Formulas · External Application 外用 · Jikji (直指)

Astringe the Sore Powder

Yeomchang-san

한글 염창산 · Pinyin Lian Chuang San

斂瘡散

The leaf heads the formula 歛瘡散; the standard form 斂瘡散 is printed. The leaf gives no indication line, only the composition and 乾糝 — dust on dry.

Composition 構成

Hwalseok Hua Shi
滑石 활석 · Talc

20 g
Chief 君

軟滑石(煆) — soft talc, calcined, 5 don
Hwayeseok Hua Rui Shi
花蘂石 화예석 · Ophicalcite

20 g
Chief 君

煆 — calcined, 5 don
Gyenaegeum Ji Nei Jin
鷄內金 계내금 · Chicken Gizzard Lining

20 g
Deputy 臣

5 don
Baekgeup Bai Ji
白及 백급 · Bletilla

14 g
Deputy 臣

3 don 5 fun
Baengnyeom Bai Lian
白斂 백렴 · Ampelopsis Root

10 g
Assistant 佐

2 don 5 fun
Hwangdan Huang Dan
黃丹 황단 · Red Lead (toxic)

4 g
Assistant 佐

1 don · toxic
Yuhyang Ru Xiang
乳香 유향 · Frankincense

4 g
Envoy 使

1 don

Total 92 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

Dusted on dry to draw the sore in and close it

Indications 主治

Pattern-based

瘡口 standing open and weeping after the swelling has broken

Biomedical correlates

Open discharging wound or ulcer — topical dressing powder

Source text 原文

Donguibogam 東醫寶鑑

軟滑石(煆)ㆍ花蘂石(煆)ㆍ雞內金各五錢, 白芨三錢半, 白斂二錢半, 黃丹ㆍ乳香各一錢. 右爲末, 乾糝, 神效. 《直指》

Translation

Soft talc, calcined, ophicalcite, calcined, and chicken gizzard lining, 5 don each; bletilla 3 don 5 fun; ampelopsis root 2 don 5 fun; red lead and frankincense, 1 don each. Powder them and dust on dry; marvellously effective. — Jikji 直指 (Donguibogam · Ongjeo)

Clinical commentary 臨床

A dry dusting powder, not a paste: four-fifths of it by weight is calcined mineral and gizzard lining, which is to say an absorbent inert dust that takes up the discharge from an open sore and leaves a crust. Bletilla and ampelopsis root add the little that binds; frankincense is for pain. This is the counterpart of the pastes above — those are for a swelling still closed, this is for one already open. 乾糝, dusting on dry, is the chapter's word for this whole class of powder and is worth keeping distinct from the pastes and the washes. The aim named in the title, 斂, is to make the mouth of the sore draw in. **Contains red lead, which is lead tetroxide and is absorbed from a raw wound surface. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.