Formulas · Calm the Spirit 安神 · Uihak Immun (醫學入門)

Realgar and Musk Powder for Visitor Vexation

Ungsa-san

한글 웅사산 (소아) · Pinyin Xiong She San

雄麝散

A different Realgar and Musk Powder is registered from the Resolving Toxins chapter as ungsa-san — realgar and musk in equal parts, wrapped in raw sheep's lung and swallowed, for the five kinds of worm toxin. The two share only the two drugs of the name; this chapter's adds frankincense, gives weights, and is poured in with cock's-comb blood, so it takes the chapter tail. The mother's garment is apparatus and is left out of the ingredient list.

Composition 構成

Unghwang Xiong Huang
雄黃 웅황 · Realgar

4 g
Chief 君

realgar — arsenic sulfide, toxic
Yuhyang Ru Xiang
乳香 유향 · Frankincense

2 g
Deputy 臣
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

1 g
Deputy 臣

musk, CITES Appendix I
Gyegwanhyeol Ji Guan Xue
雞冠血 계관혈 · Cock's Comb Blood

—
Envoy 使

blood pricked from the comb of a cock (雄雞冠血), used to stir the powder

Total 7 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

Treats visitor vexation
The powder is stirred into blood pricked from a cock's comb and poured into the child's mouth
The mother's own garment is then laid over the child

Indications 主治

Pattern-based

客忤 — visitor vexation, the infant suddenly taken ill after a stranger or an outing

Biomedical correlates

Acute illness of sudden onset in an infant — a presentation, not a diagnosis

Source text 原文

Donguibogam 東醫寶鑑

治客忤. 雄黃一錢, 乳香五分, 麝香一字. 右爲末, 每一字, 刺雄雞冠血調灌之, 仍以母衣覆兒身, 卽愈. 《入門》

Translation

Treats visitor vexation. Realgar 1 don, frankincense 5 fun, musk 1 ja. Powder them, and for each dose of 1 ja prick a cock's comb for blood, stir the powder into it and pour it in; then cover the child's body with the mother's own garment, and it is cured. — Immun 入門 (Donguibogam · Soa)

Clinical commentary 臨床

客忤, visitor vexation, is the chapter's name for an infant who was well and is suddenly not — after a stranger came near, after being carried past a shrine, after an outing. The section preceding this leaf describes vomiting of coloured froth, watery stools, abdominal pain, arching and twitching, and says it looks like fright epilepsy but the eyes do not roll up. That is a description of an acutely ill baby of any cause: sepsis, meningitis, intussusception, a metabolic crisis. None of them is treated by this powder, and all of them are emergencies. The cock's-comb blood and the mother's garment are the magical half of the prescription; the drugs are the other half, and they are worse. **Contains realgar, an arsenic sulfide. Arsenic is a cumulative poison with no safe dose, and an infant's kidneys clear it poorly. It also contains musk, from a CITES Appendix I deer, which has no useful pharmacological action; the demand this tradition created is why the musk deer are endangered. Fresh blood from a live bird poured into a newborn's mouth is a route for Salmonella and Campylobacter infection. The patient is an infant and the text gives no dose by weight anywhere. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.