Formulas · Clear Heat 淸熱 · Sokbang (俗方)

Other Methods for the Pox That Sinks Black

Ilbang

한글 일방(흑함)  ·  Pinyin Yi Fang

一方

The head of this leaf is literally 一方, another method, and not a name, so it is entered under an identifier taken from the section it stands in — the last leaf of 1.85.19 黑陷, at 069b. This follows the corpus precedent for unnamed leaves: gyeolhaek-ubang and yeongryu-ubang in the Sores chapter, sambuyak-ubang-1 and -2 and sambuyak-ilbang, chiseolri-ilbang in this chapter's 1.46 泄痢, and chuldu-ubang and gijang-ubang in this chapter's smallpox block. It is unrelated to the 一方 and 又方 entries of other sections, including the second unnamed leaf of this same chapter a few lines later in 1.85.20 護眼. The transcription places ≪方見風門≫ after 調下; it is a cross-reference to 牛黃淸心元, which is registered, so the name is linked and the note kept in its transcribed position as a sochu span. The transcription writes 黑鲩 and ꇩ黑(鼠); 陷 and 鼠 are printed above, following the corpus and the gijang-ubang leaf, which prints the same 烹鼠水. Only the 俗方 label closes the leaf and it is taken for both clauses.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • The pox sinking black (黑陷)

Biomedical correlates

  • Haemorrhagic smallpox — historical

Source text 原文

Donguibogam 東醫寶鑑

治黑陷. <a href='/formulas/uhwang-cheongsim-won'>牛黃淸心元</a> 半丸, 井水調下.<span class='sochu'>方見風門</span> ○烹鼠水溫服. 《俗方》

Translation

Treats the pox that sinks black. Half a pill of Ox Gallstone Heart-Clearing Pill — the formula is given in the Wind chapter — sent down in well water. ○The water a rat has been boiled in, taken warm. — Sokbang 俗方 (Donguibogam · Soa)

Clinical commentary 臨床

Two last things, after thirteen formulas have been set out and none of them has worked. The first is half a pill of the most famous emergency pill in this tradition, 牛黃淸心元, borrowed out of the Wind chapter where it belongs to stroke and collapse; the second is the water a rat has been boiled in, drunk warm, and it is marked 俗方, the common practice — what people actually did. The section that the chapter gives more room than anything else in the book ends by reaching for a folk remedy, and that is the honest measure of where the tradition stood with haemorrhagic smallpox. Boiled rat water is not an outlier here. It appears again in this chapter at 1.70.1 for a pox that will not rise, where the leaf specifies a large male rat, gutted and washed, and says a twelfth-month one is best. The reasoning is the same reasoning as the four dungs and the four teeth: something dark, burrowing and vital is thought to draw out what has sunk. **The pill borrowed here is not a mild one. 牛黃淸心元 contains cinnabar, realgar and musk among its thirty drugs — mercuric sulfide, arsenic sulfide and a CITES Appendix I animal product — along with rhinoceros horn and saiga antelope horn. Half a pill given to a child is an unmeasurable dose of two heavy-metal poisons; the mercury account is at jinsa-go-soa and is not repeated here. This must not be prepared.** The rat is the other hazard and a different kind: rats carry Leptospira, hantaviruses, Salmonella and Yersinia, and while a hard boil would kill most of what is in the meat, the catching, gutting and handling of a wild rat in a sickroom is itself the exposure, and the child drinking the broth is the member of the household least able to survive it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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