Formulas · Invigorate Blood 活血祛瘀 · Dongwon (東垣)
Break the Blood and Disperse the Pain Decoction
Pahyeolsandong-tang
한글 파혈산동탕 · Pinyin Po Xue San Teng Tang
Cut and divided into two packets; each dose is decocted in two cups of wine and one of water down to one cup, strained, and the powdered leech and musk stirred in, taken on an empty stomach. Two doses and it is cured. **Note on modern practice: leech (水蛭) is not used in contemporary practice; musk is a protected animal product and contemporary preparations substitute synthetic musk (muscone). Traumatic back injury with severe pain requires imaging to exclude fracture. Recorded as classical text.**
Composition 構成
- Suchil水蛭 수질 · Leech12 g
Chief 君 dry-fried until the smoke ceases, separately ground fine - Yeongyo連翹 연교 · Forsythia8 g
Deputy 臣 - Danggui當歸 당귀 · Korean Angelica8 g
Deputy 臣 - Siho柴胡 시호 · Bupleurum8 g
Deputy 臣 - Somok蘇木 소목 · Sappan Wood6 g
Assistant 佐 - Ganghwal羌活 강활 · Notopterygium4 g
Assistant 佐 - Bangpung防風 방풍 · Siler4 g
Assistant 佐 - Yukgye肉桂 육계 · Cinnamon Bark4 g
Assistant 佐 heart (桂心) - Sahyang麝香 사향 · Musk (prohibited)2 g
Assistant 佐 separately ground
Total 56 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
- Breaks malign blood lodged below the ribs after a fall
- Frees a back that cannot be turned
Indications 主治
Pattern-based
- A fall or a stumble striking the lumbus and spine (跌其腰脊)
- Malign blood lodged beneath the flank with pain so severe one cannot turn (惡血留於脇下)
- Traumatic injury with fixed severe pain
Biomedical correlates
- Traumatic low back injury with severe pain
- Post-fall pain with restricted movement
- Retained hematoma — historical management
Source text 原文
Donguibogam 東醫寶鑑
治墮落損傷, 跌其腰脊, 惡血留於脇下, 痛楚不能轉側. 水蛭 三錢(炒令烟盡, 另細硏), 連翹ㆍ當歸ㆍ柴胡 各二錢, 蘇木 一錢半, 羌活ㆍ防風ㆍ桂心 各一錢, 麝香 五分(另硏). 右剉, 分二貼, 每服, 酒二盞ㆍ水一盞, 煎至一盞去滓, 調水蛭ㆍ麝香末, 空心服, 兩服卽愈. 《東垣》
Translation
Treats injury from a fall, where the lumbus and spine have been struck, malign blood lodges beneath the flank, and the pain is such that one cannot turn to either side. Leech 3 don, dry-fried until the smoke ceases and separately ground fine; forsythia, Korean angelica, and bupleurum, 2 don each; sappan wood 1 don 5 fun; notopterygium, saposhnikovia, and cinnamon heart, 1 don each; musk 5 fun, separately ground. Cut the above and divide into two packets; for each dose decoct in two cups of wine and one of water down to one cup, strain, stir in the powdered leech and musk, and take on an empty stomach — two doses and it is cured. — Dongwon 東垣 (Donguibogam · Yo)