Formulas · Transform Phlegm 化痰 · Uihak Jeongjeon (醫學正傳)

Lick the Palm Powder

Jijang-san

한글 지장산 · Pinyin Shi Zhang San

䑛掌散

The head is printed 䑛掌散 with the variant graph of 舐, to lick; the corpus has no other instance of either graph, so the leaf's own form is kept and the name romanised from the 舐 reading. The transcription writes 靑𥂁 with the variant graph for 鹽, given above as 鹽. 蓬朮 is registered under 蓬朮 by way of the 莪朮 alias. The 丹心一方 appended to the leaf is a second composition under the same head; its drugs are entered at 等分 with no weight, marked in the preparation, as the corpus does for gathered leaves.

Composition 構成

Haejo Hai Zao
海藻 해조 · Sargassum Seaweed

40 g
Chief 君

海藻, sargassum; 1 nyang · iodine-bearing
Haedae Hai Dai
海帶 해대 · Kelp

—
Chief 君

海帶, sea tangle, equal parts in the 丹心 formula · iodine-bearing
Gonpo Kun Bu
昆布 곤포 · Kelp

—
Chief 君

昆布, kelp, equal parts in the 丹心 formula · iodine-bearing
Hwangnyeon Huang Lian
黃連 황련 · Coptis

40 g
Deputy 臣

1 nyang
Bongchul E Zhu
莪朮 봉출 · Zedoary

—
Assistant 佐

蓬朮, equal parts in the 丹心 formula
Cheongyeom Qing Yan
靑鹽 청염 · Blue Rock Salt

—
Assistant 佐

靑鹽, green salt, equal parts in the 丹心 formula
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

honey, to bind the pills of the 丹心 formula

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 5 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

Treats goitre
A little of the powder is put in the palm and licked from it from time to time, the saliva being swallowed
Stopped when the goitre has gone down by two thirds
In the appended formula, four seaweeds with zedoary and green salt are made into honey pills and dissolved in the mouth three times a day

Indications 主治

Pattern-based

癭 — goitre, a swelling at the front of the neck
A goitre reducing gradually under a continuous small dose

Biomedical correlates

Endemic goitre from iodine deficiency
Diffuse thyroid enlargement

Source text 原文

Donguibogam 東醫寶鑑

治癭. 海藻ㆍ黃連各一兩. 右爲末, 取少許置掌中, 時時䑛之, 津液嚥下. 如消三分之二, 止藥. 《正傳》 ○一方海藻ㆍ海帶ㆍ昆布ㆍ蓬朮ㆍ靑鹽等分爲末, 蜜丸彈子大, 噙化嚥下, 日三. 《丹心》

Translation

Treats goitre. Sargassum and coptis, 1 nyang each. Powder the above, take a little and put it in the palm of the hand, lick it from time to time, and swallow the saliva. When the goitre has gone down by two thirds, stop the drug. ○ Another formula: sargassum, sea tangle, kelp, zedoary and green salt in equal parts, powdered, made into honey pills the size of a bullet, held in the mouth to dissolve and swallowed, three times a day. — Jeongjeon 正傳 · Dansim 丹心 (Donguibogam · Jechang)

Clinical commentary 臨床

The delivery is the prescription. Sargassum and coptis, powdered, a pinch at a time in the hollow of the hand, licked off through the day and the saliva swallowed — which gives a small continuous dose over weeks instead of a measured one twice a day. For iodine that is exactly the right way to give it. Sargassum is one of the richest iodine sources known, endemic goitre is iodine deficiency, and the gland takes up iodide steadily rather than in boluses. 如消三分之二止藥 is the clause to notice: stop the drug when the swelling is down by two thirds, not when it is gone. That is a stopping rule, and it is written into the prescription rather than left to judgement. It also happens to be prudent for the reason the 正傳 could not have known — pushing iodine into a nodular goitre past the point of benefit can tip it into hyperthyroidism, and a residual third of the swelling is a cheap price for not finding out. The 丹心 formula appended to the leaf is the same idea in pill form: three seaweeds, zedoary to break up hardness, and green salt, held in the mouth three times a day. **Coptis at 1 nyang in a powder licked over days is a large cumulative dose of a bitter alkaloid drug, and the iodine load of a seaweed powder taken continuously is not measurable. A goitre needs thyroid function tested and an ultrasound before anything is given; iodised salt, at dietary dose, is what replaces iodine now.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.