Formulas · Release the Exterior 解表 · Boncho 本草 · Deukhyo 得效

Other Methods for the Pox That Will Not Come Out

Ubang

한글 우방(출두) · Pinyin You Fang

又方

The head of this leaf is literally 又方, another method, and not a name, so it is entered under an identifier taken from the section it stands in — the last leaf of 1.69.1 出痘時吉凶證, at 053b. This follows the corpus precedent for unnamed leaves: gyeolhaek-ubang and yeongryu-ubang in the Sores chapter, sambuyak-ubang-1 and sambuyak-ubang-2, and chiseolri-ilbang in this chapter's 1.46 泄痢. It has nothing to do with any of them, and a bare ubang is not used. The base text gathers three remedies from two sources under the one head and they are kept together. 蒲萄 is left as the transcription prints it, that being also the corpus majority form, and 爲 is printed as the corpus prints it. No weight is given for any ingredient; the twenty-one shells are counted. 蒲萄, the grape fruit, has no entry in this corpus's herb list — only 葡萄根, the root, which is a different drug — and so is not entered as an ingredient; it is named here.

Composition 構成

Seontoe Chan Tui
蟬退 선퇴 · Cicada Moulting

—
Chief 君

蟬殼三七箇, twenty-one cast shells, boiled in water and the juice taken
Sansa Shan Zha
山楂 산사 · Hawthorn

—
Chief 君

山査子取肉, the flesh only, powdered and taken stirred into hot water
Ju Jiu
酒 주 · Wine

—
Envoy 使

酒, the grapes ground in it and it drunk · ethanol, given by mouth to a child

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients 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 pox that does not come out freely
Grapes ground in wine, drunk and also eaten, and the pox all come out; dried grapes if there are no fresh ones
Twenty-one cicada shells boiled in water and the juice taken
Hawthorn flesh powdered and taken stirred into hot water

Indications 主治

Pattern-based

痘出不快 — the eruption slow or incomplete

Biomedical correlates

Smallpox, eruptive stage

Source text 原文

Donguibogam 東醫寶鑑

治痘出不快. 蒲萄硏酒飮之, 又食之盡出. 無生則用乾者. ○蟬殼三七箇, 水煮取汁服之. 《本草》 ○山査子取肉爲末, 湯點服之. 《得效》

Translation

Treats pox that will not come out freely. Grind grapes in wine and drink it, and eat them as well, and they all come out. If there are no fresh grapes, use dried ones. ○ Twenty-one cicada shells, boiled in water, and the juice taken. ○ Hawthorn, the flesh only, powdered and taken stirred into hot water. — Boncho 本草 · Deukhyo 得效 (Donguibogam · Soa)

Clinical commentary 臨床

Three household remedies gathered under one head: grapes ground in wine and both drunk and eaten, cicada shells boiled for their liquor, and hawthorn flesh powdered into hot water. None of them has a weight, and the first has no quantity of any kind. **The wine is the hazard and it needs naming. Ethanol given by mouth to an infant or small child causes hypoglycaemia — a child's glycogen reserve is small and alcohol blocks the gluconeogenesis that would replace it — and from there seizures, coma and death; there is no safe quantity, and the doses that have killed children are small. The leaf gives no quantity at all and no dose scaled to the child's age or weight. It must not be done.** It is the same hazard as the coriander wine of the preceding leaf by a more direct route. Of the other two, the cicada shells are chitin — the cast exoskeleton of the insect, an indigestible polysaccharide that gives up nothing to boiling water — and the hawthorn flesh is fruit pulp with some organic acid and pectin in it. Both are inert against a poxvirus, and the hawthorn at least is food. 盡出 — and they all come out — is again the eruption doing on its own what it was going to do. On smallpox having no treatment at all, see sodok-eum-soa. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.