Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

First Method for Prolonging Life

Yeonsaengjeil-bang

한글 연생제일방  ·  Pinyin Yan Sheng Di Yi Fang

延生第一方

A 方 head, registered under the `-bang` tail the corpus uses for such heads (百合洗方 `baekhapse-bang`, 殺蟲方 `salchung-bang`, 釀乳方 `yangyu-bang`). 臍帶, the child's own umbilical stump, is the first and principal ingredient and **has no herb id**; it is named here and listed at the foot of the file rather than attached to a near neighbour. 盖 and 㬽 are printed as transcribed — the first is on the chapter's do-not-normalize list, and for the second the corpus carries neither form, so the transcription stands. The existing `yeonsaeng-dan` 延生丹 of 1.30 慢驚風 shares the first two characters and is a different prescription. No entry of this name existed in the database.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

  • Prophylaxis in the newly born, after the cord has dropped (小兒初生臍帶脫落後)
  • Held to void the filth and foul matter in the next day's stool (次日大便遺下汚穢濁垢之物)
  • Claimed to leave the child free of pox and all disease for life (終身永無瘡疹及諸疾)

Biomedical correlates

  • Attempted prophylaxis of smallpox in the neonate
  • Mercury (mercuric sulfide) administered orally to a newborn
  • Umbilical stump handling, with its risk of omphalitis and neonatal tetanus

Source text 原文

Donguibogam 東醫寶鑑

小兒初生臍帶脫落後, 取置新瓦上, 用炭火四圍燒至烟將盡, 放土地上, 用瓦盞之類盖之, 存性, 硏爲末. 預將朱砂透明者爲極細末水飛過, 臍帶若有五分重, 朱砂用二分五釐. 生地黃ㆍ當歸身濃煎汁一二蜆殼, 調和前兩味, 抹兒上㬽間及乳母乳頭上, 一日之內用盡. 次日大便遺下汚穢濁垢之物, 終身永無瘡疹及諸疾. 生一子得一子, 十分妙法也. 《醫鑑》

Translation

After a newborn child's umbilical cord has dropped off, take it and set it on a new roof tile, burn it with charcoal fire banked round all four sides until the smoke is almost spent, set it down on bare earth, cover it with an earthenware cup or the like so that its nature is preserved, and grind it to a powder. Beforehand take transparent cinnabar, powder it extremely fine and water-levigate it; if the cord weighs 5 fun, use 2 fun 5 ri of cinnabar. Thickly decoct raw rehmannia and the body of Korean angelica to a juice, a freshwater-clam shell or two of it, and stir it together with the two foregoing ingredients. Smear it between the child's upper gums and on the wet nurse's nipple, using it all up within the day. Next day the stool will void filth and foul turbid matter, and for the whole of life there will be no pox and no other disease. Have one child and you keep one child — a thoroughly excellent method. — Uigam 醫鑑 (Donguibogam · Soa)

Clinical commentary 臨床

The procedure is exact and worth following in full. The newborn's own umbilical stump, once it has fallen away, is burnt on a roof tile with charcoal banked round it until the smoke nearly stops, then smothered under an upturned cup so it chars rather than burns to white ash — 存性, the nature preserved — and ground. Transparent cinnabar is water-levigated to an extremely fine powder and weighed against the cord at half its weight. A thick decoction of raw rehmannia and angelica body, a clam-shell or two, binds the two powders into a paste, and the paste is smeared between the baby's upper gums and onto the wet nurse's nipple so that the child takes all of it within a day. The next day's stool, voiding dark matter, is read as the fetal toxin leaving. The promise attached is the largest in the chapter: 終身永無瘡疹及諸疾, no pox and no disease for life, 生一子得一子, have one child and you keep one child. The promise was empty. Smallpox is caught from another person by droplet or by contaminated bedding and clothing; there is nothing in a newborn's body to expel, and the dark stool of the second day is meconium, which every newborn passes. **This must not be prepared.** It is a mercury compound put into the mouth of a neonate in the first days of life, to prevent a disease the child does not have. Three things make it worse than the other cinnabar methods in this section. The dose is set by the weight of a dried umbilical cord, which is not a dose at all; smearing the paste on the nipple means the quantity the child actually swallows cannot be known even in principle; and the exposure falls in the first week of life, when the blood–brain barrier is at its most permeable and renal clearance at its lowest. Mercury injures a developing nervous system at doses that leave an adult unharmed, and the injury does not reverse. **The leaf gives no dose by weight for the child here** — only for the cord. Separately, and apart from the mercury: charred material smeared into a newborn's mouth and onto a feeding nipple is a route of infection, and the umbilical stump is the entry site for omphalitis and for neonatal tetanus, which in the absence of clean cord care and maternal immunisation killed very large numbers of newborns. The full statement of what cinnabar is and does to a child is written out on `jinsa-go-soa`. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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