapter's own treatment line reads 或吐或下而愈 — by vomiting or by stool, and so recovery. For a poisoning taken by mouth and still in the stomach that is not an unreasonable instinct, and it is the thinking behind the induced emesis the chapter calls for a few lines earlier with 香油 and a goose quill. It is not how a poisoning is managed now: emesis is no longer recommended, and activated charcoal, supportive care and a specific antidote where one exists have replaced it. This is the most widely cited formula in the book after the great classical decoctions, and the reason is the breadth of the first paragraph: worm toxin, the planted toxin, puffer fish, malign mushroom, the flesh of beasts dead of disease, mountain miasma, and every toxin of drug, mineral, plant, bird, beast and insect. A single medicine for all poisons is not a pharmacological claim but a practical one — the practitioner did not know what the patient had swallowed, and this was what he carried. The second paragraph of the leaf is compounding ritual, not pharmacy. The Dano, Chilseok and Jungyang festivals, the Heavenly Virtue and Monthly Virtue days, the incense and the fast, and the keeping of women, mourners, hens and dogs from the sight of it are a purity observance around a medicine the book regarded as its most valuable. Nothing in it affects the product. The third paragraph is the harder reading. 自縊ㆍ落水ㆍ鬼迷ㆍ驚死, 心頭溫者 — hanging, drowning, bewilderment by ghosts and death from fright, where the region of the heart is still warm — is cardiac arrest, and the warmth at the chest is the sign that it has only just happened. Pouring a ground lozenge into the mouth of such a patient would do nothing and would risk aspiration. What that patient needs is chest compressions and a defibrillator, and in drowning and hanging, rescue breaths with them. **Contains musk, from a CITES-protected animal. Built on two Euphorbia purgatives, 紅芽大戟 and 續隨子, both drastic and toxic. This must not be prepared or taken.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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