Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Trichosanthes Root Powder for Scrofula

Cheonhwa-san

한글 천화산 (제창)  ·  Pinyin Tian Hua San

天花散

The Donguibogam carries two leaves called 天花散. The 直指 one, called a sovereign remedy for 消渴, is 天花粉ㆍ生乾地黃ㆍ葛根ㆍ麥門冬ㆍ五味子ㆍ甘草 with a hundred grains of rice, and is registered as cheonhwa-san; it shares only the trichosanthes root with this leaf, so this one takes the chapter tail. The transcription writes 醫鍳; the corpus prints 醫鑑. The weights descend in fun and are given as transcribed.

Composition 構成

Total 39.2 g per packet (첩) · representative dosage — verify against source texts.

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

Indications 主治

Pattern-based

  • 瘰癧潰爛疼痛 — scrofula ulcerated, sloughing and painful

Biomedical correlates

  • Tuberculous lymphadenitis with a broken-down, discharging node
  • Chronic ulcerating cervical adenitis

Source text 原文

Donguibogam 東醫寶鑑

治瘰癧潰爛疼痛. 金銀花 二錢, 赤芍藥 一錢七分, 天花粉 一錢五分, 穿山甲 一錢二分, 白芷ㆍ當歸 各一錢, 貝母 七分, 沒藥 五分, 乳香 二分. 右剉, 作一貼, 酒水煎服. 《醫鑑》

Translation

Treats scrofula ulcerated, sloughing and painful. Honeysuckle flower 2 don; red peony 1 don 7 fun; trichosanthes root 1 don 5 fun; pangolin scale 1 don 2 fun; angelica dahurica and Korean angelica, 1 don each; fritillaria 7 fun; myrrh 5 fun; frankincense 2 fun. Cut the above up, make one packet, and decoct it in wine and water and drink. — Uigam 醫鑑 (Donguibogam · Jechang)

Clinical commentary 臨床

Nine drugs with weights stepped down in single fun — 2 don, 1 don 7 fun, 1 don 5 fun, 1 don 2 fun — which is the Gogeum Uigam's manner and gives the formula an unusually worked look. It is the chapter's leaf for the node that has already broken: honeysuckle flower and trichosanthes root lead against the heat and the pus, red peony and Korean angelica move the Blood in a chronically indurated area, pangolin scale and fritillaria are the piercing-and-opening pair this tradition reaches for when a track has to drain, and frankincense and myrrh in small amounts are the resins for pain and for bringing flesh over the ulcer. The wine-and-water decoction carries the Blood drugs. 瘰癧 is tuberculous lymphadenitis, and the presentation here — a node that has liquefied, opened and will not close, with pain — is the cold abscess and its sinus. Such a sinus can discharge for years and leaves the puckered scar that gave scrofula its old English name. It closes on antituberculous therapy and not otherwise. **Contains pangolin scale, from a CITES Appendix I species. All international trade is illegal, the demand has made the pangolin the most trafficked mammal in the world, and the scale is keratin with no pharmacological activity. It must never be sourced, and no substitute is being recommended here.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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