Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Immortal's Leftover Grain

Seonyuryang

한글 선유량 · Pinyin Xian Yi Liang

仙遺粮

A single-drug leaf: 仙遺粮 is 土茯苓, Smilax glabra, and is entered under tobokryeong. The alias 仙遺粮 is not registered in herb-aliases.yaml against that id and should be added, since the name heads this leaf and three formula names in the same section. The leaf gives no weight for the drug itself, only the dose in pills, so no grams are recorded. The transcription writes 癕 for 癰; the standard form is printed.

Composition 構成

Tobongnyeong Tu Fu Ling
土茯苓 토복령 · Smilax

—
Chief 君

the single drug (一味), powdered and rolled with honey into pills the size of a parasol-tree seed
Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

—
Envoy 使

decocted as the vehicle the pills are swallowed in

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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 long-standing heavenly blister and plum-blossom sores, abscess and fistula, and the ruined limbs and aching sinews and bones of one who has taken calomel in error
It gathers up the toxin, drives out the wind and supplements the depletion
The single drug powdered, honey-rolled, fifty pills swallowed in a decoction of Sichuan pepper
Not to be taken where the case is new with lung heat and constipation

Indications 主治

Pattern-based

Damp toxin and wind lodged in the sinews and bones with depletion
Calomel toxin with wasted limbs

Biomedical correlates

Late syphilis — historical treatment
Mercury poisoning following treatment

Source text 原文

Donguibogam 東醫寶鑑

善治久病天疱ㆍ楊梅ㆍ癰漏及曾誤服輕粉, 肢體廢壞, 筋骨疼痛者. 能收其毒而祛其風, 補其虛. ○右一味爲末, 蜜丸梧子大, 川椒煎湯呑下五十丸. 鼻崩ㆍ眉落ㆍ筋緩ㆍ骨拳者皆效. 但初起肺熱便秘者勿服. 《入門》

Translation

It is good for long-standing heavenly blister sores, plum-blossom sores, abscess and fistula, and for one who has formerly taken calomel in error so that the limbs are ruined and the sinews and bones ache. It can gather up the toxin, drive out the wind and supplement the depletion. ○ Powder this one drug, roll it with honey into pills the size of a seed of the parasol tree, and swallow fifty pills in a decoction of Sichuan pepper. It works in every case of collapsed nose, fallen eyebrows, slackened sinews and clenched bones. But where the case is new, with lung heat and constipation, it is not to be taken. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

The single drug on which the whole section rests, given its own leaf at the end: smilax root, powdered, honey-rolled, fifty pills at a time swallowed in Sichuan pepper decoction. The name means the grain the immortals left behind, and it was a famine food before it was a medicine. The indication is the clearest statement in the chapter of what late syphilis looked like: collapsed nose, fallen eyebrows, slackened sinews, clenched bones — and alongside them the ruined limbs of a patient already poisoned with calomel. The contraindication is equally precise and worth noticing: not in a new case with lung heat and constipation, because the drug is read as gathering and holding the toxin rather than expelling it, and an acute eruption still needs to be let out. Smilax glabra is the one drug here with a genuine historical reputation across Europe and Asia as a syphilis remedy, under the name sarsaparilla. It is comparatively safe and it does not cure syphilis. **Where this section's formulas were taken for mercury poisoning, nothing in them chelates mercury; that is an emergency for specialist care.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.