寶鑑Bogam

Formulas · External Application 外用 · Seui Deukhyobang (世醫得效方)

Washing Formula

Seyak-bang

한글 세약방  ·  Pinyin Xi Yao Fang

洗藥方

A method leaf of two clauses with no weights anywhere, so no grams are entered. The leaf runs across the page break: 葱 stands at the foot of 056b and 白桃枝柳枝 at the head of 057a, read as 葱白ㆍ桃枝ㆍ柳枝, and the marker [057a] inside the leaf is not part of the text. The transcription writes 𥂁, normalized to 鹽 among the standard 俗字 corrections. 茵蔯 is printed as the transcription and the corpus both have it — 58 instances against two of 茵陳 — and is entered under 茵蔯蒿. 桃枝 and 柳枝 are entered under 桃枝梢 and 柳枝梢, the ids the herb list carries. 葱白 appears in both clauses and is entered once. The 藥水 that 松脂貼散, 二黃膏 and 金華散 all call for is this formula.

Composition 構成

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

Indications 主治

Pattern-based

  • 諸般惡瘡 — malign sores of every kind
  • 諸般惡瘡毒 — the toxin of malign sores of every kind

Biomedical correlates

  • Wound irrigation and cleansing
  • Infected skin ulcers — topical wash

Source text 原文

Donguibogam 東醫寶鑑

治諸般惡瘡. 黃栢ㆍ茵蔯ㆍ荊芥ㆍ葱白ㆍ藿香, 煎水淋洗爲妙. 《得效》 ○洗諸般惡瘡毒, 艾葉ㆍ細茶ㆍ葱白ㆍ桃枝ㆍ柳枝ㆍ川椒, 濃煎湯, 入鹽頻洗. 《回春》

Translation

Treats malign sores of every kind. Phellodendron, capillary wormwood, schizonepeta, scallion white and patchouli: decoct in water and irrigate the sore with it; excellent. ○ To wash the toxin of malign sores of every kind: mugwort leaf, fine tea, scallion white, peach twig, willow twig and Sichuan pepper, boiled down into a strong decoction with salt stirred in, and wash often. — Seui Deukhyobang 得效 · Hoechun 回春 (Donguibogam · Jechang)

Clinical commentary 臨床

Two washes, both of them plant decoctions, and both of them used the same way: boil, cool enough to bear, pour over the sore. The first is the cooling one — phellodendron, capillary wormwood, schizonepeta, scallion white, patchouli. The second, from the Hoechun, is stronger and simpler: mugwort, tea, scallion, peach and willow twig, Sichuan pepper, boiled down hard with salt added, and used often. This is the most useful formula in the section, because irrigation is the one part of the chapter's wound care that still holds. Three of the other preparations here — 松脂貼散, 二黃膏, 金華散 — all begin 以藥水洗瘡, wash the sore with the medicated wash, and that wash is this. The salt in the second decoction gives it something close to a saline irrigation, which is still the standard for cleaning a wound; willow bark carries salicylates and tea carries tannins and polyphenols, so neither twig is inert. Nothing in either wash is hazardous. The caution is temperature and cleanliness: a decoction used warm, prepared without sterility and poured repeatedly over an open ulcer can introduce as much as it removes, and boiled water allowed to cool in a clean vessel is the safer carrier. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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