Formulas · External Application 外用 · Gogeum Uigam (古今醫鑑)

Thousand Gold Powder for Pox Sores

Cheongeum-san

한글 천금산 (제창) · Pinyin Qian Jin San

千金散

The transcription writes 醫鍳; the corpus prints 醫鑑 and the corpus form is given above. 白礬枯 is read as 白礬(枯), calcined alum, and the gloss is set in parentheses as the corpus does for preparation notes.

Composition 構成

Yuhyang Ru Xiang
乳香 유향 · Frankincense

8 g
Chief 君

2 don
Moryak Mo Yao
沒藥 몰약 · Myrrh

8 g
Chief 君

2 don
Gyeongbun Qing Fen
輕粉 경분 · Calomel (toxic)

2 g
Chief 君

5 fun · calomel, mercurous chloride, severely toxic
Hyeolgal Xue Jie
血竭 혈갈 · Dragon's Blood Resin

8 g
Deputy 臣

2 don
Unghwang Xiong Huang
雄黃 웅황 · Realgar

8 g
Deputy 臣

2 don · realgar, arsenic sulfide, toxic
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

8 g
Assistant 佐

2 don
Haeacha Hai Er Cha
孩兒茶 해아차 · Catechu (black cutch)

2 g
Assistant 佐

5 fun
Baekban Bai Fan
白礬 백반 · Alum

2 g
Assistant 佐

白礬(枯), calcined alum, 5 fun
Damban Dan Fan
膽礬 담반 · Chalcanthite (toxic)

1.2 g
Assistant 佐

3 fun · blue vitriol, copper sulfate, corrosive
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

0.8 g
Envoy 使

2 fun · musk, from a CITES-protected animal
Jeodamjeup Zhu Dan Zhi
猪膽汁 저담즙 · Pig Bile

—
Envoy 使

猪膽汁, pig's bile, used to wash the sore before the powder is dusted on · raw animal material

Total 48 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

Dusted onto pox sores that have broken down, after the sore has been washed with pig's bile

Indications 主治

Pattern-based

楊梅瘡爛 — pox sores ulcerated and sloughing

Biomedical correlates

Ulcerating secondary or tertiary syphilis — historical topical practice

Source text 原文

Donguibogam 東醫寶鑑

治楊梅瘡爛. 乳香ㆍ沒藥ㆍ血竭ㆍ雄黃ㆍ杏仁各二錢, 輕粉ㆍ孩兒茶ㆍ白礬(枯) 各五分, 膽礬三分, 麝香二分. 右爲末, 先以猪膽汁洗瘡, 後糝上. 《醫鑑》

Translation

Treats pox sores ulcerated and sloughing. Frankincense, myrrh, dragon's blood, realgar and apricot kernel, 2 don each; calomel, catechu and calcined alum, 5 fun each; blue vitriol 3 fun; musk 2 fun. Powder the above. First wash the sore with pig's bile, then dust the powder on. — Uigam 醫鑑 (Donguibogam · Jechang)

Clinical commentary 臨床

A dusting powder of ten drugs for a syphilitic sore that has opened and is sloughing. Frankincense, myrrh and dragon's blood are the resins this chapter reaches for whenever flesh has to be brought back over an ulcer; catechu and calcined alum are astringents that dry a weeping surface; and the working end of the formula is the mineral trio of calomel, realgar and blue vitriol, with musk to carry it. The pig's bile wash before the dusting is a real cleansing step and the one part of the procedure with a defensible rationale. 天疱瘡, which the chapter also calls 楊梅瘡, is syphilis, and the Bogam says plainly that it passes 因男女房室傳染, by sexual contact. The ulcerated stage this powder is for is late disease, and no topical agent touches the underlying infection. **Contains calomel (mercury), realgar (arsenic sulfide) and blue vitriol (copper sulfate), all three absorbed through an open sore, and musk from a CITES-protected animal. Applying mercury and arsenic to a large ulcerated surface is a route to systemic poisoning. This must not be prepared or applied.** Syphilis at any stage is curable with penicillin. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.