Formulas · External Application 外用 · Jeongui (精義)

Blue Gold Stick

Cheonggeum-jeongja

한글 청금정자 · Pinyin Qing Jin Ding Zi

靑金錠子

䃃砂 is printed as the transcription has it — the corpus prints that graph fifteen times — and is entered under 硇砂. 片腦 and 龍腦 are the same drug in this corpus and both go to 龍腦. 麵糊 is the binder and is entered under 白麪, as the corpus does for pill pastes. 絍 is left as the transcription prints it.

Composition 構成

Baekjeonghyang Bai Ding Xiang
白丁香 백정향 · Sparrow Droppings

2 g
Chief 君

五分
Dongnok Tong Lu
銅綠 동록 · Verdigris

2 g
Chief 君

五分 · verdigris, a copper salt, toxic
Nosa Nao Sha
硇砂 노사 · Sal Ammoniac (toxic)

2 g
Deputy 臣

䃃砂, sal ammoniac, 5 fun
Bunsang Fen Shuang
粉霜 분상 · Sublimed Calomel

2 g
Deputy 臣

五分 · a sublimed mercury salt, toxic
Gyeongbun Qing Fen
輕粉 경분 · Calomel (toxic)

2 g
Deputy 臣

五分 · calomel — a mercury salt, toxic
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

1 g
Assistant 佐

一字 · musk — a protected species, CITES
Yongnoe Long Nao
龍腦 용뇌 · Borneol

1 g
Assistant 佐

一字
Baengmyeon Bai Mian
白麪 백면 · White Wheat Flour

—
Envoy 使

麵糊, wheat paste, to bind the stick

Total 12 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

Treats malign sores whose pus does not come away freely, and the long-standing 疳瘻 sore
Seven drugs powdered, bound with wheat paste and rolled into a stick
The stick is pushed into the mouth of the sore, or the powder may simply be dusted on

Indications 主治

Pattern-based

諸惡瘡膿出不快 — malign sores whose pus will not come away
多年疳瘻瘡 — the fistulous sore of many years' standing

Biomedical correlates

Chronic sinus tract and fistula
Undrained or poorly draining abscess cavity

Source text 原文

Donguibogam 東醫寶鑑

治諸惡瘡膿出不快, 及多年疳瘻瘡. 白丁香ㆍ銅綠ㆍ䃃砂ㆍ粉霜ㆍ輕粉各五分, 麝香ㆍ龍腦各一字. 右爲末, 麵糊和撚作錠子, 絍入瘡口中, 或糝付亦可. 《精義》

Translation

Treats malign sores whose pus does not come away freely, and the fistulous sore of many years' standing. Sparrow droppings, verdigris, sal ammoniac, mercury sublimate and calomel, 5 fun of each; musk and borneol, 1 ja of each. Powder the above, bind it with wheat paste and roll it into a stick, and push the stick into the mouth of the sore; or it may simply be dusted on. — Jeongui 精義 (Donguibogam · Jechang)

Clinical commentary 臨床

A wick, not a plaster. Five mineral powders with musk and borneol are bound with wheat paste and rolled into a thin stick that is pushed into the opening of a sore — the 錠子 form this chapter and the 癰疽門 use repeatedly. The stick dissolves inside the track and keeps it open, which is the whole point: 膿出不快, pus that will not come away, and 疳瘻, a fistula of years' standing, are both problems of a cavity that has closed over while still infected. The surgical reasoning is exactly right and is still the reasoning behind a wick or a seton. A sinus will not heal while it is undrained, and something has to hold the track open from the inside. **Contains mercury sublimate and calomel, both mercury salts, and verdigris, a copper salt, placed inside an open wound track where absorption is at its greatest. Musk is taken from a protected species. This must not be prepared.** A chronic sinus or fistula needs imaging to find its track and its source, surgical drainage, and treatment of what is feeding it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.