Tradition:

Tibetan

Source / Author:

* Delphinium brunonianum is typically substituted for Musk
** Aconite is prepared before use.
*** Some versions only use 2 ½ grams of Aconite. Another versions uses Aconite in a weight equal to the Chebula.

Preparation:

Powder and form pills of 25mg each.
Traditionally, the powders were mixed with Urine to form a pill mass.

Function:

Clears Heat and Inflammation, regulates Qi, relieves Pain

Use:

1. Lymph disorders
2. obstinate skin diseases including Leprosy
3. Skin Eruptions and Itchiness, Scabies, Eczema, Dermatitis, Pruritus
4. Fever
5. Anthrax
6. Sinusitis
7. Tonsillitis, acute Pharyngitis, Diphtheria
8. Pneumonia
9. Inflammation of the Head, Ears, Nose, Mouth or Gums
10. Headache, Migraine
11. Stiffness and pain of the neck
12. Stiffness and Inflammation of the upper body in general
13. relieves severe Stomach pain
14. Rheumatic Arthritis, Osteoarthritis, Cervical Spondylosis, Sciatica, Joint pain
15. Acute Lumbar Muscle strain, Lumbago
16. Trauma, Sprains, Contusion, Bruises, the pain of Fractures
17. Prevents and Treats Infectious and Epidemic diseases
18. Abscesses, Carbuncles, Scrofula sores
19. Tumors
20. Pain from Intestinal Parasites
21. Stomach cramps
22. Toothache

Dose:

5–7, up to 9 pills (125–250mg) in the morning with hot water.
According to another source dose is 600mg–1 gram daily; that source stated 10 pills weigh 2 grams and to take a dose of 3–5 pills (600mg–1 gram).
Begin with lesser doses. Maximum single dose is 250mg.

Cautions:

1. Not for children under 10, or the very old, or during Pregnancy
2. Avoid in those with Heart disease, high blood pressure
3. Avoid meat and alcohol while taking
4. Best to avoid taking with western medicines, especially Heart medicines
5. Avoid overdose (maximum dose is 250mg, beginning dose should be 125mg)

Modifications:

1. In Bhutanese medicine, this formula is used substituting Delphinium brunonianum for Musk. This itself has been used as a substitute for Valerian, suggesting that Valerian may be used in place of Musk in this formula (valerian has been used as a substitute for Musk).
2. Aconitum ferox is synonymous with the Chinese Aconitum Chuan Wu and has been used as a substitute for Aconitum napellus.
3. Add Nutmeg for Heart Wind disorders.
4. Add Asafetida for all Cold and Wind disorders
5. Add Black Salt to increase digestive heat.
6. Add Rhododendron Dwa li for generalised Edema.
7. Add Bdellium for inflammation of muscles, Diphtheria, and pain due to Inflammation
8. Add Deer horn ash (Bhasma) for Ascites.
9. When Cowrie shell ash (Bhasma) is added it is called Shkran Bshig. Used for bloating, stabbing pain in the stomach, and to “Destroy Tumors”.
10. When Coral, Pearl, Clove, Nutmeg, Aloeswood, Asafetida, Magnetite, Cinnabar and Licorice are added it forms Rtsa dkar khyung ba. It is used for Neuritis, Paresis and Paralysis.
11. When combined with Bezoar 9 it is used for diseases with heat and inflammation following trauma, and for heat diseases of the organs. This formula is called Gi Khyung (Bezoar Garuda).
12. When mixed with equal parts of Safflower 13, it forms Safflower Garuda (Gur Khyang). Used for the three varieties of Sinus Infection and Kidney diseases.
13. Taken with Mandala of the Sun it is used for Difficult, Painful or Frequent Urination
14. Taken with Antelope Horn 14 for Uterine Cancer
15. Taken with Frankincense 10 for pain and swelling of the joints, stiffness of the limbs from tightness of the tendons and all types of Leprosy.
16. Combined with Costus 6, it is called Ru Khyung. Used for stomach and intestinal pain with vomiting and diarrhea.
17. Take with Clove 6 for fever, pain and swelling of the Throat, abscess of the throat or tonsils,
18. Combined with Cinnabar 3 it is called Bya khud khyung bsnan.. This is used for Bruising and Fractures and is especially useful for bone cracks and fractures to stop inflammation and promote alignment and healing of the bones.
19. Taken with Cardamon 10 for Urinary diseases, Urinary retention, and Stones.,
20. When mixed with an equal amount of Shilajit 9, it forms Brag-khyung. This is used for Diarrhea with severe pain, Stomach Heat and infectious Diarrhea.
21. Mixed with Principle 8 (Gtso bo brgyad pa) it is called Gtso khyung. Used for Cough from Lung Heat, Lung Fever and Liver Fever.
22. When Embelia is added it forms Eliminator of Undying Micro-organism (Chi med srin sel), used for Worms.
23. When Myrrh and Bezoar are added it forms Hero 7 (Dba bo bdun pa)
24. When taken with an equal portion of Barberry extract, this medicine is called Skyer Khyung. It is used for Spermatorrhea, discharge of blood in the semen, and urinary tract infections.
25. When processed Mercury and 3 other herbs are added, it forms Vajra’s Nectar (Gsang bdag dar ya kan). This is used in Cancer therapy.

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