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

Two Immortals Powder for the Protruding Eye

Iseon-san

한글 이선산 (소아) · Pinyin Er Xian San

二仙散

A fourth formula of this name. The three already standing were compared ingredient by ingredient and none is this. iseon-san, from Jahwa, is an emetic of 瓜蔕 with good tea taken in pickle brine. iseon-san-in, from the Uihak Immun — the same source label as this leaf — is 膽礬 one don with 白殭蠶 two don blown into the throat for throat closure. iseon-san-ongjeo, from the Gogeum Uigam, is 白芷 with 貝母 in half wine for abscess pain. This leaf shares no drug with any of them, and the name is accounted for by the drugs themselves: both 仙靈脾 and 威靈仙 carry 仙, immortal, which is the whole of what the two immortals are. So the chapter tail is used. The leaf carries no indication of its own; 1.87.1 supplies it at 食毒物睛凸出宜二仙散.

Composition 構成

Eumyanggwak Yin Yang Huo
淫羊藿 음양곽 · Epimedium

4 g
Chief 君

仙靈脾, 1 don
Wiryeongseon Wei Ling Xian
威靈仙 위령선 · Clematis

4 g
Chief 君

1 don

Total 8 g per packet (첩) · representative dosage — verify against source texts.

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 the eyeball pushed out after the child has eaten something poisonous
Cut up, made into one packet and decocted in water

Indications 主治

Pattern-based

Having eaten a poisonous thing, the eyeball protrudes (食毒物睛凸出)

Biomedical correlates

Proptosis in a child convalescing from smallpox
Orbital swelling with forward displacement of the globe

Source text 原文

Donguibogam 東醫寶鑑

仙靈脾ㆍ威靈仙各一錢. 右剉, 作一貼, 水煎服. 《入門》

Translation

Epimedium and clematis root 1 don each. Cut them up, make one packet and decoct in water. — Immun 入門 (Donguibogam · Soa)

Clinical commentary 臨床

Two drugs, chosen for a pun. Epimedium and clematis root are both called immortal, and that is what puts them in one packet under this name; neither is an eye drug in this corpus and neither appears in any other leaf of this section. The indication is the strangest in 1.87.1 — the child has eaten something poisonous and the eyeball is pushed forward out of the socket. What this section is treating is set out under Milmonghwa-san; this leaf is not really part of it. Proptosis in a child recovering from smallpox is not a food poisoning and is not a corneal scar. The things that push an eye forward in a child are orbital cellulitis spreading from the sinuses or from infected pocks on the lids, orbital haemorrhage, and a retro-orbital mass; the first is the likely one here and it is a surgical emergency that can go on to cavernous sinus thrombosis and death. A two-drug decoction does not touch it. Modern care is intravenous antibiotics and drainage, and the eye and sometimes the child are saved by hours. **The patient is a child, and the leaf gives no dose scaled to age or weight — 1 don of each drug in one packet.** Neither drug is acutely toxic; clematis root is a drug this corpus uses freely and epimedium likewise. The danger in this leaf is not what is in the cup but what the cup is given instead of. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.