Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Sight-Clearing Powder

Tongmyeong-san

한글 통명산  ·  Pinyin Tong Ming San

通明散

No formula of this name stood in the database and the folded name collides with nothing. 乾葛 resolves to galgeun through the alias table. The transcription writes 醫鍳, printed 醫鑑 by the standing correction, and 糓精草 is kept with 糓. The leaf carries no indication of its own; 1.87.1 supplies it at 痘後生瞖膜宜服通明散𠔥用吹雲散入耳, which also pairs it with Chwiun-san, registered in this batch as chwiun-san. The section's clause quoted in the note below is given as 活血鮮毒; 鮮 there is almost certainly 解, the transcription's only 鮮 in a 毒 compound against 解毒 throughout the neighbouring sections, and it is translated as 解毒. That clause belongs to the section prose and not to this leaf, so it is only noted.

Composition 構成

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

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

  • A screen and membrane bred after the pox (痘後生瞖膜)

Biomedical correlates

  • Corneal opacity following smallpox

Source text 原文

Donguibogam 東醫寶鑑

當歸ㆍ川芎ㆍ赤芍藥ㆍ生地黃ㆍ防風ㆍ乾葛ㆍ甘菊ㆍ天花粉ㆍ蟬殼 各二分半, 糓精草 五分. 右剉, 作一貼, 水煎服. 《醫鑑》

Translation

Angelica sinensis, chuanxiong, red peony, raw rehmannia, ledebouriella, pueraria, chrysanthemum, trichosanthes root and cicada moulting 2 fun 5 ri each; pipewort 5 fun. Cut them up, make one packet and decoct in water. — Uigam 醫鑑 (Donguibogam · Soa)

Clinical commentary 臨床

Samul-tang with the red peony and the raw rehmannia — the cooling, blood-moving version — and then the section's eye set laid on top: ledebouriella, chrysanthemum, cicada moulting, pipewort, with pueraria and trichosanthes root for the heat and the dryness. The weights are the smallest in the section, a tenth of a don for nine of the ten drugs, which makes it a light, repeatable decoction rather than a course of strong medicine. The section states the reasoning for a formula shaped this way, two lines above the leaves: 痘後目生瞖, 但活血鮮毒則疼痛自止, 瞖膜自去 — after the pox a screen grows in the eye, and if you only move the blood and resolve the toxin the pain stops of itself and the screen goes of itself. This leaf is that sentence turned into a prescription. What this section is treating, and what could and could not be done about it, is set out under Milmonghwa-san; the part of the reasoning that holds is the first half, since the pain of an inflamed eye does settle as the inflammation settles, and the part that does not is the second, since a scar does not go of itself. **The patient is a child, and the leaf gives no dose scaled to age or weight.** Nothing in it is toxic. The thing to say plainly is about the pairing: this decoction was given together with Chwiun-san, a lead and mercury powder blown into the child's ear, and the harm of that pairing belongs to that leaf, not this one. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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