Minium (lead tetroxide, Pb3O4), also named 黄丹 or 朱丹
Nature and flavour. Acrid, slightly cold; classed as toxic. Heart and Liver systems in the classical account, with some sources adding the Spleen.
Lead oxide made by heating lead in air — a bright red-orange powder that has had at least three careers: pigment, plaster base, and medicine. In the materia medica it is described as drawing out toxin and engendering flesh, and it is recorded externally for sores, ulcers and weeping skin complaints; internally it is recorded for settling convulsions and driving phlegm down. The internal use belongs entirely to the historical record. Its largest traditional role is probably as a plaster: lead oxide boiled with oil makes the lead soap that sets into a firm, self-adhesive plaster, the 铅硬膏 of the traditional repertoire, which is the same chemistry as the diachylon plaster of Western pharmacy. As a pigment it is red lead, used in paints and primers and, for centuries, in cosmetics. Every one of those uses has the same problem, and it is not a subtle one: lead is not safe at any level that has been measured, and the uses that put it on skin or near the mouth are the uses that expose people.
性味归经。辛,微寒;有毒。归心、肝经(通行说法,部分本草加脾经)。
铅在空气中加热所得的氧化物 —— 一种明亮的橙红色粉末,它至少有过三种履历:颜料、膏药基质、药物。本草记载拔毒生肌,外用治疮疡、溃疡与渗液性皮肤病;内服记载坠痰镇惊。内服用途完全属于历史记载。它最大的传统角色大概还是膏药:铅的氧化物与油共煮生成铅皂,凝固成有黏性的硬膏,即传统膏药中的铅硬膏,其化学与西方药学的 diachylon 硬膏相同。作为颜料它是红丹,用于油漆与防锈底漆,数百年来也用于化妆品。这些用途有一个共同问题,而且毫不隐晦:在已测定的任何水平上铅都不安全,而把它敷在皮肤上或送近口边的用法,正是使人暴露的用法。
铅;在已测定的任何暴露水平上,铅都没有被确认的安全值 —— 这是公共卫生机构当前的一致立场,此处不加任何限定地写明。铅蓄积于骨,并在数年间不断释放;它可穿过胎盘、进入母乳。对儿童损害神经发育,且停止暴露后损害并不逆转;对成人引起贫血、腹绞痛、腕下垂等周围神经病变、肾病、高血压与生殖损害。因传统制剂(包括敷于皮肤的膏药与散剂)导致的铅中毒,已在许多国家的病例报告中记录,属于反复出现而并非罕见的发现。任何情况下都不得内服。也不作自用:不宜用于破损皮肤、大面积或反复使用,且须完全远离儿童。孕期与哺乳期避免使用。存在暴露可能时,血铅检测是对应的检查,值得明确提出来做。