寶鑑Bogam

Formulas · Release the Exterior 解表 · Haejang 海藏 · Sokbang 俗方 · Boncho 本草

Other Methods for the Pox That Will Not Fill and Rise

Ubang

한글 우방(기장)  ·  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 1.70.1 起脹時吉凶證, at 054b. This follows the corpus precedent for unnamed leaves, gyeolhaek-ubang and yeongryu-ubang in the Sores chapter, sambuyak-ubang-1 and -2, chiseolri-ilbang, and chuldu-ubang in this same chapter at 1.69.1. 䧺䑕 is printed 雄鼠 and 虫 is printed 蟲, following the corpus. Four of the eight drugs have no entry in this corpus and are named here rather than in the ingredient list — 黃狗蠅 the dog-fly, 母酒 lees wine, 芸薹 rape, and 兔皮 rabbit skin. 老桑樹內蠹蟲 is entered under 蠐螬, which the eye chapter's 密蒙花散 glosses 卽桑蠹也, the mulberry borer. 雄鼠 is entered under 鼠肉, the flesh being what is boiled.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 7 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

  • 痘不肥綻不起脹 — the pox neither plump and splitting open nor risen and swollen
  • 痘不起脹 — the pox that will not rise and swell

Biomedical correlates

  • Smallpox at the vesicular stage with lesions failing to become raised — historical
  • Nutritional support in a child who cannot eat, in the gruel and sugar items

Source text 原文

Donguibogam 東醫寶鑑

治痘不肥綻不起脹. 黃狗蠅 四五枚, 溫酒硏服. 未綻再服. 冬月蠅在狗耳內, 可取用. 《海藏》 ○老桑樹內蠹蟲 二三箇, 溫酒硏服. 未起再服. ○烹鼠水, 治不起脹. 雄鼠大者一枚, 去腸肚洗淨, 以水煮熟, 取汁服. 臘月者尤佳. 《俗方》 ○母酒能令痘肥脹. 取母酒和水猛煮, 以殺酒毒, 乃服之. 亦能補氣. 《俗方》 ○蕎麥麪能發起痘疹. 取細末作粥, 和砂糖服. 《俗方》 ○糯米能解痘毒, 令發起. 可作粥和砂糖服. 又云極好養胃氣. 《本草》 ○痘不起脹, 煮黍穰汁, 煮芸薹汁, 煮兔皮汁, 臘猪肉煮汁, 並洗之. 《本草》 ○<a href='/formulas/hoyu-ju'>胡荽酒</a>噴身能起脹.<span class='sochu'>方見上</span>

Translation

Treats the pox that is neither plump and splitting open nor risen and swollen. Dog-flies from a yellow dog, four or five of them, ground up and taken in warm wine. If the pocks still do not split open, take it again. In the winter months the flies are inside the dog's ears, where they can be got. ○Borer grubs from inside an old mulberry tree, two or three, ground up and taken in warm wine. If the pox still does not rise, take it again. ○Boiled rat water treats the pox that will not rise and swell. Take one large male rat, remove the guts and belly and wash it clean, boil it in water until done, and drink the liquor. A twelfth-month rat is better still. ○Lees wine can make the pox plump and swollen. Take lees wine, mix it with water and boil it hard so as to kill the wine's toxin, and then take it. It can also supplement the qi. ○Buckwheat flour can bring the pox and rash out and up. Take it finely milled, make it into a gruel, mix in sugar and take it. ○Glutinous rice can resolve the pox toxin and make the eruption come up. It may be made into a gruel with sugar and taken. It is also said to be excellent for nourishing the stomach qi. ○For the pox that will not rise and swell, boil millet stalks for their liquor, boil rape for its liquor, boil rabbit skin for its liquor, and boil twelfth-month pork for its liquor, and wash the child with all of them. ○Coriander wine, sprayed over the body, can make the pox rise — the formula is given above. — Haejang 海藏 · Sokbang 俗方 · Boncho 本草 (Donguibogam · Soa)

Clinical commentary 臨床

Eight remedies in a row for one sign, and they are a fair sample of what was reached for when nothing worked: flies picked out of a dog's ears, borer grubs from an old mulberry, the broth of a boiled rat, lees wine boiled hard with water, gruels of buckwheat and glutinous rice sweetened with sugar, washes made from millet stalks, rape, rabbit skin and twelfth-month pork, and coriander wine sprayed over the skin. The reasoning behind the first five is that something which moves or warms will push the eruption out; behind the washes and the spray, that warmth and wetness applied outside will draw it. None of it raised an eruption. The lesions of smallpox became raised and tense because the infected epidermis was proliferating and filling with fluid, and they failed to do so when the infection was the malignant or haemorrhagic kind — which is to say when the child was dying. On the reading set out at jacho-go-soa, nothing taken by mouth altered that course, and the only things that changed outcomes were nursing measures. Two items in the list are worth separating out, though not for the reason the leaf gives. The two gruels sweetened with sugar, and the warm rat broth, are food and fluid given to a child who was febrile and could not eat; a smallpox eruption dense in the mouth and throat was the main reason children stopped feeding, and stopping feeding was a route to death. A sweetened gruel would have done more good than anything else on this leaf, and for reasons the chapter does not state. **Lees wine is given to an infant here. Boiling it, as the leaf directs, drives off only part of the alcohol; a young child clears alcohol poorly and is at risk of hypoglycaemia and central nervous depression from quantities an adult would not notice. The three remedies taken in warm wine carry the same problem. Dog-flies, mulberry grubs and a rat boiled whole are raw animal material given by mouth without any sterilising step, and a rat in particular carries leptospira, salmonella and hantavirus; the leaf gives no dose scaled to the child's age or weight. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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