Formulas · Warm the Interior 溫裏 · Seui Deukhyobang (世醫得效方)

Wondrous Response Elixir (Jeokchwi)

Myoeung-dan

한글 묘응단(적취) · Pinyin Miao Ying Dan

妙應丹

Distinct from the 妙應丹 of the Phlegm-Rheum chapter, which is another name for Gongyeon-dan 控涎丹. The two share only the name. The aconite is hollowed and the sal ammoniac packed inside it, so the weight given is for the two together; the gram figure entered is for the aconite alone at 4 × 7 don.

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

112 g
Chief 君 4 pieces of 7 don each, raw, skin and navel removed, hollowed into a jar and filled with sal ammoniac to a combined 1 nyang 7 don, wrapped in dough and roasted through, the dough discarded — TOXIC
Nosa Nao Sha
硇砂 노사 · Sal Ammoniac (toxic)

0 g
Deputy 臣䃃砂, packed inside the aconite; combined weight given above — TOXIC
Pilbal Bi Ba
蓽撥 필발 · Long Pepper

140 g
Assistant 佐 3.5 nyang
Mokhyang Mu Xiang
木香 목향 · Costus Root

140 g
Assistant 佐 3.5 nyang
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

140 g
Assistant 佐 3.5 nyang
Bogolji Bu Gu Zhi
補骨脂 보골지 · Psoralea

140 g
Assistant 佐破故紙, 3.5 nyang

Total 672 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

Expels worm toxin taken in with food
Dissolves concretions formed from retained food and rheum

Indications 主治

Pattern-based

Gu toxin taken in with food and drink
Eggs of water or land creatures entering the belly and becoming worms
snakes
fish or turtles
Retained food and standing rheum bound into concretions

Biomedical correlates

Intestinal parasitosis
Food poisoning with retained matter

Source text 原文

Donguibogam 東醫寶鑑

治飮食中蠱毒, 或食水陸果苽, 子卵入腹而成蟲蛇魚鱉, 或宿食留飮, 結爲癥瘕. 附子四箇(七錢重者, 生去皮臍, 剜作瓮, 入䃃砂, 共一兩七錢重, 麪裹煨熟, 去麪不用), 蓽撥ㆍ木香ㆍ靑皮ㆍ破故紙各三兩半. 右爲末, 麪糊和丸梧子大. 生薑橘皮湯下三十丸. 《得效》

Translation

Treats gu toxin taken in with food and drink; or the eating of water and land fruits and gourds whose seeds and eggs enter the belly and become worms, snakes, fish and turtles; or retained food and standing rheum bound into concretions. Aconite 4 pieces of 7 don weight each — raw, skin and navel removed, hollowed out into a jar, filled with sal ammoniac to a combined weight of 1 nyang 7 don, wrapped in dough and roasted through, the dough then discarded; long pepper, costus, green tangerine peel and psoralea 3.5 nyang each. Powder them, make pills with wheat paste the size of a firmiana seed, and take thirty down with a decoction of fresh ginger and tangerine peel. — Seui Deukhyobang 得效 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The processing is the formula. Four aconite tubers are hollowed into small jars, sal ammoniac is packed inside them, and the whole is sealed in dough and roasted — so the two most dangerous ingredients are cooked into one another before anything else is added. That is the same containment logic as the boar's stomach in Tonghyeonipal-dan at 1.8.8. The aetiology given is worth recording as a historical belief rather than a mechanism: seeds and eggs eaten with raw fruit are thought to hatch in the belly into worms, snakes, fish and turtles. Behind it lies a real observation, that raw produce transmits intestinal parasites. **Contains raw-processed aconite and sal ammoniac, both toxic. Must not be prepared or taken. Suspected parasitic infection or food poisoning requires medical diagnosis and treatment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.