寶鑑Bogam

Formulas · External Application 外用 · Uihak Gangmok (醫學綱目)

Scorpion and Blister Beetle Paste

Galmyo-go

한글 갈묘고  ·  Pinyin Xie Mao Gao

蝎猫膏

The transcription writes 蘓木 for the sappanwood and 𥂁 for the salt; the standard forms 蘇木 and 鹽 are printed, as the corpus does elsewhere. 麄剉 and 猫 are left as transcribed, both being the corpus's majority form. The second clause is headed 一方 and is a separate 得效 prescription, a drink rather than a paste; it is not registered as its own leaf.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 10 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

Indications 主治

Pattern-based

  • 牛皮癬 — ox-hide tinea, a thick leathery plaque
  • 遍身牛皮癬 — ox-hide tinea over the whole body

Biomedical correlates

  • Lichen simplex chronicus — historical topical
  • Chronic hyperkeratotic plaque, psoriasiform — historical topical

Source text 原文

Donguibogam 東醫寶鑑

治牛皮癬. 全蝎ㆍ斑猫 各十枚, 巴豆肉 二十枚, 香油 一兩. 右同熬, 候色焦者先去之, 去盡三物了, 乃入黃蠟 一錢, 候熔收貯, 朝擦暮愈, 不損皮肉. 《綱目》 ○一方, 治遍身牛皮癬. 川烏ㆍ草烏ㆍ何首烏ㆍ白芷ㆍ蘇木 各等分. 右麄剉, 入臘猪脂同熬, 至白芷焦色, 去滓候冷, 入鹽少許, 常挑一匙, 空心酒調下. 《得效》

Translation

Treats ox-hide tinea. Whole scorpion and blister beetle 10 each, croton kernels 20, sesame oil 1 nyang. Boil them together, taking out each drug as it scorches, and when all three are out add beeswax 1 don; once it has melted store it away. Rubbed on in the morning it is healed by evening, and it does not damage the skin and flesh. — Uihak Gangmok 綱目 ○ Another prescription, treating ox-hide tinea over the whole body: aconite, wild aconite, fleeceflower root, angelica root and sappanwood, equal parts of each. Cut them coarsely, boil them in lard rendered in the twelfth month until the angelica root scorches, strain off the dregs, let it cool, stir in a little salt, and take a spoonful at a time in wine on an empty stomach. — Seui Deukhyobang 得效 (Donguibogam · Jechang)

Clinical commentary 臨床

Two prescriptions under one head, and they work in opposite directions. The paste is pure counter-irritant: scorpion, blister beetle and croton boiled out into sesame oil and set with beeswax, with the claim 朝擦暮愈 — rubbed on in the morning, healed by evening — and the reassurance 不損皮肉, that it does not damage the skin and flesh. That reassurance is the giveaway, since cantharidin and croton oil are precisely drugs that blister skin, and the compiler is answering an objection that must have been raised. 牛皮癬, ox-hide tinea, is the thickened leathery plaque — lichen simplex chronicus where it follows scratching, and what would now often be called psoriasis where it is widespread. The appended 得效 drink reads as a systemic attempt at the same disease, with the two aconites for a chronic obstinate condition and fleeceflower root as the blood drug. **Contains blister beetle, whose cantharidin is a potent vesicant and renal toxin, croton seed, which is violently toxic, whole scorpion, and in the appended drink both 川烏 and 草烏, which are aconite. Neither part of this leaf may be prepared.** The appended prescription is swallowed, and aconite alkaloids taken by mouth are cardiotoxic at small doses. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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