Formulas · External Application 外用 · Uihak Gangmok (醫學綱目)

Glutinous Rice Paste (Fracture Formula)

Nami-go

한글 나미고 (제상) · Pinyin Nuo Mi Gao

糯米膏

A homonym, not the same formula as the 糯米膏 already in the corpus, and the two must not be confused. The existing nami-go is the single-ingredient 入門 paste from 癰疽門: glutinous rice steeped in changed water for the forty-nine days up to Dano, wind-dried, then charred a pinch at a time and mixed with cold water as a dressing for a sore. This one is from 綱目, adds 皂角 and a hundred copper coins, is parched rather than steeped, is made up with wine, and is for a fracture. Different source, different composition, different indication; it is registered here as nami-go-jesang and the 癰疽門 entry keeps the bare id. The hundred copper coins are parched with the drugs and then removed (去錢), so they are apparatus rather than an ingredient and have no herb row.

Composition 構成

Nami Nuo Mi
糯米 나미 · Glutinous Rice

—
Chief 君

1 seung
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

—
Deputy 臣

cut small (切碎), half a seung

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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 blunt injury with torn sinew and broken bone
Parched black with gleditsia pod and copper coins, the coins discarded, powdered, made into a paste with wine and stuck on the injured place

Indications 主治

Pattern-based

Blunt injury with torn sinew and fracture

Biomedical correlates

Fracture and soft-tissue injury — topical plaster

Source text 原文

Donguibogam 東醫寶鑑

治撲傷筋斷骨折. 糯米一升, 皂角(切碎) 半升, 銅錢百箇. 同炒至焦黑, 去錢. 右爲末, 酒調膏, 貼患處, 神效. 《綱目》

Translation

Treats blunt injury with torn sinew and broken bone. Glutinous rice 1 seung; gleditsia pod (cut small) half a seung; a hundred copper coins. Parch them together until charred black, then discard the coins. Powder what remains, stir it with wine into a paste, and stick it on the injured place — remarkably effective. — Uihak Gangmok 綱目 (Donguibogam · Jesang)

Clinical commentary 臨床

Glutinous rice and 皂角, two to one, parched together with a hundred copper coins until the whole lot is charred black. The coins come out again — they are there to spread and hold the heat of the pan, nothing else — and what remains is powdered, worked up with wine into a paste and stuck over the injury. What the plaster amounts to is charred starch and saponin. Burnt rice flour is an adsorbent, bland and harmless; the 皂角 saponins are surface-active and irritant, which is presumably why they are in it, since a plaster that stings is a plaster that is felt to be working. Neither reaches a fracture. As with 活血散 two leaves earlier, the part of the procedure that could affect a broken bone is missing from the formula and present in the chapter around it: this is one of the external dressings 1.7 lists for use after the bone has been set and splinted, and it is the setting and the splinting that do the work. Saponins on broken skin are irritant and haemolytic, so this does not belong on an open fracture. The paste itself is not sterile. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.