Formulas · External Application 外用 · Jikji (直指)

Washing Formula

Tangse-bang

한글 탕세방 · Pinyin Dang Xi Fang

盪洗方

治同上 points back to the 去水膏 leaf immediately above it, so the indication is an opened abscess that tainted water has got into. No weight is given for any of the four drugs, and none is implied; the wash is made in whatever quantity is needed. 荊芥穗 is the flower spike, registered under 荊芥. The transcription prints 𤍠 and 温; 熱 and 溫 are printed above.

Composition 構成

Nobongbang Lu Feng Fang
露蜂房 노봉방 · Hornet's Nest

—
Chief 君
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

—
Deputy 臣
Gosam Ku Shen
苦參 고삼 · Sophora Root

—
Deputy 臣
Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

—
Assistant 佐
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

—
Assistant 佐

荊芥穗, the flower spikes, added where the place is hot and inflamed

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

A wash: the four drugs decocted and the sore bathed warm
Schizonepeta spikes added where the place is hot and inflamed
Treats the same as the preceding leaf (治同上)

Indications 主治

Pattern-based

治同上 — the same as above: an opened abscess that foul water has got into
熱焮 — hot and inflamed

Biomedical correlates

Wound irrigation
Infected open wound — topical
Contaminated wound cleansing

Source text 原文

Donguibogam 東醫寶鑑

治同上. 露蜂房ㆍ白芷ㆍ苦參ㆍ川椒. 右煎湯溫洗. 如熱焮, 加荊芥穗. 《直指》

Translation

Treats the same as above. Hornet's nest, dahurian angelica, sophora root and Sichuan pepper. Decoct the above and wash the place warm. Where it is hot and inflamed, add schizonepeta spikes. — Jikji 直指 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Four drugs, no weights, and a single instruction: boil them and wash the place warm. It is the companion to the 去水膏 dressing above it — wash first, then dress — and the pairing is the right order of operations. The choice of drugs is conventional for a sore wash. Hornet's nest is the chapter's standard external drug for a suppurating sore, sophora root is bitter and drying, dahurian angelica is the surface-opening drug used wherever pus is present, and Sichuan pepper is warming and mildly anaesthetic. Schizonepeta spikes go in when the surrounding skin is hot and angry, which is the leaf's one piece of modification. Irrigation is the oldest intervention in wound care and still one of the most effective: what matters is the mechanical flushing and the volume, not what is in the fluid, and clean water or saline is what is used now. 溫洗, washing warm rather than hot, is a detail worth keeping — hot irrigation damages granulating tissue. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.