Formulas · Purge Downward 瀉下 · Jikji (直指)

Guide Out the Red Pill

Dojeok-won

한글 도적원  ·  Pinyin Dao Chi Yuan

導赤元

Composition 構成

Total 220 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

Indications 主治

Pattern-based

  • Bladder heat — urine blocked

Biomedical correlates

  • Urinary retention with constipation

Source text 原文

Donguibogam 東醫寶鑑

治膀胱有熱, 小便不通. 大黃 一兩半, 梔子(炒) 一兩二錢, 木通ㆍ生乾地黃 各八錢, 赤芍藥ㆍ赤茯苓ㆍ滑石 各四錢. 右爲末, 蜜丸梧子大, 以導赤散<span class='sochu'>方見五藏</span>煎水, 空心呑下三五十丸. 《直指》

Translation

Treats heat in the bladder with inability to pass urine. Rhubarb 1 nyang 5 don; gardenia (stir-fried) 1 nyang 2 don; akebia and dried fresh rehmannia 8 don each; red peony, red poria and talc 4 don each. Powder them, make honey pills the size of a firmiana seed, and swallow thirty to fifty on an empty stomach with a decoction of Guide Out the Red Powder <span class='sochu'>formula in the Five Viscera chapter</span>. — Jikji 直指 (Donguibogam · Sobyeon)

Clinical commentary 臨床

Dojeok-san made into a pill with rhubarb at the head, and taken with Dojeok-san itself as the draught — the same formula twice, one form to purge and one to drain. 1.7's rule that when the bowel moves the bladder follows is behind the rhubarb. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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