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

Formula for Treating Red and White Sweat Blotches

Chi-jeokbaekhanban-bang

한글 치적백한반방 · Pinyin Zhi Chi Bai Han Ban Fang

治赤白汗斑方

An unnamed prescription: the base text prints it as a leaf headed only 治赤白汗斑方, after the Yeoseong-go leaf, and the section's own list of formulas does not name it. 䧺黃 is written for 雄黃 and 白殭蚕 for 白殭蠶; the standard forms are printed.

Composition 構成

Unghwang Xiong Huang
雄黃 웅황 · Realgar

20 g
Chief 君

5 don of realgar · toxic
Yuhwang Liu Huang
硫黃 유황 · Sulphur

20 g
Chief 君

5 don · toxic
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

20 g
Deputy 臣

5 don
Baekgangjam Bai Jiang Can
白殭蠶 백강잠 · Silkworm

20 g
Deputy 臣

5 don
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

20 g
Assistant 佐

5 don · toxic
Miltaseung Mi Tuo Seng
密陀僧 밀타승 · Litharge (lead monoxide)

20 g
Assistant 佐

5 don of litharge · toxic
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

0.8 g
Envoy 使

2 pun
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

a slice, to carry the powder

Total 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 red and white sweat blotches, rubbed in with ginger
Said to root them out in four or five days

Indications 主治

Pattern-based

Red and white blotching of the skin with sweating

Biomedical correlates

Tinea versicolor — topical

Source text 原文

Donguibogam 東醫寶鑑

雄黃ㆍ硫黃ㆍ全蝎ㆍ白殭蠶ㆍ白附子ㆍ密陀僧各五錢, 麝香二分. 右爲末, 以生薑片蘸擦, 日三四, 五日除根. 《醫鑑》

Translation

Realgar, sulphur, whole scorpion, silkworm, white aconite and litharge, 5 don each; musk 2 pun. Powder them, dip a slice of fresh ginger in the powder and rub it in three or four times a day; in five days it is rooted out. — Uigam 醫鑑 (Donguibogam · Pi)

Clinical commentary 臨床

A slice of ginger used as the applicator, which is the distinctive thing here: the powder is neither made into a paste nor dissolved, and the ginger both carries it and abrades the patch. Rubbing is part of the treatment. 汗斑, sweat blotches, with both red and white patches is tinea versicolor, which lightens and darkens the skin in the same person. Sulphur is genuinely antifungal and the condition does respond to it, so 五日除根 is not an idle claim — though it recurs. **Realgar is an arsenic sulphide, litharge is lead oxide, and white aconite is toxic. This must not be prepared.** Three of the seven ingredients are heavy-metal or alkaloid poisons that are absorbed through skin, and the preparation is to be rubbed in several times a day. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.