Formulas · External Application 外用 · Dansim (丹心)

Golden Flower Powder

Geumhwa-san

한글 금화산 · Pinyin Jin Hua San

金華散

The leaf runs across a page break: 糝 stands at the foot of 056a and 之貼之 at the head of 056b, read together as 糝之貼之. The page marker [056b] falls inside the leaf and is not part of the text. 黃栢 is left as the transcription prints it. 藥水 is the 洗藥方 of this same section.

Composition 構成

Hwangdan Huang Dan
黃丹 황단 · Red Lead (toxic)

40 g
Chief 君

一兩 · minium — lead tetroxide, toxic
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

20 g
Deputy 臣
Hwangnyeon Huang Lian
黃連 황련 · Coptis

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

4 g
Assistant 佐

一錢 · calomel — a mercury salt, toxic

Total 84 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

Treats every damp-heat malign sore, and treats children too
Four drugs powdered; the sore is washed with the medicated wash, then the powder dusted on and a plaster laid over

Indications 主治

Pattern-based

一切濕熱惡瘡 — every malign sore of damp heat
The same sores in children

Biomedical correlates

Impetigo and infected eczema, including in children
Weeping intertriginous dermatitis

Source text 原文

Donguibogam 東醫寶鑑

治一切濕熱惡瘡, 亦療小兒. 黃丹一兩, 黃栢ㆍ黃連各五錢, 輕粉一錢. 右爲末, 藥水洗後糝之貼之. 《丹心》

Translation

Treats every malign sore of damp heat, and treats children too. Minium 1 nyang, phellodendron and coptis 5 don of each, calomel 1 don. Powder the above; wash with the medicated wash, then dust it on and lay a plaster over. — Dansim 丹心 (Donguibogam · Jechang)

Clinical commentary 臨床

Four drugs, two of them metals, and the metals are the bulk: a nyang of minium to half a nyang each of phellodendron and coptis, with a don of calomel. Minium is a drying, astringent red lead powder that was the standard base of a dusting powder for a weeping sore, and the two bitter yellows cool. The sequence is wash, dust, cover. 濕熱惡瘡 is a weeping, crusted, infected eruption, and 亦療小兒 names children specifically — which in practice means impetigo, the commonest such thing in a child. **Contains minium (lead tetroxide) and calomel (a mercury salt), dusted onto broken skin, and the leaf recommends it for children. Lead and mercury are absorbed through abraded skin, and a child absorbs more and tolerates less: this combination on an infected eruption in a child is a route to lead and mercury poisoning. This must not be prepared.** Impetigo is treated with a topical or oral antibiotic and clears quickly. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.