Formulas · Purge Downward 瀉下 · Uihak Immun (醫學入門)

Realgar and Cinnabar Elixir

Ungju-dan

한글 웅주단  ·  Pinyin Xiong Zhu Dan

雄朱丹

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients 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

Indications 主治

Pattern-based

  • Demon malaria (鬼瘧) with paroxysms at a fixed hour
  • Malaria answering no ordinary medicine

Biomedical correlates

  • Malaria
  • Relapsing febrile illness with periodic chills and fever

Source text 原文

Donguibogam 東醫寶鑑

治鬼瘧. 大黑豆 四十九粒(約五錢重), 端午日以冷水浸, 從早至巳時, 去皮曬乾, 硏. 入信砒末 一錢, 再硏勻, 麪糊和勻作丸, 少壯人梧子大, 老人黃豆大, 小兒菉豆大, 雄黃ㆍ朱砂爲衣, 曬乾收貯. 臨發五更, 面東井水下一丸. 《入門》 ○一名瘧靈丹. 《醫鑑》

Translation

Treats demon malaria. Large black soybeans, 49 grains weighing about 5 don: on the Dano day steep them in cold water from dawn to the hour of sa, remove the skins, sun-dry and grind. Add 1 don of powdered arsenic, grind again until even, and bind with a wheat-flour paste into pills — the size of parasol-tree seeds for the young and vigorous, the size of a yellow soybean for the old, the size of a mung bean for children. Coat them with realgar and cinnabar, sun-dry and store. As the paroxysm approaches, at the fifth watch, swallow one pill with well water facing east. — Immun 入門 (Donguibogam · Haehak). Also called Hangnyeong-dan. — Uigam 醫鑑

Clinical commentary 臨床

The same arsenic pellet as Byeoksa-dan with the beans raised to the whole of the body and the dose scaled by age — parasol-tree seed for the young, soybean for the old, mung bean for a child. That scaling is the one piece of real pharmacology in the leaf, and it is dosing a poison by body size. The Dano day, the hour of sa, the fifth watch and the face turned east are all calendar and clock rather than drug. What they amount to is a fixed, early, pre-paroxysm dose, which is the right instinct applied with the wrong agent. Note that the yellow soybean and mung bean in the text are size references for the pill, not ingredients. **Contains arsenic twice over — arsenic trioxide in the body of the pill and realgar, arsenic sulfide, in the coating — together with cinnabar, which is mercuric sulfide. This must not be prepared or taken.** It is recorded for textual completeness only. Malaria requires modern antimalarial treatment. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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