Formulas · Stabilize & Astringe 固澀 · Uihak Immun (醫學入門)

Ivory Pill

Sanga-hwan

한글 상아환 · Pinyin Xiang Ya Wan

象牙丸

象牙, ivory, is not a registered drug and is left out of the ingredient list; it is the drug the formula is named for, at 3 don. The transcription writes 猬皮 where the drug dictionary heads the entry 蝟皮, and prints 並 rather than 幷; the transcription's forms are followed, as the corpus does not normalize that pair.

Composition 構成

Byeolgap Bie Jia
鼈甲 별갑 · Turtle Carapace

—
Deputy 臣

one shell, burnt (並燒)
Wipi Wei Pi
蝟皮 위피 · Hedgehog Skin

—
Deputy 臣

one hedgehog skin, burnt (並燒)
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

the flesh (棗肉), as the binder
Dongbyeon Tong Bian
童便 동변 · Child's Urine

—
Envoy 使

boy's urine (童尿), as the vehicle; clear tea will also do
Jeodamjeup Zhu Dan Zhi
猪膽汁 저담즙 · Pig Bile

—
Envoy 使

pig bile, to mix the powder for the external application after seven days

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 5 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 plum-blossom sores that have turned into a fistula (成漏)
One cherry-sized pill on an empty stomach, dissolved in boy's urine or in clear tea
After seven days the same three drugs are powdered, mixed with pig bile and applied to the sore

Indications 主治

Pattern-based

Toxin sunk deep with a sinus tract that will not close
Chronic discharging fistula after a sore

Biomedical correlates

Syphilitic fistula and sinus tract — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治楊梅瘡成漏. 象牙三錢, 鼈甲ㆍ猬皮(並燒) 各一箇. 右爲末, 棗肉和丸櫻桃大, 每一丸, 空心以童尿化下, 茶淸亦可. 七日後, 取三味末, 猪膽汁調付瘡上. 《入門》

Translation

Treats plum-blossom sores that have turned into a fistula. Ivory 3 don; one soft-shelled turtle shell and one hedgehog skin, both burnt. Grind to powder, bind with date flesh into pills the size of a cherry, and take one pill on an empty stomach, dissolved down in boy's urine; clear tea will also do. After seven days, take the powder of the three drugs, mix it with pig bile and apply it on the sore. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

Three hard animal materials, two of them burnt to a char, bound with date flesh — the book's standing approach to a tract that will not close. Turtle shell and hedgehog skin are both drugs it uses for sinking masses and for haemorrhoidal and fistulous disease, and burning them was held to turn them toward closing a sore rather than softening it. The same powder is then used both ways: swallowed for seven days, then mixed with pig bile and laid on the opening. A syphilitic fistula is a tract through destroyed tissue, often through bone, and nothing here would close it. Boy's urine as the vehicle is the chapter's usual choice for a toxin thought to need cooling and leading downward. **Ivory (象牙) is from a CITES Appendix I animal; its trade is illegal in nearly every jurisdiction and it must not be obtained.** **Boy's urine (童尿) is a human material and pig bile (猪膽汁) a raw animal material; applying either to an open sore is a direct route for infection.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.