Formulas · Invigorate Blood 活血祛瘀 · Buin Daejeon Yangbang (婦人大全良方)

Flower Stamen Stone Powder

Hwayeseok-san

한글 화예석산  ·  Pinyin Hua Rui Shi San

花蘂石散

This entry was first registered as a cross-reference shell: the Buin chapter cites the formula for a retained placenta and sends the reader here with 方見諸傷, and this leaf in the Injuries chapter carries the composition and the preparation. The Buin citation is labelled 良方 and this leaf 入門; the book's attribution for the formula is kept as it stood. A collation note sitting at the foot of this leaf annotates a glyph in the preceding prose section, not in this formula, and has not been acted on. The jar, the salt-clay luting and the four bricks are apparatus and are not in the ingredient list.

Composition 構成

Total 200 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

Indications 主治

Pattern-based

  • All blade wounds, blows and contusions, and ox or horse bites and kicks, even to the point of death
  • Stagnant blood and internal damage in the viscera with agitation and oppression to the point of death
  • The placenta not coming down
  • surging upward to the point of death
  • with only the region of the heart still warm

Biomedical correlates

  • Open wounds and crush injuries
  • Internal haemorrhage after blunt trauma
  • Retained placenta

Source text 原文

Donguibogam 東醫寶鑑

治一切金刃斫傷, 及打撲損傷ㆍ牛馬咬踼, 或至死者. 急於傷處糝藥, 其血化爲黃水, 再服藥便活, 更不疼痛. 如藏府有瘀血內損, 煩悶欲死, 服此藥則化爲黃水, 或吐出, 或下泄出. 花蘂石 四兩, 硫黃 一兩, 爲末, 入瓦罐內, 鹽泥固濟, 晒乾, 安四方塼上, 以炭火從巳午時煆至經宿, 候冷取出, 硏細. 每取一大匙, 童尿入酒煎熱調服. 《入門》

Translation

Treats all cuts and hacking wounds from blades, and injury from blows and contusions, and bites and kicks from oxen and horses, even to the point of death. Urgently dust the medicine on the wounded place and the blood there turns to a yellow water; take the medicine again and the patient lives, and there is no more pain. If there is stagnant blood and internal damage in the viscera, with agitation and oppression to the point of death, then on taking this medicine it is transformed into a yellow water and issues either by vomiting or by purging below. Ophicalcite, 4 nyang, and sulphur, 1 nyang, are powdered and put into an earthenware jar, luted shut with salt clay and sun-dried; set it on four square bricks and calcine it over a charcoal fire from the hour of the snake and the hour of the horse through the night; when it has cooled, take it out and grind it fine. Take one large spoonful at a time, stirred into child's urine and wine boiled hot. — Immun 入門 (Donguibogam · Jesang)

Clinical commentary 臨床

Two minerals and nothing else: ophicalcite, a serpentine-bearing carbonate long used as a haemostatic, and sulphur, calcined together overnight in a luted jar. Calcining them would drive off the sulphur largely as sulphur dioxide and leave a decrepitated calcium-magnesium carbonate powder — an inert, absorbent dust. Dusted into a bleeding wound such a powder does something real and mechanical: it absorbs and helps a clot form, which is very likely what 其血化爲黃水 describes. That is the honest part of the formula. Taken by mouth for 藏府有瘀血內損 it is a different claim, and it does not hold. A patient with internal bleeding after a crush injury needs imaging, blood and an operating theatre, not a mineral powder; and the yellow water said to come up or go down is not stagnant blood leaving the body. 但心頭煖 — only the region of the heart still warm — describes a woman already collapsing from blood loss, and the Buin chapter gives this as the last thing to be tried. **Retained placenta with haemorrhage is one of the commonest causes of maternal death. It requires immediate manual removal and transfusion.** **Child's urine is a human material, and a raw mineral powder pressed into an open wound carries an infection and tetanus risk.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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