Formulas · Stabilize & Astringe 固澀 · Uihak Immun (醫學入門)

Mussel Frost Powder

Bangsang-san

한글 방상산 · Pinyin Bang Shuang San

蚌霜散

This entry was first registered as a cross-reference shell: the Hyeol chapter cites the formula with 方見諸傷 and gives only the indication, and this leaf in the Injuries chapter carries the composition. The composition is given as 各等分 with no absolute weights, and grams are entered at 40 each as a notional equal share. The entry's source is now this leaf's label, 入門, in place of the placeholder it carried as a shell.

Composition 構成

Banghap Bang Ge
蚌蛤 방합 · Freshwater Mussel

40 g
Chief 君

calcined mussel shell powder (蚌粉), equal parts
Baekchosang Bai Cao Shuang
百草霜 백초상 · Stove Soot

40 g
Chief 君

equal parts
Nami Nuo Mi
糯米 나미 · Glutinous Rice

—
Envoy 使

glutinous rice drink (糯米飮) as the vehicle

Total 80 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 vomiting of blood from injury
Stanches blood running from mouth and nose after drunkenness or a heavy meal

Indications 主治

Pattern-based

Vomiting of blood from injury; blood moving recklessly and issuing from mouth and nose together after bending the head when drunk or full
Great vomiting of blood after an injury

Biomedical correlates

Haematemesis after trauma or vomiting

Source text 原文

Donguibogam 東醫寶鑑

治傷損大吐血. 蚌粉ㆍ百草霜各等分. 右爲末, 每二錢, 糯米飮調服. 《入門》

Translation

Treats great vomiting of blood after an injury. Calcined mussel shell powder and hearth soot in equal parts. Powder them; take 2 don at a time stirred into a glutinous rice drink. — Immun 入門 (Donguibogam · Jesang)

Clinical commentary 臨床

酒食醉飽後, 低頭, 掬損 — bending the head when drunk and full, and straining — is the same mechanism as Sijaebaekchul-san's, and the Hyeol chapter's two entries for a bleed brought on by effort rather than illness. 蚌霜, mussel frost, is calcined mussel shell, and the formula is an astringent powder: shell calcined to calcium oxide and carbonate, hearth soot, and a glutinous rice drink to carry it. Charcoal and chalk taken by mouth do nothing for a bleeding point in the oesophagus or the stomach, and the glutinous rice drink is the only part of the prescription with any claim on the mucosa. Haematemesis after trauma or after violent retching is a Mallory-Weiss tear, a ruptured varix or a gastric erosion, and large-volume vomiting of blood is an emergency: it is diagnosed and treated endoscopically, with transfusion where needed. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.