Formulas · Dispel Wind 祛風 · Uihak Immun (醫學入門)

Heal the Wind Elixir

Yupung-dan

한글 유풍단 · Pinyin Yu Feng Dan

愈風丹

土桃蛇 has no entry in the herb list and is left out of the ingredients; it is the third of the three snakes that give the formula its alternative name 三蛇丹, and the 大風瘡 section sends 眉鬚落者 to 三蛇丹, which is this leaf. 並 is printed as the transcription has it, the corpus not normalising 並/幷. The snakes are counted by the piece and carry no gram figure. The geun of sophora root is the quantity cut and pounded, of which only the 四兩 of first flour is used, and the gram figure is for the geun named with the instruction kept in the prep. 防風通聖散 is linked; the transcription gives no 方見 note here, so no sochu span is added.

Composition 構成

Osa Wu She
烏蛇 오사 · Black-Striped Snake

—
Chief 君

烏蛇一條 — one black-striped snake, steeped three days in wine and the flesh taken and powdered
Baekhwasa Bai Hua She
白花蛇 백화사 · Pit Viper (CITES-listed)

—
Chief 君

白花蛇一條 — one pit viper, likewise; a CITES-listed material
Gosam Ku Shen
苦參 고삼 · Sophora Root

640 g
Deputy 臣

苦參一斤 — cut and pounded, and the first flour of it, 四兩, used
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

—
Envoy 使

皂角濃煎汁熬膏 — gleditsia pod decocted strong and reduced to an extract to bind the pills

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

Treats leprous disease that has gone deep and grave
Also called Samsa-dan, the Three Snake Elixir
Treats great wind with the hair fallen, the eyebrows gone, numbness over the whole body and ulcerated sores
Fifty pills twice a day, sent down in a decoction of Bangpungtongseong-san

Indications 主治

Pattern-based

癩疾深重 — leprous disease gone deep and grave
大風髮脫眉落, 遍身麻木瘡爛 — hair fallen, eyebrows gone, numbness over the whole body, sores ulcerated
眉鬚落者 — for the fallen eyebrows and beard, where the section names 三蛇丹

Biomedical correlates

Advanced lepromatous Hansen's disease with madarosis and anaesthesia — historical

Source text 原文

Donguibogam 東醫寶鑑

治癩疾深重. 一名三蛇丹. 治大風髮脫眉落, 遍身麻木瘡爛. 烏蛇ㆍ白花蛇ㆍ土桃蛇各一條, 並酒浸三日, 取肉爲末. 苦參一斤剉, 搗取頭末四兩. 皂角濃煎汁熬膏和丸梧子大, 以<a href='/formulas/bangpungtongseong-san'>防風通聖散</a>煎水呑下五十丸, 日二. 《入門》

Translation

Treats leprous disease that has gone deep and grave. It is also called Samsa-dan, the Three Snake Elixir. Treats great wind with the hair fallen and the eyebrows gone, numbness over the whole body and sores ulcerated. Black-striped snake, pit viper and 土桃蛇, one of each, all steeped in wine for three days, the flesh then taken and powdered. Sophora root 1 geun, cut and pounded, and the first flour of it, 4 nyang, taken. Decoct gleditsia pod strong, reduce the juice to an extract, and make pills with it the size of a paulownia seed; swallow down fifty in a decoction of Bangpungtongseong-san, twice a day. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

The Three Snake Elixir, and the formula the 大風瘡 section reaches for when the eyebrows and beard have gone — 眉鬚落者三蛇丹. Black-striped snake, pit viper and the 土桃蛇, one of each, steeped three days in wine and only the flesh taken and powdered; sophora root pounded and only its first flour used; gleditsia pod boiled down to bind the whole. The refinements are the point of it, each drug reduced to the part held to carry the virtue. It is not taken alone. The pills go down in a decoction of Bangpungtongseong-san twice a day, so the patient is on the chapter's standard wind-purging base throughout — the same arrangement Tongcheonjaejo-san sets up for the period after its purge. **Contains pit viper, a CITES-listed material, and the raw flesh of three snakes taken internally. This must not be prepared.** Madarosis and widespread anaesthesia mean established lepromatous disease with nerve damage; the treatment is multidrug therapy, and the damage already done to nerves will not reverse with it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.