Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Ice Phellodendron Pill

Bingbyeok-hwan

한글 빙벽환 · Pinyin Bing Bo Wan

氷蘗丸

粟 stands immediately after 生瘡 with nothing between; the same section has 舌生紅粟, red millet grains on the tongue, so it is read here as part of the indication rather than as a drug. The borax is printed 鵬砂 throughout this transcription for 硼砂, and the phellodendron 黃栢, both kept as printed. The section line that cites this pill pairs it with Bakhamil for spleen heat with a dry tongue coat.

Composition 構成

Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

—
Chief 君

equal part
Bakha Bo He
薄荷 박하 · Mint

—
Deputy 臣

equal part
Bungsa Peng Sha
硼砂 붕사 · Borax

—
Assistant 佐

borax, equal part
Yongnoe Long Nao
龍腦 용뇌 · Borneol

—
Envoy 使

half the amount of the others

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 ingredients measured by count or used as a vehicle, shown as —.

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 sores breaking out on the mouth and tongue
Held in the mouth and let dissolve

Indications 主治

Pattern-based

Sores and millet-grain eruptions on the mouth and tongue (口舌生瘡粟)
Spleen heat with a tongue coat dry and rough as snow

Biomedical correlates

Aphthous stomatitis
Oral ulceration
Glossitis

Source text 原文

Donguibogam 東醫寶鑑

治口舌生瘡粟. 黃栢ㆍ薄荷ㆍ鵬砂各等分, 龍腦減半. 右爲末, 蜜丸彈子大, 噙化. 《入門》

Translation

Treats sores and millet-grain eruptions breaking out on the mouth and tongue. Phellodendron, mint and borax in equal parts, with borneol at half. Powder the above, bind with honey into pills the size of a bullet, and hold one in the mouth to dissolve. — Immun 入門 (Donguibogam · Guseol)

Clinical commentary 臨床

A lozenge, and that is the design: a bullet-sized honey pill held in the mouth until it melts, so the drug stays on the sore instead of being swallowed. The chapter has a dozen washes and powders for mouth sores and only a handful of things meant to sit there, which is why this one is cited in the body of the text as well as given its own leaf. Of the four, borax is the one that earns its place — mildly antiseptic, alkaline, long used in mouthwashes — with phellodendron bitter and drying, mint for the cold tingle, and borneol at half strength for the local numbing that makes a mouth ulcer bearable. The combination is a reasonable topical anaesthetic and antiseptic. Borax is toxic if swallowed in quantity and is no longer given internally, which matters here because a lozenge is swallowed in the end; it should not be used in children. Mouth ulcers that do not heal in two or three weeks are looked at rather than medicated. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.