Formulas · External Application 外用 · Hyangyak Jipseongbang (鄕藥集成方)

Blade Wound Powder

Geumsang-san

한글 금상산  ·  Pinyin Jin Shang San

金傷散

The plant material is given only as 草木莖葉, the stems and leaves of plants and trees gathered from the four directions, with no species named, so it cannot be entered as an ingredient; quicklime is the one identified drug. The mulberry trunks, the mulberry bark and the oil-and-lime luting are apparatus and stay in the text. The transcription writes 宻 where the corpus prints 密 throughout, and 密 is printed here; the same applies to 塡, which the transcription writes 填. 桒 is printed as 桑, 隂 as 陰 and 搗 as 擣 under the project's glyph corrections. The source label 鄕藥 is the Hyangyak Jipseongbang and is not among the labels usual in this chapter.

Composition 構成

Total 640 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

  • All blade wounds

Biomedical correlates

  • Open lacerations and incised wounds

Source text 原文

Donguibogam 東醫寶鑑

治一切金瘡. 重午日早朝, 使四人各出四方, 採草木莖葉各半把, 至日午時, 入石灰一斤, 同擣極爛. 鑿大桑木三兩株作孔, 納藥實築, 以桑皮蔽之, 油調石灰密塗之, 勿令泄氣, 更以桑皮塡固. 至九月九日午時取出, 陰乾百日, 擣羅爲末. 如遇傷糝之, 神效. 《鄕藥》

Translation

Treats all blade wounds. On the double-fifth day, early in the morning, send four people out to the four directions, each to gather half a handful of the stems and leaves of plants and trees; at the hour of the horse add 1 geun of quicklime and pound them together until thoroughly pulpy. Chisel holes in two or three large mulberry trunks, pack the medicine in firmly, cover it with mulberry bark, lute it over tightly with quicklime mixed with oil so that nothing escapes, and stop it up further with mulberry bark. On the ninth day of the ninth month, at the hour of the horse, take it out, dry it in the shade for a hundred days, and pound and sift it to a powder. When a wound is met with, dust it on, with spirit-like effect. — Hyangyak 鄕藥 (Donguibogam · Jesang)

Clinical commentary 臨床

A calendar formula rather than a pharmacological one. Four people go out to the four directions at dawn on the double fifth, each bringing back half a handful of whatever is growing; the lot is pounded with a geun of quicklime, sealed inside living mulberry trunks for four months, opened at noon on the double ninth, and dried in the shade for a hundred days. The dates, the directions and the hours are the active content. No species is named anywhere, which means the powder cannot be reproduced and was never meant to be: what it carries is the authority of the procedure. What would actually be in the jar is quicklime, long since slaked by the moisture of the wood and the plant material into calcium hydroxide and then partly into chalk, mixed with a hundred days' worth of decomposed vegetation. Dusted into a cut that powder would be caustic and would be contaminated. **Quicklime is caustic and burns tissue, and plant matter fermented for months inside a tree trunk and pressed into an open wound carries a serious infection and tetanus risk. This must not be prepared or applied.** A laceration needs irrigation, closure and tetanus cover. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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