【Chinese Name】 |
紫雪丹
|
【Phonetic】 |
Zi Xue Dan
|
【English Name】 |
Purple Snow Elixir |
【Classification】 |
Resuscitative formulas |
【Source】 |
《Arcane Essentials from the Imperial Library》Wai Tai Mi Yao《外臺秘要》 |
【Combination】 |
Gypsum Fibrosum (Shi Gao) 3 jin (1.5kg), Glauberitum (Han Shui Shi) 3 jin (1.5kg), Talcum (Hua Shi) 3 jin (1.5kg), Magnetitum (Ci Shi) 3 jin (1.5kg), Bubali Cornu (Shui Niu Jiao) 3.3 liang (100g), Saigae Tataricae Cornu (Ling Yang Jiao) 5 liang (150g), Aquilariae Lignum Resinatum (Chen Xiang) 5 liang (150g), Aucklandiae Radix (Mu Xiang) 5 liang (150g), Scrophulariae Radix (Xuan Shen) 1 jin (500g), Cimicifugae Rhizoma (Sheng Ma) 1 jin (500g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 8 liang (240g), Caryophylli Flos (Ding Xiang) Caryophylli Flos (Note: Shui niu jiao is used in place of xi jiao. Gold is no longer used.) |
【Method】 |
First crush shi gao, han shui shi, hua shi and ci shi and decoct them in water three times. Discard the dregs. Then, add xuan shen, mu xiang, chen xiang, sheng ma, zhi gan cao and ding xiang and decoct for another three times. Finally, filter the decoction and concentrate it into an extract. Second, grind mang xiao (5 kg) and xiao shi (950g) and blend them with the above extract. Then, mix, dry, and further grind the mix into powder. Third, grind ling yang jiao, zhu sha, she xiang, and shui niu jiao into powder. Zhu sha is ground using water and the amount of she xiang is 1.5g. Finally, mix all the powders, sift the mixture and bottle in 1.5g increments. Ingest 1.5-3g twice daily. Children under one year old take one dose of 0.3g. Children aged 2-5 years old take one daily dose that is equal to 0.3g multiplied by their age. Children 5 years old and above should take an appropriate dose. |
【Action】 |
Clears heat and opens the orifices, extinguishes wind and arrests convulsion. |
【Indication】 |
Zi Xue Dan is indicated for heat invading the pericardium and excessive heat generating wind. The symptoms are high fever, vexation and agitation, unconsciousness and delirium, convulsion, syncope, thirst, drinking a lot, scorched lips, dry tooth, dark urine, and constipation. The tongue is crimson with a dry, yellow coating, and a wiry, forceful pulse. Zi Xue Dan is also indicated for infantile convulsion due to excessive heat. |
【Pathogenesis】 |
This pattern is caused by heat invading the pericardium and excessive heat generating wind. Unconsciousness, vexation and agitation, and delirium result from heat disturbing the spirit. Syncope and convulsion result from excessive heat generating wind. Thirst, drinking a lot, scorched lips, and dry tooth result from heat consuming fluid. Infantile convulsion due to heat is a sign of pathogenic heat block and internal stirring of liver wind. The therapeutic method is to clear heat with cold, open the orifices with aroma, extinguish wind, and calm the mind. |
【Application】 |
1. Essential pattern differentiation Zi Xue Dan is commonly indicated for heat invading the pericardium and excessive heat generating wind. This clinical pattern is marked by high fever, vexation and agitation, unconsciousness and delirium, convulsion, crimson tongue, dry, yellow coating, forceful, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of excessive heat invading the pericardium and exuberant heat stirring wind: various febrile and infective diseases such as epidemic cerebrospinal meningitis, end-stage of encephalitis B, septicemia period of severe pneumonia, scarlatina, purulent infective diseases, hepatic coma, infantile convulsion and infantile measles. 3. Cautions and contraindications This formula should not be taken excessively because it may consume zheng qi and should be discontinued once the symptoms are relieved. It is not appropriate to use for weak patients with qi deficiency and is prohibited during pregnancy. |
【Additonal formulae】 |
Xiao er Hui Chun Dan (Children's Return-of-Spring Elixir, 小兒回春丹) [Source]《MedicinalsStatements from Hall of Respect Processing》Jing Xiu Tang Yao Shuo《敬修堂藥說》 [Ingredients] Chuan bei mu 1 liang and 2 qian (37.5g), chen pi 1 liang and 2 qian (37.5g), mu xiang 1 liang and 2 qian (37.5g), bai dou kou 1 liang and 2 qian (37.5g), zhi qiao 1 liang and 2 qian (37.5g), fa ban xia 1 liang and 2 qian (37.5g), chen xiang 1 liang and 2 qian (37.5g), tian zhu huang 1 liang and 2 qian (37.5g), jiang can 1 liang and 2 qian (37.5g), quan xie 1 liang and 2 qian (37.5g), tan xiang 1 liang and 2 qian (37.5g), niu huang 4 qian (12g), she xiang 4 qian (12g), dan nan xing 2 liang (60g), gou teng 8 liang (240g), da huang 2 liang (60g), tian ma 1 liang and 2.5 qian (37.5g), gan cao 8 qian and 7.5 fen (26g), zhu sha proper dose [Preparation and Administration] Prepare into pills, and each pill weights 0.09g. Take one pill each time when under one year old and take two pills each time when aged between 1-2 years old, two or three times daily. [Actions] Opens the orifices and arrests fright, clears heat and dissolves phlegm. [Applicable Patterns] Acute infantile convulsion due to heat clouding the heart’s orifice. Symptoms include: fever, vexation and agitation, unconsciousness, convulsion, belching and vomiting, night crying, vomiting of milk, wheezing and cough, and abdominal pain and diarrhea. |
【Remark】 |
1. Saiga (Saiga tatarica) is listed as "Critically endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in End |
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