Formulas · Transform Phlegm 化痰 · Danggye Simbeop (丹溪心法)

Open the Crown Powder

Tongjeong-san

한글 통정산 · Pinyin Tong Ding San

通頂散

提起頂中髮 — pulling up the hair at the crown — is a mechanical stimulus applied together with the insufflation, not a separate step.

Composition 構成

Seokgo Shi Gao
石膏 석고 · Gypsum

8 g
Chief 君
Yeoro Li Lu
藜蘆 여로 · Black False Hellebore Root (toxic)

1.6 g
Chief 君

toxic
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

1.6 g
Deputy 臣
Sesin Xi Xin
細辛 세신 · Asarum

1.6 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

1.6 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.6 g
Envoy 使

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

Blown into the nose to revive the unconscious
Provokes sneezing as a test of prognosis

Indications 主治

Pattern-based

Wind stroke with loss of consciousness
Sudden collapse with closed orifices

Biomedical correlates

Unconsciousness in acute stroke
Syncope

Source text 原文

Donguibogam 東醫寶鑑

治卒中不省, 吹鼻卽甦. 石膏二錢, 藜蘆ㆍ川芎ㆍ細辛ㆍ人參ㆍ甘草各四分. 右爲末, 每取一字, 吹入鼻中, 卽提起頂中髮, 卽甦. 有嚏可治, 無嚏不可治. 《丹心》

Translation

Treats sudden stroke with loss of consciousness; blown into the nose it revives at once. Gypsum, 2 don; veratrum, chuanxiong, asarum, ginseng and licorice, 4 fun each. Powder; take one ja each time and blow it into the nose, then pull up the hair at the crown of the head, and the patient revives. If there is sneezing the case can be treated; if there is no sneezing it cannot. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

The prognostic clause is the valuable part: if there is sneezing the case can be treated, if there is no sneezing it cannot. That is a brainstem reflex test, and the tradition was using it the way a modern clinician uses a corneal or gag reflex — as a crude measure of how deep the depression of consciousness goes. The formula itself is an irritant powder built around veratrum, which is a violent emetic and sternutatory and genuinely dangerous; the dose given is a pinch into the nose, not a draught, and the whole intervention lasts seconds. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.