Formulas · External Application 外用 · Jeongyo (精要)

Engender the Flesh Powder

Saenggi-san

한글 생기산 · Pinyin Sheng Ji San

生肌散

The Bogam carries two formulas of this name. This is the one in the Abscesses chapter — the eight-drug mineral powder from the Jeongyo with an alternative formula appended from the Jikji; the other is the Dansim's four-drug powder of dragon bone, glauberite, calomel and dried rouge, registered as `saenggi-san`. The leaf's interlinear note on dragon bone, 無則狗頭骨代之 — dog skull in its place if there is none — is rendered in parentheses. The 一方 gives 一兩 without 各, so the nyang may govern the dog skull and the mulberry bark together or the mulberry bark alone; it is printed as the leaf has it. The 一方's dog skull is left out of the ingredient list, which carries the main formula only.

Composition 構成

Hansuseok Han Shui Shi
寒水石 한수석 · Glauberite

40 g
Chief 君

1 nyang
Hwalseok Hua Shi
滑石 활석 · Talc

40 g
Chief 君

1 nyang
Yonggol Long Gu
龍骨 용골 · Dragon Bone

40 g
Deputy 臣

1 nyang (無則狗頭骨代之 — dog skull in its place if there is none)
Ojeokgol Hai Piao Xiao
烏賊骨 오적골 · Cuttlefish Bone

40 g
Deputy 臣

烏賊魚骨, 1 nyang
Hobun Hu Fen
胡粉 호분 · White Lead (toxic)

20 g
Assistant 佐

定粉 — white lead, 5 don · toxic
Miltaseung Mi Tuo Seng
密陀僧 밀타승 · Litharge (lead monoxide)

20 g
Assistant 佐

5 don · toxic
Baekban Bai Fan
白礬 백반 · Alum

20 g
Assistant 佐

白礬灰 — alum burnt to ash, 5 don
Yeonji Yan Zhi
臙脂 연지 · Rouge (safflower pigment)

20 g
Envoy 使

乾胭脂 — dried rouge, 5 don

Total 240 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

Dusted onto the sore to raise flesh
In the alternative formula, mixed with oil and applied, or dusted on dry

Indications 主治

Pattern-based

An open sore that will not fill in

Biomedical correlates

Open wound or ulcer — topical dressing powder

Source text 原文

Donguibogam 東醫寶鑑

寒水石ㆍ滑石ㆍ龍骨(無則狗頭骨代之)ㆍ烏賊魚骨各一兩, 定粉ㆍ密陀僧ㆍ白礬灰ㆍ乾胭脂各五錢. 右爲極細末, 糝之. 《精要》 ○一方, 老狗頭生腦骨(碎煆)ㆍ桑白皮(新者) 一兩, 當歸二錢半. 右極細末, 油調付, 或乾糝. 《直指》

Translation

Glauberite, talc, dragon bone (dog skull in its place if there is none) and cuttlefish bone, 1 nyang each; white lead, litharge, alum burnt to ash and dried rouge, 5 don each. Grind to a very fine powder and dust it on. — Jeongyo 精要. ○ An alternative formula: the fresh skull bone of an old dog, broken up and calcined, and mulberry root bark, fresh, 1 nyang; Korean angelica 2 don 5 fun. Grind to a very fine powder, mix with oil and apply, or dust it on dry. — Jikji 直指 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The chapter's fullest flesh-raising powder and a straight list of absorbent minerals: glauberite and talc for bulk, dragon bone and cuttlefish bone for the calcium that stiffens a dressing and takes up discharge, white lead and litharge for the colour and the supposed drying, alum to astringe, and dried rouge last for the tint. Dragon bone is the one the leaf itself allows to be substituted, with a dog's skull, which tells you the ingredient was valued for being burnt bone rather than for being fossil. The appended 一方 from the Jikji is a different thing — a calcined dog skull with fresh mulberry root bark and a little Korean angelica, worked up with oil — and is the only one of the pair that can be spread rather than dusted. **Contains white lead and litharge, which are lead carbonate and lead monoxide and are absorbed from a raw wound surface. This must not be prepared.** The alternative formula is built on calcined animal bone applied to an open wound, with the infection risk that carries. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.