Formulas · External Application 外用 · Uihak Immun (醫學入門)

Iron Well-Rim

Cheoljeong-ran

한글 철정란 · Pinyin Tie Jing Lan

鐵井欄

蒼耳葉, the cocklebur leaf, resolves to the 蒼耳子 entry, which carries the leaf as a part variant. The two gathering dates are seasonal instructions and are kept in the prep; 燒存性 is the standard direction for charring a drug without reducing it to white ash. The leaf gives no weights. 鐡 is printed as 鐵, 癕 as 癰 and 為 as 爲, following the corpus forms.

Composition 構成

Buyongyeop Fu Rong Ye
芙蓉葉 부용엽 · Cotton Rose Leaf

—
Chief 君

重陽日前採, gathered before the Double Ninth; 燒存性, charred with its nature preserved; no weight given
Changija Cang Er Zi
蒼耳子 창이자 · Cocklebur Fruit

—
Chief 君

蒼耳葉, 端午前採, the leaf gathered before Dano; charred with its nature preserved; no weight given
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

蜜水, honey water, as the vehicle

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

A walling application — laid round the swelling to stop its margins opening out further
Two leaves charred with their nature preserved and spread on in honey water

Indications 主治

Pattern-based

一切癰疽腫毒 — abscesses and toxic swellings of every kind
畔開 — a swelling whose margins are opening outward

Biomedical correlates

Spreading cellulitis — historical containment dressing
Inflamed soft-tissue swelling — cooling topical

Source text 原文

Donguibogam 東醫寶鑑

治一切癰疽腫毒. 以此圍定, 不復畔開. 芙蓉葉(重陽日前採)ㆍ蒼耳葉(端午前採), 燒存性, 爲末, 蜜水調敷. 《入門》

Translation

Treats abscesses and toxic swellings of every kind. Wall the swelling in with this and its margins will not open out again. Cottonrose hibiscus leaf, gathered before the Double Ninth, and cocklebur leaf, gathered before the Dano festival; burn them with their nature preserved, powder them, and spread the powder on mixed with honey water. — Immun 入門 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The name is both image and instruction. 鐵井欄 is the iron rim set round the mouth of a well, and the paste is laid round the swelling in the same way — a hard ring enclosing an opening. 以此圍定, 不復畔開: wall it in with this and the margins will not open out again. Two leaves, each gathered at its own point in the year, charred with the nature preserved, ground and made up with honey water. 芙蓉葉 is used across the external chapters for exactly this work of drawing and confining a hot swelling, and 蒼耳葉 is the astringent and insect-bite leaf; charcoal in honey makes a paste that dries firm, which is what a wall has to do. The gathering dates are the kind of detail 入門 keeps and which tells us the drugs were expected to be collected rather than bought. It belongs with 圍藥 and should be read against it: both are 圍, walling, and neither goes on the swelling itself. The wish behind them — to stop a cellulitis advancing — is one we still have, and the honest answer is that no topical ring confines a spreading soft-tissue infection, because the spread is in the plane beneath. What marks the edge now is a pen, and what stops the advance is a systemic antibiotic. The application itself is mild, but a swelling whose margins are visibly opening needs to be seen the same day. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.