Formulas · External Application 外用 · Uihak Immun (醫學入門)

Cat and Bat Powder

Myobok-san

한글 묘복산  ·  Pinyin Mao Fu San

猫蝠散

The leaf says 右二味, the two substances above, and names the black beans only as the bed the burning is done on, but the whole is burnt and ground together without the beans being removed, so 黑豆 is entered with that noted. The names are counts, so no gram figures are entered. The same pair of animals makes up 猫頭丸 earlier in the 瘰癧 section, which adds cinnabar, arisaema and alum and is taken internally.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Indications 主治

Pattern-based

  • 瘰癧多年不愈 — scrofula of many years that will not heal

Biomedical correlates

  • Chronic draining tuberculous cervical lymphadenitis of long standing

Source text 原文

Donguibogam 東醫寶鑑

治瘰癧多年不愈, 神效. 猫頭骨 一箇, 蝙蝠 一箇. 右二味俱撒黑豆上, 同燒存性, 硏爲末, 乾糝. 《入門》

Translation

Treats scrofula of many years that will not heal; wonderfully effective. One cat skull; one bat. Scatter both of the above over black beans and burn them together with their nature preserved, grind them to a powder, and dust it on dry. — Uihak Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

A cat's skull and a whole bat, scattered on black beans, charred short of ash, ground, and dusted dry on a node that has been draining for years. The pairing is not random within this chapter: 猫頭丸 a page earlier uses the same two animals in a pill, and the reasoning behind both is sympathetic — the cat and the bat are the two animals that take what lives in holes, and 瘰癧 was understood as 鼠瘻, the rat-hole disease, the name the Lingshu passage at the end of the section uses. As treatment it is inert. Charred bone and charred animal tissue are mostly calcium phosphate and carbon, which will dry a weeping surface and nothing more. 多年不愈, not healing for many years, is the honest part of the entry: this is what a tuberculous sinus does, and the chapter kept trying new dusting powders on it because none of them ever closed one. **Charred animal remains dusted into an open wound carry a real infection risk, and bats are a reservoir for rabies and other zoonoses. This must not be prepared.** Tuberculous lymphadenitis needs tissue diagnosis and a full antimycobacterial course; a discharging neck sinus of years' standing also needs assessment for other causes. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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