Formulas · External Application 外用 · Jikji (直指)

Fritillaria Salve

Paemo-go

한글 패모고 · Pinyin Bei Mu Gao

貝母膏

The transcription sets 生用 twice in ≪≫; both are preparation glosses and are printed in parentheses. The leaf's 貝母三錢半半夏 is read 貝母三錢半, then 半夏 — the half belongs to the fritillaria's three don. 南星 is entered under 天南星 and 黃栢 is left as the transcription prints it. The salve is called a 膏 but is in fact a powder, mixed up at the time of use or dusted on dry.

Composition 構成

Paemo Bei Mu
貝母 패모 · Fritillaria

14 g
Chief 君

三錢半
Banha Ban Xia
半夏 반하 · Pinellia

10 g
Deputy 臣

生用, used raw · toxic raw, must be properly processed
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

10 g
Deputy 臣

南星(生用), used raw · toxic raw, must be properly processed
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

10 g
Deputy 臣
Gosam Ku Shen
苦參 고삼 · Sophora Root

10 g
Deputy 臣
Obaeja Wu Bei Zi
五倍子 오배자 · Chinese Gall

10 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

10 g
Assistant 佐
Hwangdan Huang Dan
黃丹 황단 · Red Lead (toxic)

6 g
Assistant 佐

一錢半 · minium — lead tetroxide, toxic
Unghwang Xiong Huang
雄黃 웅황 · Realgar

4 g
Assistant 佐

一錢 · realgar — arsenic sulfide, toxic

Total 84 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 all the malign sores
Nine drugs powdered and mixed with honey water, or dusted on dry

Indications 主治

Pattern-based

諸惡瘡 — all the malign sores
A sore with dead tissue and discharge needing both drying and cooling

Biomedical correlates

Chronic infected ulcers
Suppurating skin lesions

Source text 原文

Donguibogam 東醫寶鑑

治諸惡瘡. 貝母三錢半, 半夏(生用)ㆍ南星(生用)ㆍ五倍子ㆍ白芷ㆍ黃栢ㆍ苦參各二錢半, 黃丹一錢半, 雄黃一錢. 右爲末, 蜜水調付, 或乾糝. 《直指》

Translation

Treats all the malign sores. Fritillaria 3 don 5 fun; pinellia (used raw), arisaema (used raw), gallnut, angelica dahurica, phellodendron and sophora root, 2 don 5 fun of each; minium 1 don 5 fun; realgar 1 don. Powder the above and mix with honey water and apply, or dust it on dry. — Jikji 直指 (Donguibogam · Jechang)

Clinical commentary 臨床

Nine drugs, and only one of them is the fritillaria the formula is named for. Raw pinellia and raw arisaema are the acrid, irritant pair; gallnut is the astringent that dries a weeping surface; phellodendron and sophora root cool and are both bitter antipruritics; angelica dahurica is the chapter's standing sore drug; minium and realgar are the metals. It is a drying, eroding powder rather than a soothing one, and the instruction to dust it on dry (乾糝) is the more characteristic use. The name 膏 is misleading — there is no fat and no wax, and the honey water is mixed in only at the time of application. **Contains minium (lead tetroxide) and realgar (arsenic sulfide), both dusted directly onto open sores, where lead and arsenic are absorbed. It also contains raw pinellia and raw arisaema, which are severely irritant until properly processed and are specified here as raw. This must not be prepared.** The two cooling drugs in it, phellodendron and sophora root, are the only part of the formula with a defensible topical rationale. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.