Formulas · External Application 外用 · Jikji (直指)

Another Formula for Sores of the Penis

Ubang

한글 우방(삼부약 2) · Pinyin You Fang

又方

The head of this leaf is literally 又方, so it is entered under an identifier taken from its section: it is the second of the two unnamed 又方 leaves of the 糝付藥 subsection of 陰蝕瘡 at 048a. It is unrelated to the other ilbang and ubang entries of the corpus. The leaf is a composite of five short prescriptions from five sources, and the ingredient list is their union with each drug's prescription marked in the preparation; 油髮 appears in the first and third and is entered once. The transcription prints a stray space before 一錢 in the first clause, which is read as nothing and the figure taken as the dose of the powder swallowed, not a drug weight. 津唾, saliva, and 米飮, rice water, have no herb entries and are kept in the method. 油髮 is entered under 頭髮 by way of the 油髮 alias.

Composition 構成

Baldu Tou Fa
頭髮 발두 · Human Hair

—
Chief 君

油髮灰 and 油髮 — oiled hair, burnt to ash in the first and third prescriptions
Gyerangak Ji Dan Ke
雞卵殼 계란각 · Eggshell

—
Deputy 臣

雞卵殼, in the second prescription
Hwangnyeon Huang Lian
黃連 황련 · Coptis

—
Deputy 臣

in the second prescription
Gyeongbun Qing Fen
輕粉 경분 · Calomel (toxic)

—
Deputy 臣

in the second prescription · calomel, a mercury salt, toxic
Cheongyu Qing You
淸油 청유 · Clear Sesame Oil

—
Assistant 佐

香油 — sesame oil, the vehicle of the second prescription, and the oil of the fifth
Cheongdae Qing Dai
靑黛 청대 · Natural Indigo

—
Assistant 佐

in the third prescription
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

—
Assistant 佐

少許, a small amount, in the third prescription · musk, a CITES-protected animal material
Wolgyeongpo Yue Jing Bu
月經布 월경포 · Menstrual Cloth

—
Assistant 佐

燒灰 — burnt to ash, the fourth prescription · human material
Wau Wo Niu
蝸牛 와우 · Snail

—
Assistant 佐

焙乾 — baked dry, the fifth prescription · raw animal material
Baekban Bai Fan
白礬 백반 · Alum

—
Assistant 佐

枯白礬 — calcined alum, the fifth prescription
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

蜜 — honey, the vehicle of the fourth prescription

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 11 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

Ash of oiled hair worked up with saliva for small fistulous openings at the tip of the penis, with a don of the powder also taken in rice water
Four further short prescriptions appended: eggshell with coptis and calomel in sesame oil, oiled hair with indigo and musk, burnt menstrual cloth in honey, and baked snail with calcined alum
The last is dusted on dry while the sore is wet and mixed with oil when it is not

Indications 主治

Pattern-based

Three or five small weeping openings at the glans, bleeding with a little pus — 小漏瘡
外腎疳瘡 — chancre of the external genitals
妬精瘡 and 陰蝕瘡
Sores on the shaft of the penis
下疳瘡, wet or dry

Biomedical correlates

Fistulous or sinus tracts at the glans — late chancroid or tuberculous ulceration
Genital ulceration of various causes

Source text 原文

Donguibogam 東醫寶鑑

莖頭三五孔小漏瘡, 出血微膿. 油髮灰, 津唾調付, 仍米飮調服一錢, 甚妙. 《直指》 ○ 外腎疳瘡, 雞卵殼ㆍ黃連ㆍ輕粉爲末, 香油調塗. 《得效》 ○ 妬精瘡ㆍ陰蝕瘡, 油髮ㆍ靑黛ㆍ麝香少許. 右爲末, 或糝, 或津唾調付. 《精義》 ○ 陰莖上生瘡, 取月經布燒灰, 蜜調塗, 卽愈. 《入門》 ○ 下疳瘡, 蝸牛焙乾ㆍ枯白礬爲末, 濕則乾糝, 或油調付. 《回春》

Translation

For three or five small fistulous openings at the head of the penis, bleeding with a little pus: ash of oiled hair worked up with saliva and applied, and 1 don of the same also taken stirred into rice water. Very fine. — Jikji 直指. ○ For chancre of the external genitals: eggshell, coptis and calomel powdered and smeared on mixed with sesame oil. — Deukhyo 得效. ○ For the sore of pent-up semen and the eating sore of the genitals: oiled hair, natural indigo and a little musk. Powder the above and either dust it on or work it up with saliva and apply. — Jeongui 精義. ○ For sores arising on the shaft of the penis: take a menstrual cloth, burn it to ash, mix with honey and smear on; it heals at once. — Immun 入門. ○ For chancre: snail baked dry and calcined alum, powdered; if the sore is wet dust it on dry, or else mix with oil and apply. — Hoechun 回春 (Donguibogam · Jechang)

Clinical commentary 臨床

Five short prescriptions under one head, four of them appended to the first with the ○ mark. The first is the only one with a stated indication of its own: 莖頭三五孔小漏瘡, three or five small leaking openings at the head of the penis with blood and a little pus. That is a description of sinus tracts, and multiple fistulous openings at the glans is late destructive ulceration — chancroid or tuberculous — not a trivial sore. The materials run from the merely inert to the frankly unusable. Burnt hair is keratin char and works as an absorbent powder; natural indigo is a plausible soothing dye; calcined alum and baked snail is the one pairing with a sensible logic, the alum astringent and the snail supplying a mucilage. Burnt menstrual cloth is sympathetic magic of the kind the chapter resorts to when a sore sits on the genitals, and the saliva that carries three of these is the chapter's habitual vehicle. **Contains calomel, a mercury salt absorbed through ulcerated skin; musk from a CITES-protected species; human material in the burnt menstrual cloth; and a raw snail, which carries Angiostrongylus cantonensis, the rat lungworm. Saliva applied to an open genital ulcer transfers oral flora and herpes simplex. None of this should be prepared, and the saliva vehicle in particular is actively harmful.** Multiple draining openings at the glans need biopsy, culture and systemic treatment. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.