Formulas · Transform Phlegm 化痰 · Uihak Jeonggam (醫學正傳)

Snatch Back Life Powder

Talmyeong-san

한글 탈명산 · Pinyin Duo Ming San

奪命散

不去油 — the oil not removed — is the opposite of the usual instruction for croton seed and makes this preparation far more drastic. Registered with the chapter suffix to distinguish it from the formulas of the same name elsewhere in the book.

Composition 構成

Namseong Tian Nan Xing
天南星 천남성 · Arisaema

2 g
Chief 君

toxic
Banha Ban Xia
半夏 반하 · Pinellia

2 g
Chief 君
Jeongryeokja Ting Li Zi
葶藶子 정력자 · Pepperweed Seed

2 g
Deputy 臣

the sweet kind
Padu Ba Dou
巴豆 파두 · Croton Seed

2 g
Deputy 臣

husked but the oil left in · toxic
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

2 g
Assistant 佐

Total 10 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

Treats sudden wind stroke with drool rising and the qi blocked
the jaw clenched and the eyes staring
and lockjaw with convulsion and critical fright wind in children
Given where the jaw is clenched and medicine will not go down

Indications 主治

Pattern-based

Phlegm drool blocking the qi with trismus
Wind phlegm in a critical state

Biomedical correlates

Acute phlegm obstruction
Status epilepticus

Source text 原文

Donguibogam 東醫寶鑑

治卒中風, 涎潮ㆍ氣塞ㆍ口噤ㆍ目瞪, 破傷風搐搦, 小兒驚風危急之疾. 天南星ㆍ甜葶藶ㆍ白芷ㆍ半夏ㆍ巴豆(去殼, 不去油) 各等分. 右爲末, 每半錢, 薑汁一呷調下, 卽效. 凡口噤藥不下者, 宜用此. 《醫鑑》

Translation

Treats sudden wind stroke with drool rising, the qi blocked, the jaw clenched and the eyes staring; lockjaw with convulsion; and critical fright wind in children. Arisaema, sweet pepperweed seed, angelica dahurica, pinellia and croton seed with the husk removed but the oil left in, in equal parts. Powder; half a don each time, taken stirred into a mouthful of ginger juice, with immediate effect. Whenever the jaw is clenched and medicine will not go down, this should be used. — Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

**This must not be prepared.** Croton seed with the oil deliberately left in is the most dangerous instruction in the chapter: croton oil is a vesicant and a violent purgative, lethal in small quantities, and the usual preparation presses it out. Here it is kept because the point is a drastic reflex response in a patient who cannot swallow. Half a don in a mouthful of ginger juice, stated as suitable for children, is a prescription that would kill a child. Recorded as history. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.