Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)
Rehmannia Powder for Pox Screens
Jihwang-san
한글 지황산 (소아) · Pinyin Di Huang San
Three formulas named 地黃散 now stand. jihwang-san-an, from the Seui Deukhyobang for the muddied eye, is four drugs — 生地黃 one nyang with 赤芍藥ㆍ當歸ㆍ甘草 five don each — and is unrelated to this leaf. jihwang-san-ye, from Haejang in the Screens and Membranes section of 眼門, is the close one and was compared drug by drug. Its drug list is this leaf's fourteen plus 黃連; its weights are a three-tier scheme of 五錢ㆍ三錢ㆍ二錢 against this leaf's flat 一錢 with 玄參 at 五分 and 木通ㆍ甘草 at 二分半; its dose is 二錢 against this leaf's 五分; it takes the liver as a decocted 羊肝湯 rather than as 羊肝煮汁; and it closes 《海藏》 where this closes 《入門》. The two are plainly the same prescription in two recensions, and the 眼門 entry even carries the child's indication in its own tail — 亦治小兒瘡疹餘毒入眼生瞖 — but they are not the same text, and the composition and every weight differ, so this leaf is registered separately with the chapter tail rather than folded into an entry whose source_hanja belongs to another chapter. The indication above the formulas at 1.87.1 is itself nearly the 眼門 entry's indication verbatim. The transcription writes 為, printed 爲; 糓精草 is kept with 糓, as the database prints it in all five places.
Composition 構成
- Saengjihwang生地黃 생지황 · Raw Rehmannia4 g
Chief 君1 don
- Sukjihwang熟地黃 숙지황 · Prepared Rehmannia4 g
Chief 君1 don
- Danggwi當歸 당귀 · Korean Angelica4 g
Deputy 臣1 don
- Bangpung防風 방풍 · Siler4 g
Deputy 臣1 don
- Ganghwal羌活 강활 · Notopterygium4 g
Deputy 臣1 don
- Seontoe蟬退 선퇴 · Cicada Moulting4 g
Deputy 臣蟬殼, 1 don
- Seogak犀角 서각 · Rhinoceros Horn (prohibited)4 g
Deputy 臣1 don · CITES
- Mokjeok木賊 목적 · Horsetail4 g
Deputy 臣1 don
- Gokjeongcho穀精草 곡정초 · Pipewort Flower4 g
Deputy 臣糓精草, 1 don
- Baekjillyeo白蒺藜 백질려 · Tribulus4 g
Deputy 臣1 don
- Daehwang大黃 대황 · Rhubarb4 g
Deputy 臣1 don · purgative
- Hyeonsam玄參 현삼 · Scrophularia2 g
Assistant 佐5 fun
- Moktong木通 목통 · Akebia1 g
Assistant 佐2 fun 5 ri
- Gamcho甘草 감초 · Licorice1 g
Envoy 使2 fun 5 ri
- Yanggan羊肝 양간 · Sheep Liver—
Envoy 使羊肝煮汁, the liquor of boiled sheep liver, as the draught the powder is stirred into
Total 48 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
- Treats the eye swollen and painful after the pox, with red vessels rising or a white membrane veiling the pupil
- Given as a powder stirred into the liquor of boiled sheep liver
Indications 主治
Pattern-based
- After the pox, the eye swollen and painful with red vessels or a white membrane veiling the pupil (痘後眼腫痛, 或生赤脉, 或白膜遮睛)
- Scattered and diffuse at the four edges — easy to treat (四邊散漫者易治)
- Suddenly veiling the black of the eye — mostly ends in loss of sight (暴遮黑睛, 多致失明)
Biomedical correlates
- Keratitis with corneal vascularization after smallpox
- Central corneal opacity with loss of vision
Source text 原文
Donguibogam 東醫寶鑑
生地黃ㆍ熟地黃ㆍ當歸ㆍ防風ㆍ羌活ㆍ蟬殼ㆍ犀角ㆍ木賊ㆍ糓精草ㆍ白蒺藜ㆍ大黃 各一錢, 玄參 五分, 木通ㆍ甘草 各二分半. 右爲末, 每取五分, 以羊肝煮汁調服. 《入門》
Translation
Raw rehmannia, prepared rehmannia, angelica sinensis, ledebouriella, notopterygium, cicada moulting, rhinoceros horn, horsetail, pipewort, tribulus and rhubarb 1 don each; scrophularia 5 fun; akebia and licorice 2 fun 5 ri each. Powder them; take 5 fun at a time, stirred into the liquor of boiled sheep liver. — Immun 入門 (Donguibogam · Soa)