Formulas · Clear Heat 淸熱 · Hwarinseo (活人書)

Sagely Unblocking Powder for Pox Screens

Tongseong-san

한글 통성산 (소아)  ·  Pinyin Tong Sheng San

通聖散

No 通聖散 stood in the database under that name. What stands is the 防風通聖散 family — bangpungtongseong-san from the Seonmyeongnon-bang, with hwangryeontongseong-san, sotongseong-san, gagamtongseong-san, gagamtongseong-hwan and tongseongobo-dan beside it — and in the eye chapter 通聖散 is used as a live abbreviation of it: tongseong-san-gagambeop opens 通聖散(方見風門)去硝ㆍ黃. So the name had to be decided by composition, and composition decides it against the abbreviation. This leaf is three drugs, white chrysanthemum, mung bean skin and pipewort, from the Hwarinseo, eaten on a dried persimmon; 防風通聖散 is seventeen drugs built on 滑石ㆍ石膏ㆍ大黃ㆍ芒硝ㆍ麻黃 and shares not one ingredient with it. They are unrelated prescriptions. The chapter tail is therefore used rather than the bare id, so that the string 通聖散 occurring elsewhere in the corpus — where it means the Wind chapter's formula — cannot be resolved onto this leaf. The transcription writes 為, printed 爲. 糓精草 is kept with 糓: the database prints 糓精草 in all five places it occurs, among them the 小兒門 entry jagan-hwan, and 穀精草 occurs nowhere. Given as 各等分 against a 1-don dose; grams are entered at 40 each as a notional equal share.

Composition 構成

Total 120 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • Pox and rash toxin entering the eye and breeding a screen and membrane (痘疹入眼生瞖膜)

Biomedical correlates

  • Corneal opacity following smallpox

Source text 原文

Donguibogam 東醫寶鑑

白菊花ㆍ菉豆皮ㆍ糓精草 各等分. 右爲末, 取一錢, 乾柿一箇ㆍ米泔一盞同煎, 候泔盡, 只取柿食之, 日三. 《活人》

Translation

White chrysanthemum flower, mung bean skin and pipewort, equal parts. Powder them and take 1 don; simmer it together with one dried persimmon in a jan of rice-washing water, and when the water is gone take only the persimmon and eat it. Three times a day. — Hwarin 活人 (Donguibogam · Soa)

Clinical commentary 臨床

Three cool, light drugs and a sweet. White chrysanthemum and pipewort are the eye chapter's two most-used plants for a screen on the cornea, and the mung bean skin is there as a cooling drug for residual toxin — the bean skins reappear a few leaves later as the whole of Sapi-eum. The preparation is the interesting part: the powder is simmered with one dried persimmon in rice-washing water until the water has gone into the fruit, and then the fruit alone is eaten, three times a day. That is a medicated sweet, and it exists because the patient is a small child who has just been through smallpox and will not take a bitter powder three times a day for weeks. What this section is treating, and what could and could not be done about it, is set out under Milmonghwa-san; it is not repeated here. For this leaf the specific point is that chrysanthemum and pipewort taken by mouth do not clear an opacity in the cornea. If the child's sight came back, it came back because the inflammation of the acute illness settled and what had looked like a dense screen was oedema rather than scar — the section itself knows this pattern and records it two lines above the formulas: 無瞖但眼目無光者過百日氣血復則自明, where there is no screen but only no light in the eye, a hundred days and the qi and blood recover and it brightens of itself. **The patient is a child, and the leaf gives no dose scaled to age or weight — 1 don of powder to a persimmon, whatever the child's size.** None of the three drugs is toxic and the vehicle is food, so this is among the safest leaves in the section; the harm it could do is the harm of the whole section, which is the weeks it occupies. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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