Formulas · External Application 外用 · Jeongui (精義)
Sore-Turning Toad Venom Stick
Hoechangseomsu-jeongja
한글 회창섬수정자 · Pinyin Hui Chuang Chan Su Ding Zi
The transcription writes the name 廻瘡蟾酥錠子; the corpus prints 回 and the corpus form is given above. 砒礵 is both the transcription's and the corpus's form for arsenic, registered under that spelling. The seven cantharides are a count item and carry no gram figure, and the fresh toad venom is given no weight because it serves as the binder. 差 for the mending of the sore is printed as the transcription has it.
Composition 構成
- Cheonnamseong天南星 천남성 · Arisaema4 g
Chief 君天南星 一錢 — raw arisaema, toxic unless properly processed
- Padu巴豆 파두 · Croton Seed4 g
Chief 君巴豆肉 一錢 — croton kernel, violently toxic
- Bisang砒礵 비상 · Arsenic Trioxide4 g
Chief 君砒礵 一錢 — arsenic trioxide
- Seomsu蟾酥 섬수 · Toad Venom—
Chief 君新蟾酥 — fresh toad venom, used to bind the stick; cardiotoxic
- Hwangdan黃丹 황단 · Red Lead (toxic)4 g
Deputy 臣黃丹 一錢 — minium, lead tetroxide
- Banmyo斑猫 반묘 · Blister Beetle—
Deputy 臣斑猫 七箇 — seven cantharides, a count item; a blistering agent and renal toxin
- Gwandonghwa款冬花 관동화 · Coltsfoot Flower4 g
Assistant 佐款冬花 一錢
- Dokhwal獨活 독활 · Aralia2 g
Assistant 佐獨活 五分
Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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
- A moulded stick set into the needled head of a 疔, not swallowed
- Bound with fresh toad venom rather than paste
- Held to bring the pus out, after which the sore mends of itself
Indications 主治
Pattern-based
- 疔瘡 — the nail-sore
- A 疔 needled at the head until blood comes
Biomedical correlates
- Furuncle or carbuncle with a necrotic core — historical escharotic insert
- Deep pyogenic skin infection before drainage
Source text 原文
Donguibogam 東醫寶鑑
治疔瘡. 天南星ㆍ款冬花ㆍ巴豆肉ㆍ黃丹ㆍ砒礵 各一錢, 獨活 五分, 斑猫 七箇. 右細末, 用新蟾酥和勻, 如黍米大作錠子. 先以鍼刺疔頭有血出, 下錠子, 以膏藥貼之, 膿出自差. 《精義》
Translation
Treats the nail-sore. Arisaema, coltsfoot flower, croton kernel, minium and arsenic, 1 don each; pubescent angelica root 5 fun; cantharides, seven pieces. Powder the above finely, work it even with fresh toad venom, and make sticks the size of a millet grain. First needle the head of the nail-sore so that blood comes, put the stick down into it, and lay a plaster over; the pus comes out and the sore mends of itself. — Jeongui 精義 (Donguibogam · Ongjeo)