Formulas · Purge Downward 瀉下 · Dansim (丹心)
Cattle Gallstone Snatch Back Life Powder
Uhwangtalmyeong-san
한글 우황탈명산 · Pinyin Niu Huang Duo Ming San
This is not the 奪命散 of this chapter's own 1.31, registered as `talmyeong-san-soa`, which is two substances — 靑礞石 calcined with 焰硝 — and a phlegm-sinking powder with no purgative in it; the two leaves share the section head of 1.45 but nothing else. Nor is it any of the other four 奪命散 in the corpus: `talmyeong-san-buin` (myrrh and dragon's blood), `talmyeong-san-in` (calcined alum, silkworm, borax and gleditsia for throat closure), `talmyeong-san-pung` (arisaema, lepidium, angelica dahurica, pinellia and croton), `talmyeong-san-han` (ginseng alone), or `bibangtalmyeong-san` (the twelve-drug carbuncle powder). The leaf's 一名 一捻金 romanises onto `illyeomgeum`, which is already registered as the Immun's 一捻金 for 疔疽, 賽命丹 powdered — a different formula entirely; the name here is an alias only and the entry is registered under the head name. Note also that 牛黃, cattle gallstone, stands in the name but appears nowhere in the composition. 胷 is corrected to 胸; 麄 is printed as transcribed.
Composition 構成
- Daehwang大黃 대황 · Rhubarb40 g
Chief 君 - Baekgyeonu白牽牛 백견우 · White Morning Glory Seed20 g
Chief 君白丑, half raw and half cooked, the first-ground powder taken
- Heukchuk黑丑 흑축 · Black Morning Glory Seed20 g
Chief 君黑丑, half raw and half cooked, the first-ground powder taken
- Billang檳榔 빈랑 · Areca Seed10 g
Deputy 臣 - Gyeongbun輕粉 경분 · Calomel (toxic)1 g
Deputy 臣 - Mokhyang木香 목향 · Costus Root6 g
Assistant 佐 - Bongmil蜂蜜 봉밀 · Honey—
Envoy 使honey water as the vehicle
Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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
- Drives downward through the stool what is held to be blocking a distended lung
- Taken as a powder in honey water, to a mild loosening of the bowel
- Given where the child's breathing is judged to be failing within a day
Indications 主治
Pattern-based
- Lung distension in a child, chest full, panting coarse and the qi urgent (肺脹 胸滿喘麄 氣急)
- Both flanks fanning, both nostrils flaring, phlegm welling up and blocking (兩脇扇動 兩鼻竅張 痰涎潮塞)
- Smothering agitation and gasping, death by morning or evening (悶亂喘喝 死在朝夕)
Biomedical correlates
- Severe respiratory distress in a child — recession, nasal flaring, grunting
- Pneumonia with impending respiratory failure
- Severe asthma or bronchiolitis
Source text 原文
Donguibogam 東醫寶鑑
治小兒肺脹, 胸滿喘麄, 氣急, 兩脇扇動, 兩鼻竅張, 痰涎潮塞, 悶亂喘喝, 死在朝夕. 白丑(半生半熟)ㆍ黑丑(半生半熟, 取頭末) 各五錢, 大黃 一兩, 檳榔 二錢半, 木香 一錢半. 右爲末, 入輕粉一字和勻, 每取一錢, 或二錢, 蜜水調下, 微利爲度. 《丹心》 ○一名一捻金. 《醫鑑》
Translation
Treats lung distension in children, the chest full and the panting coarse, the qi urgent, both flanks fanning in and out, both nostrils flaring, phlegm and drool welling up and blocking, smothering agitation and gasping, death by morning or evening. White morning-glory seed (half raw, half cooked) and black morning-glory seed (half raw, half cooked, the first-ground powder taken), 5 don each; rhubarb 1 nyang; areca seed 2.5 don; costus root 1.5 don. Powder the above, add 1 ja of calomel and mix evenly; take 1 don, or 2 don, each time, stirred into honey water, to the point of a mild loosening of the bowel. — Dansim 丹心 (Donguibogam · Soa) ○Also called One Pinch of Gold. — Uigam 醫鑑 (Donguibogam · Soa)
Clinical commentary 臨床
Related formulas 關聯
- Horse-Spleen Wind Powder馬脾風散 Mabipung-san · 5 herbs
- Snatch Back Life Powder (Children chapter)奪命散 Talmyeong-san · 6 herbs
- Pinch of Gold一捻金 Illyeomgeum · 0 herbs
- Embrace the Dragon Pill抱龍丸 Poryong-hwan · 7 herbs
- Life-Preserving Elixir保命丹 Bomyeong-dan · 16 herbs
- Drain the White Powder瀉白散 Sabaek-san · 9 herbs