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Formulas · Clear Heat 淸熱 · Manbyeong Hoechun (萬病回春)

Inward-Supporting Ampelopsis Powder

Naetakbaengnyeom-san

한글 내탁백렴산  ·  Pinyin Nei Tuo Bai Lian San

內托白斂散

The transcription writes 白歛 for 白斂, the headword under which ampelopsis is registered in this corpus, and the standard form is printed above in both the formula name and the drug list. 片芩, the broad lamina grade of scutellaria, is registered under 黃芩 by way of the alias. The leaf runs the preparation after the drug, 片芩酒炒, and it is parenthesised here.

Composition 構成

Total 42.4 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

Indications 主治

Pattern-based

  • 腋下痰核 — a phlegm node in the armpit
  • 因酒怒氣發腫痛潰膿久不差 — raised by drink and angry qi, swelling and painful, suppurating, and long failing to heal

Biomedical correlates

  • Axillary lymphadenitis with abscess formation
  • Chronic discharging axillary sinus
  • Hidradenitis suppurativa of the axilla

Source text 原文

Donguibogam 東醫寶鑑

治腋下痰核, 因酒怒氣發腫痛潰膿, 久不差. 赤芍藥ㆍ當歸ㆍ連翹 各一錢, 白芷ㆍ白斂ㆍ片芩(酒炒)ㆍ瓜蔞仁 各八分, 川芎ㆍ天花粉ㆍ乳香 各七分, 防風ㆍ桔梗ㆍ柴胡 各五分, 白蒺藜ㆍ生甘草 各四分. 右剉, 作一貼, 水煎服. 《回春》

Translation

Treats a phlegm node in the armpit raised by drink and angry qi, swollen and painful and suppurating, which has long failed to heal. Red peony, Korean angelica and forsythia, 1 don each; angelica dahurica, ampelopsis, wine-fried scutellaria in broad lamina and trichosanthes seed, 8 fun each; chuanxiong, trichosanthes root and frankincense, 7 fun each; saposhnikovia, platycodon and bupleurum, 5 fun each; caltrop and raw licorice, 4 fun each. Cut up, make one packet, decoct in water and take. — Hoechun 回春 (Donguibogam · Jechang)

Clinical commentary 臨床

A 內托 prescription, which in this chapter's vocabulary means supporting the interior so that a sore that has broken down can close — but the composition is cooling and blood-moving rather than supplementing. Red peony, Korean angelica and chuanxiong move the blood; forsythia, scutellaria, trichosanthes root and seed and ampelopsis cool and drain; bupleurum and saposhnikovia carry the action to the side of the body, which is where the lump is. Frankincense and caltrop are there to break up what has set. 因酒怒氣 names the cause as drink and temper, and the chapter means this literally: the 腋下 is the Shaoyang and Jueyin territory that anger is held to heat. What the indication actually describes is clear enough — an armpit node that swelled, came to a head, discharged, and then would not stop. That pattern is an axillary abscess or, where it recurs in the same folds year after year, hidradenitis suppurativa. A discharging axillary sinus that has gone on for months does not close on a decoction. It needs examination, culture, antibiotics guided by it, and often surgical drainage or excision of the tract; recurrent disease in the axilla and groin is treated now with long antibiotic courses and, in severe cases, biologics and surgery. Frankincense and raw licorice are the only ingredients likely to be tolerated without consequence, and neither does anything for the sinus. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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