Formulas · Warm the Interior 溫裏 · Gogeum Uigam (古今醫鑑)

Cold-Warding Plaster

Eohan-go

한글 어한고  ·  Pinyin Yu Han Gao

禦寒膏

Composition 構成

Total 424.7 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

Indications 主治

Pattern-based

  • Aversion to cold across the back in a constitutionally weak person
  • Fear of undressing even in summer
  • Postpartum cold in the limbs reaching the bone

Biomedical correlates

  • Chronic cold intolerance of the back
  • Postpartum cold sensitivity
  • Chronic low back pain

Source text 原文

Donguibogam 東醫寶鑑

治體虛人, 背上惡寒, 或夏月怕脫衣, 及婦人産後被風冷, 手足冷痛至骨. 又治腰痛. 生薑 半斤(取自然汁), 入明膠 三兩, 乳香ㆍ沒藥 各一錢半, 銅杓內煎化, 移在滾湯內頓, 以柳條攪至成膏. 又入川椒末少許, 再攪勻, 用皮紙攤貼患處. 用鞋底烘熱熨之, 候五七日脫下, 或起小瘡不妨. 《醫鑑》

Translation

Treats aversion to cold across the back in people of weak constitution, or those who dread taking off their clothes even in summer, and women who have taken wind-cold after childbirth with cold and pain in the hands and feet reaching to the bone. Also treats lumbar pain. Half a geun of fresh ginger (press out the natural juice); add 3 nyang of clarified gelatin, and frankincense and myrrh 1.5 don each. Melt down in a copper ladle, then set it in boiling water and stir with a willow twig until it forms a paste. Add a small amount of powdered Sichuan pepper and stir again until even. Spread on thick paper and stick it over the affected place. Warm the sole of a shoe and iron it over. After five to seven days it comes off; if small sores arise, no harm. — Uigam 醫鑑 (Donguibogam · Bae)

Clinical commentary 臨床

A drug-delivery plaster, and the preparation is more careful than it first appears — the ladle over indirect heat rather than direct flame, the willow twig for stirring, the Sichuan pepper stirred in only after the base has set so its volatiles are not driven off. The instruction to iron the plaster with a warmed shoe sole is improvised heat therapy: the warmth drives the resins in. The indication is constitutional rather than acute — the patient who will not take a layer off in summer — and the closing note that small sores may arise without harm describes contact irritation from the pepper and resins, which a modern practitioner should treat as a reason to remove the plaster rather than to persist. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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