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Formulas · External Application 外用 · Haejang (海藏)

Worm-Killing Formula

Salchung-bang

한글 살충방  ·  Pinyin Sha Chong Fang

殺蟲方

The transcription writes 虫 for 蟲 in all three clauses of the body while the section head prints 蟲; 蟲 is printed here, the corpus carrying it 99 times against five of 虫 and the chapter's own registered text using it 21 times against two. The first clause names both 土蜂房 at 2 don and 露蜂房 at 2 don 5 fun as separate drugs; only 露蜂房 has an id of its own, and since folding 土蜂房 into it would double the row, the ground wasp's nest is left out of the ingredient list and named here. 䃃砂 is printed as the transcription has it and entered under 硇砂; 片腦 and 龍腦 are the same drug in this corpus. The ingredient list carries the first clause only, the named prescription; the Deukhyo's four-drug powder and the Immun's bare instruction are given in the source text and translation. 藥水 is the 洗藥方 of this same section.

Composition 構成

Total 71 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

  • 惡瘡有蟲 — a malign sore with worms in it
  • 諸惡瘡有蟲 — maggots or vermin in any malign sore

Biomedical correlates

  • Wound myiasis — maggot infestation of an ulcer
  • Heavily colonised chronic ulcer

Source text 原文

Donguibogam 東醫寶鑑

治惡瘡有蟲. 膽礬ㆍ輕粉ㆍ乳香 各一錢, 䃃砂ㆍ雄黃ㆍ土蜂房 各二錢, 龍骨ㆍ虎骨ㆍ白礬ㆍ露蜂房 各二錢半, 麝香 五分, 片腦 一字. 右爲末, 藥水洗後付之, 神效. 《海藏》 ○諸瘡殺蟲, 檳榔 五錢, 黃連 二錢半, 穿山甲 五片(燒灰), 麝香 一字. 右爲末, 茶淸調塗. 《得效》 ○諸惡瘡有蟲, 須用斑猫ㆍ藜蘆. 《入門》

Translation

Treats the malign sore that has worms in it. Copper sulfate, calomel and frankincense, 1 don of each; sal ammoniac, realgar and the ground wasp's nest, 2 don of each; dragon bone, tiger bone, alum and the hornet's nest, 2 don 5 fun of each; musk 5 fun; borneol 1 ja. Powder the above; wash with the medicated wash and then apply it; wonderfully effective. ○ To kill the worms in any sore: areca 5 don, coptis 2 don 5 fun, five pangolin scales (burnt to ash), musk 1 ja. Powder the above and paint it on with clear tea. ○ For worms in any malign sore, blister beetle and veratrum must be used. — Haejang 海藏 · Seui Deukhyobang 得效 · Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

Three clauses, each less a prescription than a list of what kills. The Haejang's powder is twelve drugs, and the working ones are the poisons: copper sulfate, calomel, realgar, alum, sal ammoniac. Frankincense, dragon bone, tiger bone, musk and borneol are the aromatic and astringent padding. The Deukhyo's shorter powder leans on areca, the tradition's chief anthelmintic, with coptis and burnt pangolin scale. The Immun does not bother with a formula and simply says 須用斑猫ㆍ藜蘆 — you must use blister beetle and veratrum. 惡瘡有蟲 is not a figure of speech. A neglected ulcer in a warm climate gets flyblown, and maggots in a wound are visible, which is why this is the one place the chapter is certain its 蟲 is really there. Copper sulfate and arsenic sulfide would in fact kill larvae, and so would cantharidin. **This is the most dangerous formula in the section. It contains realgar (arsenic sulfide), calomel (a mercury salt), copper sulfate and, in the third clause, blister beetle — cantharidin, a blistering agent and renal toxin — and veratrum, which is emetic and cardiotoxic. All of it is applied to an open, broken wound, where arsenic, mercury and cantharidin are absorbed freely. It also uses tiger bone, pangolin scale and musk, all taken from protected species. This must not be prepared.** Wound myiasis is treated by irrigation, mechanical removal of the larvae and debridement, and the wound then needs its underlying cause found. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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