Formulas · External Application 外用 · Haejang 海藏 · Dansim 丹心 · Jonghaeng 種杏 · Hoechun 回春 · Gangmok 綱目

Other Formulas for Phlegm Nodules

Ubang

한글 우방(결핵) · Pinyin You Fang

又方

Given in the source as 又方, an unnamed head standing at the end of the 結核 section, and entered here under a descriptive identifier taken from the section. It has nothing to do with the other unnamed 又方 head of this chapter in the 癭瘤 section, registered as yeongryu-ubang, nor with the 一方 entries of other chapters. The base text gathers five remedies from five sources under the one head and they are kept together, as the corpus does for the 齒衄又方 leaf. The transcription writes 合搗爛; the corpus prints 擣 in 80 places of source text against 54 and the majority form is given above. 萆麻子 is the castor seed, registered under that headword. The pieces, the three seeds and the quantities of wine and tea carry no weights.

Composition 構成

Sanyak Shan Yao
山藥 산약 · Chinese Yam

—
Chief 君

生山藥一塊(去皮), one raw piece, peeled, ground with castor seed and spread on
Hagocho Xia Ku Cao
夏枯草 하고초 · Selfheal

24 g
Chief 君

powdered, 6 don, in the 丹心 remedy
Sangnyuk Shang Lu
商陸 상륙 · Pokeweed Root (toxic)

—
Chief 君

商陸根, the root, pounded with raw arisaema in the 種杏 remedy · toxic, a drastic purgative and irritant
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

—
Chief 君

生南星 raw in the 種杏 remedy, and 南星 in equal parts in the 回春 remedy · toxic raw, requires proper processing
Jiju Zhi Zhu
蜘蛛 지주 · Spider

—
Chief 君

大蜘蛛, a large spider, ground to a pulp in the 綱目 remedy
Pimaja Bi Ma Zi
萆麻子 피마자 · Castor Bean (toxic)

—
Deputy 臣

萆麻子三箇(去皮), three seeds, hulled · the seed is toxic and the castor-bean toxin is lethal in small amounts
Choo Cao Wu
草烏 초오 · Wild Aconite

—
Deputy 臣

草烏 in equal parts in the 回春 remedy · aconite, severely toxic
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

powdered, 1 don, in the 丹心 remedy
Seacha Xi Ya Cha
細芽茶 세아차 · Fine Tea Buds

—
Envoy 使

茶淸, clear tea as the draught for the 丹心 powder
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

薑汁, ginger juice as the vehicle for the 回春 paste
Ju Jiu
酒 주 · Wine

—
Envoy 使

好酒, good wine, the spider steeped in it and the dregs discarded

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 9 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

Five remedies for a nodule, gathered under one head — three pastes spread on the lump, one powder taken in tea, one spider ground in wine and drunk at bedtime
Raw yam and castor seed ground together and spread on a hard red swelling in the Shaoyang territory behind the neck
Pokeweed root with raw arisaema, or arisaema with aconite in ginger juice, pounded and smeared on to make the nodule go down at once

Indications 主治

Pattern-based

項後少陽經中疙瘩結核 — pimply nodules in the Shaoyang channel behind the neck
或赤硬腫痛 — sometimes red, hard, swollen and painful
頸上塊動 — a lump on the neck that moves
痰核疙瘩 — phlegm nodules and pimply lumps

Biomedical correlates

Mobile cervical lymph node
Inflamed subcutaneous nodule or furuncle of the nape
Benign soft-tissue lumps of the neck

Source text 原文

Donguibogam 東醫寶鑑

治項後少陽經中疙瘩結核, 或赤硬腫痛. 生山藥一塊(去皮), 萆麻子三箇(去皮). 右硏勻, 攤貼如神. 《海藏》 ○治頸上塊動. 夏枯草末六錢, 甘草末一錢. 右和勻, 每服一錢至二錢, 茶淸調下. 《丹心》 ○又方治痰核疙瘩. 商陸根ㆍ生南星, 合擣爛塗之, 立消. 《種杏》 ○又方南星ㆍ草烏等分爲末, 薑汁調塗, 立消. 《回春》 ○又大蜘蛛硏爛, 好酒浸去滓, 臨臥溫服, 甚效. 《綱目》

Translation

Treats pimply nodules in the Shaoyang channel behind the neck, sometimes red, hard, swollen and painful. One piece of raw Chinese yam, peeled; three castor seeds, hulled. Grind the above together evenly and spread it on — marvellous. ○ For a lump on the neck that moves: powdered selfheal, 6 don; powdered licorice, 1 don. Mix evenly; one to two don to a dose, stirred into clear tea. ○ Another formula, for phlegm nodules and pimply lumps: pokeweed root and raw arisaema, pounded together to a pulp and smeared on — it goes down at once. ○ Another formula: arisaema and wild aconite in equal parts, powdered, mixed with ginger juice and smeared on — it goes down at once. ○ Also: a large spider ground to a pulp and steeped in good wine, the dregs discarded, taken warm at bedtime — most effective. — Haejang 海藏 · Dansim 丹心 · Jonghaeng 種杏 · Hoechun 回春 · Gangmok 綱目 (Donguibogam · Jechang)

Clinical commentary 臨床

Five remedies for one complaint, and they do not agree with each other. Raw yam ground with castor seed is a cooling, drawing poultice of the kind used on a boil. Selfheal with a little licorice, taken in tea, is the one that is actually internal and the one the chapter trusts most — 夏枯草 is its standing drug for a neck lump and it appears again in the 癭瘤 section on its own. Pokeweed root with raw arisaema, and arisaema with wild aconite in ginger juice, are both counter-irritant pastes that promise 立消, instant resolution. The spider in wine at bedtime is sympathetic magic. What holds them together is the site: 項後少陽經, behind the neck in the Shaoyang territory, which is where the chapter locates nodes raised by heat in the gallbladder channel. 疙瘩 is a good word for what is meant, a pimply lump rather than a smooth gland. **Contains castor seed, whose toxin is lethal in very small amounts; pokeweed root, a drastic purgative and irritant; raw arisaema; and wild aconite, which is severely toxic and is absorbed through broken skin. The pastes in this leaf must not be prepared.** A red, hard, painful swelling on the nape is most often a furuncle or an infected node, and smearing an irritant on it will worsen it; it needs cleaning, and incision and antibiotics if it has pointed. A lump that moves and does not hurt is usually a lymph node, and if it persists it needs examination, not selfheal. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.