寶鑑Bogam

Formulas · Dispel Wind-Damp 祛風濕 · Dongwon Boggam (東垣寶鑑)

Take Up the Pain Powder

Nyeomtong-san

한글 염통산  ·  Pinyin Nian Tong San

拈痛散

熨烙 is applying heat by pressing a heated object on the skin. The salt is the heat-retaining medium, not a drug, and the bag is reheated rather than discarded.

Composition 構成

Total 910 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

  • Cold damp pain in the joints treated externally
  • Wind cold damp with fixed pain

Biomedical correlates

  • Osteoarthritis pain
  • Chronic musculoskeletal pain

Source text 原文

Donguibogam 東醫寶鑑

可熨烙痛風. 羌活ㆍ獨活ㆍ細辛ㆍ肉桂ㆍ防風ㆍ白朮ㆍ良薑ㆍ麻黃ㆍ天麻ㆍ川烏ㆍ吳茱萸ㆍ乳香ㆍ川椒ㆍ全蝎ㆍ當歸 各五錢, 白薑 二錢半. 右粗末, 每一兩或一兩半, 鹽 一升, 同炒極熱, 絹袋盛, 熨烙痛處, 冷則易, 或炒用之. 《寶鑑》

Translation

Fit for ironing and searing painful wind. Notopterygium, pubescent angelica, asarum, cassia bark, saposhnikovia, atractylodes, lesser galangal, ephedra, gastrodia, aconite kusnezoffii, evodia, frankincense, sichuan pepper, whole scorpion and tangkuei, 5 don each; dried ginger, 2 don 5 fun. Make a coarse powder; for each use take 1 nyang or 1 nyang 5 don with 1 seung of salt, stir-fry together until very hot, put into a silk bag, and iron and sear the painful place; when it cools, change it, or stir-fry it again for use. — Dongwon Boggam 寶鑑 (Donguibogam · Pung)

Clinical commentary 臨床

An external application and the only one in the joint sections, which makes it the safest thing here: sixteen aromatic and warming drugs coarsely powdered, stir-fried with a pint of salt until very hot, bagged in silk and pressed on the painful joint, reheated when it cools. Salt holds heat well and releases it slowly, and the volatile constituents of the pepper, evodia and galangal come off into the skin as it cools. That is a sound hot compress, and the aconite and scorpion in it matter far less by this route than they would by mouth. Still, a hot bag at this temperature will burn thin or insensate skin. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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