Formulas · External Application 外用 · Hwaje Gukbang (和劑局方)

Cinnabar and Alum Powder

Juban-san

한글 주반산 · Pinyin Zhu Fan San

朱礬散

治同上 points back to 保命散, the preceding leaf, and so to 鵝口瘡. Given as 等分 with no absolute weight; the grams stand for notional equal shares.

Composition 構成

Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

20 g
Chief 君

cinnabar · toxic
Baekban Bai Fan
白礬 백반 · Alum

20 g
Chief 君

白礬(枯), calcined

Total 40 g per packet (첩) · representative dosage — verify against source texts.

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 same as above — goose-mouth sore in a newborn
Applied as a fine powder to the mouth and tongue, three times a day

Indications 主治

Pattern-based

Goose-mouth sore — white scurf in the mouth of a newborn

Biomedical correlates

Oral candidiasis (thrush) of the newborn

Source text 原文

Donguibogam 東醫寶鑑

治同上. 朱砂ㆍ白礬(枯). 右等分爲細末, 付口舌上, 日三. 《局方》

Translation

Treats the same as above. Cinnabar and alum (calcined). Grind them in equal parts to a fine powder and apply to the mouth and tongue, three times a day. — Gukbang 局方 (Donguibogam · Soa)

Clinical commentary 臨床

保命散 with the mirabilite and the goose dung taken away: two drugs, dusted dry on the mouth and tongue rather than painted on in a paste. The reduction is an improvement on both counts — nothing faecal, and nothing wet — and what is left is an astringent and a mercury salt. For the condition, see `bomyeong-san`: this is thrush in a newborn, and the modern treatment is an antifungal, with the real risk being a baby that stops feeding. **Contains cinnabar, which is mercuric sulfide, applied to the oral mucosa of a newborn who will swallow it, with no dose given by weight. Mercury has no safe intake at any age, and in an infant the developing nervous system is the organ injured and the injury is permanent. This must not be prepared or given.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.