Formulas · External Application 外用 · Jeongui (精義)

Emerald Mist Powder

Chwiha-san

한글 취하산  ·  Pinyin Cui Xia San

翠霞散

The 疳瘻 section names this powder and its companion stick in the doctrine itself — 瘡口絍翠霞散或翠霞錠子絍之外貼膏藥 — so the two leaves answer the same instruction. 絍 is printed as the transcription has it. The 精義 source label is not in the project list and is romanised Jeongui, following the corpus's existing 精義 entries. The leaf gives no interlinear notes.

Composition 構成

Total 37 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

  • 漏瘡ㆍ惡瘡 — the fistulous sore and the malign sore
  • A tract whose mouth must be packed rather than dusted

Biomedical correlates

  • Chronic fistula or malign ulcer — historical escharotic packing powder
  • Necrotic wound base requiring debridement

Source text 原文

Donguibogam 東醫寶鑑

治漏瘡ㆍ惡瘡, 去毒生肌. 滑石 五錢, 銅綠 二錢半, 輕粉 一錢, 龍腦ㆍ麝香ㆍ粉霜 各二分半. 右爲末, 蘸絍瘡口上, 以膏貼之. 《精義》

Translation

Treats the fistulous sore and the malign sore; draws out toxin and engenders flesh. Talc 5 don, verdigris 2 don 5 fun, calomel 1 don, borneol, musk and sublimed calomel 2 fun 5 ri each. Powder the above, dip a plug in it and work it into the mouth of the sore, and lay a plaster over. — Jeongui 精義 (Donguibogam · Jechang)

Clinical commentary 臨床

Talc as the bulk, verdigris for colour and bite, and then two mercury salts and two aromatics in traces. 翠霞, kingfisher-green mist, is the verdigris: the same naming habit as the 精義's 碧霞錠子, where 碧霞, azure mist, is also copper. The powder is not dusted but packed — 蘸絍瘡口上 — on a plug pushed into the mouth of the tract, with a plaster over the top. That is the chapter's standard answer to a sinus: keep the mouth open and let the escharotic work at the bottom rather than letting the skin heal over a cavity. The principle is right. A fistula that skins over while the tract is still there simply fills and bursts again. **Contains calomel and sublimed calomel, two mercury salts, packed directly into an open tract, and verdigris, a copper salt. Mercury is absorbed from a wound surface and this chapter records the result at 天疱瘡 — 或誤服水銀輕粉而成風堆腫爛流膿出汁 — swelling, breakdown and discharge from the mercury itself. It also contains musk, a CITES-protected material. This must not be prepared.** Packing a tract to keep it open is still part of surgical management; it is done with a sterile wick or a seton, after the tract has been imaged and its origin dealt with. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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