The Gum Gan Medicine

Chi Agam Yak

한글 치아감약 · Pinyin Zhi Ya Gan Yao

治牙疳藥

Composition 構成

Biseok Pi Shuang
砒礵 비상 · Arsenic Trioxide

4 g
Chief 君

信砒 · severely toxic
Cheongdae Qing Dai
靑黛 청대 · Natural Indigo

4 g
Deputy 臣
Gyeongbun Qing Fen
輕粉 경분 · Calomel (toxic)

4 g
Deputy 臣

· toxic
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

2 g
Assistant 佐

5 pun · CITES
Cheongyu Qing You
淸油 청유 · Clear Sesame Oil

—
Envoy 使

香油, spread on paper

Total 14 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 gan sores of the gums — a medicated paper laid on the sore overnight

Indications 主治

Pattern-based

Gan sores of the gums

Biomedical correlates

Ulcerative gingivitis — external use

Source text 原文

Donguibogam 東醫寶鑑

信砒ㆍ靑黛ㆍ輕粉各一錢, 麝香五分. 右爲末, 香油攤紙上, 用木槌槌實收起. 臨臥以漿水漱淨, 可瘡口大小以藥紙封之, 至曉去藥紙漱淨, 勿嚥. 三次必效. 《東垣》

Translation

Arsenic, indigo and calomel 1 don each; musk 5 pun. Powder them, spread on paper with sesame oil, beat it firm with a wooden mallet and put it by. At bedtime rinse the mouth clean with sour millet water, cut the medicated paper to the size of the sore and seal it on; at dawn take the paper off and rinse clean, and do not swallow. Three applications and it must answer.

Clinical commentary 臨床

勿嚥 — do not swallow. The warning is in the source, and it is not sufficient. **Contains arsenic and calomel, both lethal poisons absorbed through the mucosa of the mouth. This formula must not be prepared. It is translated as a record of what the text says.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.