Formulas · Clear Heat 淸熱 · Chipobang (治疱方)

Six-Six Pill

Yungnyuk-hwan

한글 육륙환 · Pinyin Liu Liu Wan

六六丸

The transcription prints a space inside 雄黃各五分 at 027b; it is not a gap in the text. The source label 治疱方 is not one of the standard abbreviations used elsewhere in the corpus and is romanised here as Chipobang; it appears twice in this section, for this formula and for 天疱丸. The second 六 is read in its non-initial form, giving Yukryuk-hwan, which follows the corpus's 淸六丸 cheongryuk-hwan and 溫六丸 onryuk-hwan rather than the 六君子湯 group, where the character stands at the head of a fixed compound.

Composition 構成

Gyeongbun Qing Fen
輕粉 경분 · Calomel (toxic)

5.2 g
Chief 君

calomel, 1 don 3 fun — mercurous chloride, toxic
Hwangdan Huang Dan
黃丹 황단 · Red Lead (toxic)

3.2 g
Deputy 臣

minium, a lead oxide, toxic
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

2 g
Deputy 臣

cinnabar, mercuric sulfide, toxic
Unghwang Xiong Huang
雄黃 웅황 · Realgar

2 g
Deputy 臣

realgar, arsenic sulfide, toxic
Yuhyang Ru Xiang
乳香 유향 · Frankincense

1.2 g
Assistant 佐
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

1.2 g
Assistant 佐

musk; a CITES-listed animal material
Nami Nuo Mi
糯米 나미 · Glutinous Rice

—
Envoy 使

glutinous rice paste, to bind the pills

Total 14.8 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 heavenly blister and plum-blossom sores
Six pills bound with glutinous rice paste, one a day in clear tea

Indications 主治

Pattern-based

Heat toxin in the blood with a blistering eruption

Biomedical correlates

Secondary syphilis — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治天疱ㆍ楊梅瘡. 輕粉一錢三分, 黃丹八分, 朱砂ㆍ雄黃各五分, 乳香ㆍ麝香各三分. 右爲末, 糯米糊和勻, 分作六丸, 每日茶淸下一丸. 《治疱方》

Translation

Treats heavenly blister and plum-blossom sores. Calomel 1 don 3 fun, minium 8 fun, cinnabar and realgar 5 fun each, frankincense and musk 3 fun each. Grind to powder, mix evenly with glutinous rice paste, divide into six pills and take one pill a day in clear tea. — Chipobang 治疱方 (Donguibogam · Jechang)

Clinical commentary 臨床

Six pills, one a day for six days, and six drugs to make them — the name counts both. Four of the six are heavy-metal salts: calomel first and heaviest, then minium, cinnabar and realgar, with frankincense and musk to carry them. There is no plant drug in it at all beyond the rice paste that holds it together. Formulas of this shape are the reason the chapter has a section on calomel poisoning. A don and three fun of calomel divided six ways is about nine hundred milligrams of mercurous chloride a day, and courses were repeated. The eruption it treats would have faded on its own within weeks. **Contains mercury. This must not be prepared or taken.** Calomel and the other mercury salts in this section are absorbed through the gut and through broken skin, and they accumulate: salivation, loosened teeth, a metallic taste, tremor, kidney injury and the nerve damage the chapter itself calls weakness and paralysis of the limbs. The chapter records this at 2.2 as a complication of its own treatment — mercury poisoning after taking quicksilver or calomel in error, with wind-heaps, swelling, ulceration and running pus. Several of the formulas in this section are offered as the cure for the poisoning the others cause. **It also contains minium (黃丹), a lead oxide; cinnabar (朱砂), a mercuric sulfide; and realgar (雄黃), an arsenic sulfide. Musk (麝香) is from a CITES-listed animal.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.