Formulas · Warm the Interior 溫裏 · Uihak Immun (醫學入門)

Patrinia Powder

Paejang-san

한글 패장산 · Pinyin Bai Jiang San

敗醬散

The transcription prints 癕 for 癰; 癰 is printed above. 敗醬, patrinia (Patrinia scabiosifolia), the 1 don 5 fun middle drug of the three and the one the formula is named for, had no entry in herbs.yaml and has been registered as paejang from its own 湯液篇草部 head (tang3 007a, 主破多年凝血, 能化膿爲水 … 又排膿補瘻). The second name given, 薏苡附子敗醬散, is the Geumgwe Yoryak formula from which this leaf descends.

Composition 構成

Uiiin Yi Yi Ren
薏苡仁 의이인 · Coix Seed

10 g
Chief 君
Paejang Bai Jiang
敗醬 패장 · Patrinia Root

6 g
Deputy 臣
Buja Fu Zi
附子 부자 · Prepared Aconite

2 g
Assistant 佐

blast-fried (炮)

Total 18 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

Treats 腸癰 with no fever in the body and a soft, cold abdomen
Warms the cold and drains the pus downward through the urine

Indications 主治

Pattern-based

腸癰 without fever — the cold, sunken abscess
腹濡冷 — a soft and cold abdomen
Pus and blood expected to pass with the urine as the cure

Biomedical correlates

Chronic appendiceal or pelvic abscess without systemic sepsis
Walled-off intra-abdominal collection
Chronic pelvic inflammatory mass

Source text 原文

Donguibogam 東醫寶鑑

治腸癰, 身無熱, 腹濡冷. 薏苡仁二錢半, 敗醬一錢半, 附子(炮) 五分. 右剉, 作一貼, 水煎服. 小便當下膿血而愈. 《入門》 ○一名薏苡附子敗醬散. 《仲景》

Translation

Treats intestinal abscess with no fever in the body and a soft, cold abdomen. Coix seed, 2 don 5 fun; patrinia, 1 don 5 fun; blast-fried aconite, 5 fun. Cut the above, make one packet, decoct in water and take. Pus and blood should come down with the urine, and the patient recovers. — Immun 入門. Also called Uii-buja-paejang-san, the Coix, Aconite and Patrinia Powder. — Junggyeong 仲景 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Three drugs, and the Geumgwe formula under a shortened name. Coix seed drains, patrinia cools and breaks the pus, and a small amount of blast-fried aconite warms the cold in which the whole thing is sitting. The ratio matters: the aconite is 5 fun against 2 don 5 fun of coix, a warming hint rather than a warming formula, and the Geumgwe's own instruction is the same. The indication is the chapter's cold abscess — 身無熱, 腹濡冷, no fever and a soft cold belly — which is the chronic, walled-off collection rather than the hot acute one, and 小便當下膿血 reads as the collection discharging into the bladder or simply as the tradition's way of saying the pus must find an exit. Patrinia has stayed in East Asian practice as an antibacterial drug for suppuration, and this is the formula where it carries the name. **Contains aconite, which is toxic. This must not be prepared. An intra-abdominal abscess needs imaging and drainage, and the absence of fever does not make it safe to treat with a decoction.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.