Formulas · Transform Phlegm 化痰 · Uibang Yuchwi (醫方類聚)

Open the Pass Powder

Tonggwan-san

한글 통관산 · Pinyin Tong Guan San

通關散

Registered with the chapter suffix to distinguish it from the 通關散 of the Urine chapter, a quite different umbilical application. The Jeonggam's three-drug variant of the same name is given in the source.

Composition 構成

Sesin Xi Xin
細辛 세신 · Asarum

4 g
Chief 君
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

4 g
Chief 君
Bakha Bo He
薄荷 박하 · Mint

4 g
Deputy 臣
Unghwang Xiong Huang
雄黃 웅황 · Realgar

4 g
Deputy 臣

toxic

Total 16 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 stroke with loss of consciousness
the jaw clenched and the qi blocked
Blown into the nose as a test and a treatment

Indications 主治

Pattern-based

Closed orifices with loss of consciousness
Phlegm blocking the qi with trismus

Biomedical correlates

Unconsciousness in acute stroke
Syncope

Source text 原文

Donguibogam 東醫寶鑑

治卒中不省, 口噤ㆍ氣塞. 細辛ㆍ皂角ㆍ薄荷ㆍ雄黃各一錢. 右爲末, 每少許, 吹入鼻中. 有嚏可治, 無嚏不可治. 《得效》 ○一方, 南星ㆍ半夏ㆍ皂角等分爲末, 用如上法, 亦名通關散. 《醫鑑》

Translation

Treats sudden stroke with loss of consciousness, the jaw clenched and the qi blocked. Asarum, gleditsia pod, mint and realgar, 1 don each. Powder; blow a little into the nose each time. If there is sneezing the case can be treated; if there is no sneezing it cannot. One version: arisaema, pinellia and gleditsia pod in equal parts, powdered and used by the method above, also called Tonggwan-san. — Uibang Yuchwi 得效 · Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

The same sneezing test as Tongjeong-san, and here it is the whole of the prognosis: sneeze and the case is treatable, do not sneeze and it is not. Asarum and gleditsia pod are the sternutatories; realgar is arsenic sulphide and does nothing but add danger, and it is the reason to prefer the Jeonggam's three-drug variant given in the same entry. Insufflation of a powder into the nose of an unconscious patient also risks aspiration, which is the real objection to the whole method. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.