Formulas · Expel Worms 驅蟲 · Gogeum Uigam (古今醫鑑)

Kill the Worm Pill

Salchung-hwan

한글 살충환 · Pinyin Sha Chong Wan

殺蟲丸

Composition 構成

Biseok Pi Shuang
砒礵 비상 · Arsenic Trioxide

—
Chief 君

good arsenic, any amount · severely toxic
Hwangdan Huang Dan
黃丹 황단 · Red Lead (toxic)

—
Deputy 臣

a little · toxic
Hwangrap Huang La
黃蠟 황랍 · Beeswax

—
Envoy 使

melted, to form the pellets

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients measured by count or used as a vehicle, shown as —.

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 a worm-eaten toothache — a pellet put in the ear on the painful side

Indications 主治

Pattern-based

Worm-eaten tooth with pain

Biomedical correlates

Dental caries — external use

Source text 原文

Donguibogam 東醫寶鑑

治蟲牙痛. 好砒礵不拘多少, 量加黃丹少許, 以黃蠟熔成一塊, 旋用旋丸如黃豆大, 用白綿包裹留尾. 如右牙疼則塞右耳, 左牙疼則塞左耳, 兩邊疼則塞兩耳, 必深入耳孔. 一夜其蟲卽死, 永不復疼矣. 《醫鑑》

Translation

Treats a worm-eaten toothache. Good arsenic, any amount, with a little red lead added by measure, melted into a lump with beeswax; roll off pellets the size of a soybean as needed, wrap in white cotton wool leaving a tail, and for pain on the right put it in the right ear, for the left in the left, for both in both, pushing it well into the ear hole. In one night the worm dies and the pain never returns.

Clinical commentary 臨床

**Arsenic trioxide is a lethal poison and red lead is toxic; both are absorbed through the skin and the ear canal. This formula must not be prepared under any circumstances. It is translated here as a record of what the text says.** The caries "worm" is not an animal, and nothing in the pellet reaches the tooth from the ear. The chapter's own better answers to a decayed tooth are the rinses at 4.29 and the cavity dressing at Chaajitong-bang. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.