Formulas · Clear Heat 淸熱 · Uihak Gangmok (醫學綱目)

Rhaponticum Powder

Nuro-san

한글 누로산 · Pinyin Lou Lu San

漏蘆散

The Bogam carries more than one formula of the name 漏蘆散. The Breast chapter’s formula for blocked milk is registered as nuro-san, so the Epidemic chapter’s is given the -on suffix. 麄 is printed as the transcription has it.

Composition 構成

Namyeop Lan Ye
藍葉 남엽 · Indigo Plant Leaf

80 g
Chief 君
Hyeonsam Xuan Shen
玄參 현삼 · Scrophularia

80 g
Chief 君
Nuro Lou Lu
漏蘆 누로 · Rhaponticum Root

40 g
Deputy 臣
Daehwang Da Huang
大黃 대황 · Rhubarb

40 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

40 g
Deputy 臣
Seungma Sheng Ma
升麻 승마 · Cimicifuga

40 g
Envoy 使

Total 320 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

Resolves epidemic toxin showing as lumps on the head and face
Clears heat and disperses a massive swelling
Opens a throat stopped up so that neither water nor medicine will go down

Indications 主治

Pattern-based

Epidemic toxin with lumps (時毒疙瘩)
Head and face swollen in flood
Throat stopped up, water and medicine not going down

Biomedical correlates

Epidemic illness with nodular swelling of the head and face
Severe cervicofacial swelling with inability to swallow

Source text 原文

Donguibogam 東醫寶鑑

治時毒疙瘩, 頭面洪腫, 咽喉堵塞, 水藥不下. 藍葉ㆍ玄參各二兩, 漏蘆ㆍ升麻ㆍ大黃ㆍ黃芩各一兩. 右爲麄末, 每三錢, 水煎, 徐徐服. 《綱目》

Translation

Treats epidemic toxin with lumps, the head and face swollen in flood, the throat stopped up so that neither water nor medicine will go down. Indigo leaf and scrophularia, 2 nyang each; rhaponticum, cimicifuga, rhubarb and scutellaria, 1 nyang each. Make a coarse powder; 3 don to a dose, decocted in water and taken slowly. — Gangmok 綱目 (Donguibogam · On)

Clinical commentary 臨床

Six drugs, coarsely powdered and decocted three don at a time, with indigo leaf and scrophularia at double weight in front. Indigo leaf is the tradition’s cooling antitoxic for rashes and epidemic heat, and rhaponticum — the drug that gives the name — is its specific for a toxic swelling that has gone hard. Rhubarb and scutellaria drain; cimicifuga lifts the action to the head. 疙瘩 is the word the leaf uses, and it means lumps raised in the skin rather than a smooth swelling. With 水藥不下 — not even water going down — this is the most alarming presentation in the chapter, and the prescription answers it by being thin and taken slowly rather than by being strong. **A throat stopped up so that water will not pass is an airway emergency and needs immediate hospital care.** The leaf is a record of what was available before that was possible. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.