Formulas · Purge Downward 瀉下 · Taepyeong Hyeminhwajegukbang (太平惠民和劑局方)

Penetrate the Ice Elixir

Tubing-dan

한글 투빙단  ·  Pinyin Tou Bing Dan

透氷丹

The aconite preparation is the most elaborate in the chapter: a fortnight's steeping in running water with three-day changes, then slicing, fire-drying and salt-frying. 一錢一字 is 1.25 don, about 4.5 g.

Composition 構成

Total 289 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

Indications 主治

Pattern-based

  • Wind toxin with heat attacking upward and pouring downward
  • Wind damp toxin with constipation

Biomedical correlates

  • Erysipelas
  • Cellulitis with constipation

Source text 原文

Donguibogam 東醫寶鑑

治風毒上攻, 頭面腫痒ㆍ痰涎壅塞ㆍ口乾ㆍ胸煩, 下疰腰脚腫痛ㆍ生瘡ㆍ大小便秘澁, 及癱瘓風. 川烏 二兩(以江水浸半月, 三日一換水, 切作片, 焙乾, 用鹽 一兩炒黃, 去鹽), 大黃ㆍ梔子ㆍ茯神ㆍ威靈仙ㆍ蔓荊子ㆍ益智ㆍ白茯苓ㆍ仙靈脾ㆍ天麻ㆍ白芷 各五錢, 香墨(燒醋淬, 細硏)ㆍ麝香 各一錢一字. 右爲末, 煉蜜搜和, 擣千杵, 旋圓芡實大, 用薄荷汁同溫酒化下二三丸. 《局方》

Translation

Treats wind toxin attacking upward with the head and face swollen and itching, phlegm drool congesting and blocking, a dry mouth and a vexed chest; and pouring downward into the loins and legs with swelling and pain, sores breaking out and stool and urine bound and rough; and paralytic wind. Aconite kusnezoffii, 2 nyang — steeped half a month in river water, the water changed every three days, then sliced, dried over a fire, stir-fried yellow with 1 nyang of salt and the salt discarded; rhubarb, gardenia, poria spirit, clematis, vitex fruit, alpinia, poria, epimedium, gastrodia and angelica dahurica, 5 don each; fragrant ink, burnt and quenched in vinegar and finely ground, and musk, 1 don and one ja each. Powder, mix with refined honey, pound a thousand strokes, roll into balls the size of a euryale seed, and dissolve two or three in mint juice with warm wine. — Taepyeong Hyeminhwajegukbang 局方 (Donguibogam · Pung)

Clinical commentary 臨床

**This must not be prepared.** Musk is CITES-listed, and the two nyang of aconite kusnezoffii remains cardiotoxic however long it is steeped. The processing instruction is nonetheless the most interesting pharmacy in the chapter: a fortnight in running river water with the water changed every three days leaches out the water-soluble diester alkaloids, and the salt-frying that follows hydrolyses more of them — which is to say the Jufang's compounders had worked out empirically the two steps modern analysis identifies as the detoxification of aconite. The indication, wind toxin swelling the face above and breaking out in sores below with the bowels shut, reads like erysipelas or cellulitis, and rhubarb and gardenia are there to open the bowel. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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