Formulas · Regulate Qi 理氣 · Manbyeong Hoechun (萬病回春)

Seize Life Elixir

Talmyeong-dan

한글 탈명단  ·  Pinyin Duo Ming Dan

奪命丹

The 嘔吐 chapter's 奪命丹 is a different formula from the 婦人 chapter's 奪命丹 and from the 前陰 chapter's; the three are registered separately. 金絲黃礬 is not among the registered medicinals and is left out of the ingredient list.

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

  • Stomach reflux at the point of death

Biomedical correlates

  • Advanced gastric outlet obstruction — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治反胃, 有起死回生之功. 裘 一箇, 麝香 一分, 孩兒茶 二分, 金絲黃礬 三分, 朱砂(春二分, 夏四分, 秋六分, 冬八分). ○裘乃土糖裘, 卽蜣蜋所轉之彈. 凡糞土之下皆有, 用彈中有白蟲者, 如指大, 如蠐螬一樣. 將彈小破一點, 盖住火煆過, 大黃色存性, 不要燒焦了, 入藥內幷彈共爲末, 燒酒調空心服. 如覺飢, 用小米煮粥, 漸漸少進, 一日二三次, 不可多吃, 一日進一椀半足矣, 多進則病復不可治矣. 忌生冷ㆍ厚味ㆍ葱蒜ㆍ酒麪ㆍ氣惱. 五十以後一二服卽效. 《回春》

Translation

Treats stomach reflux, and is said to have the power of calling back the dying. One dung ball; musk, 1 fun; catechu, 2 fun; golden-thread yellow alum, 3 fun; cinnabar — 2 fun in spring, 4 in summer, 6 in autumn, 8 in winter. ○ The ball is the earth-sugar ball, that is, the pellet rolled by the dung beetle. They are to be found anywhere under dung and earth; use one with a white grub inside, the size of a finger, like a chafer larva. Break a small opening in the ball, cover it over, calcine it in the fire until it is a deep yellow with its nature preserved, taking care not to char it, and grind it with the other drugs, ball and all, into a powder; give it stirred into distilled spirits on an empty stomach. If the patient feels hungry, boil a gruel of millet and let him take a little at a time, two or three times a day, and he must not eat much — a bowl and a half a day is enough, for if he takes more the illness returns and cannot be cured. Raw and cold food, rich flavours, scallion and garlic, wine and wheat foods, and vexation are all to be avoided. In a patient over fifty, one or two doses work at once. — Manbyeong Hoechun 回春 (Donguibogam · Guto)

Clinical commentary 臨床

**This must not be prepared.** It contains cinnabar, which is mercuric sulfide, and the main material is a calcined beetle dung ball with the grub inside it; the alum is given by a seasonal scale that has no basis. Stomach reflux at this stage is a mechanical obstruction, and what the patient needs is assessment for the cause. The entry is worth keeping for the dietary instruction attached to it, which is the best thing in it: millet gruel in small amounts, two or three times a day, a bowl and a half at most, with an explicit warning that eating more brings the illness back. That is small-volume feeding after gastric obstruction, and it is still how such a patient is fed. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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