Formulas · External Application 外用 · Immun (入門)

Saliva-Mixed Powder

Jinjo-san

한글 진조산 · Pinyin Jin Tiao San

津調散

The transcription writes 池骨皮 where the 初刊本 reads 地, that is 地骨皮; the collation note 池 : 地 sits two leaves below, at the 047b page boundary inside the line range of the 磨風膏 leaf, which does not contain the character. Under the project's 底本 rule the transcription's 池 is printed here and the variant recorded; the drug is lycium root bark and is entered under jigolpi. The saliva the powder is worked up with has no herb entry and is kept in the method. The two wash drugs are entered as ingredients with their role marked, since they are named drugs of the prescription rather than a plain liquid.

Composition 構成

Hwangnyeon Huang Lian
黃連 황련 · Coptis

—
Chief 君

equal parts
Gwandonghwa Kuan Dong Hua
款冬花 관동화 · Coltsfoot Flower

—
Deputy 臣

equal parts
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

—
Assistant 佐

池骨皮 in the transcription; for the preliminary wash, not in the powder
Sasangja She Chuang Zi
蛇床子 사상자 · Cnidium Fruit

—
Assistant 佐

for the preliminary wash, not in the powder

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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

Two drugs powdered and worked up with the patient's own saliva, which the name records
Applied only after a preliminary wash of lycium root bark and cnidium fruit and after the surface has been wiped dry

Indications 主治

Pattern-based

妬精瘡 — the sore of pent-up semen, a pustular ulceration of the glans
Small painful pustules on the glans that break and crater

Biomedical correlates

Pustular and erosive balanitis
Herpetic or chancroidal ulceration of the glans

Source text 原文

Donguibogam 東醫寶鑑

治妬精瘡. 黃連ㆍ款冬花等分. 右爲末, 先以池骨皮ㆍ蛇床子煎水洗, 拭乾, 乃津調付. 《入門》

Translation

Treats the sore of pent-up semen. Coptis and coltsfoot flower, equal parts. Powder the above. First wash with a decoction of lycium root bark and cnidium fruit, wipe the part dry, and then work the powder up with saliva and apply it. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

Coptis and coltsfoot flower in equal parts, ground, and worked into a paste with the patient's own spittle — which is what 津調 means and what the formula is named for. Before that, a wash of lycium root bark and cnidium fruit, and then the part is wiped dry. The sequence is the section's standard one and the drying step is not optional. 妬精瘡 is the chapter's own category and it describes it carefully a few pages above: small pustules on the glans like millet grains, acutely painful when brushed, discharging clear pus and cratering, which the chapter attributes to a young man long without intercourse whose stirred desire sends spoiled semen back into the shaft. The lesions it describes are pustular and erosive balanitis, and some of what is grouped here will have been herpes. Coptis has a weak real antibacterial action; coltsfoot is there as a demulcent. Saliva as the vehicle is the problem. **Human saliva carries a dense oral flora and applying it to an open genital ulcer is a direct route for infection, including herpes simplex transferred from the mouth. Do not do this.** A pustular ulcer of the glans needs swabbing, viral PCR and systemic treatment, not a paste. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.