Formulas · External Application 外用 · Samin (三因)

Needle Substitute Pill, Second Formula

Chechim-hwan

한글 체침환 (둘째) · Pinyin Ti Zhen Wan

替鍼丸

The chapter prints two formulas under this name, one after the other. This is the second, the Samin leaf; the first, the Jeongyo leaf with the lime lye, is registered as chechim-hwan. 治同上 points back to that leaf for the indications. 䃃砂 is the form this corpus prints for the sal ammoniac, and 粟米大, a millet grain, is a size and not a drug.

Composition 構成

Baekjeonghyang Bai Ding Xiang
白丁香 백정향 · Sparrow Droppings

—
Chief 君

20 grains of sparrow droppings
Nosa Nao Sha
硇砂 노사 · Sal Ammoniac (toxic)

1 g
Deputy 臣

䃃砂, one ja · caustic
Moryak Mo Yao
沒藥 몰약 · Myrrh

1 g
Assistant 佐

one ja
Jinchangmi Chen Cang Mi
陳倉米 진창미 · Aged Granary Rice

1 g
Assistant 佐

one ja

Total 3 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Stuck on an unopened swelling so that it bursts and the pus comes out
Treats the same as the preceding leaf (治同上)

Indications 主治

Pattern-based

癰疽膿成未破 — pus formed and the swelling not yet broken
膿出不快 — pus not running freely
瘡頭 — the head of the sore

Biomedical correlates

Pointing abscess requiring drainage
Abscess with inadequate drainage

Source text 原文

Donguibogam 東醫寶鑑

治同上. 白丁香二十粒, 䃃砂ㆍ沒藥ㆍ陳倉米各一字. 右硏勻, 以米飯和丸粟米大, 貼瘡上, 卽潰膿出. 《三因》

Translation

Treats the same as above. Sparrow droppings, 20 grains; sal ammoniac, myrrh and aged granary rice, one ja each. Grind the above even, bind with cooked rice into pills the size of a millet grain, and stick one on the sore; it bursts at once and the pus comes out. — Samin 三因 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The same idea as the leaf above it and a far shorter one: no lye, no overnight soaking, four powders bound with cooked rice into a millet-sized pill and stuck on the sore. Sal ammoniac is the caustic that does the work here, with twenty grains of sparrow droppings — an alkaline, irritant material the tradition used precisely for eating through a hardened sore head — and myrrh for the pain. Aged granary rice is the bulk. Two formulas of one name, printed together, is how the Bogam records a method rather than a recipe: what is being passed on is the practice of opening an abscess chemically instead of with a lancet, and either compound will do it. The principle underneath — pus has to come out — is still the principle. **Sal ammoniac and sparrow droppings applied to break open skin make this a caustic preparation, and it must not be reproduced.** Abscess drainage is a sterile procedure, and an abscess opened with a chemical burn leaves a wound that is larger and dirtier than the one a blade makes. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.