Formulas · External Application 外用 · Hwaje Gukbang (和劑局方)

Sage-Like Powder (Sores Formula)

Yeoseong-san

한글 여성산 · Pinyin Ru Sheng San

如聖散

A different prescription from the 如聖散 of 丹心 registered as yeoseong-san, which is a charred powder for flooding uterine bleeding, and from the 簡易方 mouth-sore powder registered as yeoseong-san-gu. The three share a name only. 肺藏風 is printed with 藏 as the transcription has it.

Composition 構成

Hobun Hu Fen
胡粉 호분 · White Lead (toxic)

40 g
Chief 君

1 nyang · lead carbonate
Hwangnyeon Huang Lian
黃連 황련 · Coptis

30 g
Deputy 臣

7 don 5 pun
Sasangja She Chuang Zi
蛇床子 사상자 · Cnidium Fruit

20 g
Deputy 臣

5 don
Sueun Shui Yin
水銀 수은 · Mercury (toxic)

10 g
Assistant 佐

2 don 5 pun · quicksilver, severely toxic
Cheongyu Qing You
淸油 청유 · Clear Sesame Oil

—
Envoy 使

生麻油, raw sesame oil, to work the powder into a paste

Total 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

Treats lung-visceral wind that turns into spreading sores and scabies
The four drugs are powdered and worked up with raw sesame oil, and the paste smeared on

Indications 主治

Pattern-based

肺藏風 — wind lodged in the lung viscus
瘡疥浸展 — sores and scabies that creep and spread

Biomedical correlates

Scabies — historical topical
Spreading eczematous dermatitis — historical topical

Source text 原文

Donguibogam 東醫寶鑑

治肺藏風, 變生瘡疥浸展. 胡粉一兩, 黃連七錢半, 蛇床子五錢, 水銀二錢半. 右爲末, 生麻油調塗. 《局方》

Translation

Treats wind in the lung viscus which turns into sores and scabies that creep and spread. Lead carbonate 1 nyang, coptis 7 don 5 pun, cnidium seed 5 don, quicksilver 2 don 5 pun. Powder them, work the powder up with raw sesame oil and smear it on. — Hwaje Gukbang 局方 (Donguibogam · Jechang)

Clinical commentary 臨床

Lead carbonate as the bulk of the powder, coptis for the heat, cnidium seed for the itch, and raw quicksilver stirred into sesame oil. 肺藏風 — wind in the lung viscus — is the chapter reasoning for a skin disease: the lung governs the skin and hair, so a creeping eruption is read as wind lodged in the lung and coming out at the surface. 浸展, creeping and spreading, is a good description of untreated scabies working outward from the first burrows. Mercury preparations were in fact used against scabies into the nineteenth century and they do kill the mite; they also poison the patient. **Contains metallic quicksilver and lead carbonate. This must not be prepared.** Elemental mercury rubbed into excoriated skin over a wide area is absorbed, and the chapter itself records mercury poisoning as a complication of this kind of treatment — 或誤服水銀輕粉而成風堆腫爛流膿出汁 at 天疱瘡. Scabies is cured now with topical permethrin or oral ivermectin. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.