Formulas · Clear Heat 淸熱 · Chipobang (治疱方)

Heavenly Blister Pill

Cheonpo-hwan

한글 천포환 · Pinyin Tian Pao Wan

天疱丸

The cooked aged rice (陳米飯) is the binder and is not listed as an ingredient, following the corpus's treatment of 陳米飯和丸 elsewhere. The source label 治疱方 is not one of the standard abbreviations used in the corpus and is romanised here as Chipobang.

Composition 構成

Gyeongbun Qing Fen
輕粉 경분 · Calomel (toxic)

6 g
Chief 君

calomel, 1 don 5 fun — mercurous chloride, toxic
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

2 g
Deputy 臣

cinnabar, mercuric sulfide, toxic
Unghwang Xiong Huang
雄黃 웅황 · Realgar

2 g
Deputy 臣

realgar, arsenic sulfide, toxic
Seokhoe Shi Hui
石灰 석회 · Lime (caustic)

2 g
Deputy 臣

aged lime (陳石灰) — caustic

Total 12 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

Treats the same as above — heavenly blister and plum-blossom sores
Bound with cooked aged rice into mung-bean-sized pills, three a dose, swallowed in clear tea

Indications 主治

Pattern-based

Heat toxin in the blood with a blistering eruption

Biomedical correlates

Secondary syphilis — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治同上. 輕粉一錢半, 朱砂ㆍ雄黃ㆍ陳石灰各半錢. 右爲末, 陳米飯和丸菉豆大, 每三丸, 茶淸呑下. 《治疱方》

Translation

Treats the same as above. Calomel 1 don 5 fun; cinnabar, realgar and aged lime, half a don each. Grind to powder, bind with cooked aged rice into pills the size of mung beans, and swallow three pills at a dose in clear tea. — Chipobang 治疱方 (Donguibogam · Jechang)

Clinical commentary 臨床

The shortest and bluntest formula in the section: calomel with cinnabar, realgar and aged lime, bound with cooked rice. Nothing moderates it and nothing carries it — four mineral drugs, three pills at a dose, taken in tea. It follows 六六丸 and is given the same indication ("the same as above") from the same unnamed 治疱方. Where the preceding formula at least had frankincense and musk, this one is bare mineral toxicity, and the lime adds a caustic to the metals. **Contains mercury. This must not be prepared or taken.** Calomel and the other mercury salts in this section are absorbed through the gut and through broken skin, and they accumulate: salivation, loosened teeth, a metallic taste, tremor, kidney injury and the nerve damage the chapter itself calls weakness and paralysis of the limbs. The chapter records this at 2.2 as a complication of its own treatment — mercury poisoning after taking quicksilver or calomel in error, with wind-heaps, swelling, ulceration and running pus. Several of the formulas in this section are offered as the cure for the poisoning the others cause. **It also contains cinnabar (朱砂), a mercuric sulfide; realgar (雄黃), an arsenic sulfide; and lime (石灰), which is caustic and burns mucous membrane.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.