Formulas · Invigorate Blood 活血祛瘀 · Dansim (丹心)

Snatch-Back-Life Elixir

Talmyeong-dan

한글 탈명단 · Pinyin Duo Ming Dan

奪命丹

Powdered; a doe of vinegar is taken with 1 nyang of powdered rhubarb and simmered into a paste, which binds pills the size of parasol-tree seeds; 50 pills with wine. Note on modern practice: retained placenta is an obstetric emergency requiring immediate hospital management; this entry is recorded for textual and historical interest, and dried lacquer is a sensitizing agent not used in contemporary practice.

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

20 g
Chief 君 blast-fried
Mokdanpi Mu Dan Pi
牧丹皮 목단피 · Moutan Bark

40 g
Deputy 臣
Geonchil Gan Qi
乾漆 건칠 · Dried Lacquer

40 g
Deputy 臣 dry-fried
Daehwang Da Huang
大黃 대황 · Rhubarb

40 g
Assistant 佐 powdered, cooked into the vinegar paste

Total 140 g per packet (첩) · representative dosage — verify against source texts.

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

Breaks the blood that has flooded a retained afterbirth
Frees what has swollen and surged upward against the heart

Indications 主治

Pattern-based

Blood entering the afterbirth after birth so that it distends and surges against the heart (血入胞衣脹滿衝心)
The afterbirth long undelivered and the case grown critical
Postpartum emergency of the era

Biomedical correlates

Retained placenta — historical management
Postpartum hemorrhagic emergency
Obstetric emergency care of the era

Source text 原文

Donguibogam 東醫寶鑑

治産後血入胞衣, 脹滿衝心, 日久不下, 危急者. 附子(炮) 五錢, 牡丹皮ㆍ乾漆(炒) 各一兩. 右爲末, 以醋一升入大黃末一兩, 熬成膏, 和丸梧子大, 酒下五十丸. 《丹心》

Translation

Treats blood entering the afterbirth after birth, so that it distends and fills and surges against the heart, the afterbirth long undelivered and the case grown critical. Blast-fried aconite 5 don; moutan bark and dry-fried lacquer, 1 nyang each. Powder the above; take a doe of vinegar with 1 nyang of powdered rhubarb stirred in, simmer it into a paste, and bind pills the size of parasol-tree seeds; take 50 pills with wine. — Dansim 丹心 (Donguibogam · Buin)

Clinical commentary 臨床

The name states the stakes — a formula for the hour after birth when the afterbirth has not come and the blood pooling behind it has begun to press upward. Aconite drives, moutan and lacquer break what has congealed, and the rhubarb is cooked into the vinegar itself rather than added dry. The chapter's most urgent prescription, and the one most thoroughly superseded by modern obstetric care. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.