Formulas · External Application 外用 · Uihak Immun (醫學入門)

Flesh-Knitting Powder

Yeomgi-san

한글 염기산 · Pinyin Lian Ji San

斂肌散

The leaf gives no 治 clause; the indication stands in the section prose of 1.87.2, 痘癰膿血不收, 宜用斂肌散. The transcription writes 為 for 爲; the corpus prints 爲 in 1,322 places against three, and the normalized form is given. 黃栢 is kept as the transcription prints it, which is also the corpus majority. 斂 takes the initial-law reading at the head of a word, so the id reads yeomgi-san and not the ryeomgi-san the project's romanizer returns; the corpus applies the same rule at yeomsu-bang and yeomban-san. No formula of this name stood in the database.

Composition 構成

Hwangnyeon Huang Lian
黃連 황련 · Coptis

—
Chief 君

equal parts
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

—
Chief 君

equal parts
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

—
Deputy 臣

equal parts
Obaeja Wu Bei Zi
五倍子 오배자 · Chinese Gall

—
Assistant 佐

equal parts
Gamcho Gan Cao
甘草 감초 · Licorice

—
Envoy 使

equal parts

Total 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

Dusted dry onto a pox abscess whose pus and blood will not close
Draws the flesh together and dries the discharge

Indications 主治

Pattern-based

痘癰膿血不收 — a pox abscess discharging pus and blood that will not close

Biomedical correlates

Chronically discharging infected smallpox lesion — a non-healing wound
Secondarily infected ulcer in a child

Source text 原文

Donguibogam 東醫寶鑑

黃連ㆍ黃栢ㆍ地骨皮ㆍ五倍子ㆍ甘草各等分. 右爲細末, 乾糝之. 《入門》

Translation

Coptis, phellodendron, wolfberry root bark, gallnut and liquorice, in equal parts. Make the above into a fine powder and dust it on dry. — Immun 入門 (Donguibogam · Soa)

Clinical commentary 臨床

Five drugs ground fine and dusted onto a sore. Coptis and phellodendron are the two bitter cold drugs the tradition reached for against any hot discharging lesion; gallnut is the astringent and is the one ingredient with a defensible local action, since its tannins do precipitate protein and dry a weeping surface; wolfberry root bark and liquorice fill out the formula. The target is an infected pox that will not heal. In a child weeks into smallpox, a lesion still running pus means either a persistent bacterial infection or a wound that cannot close because the child is depleted; neither is answered by a dusting powder. Modern management is systemic antibiotics for the infection, wound care, and nutrition. **This is an unsterilized powder laid on open skin in a child whose barrier has been destroyed over much of the body. Dry dusting powders on open wounds carry a real risk of bacterial contamination, and tetanus spores survive in plant material; the powder is more likely to have added to the infection than to have closed it.** The leaf gives no quantity at all — the drugs are in equal parts and the dose is whatever covers the sore. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.