Formulas · Purge Downward 瀉下 · Seonmyeongnon (宣明論)

Conduct Water Pill

Dosu-hwan

한글 도수환  ·  Pinyin Dao Shui Wan

導水丸

Composition 構成

Total 480 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

  • All damp heat depressed and stagnant

Biomedical correlates

  • Oedema with constipation
  • Damp-heat states with fluid retention

Source text 原文

Donguibogam 東醫寶鑑

治一切濕熱鬱滯, 能宣通氣血. 黑丑<span class='sochu'>頭末</span>ㆍ滑石 各四兩, 大黃ㆍ黃芩 各二兩. 右末, 水丸小豆大. 溫水下十丸至十五丸, 以利爲度. 一名藏用丸, 一名顯仁丸. 《宣明》 加入法, 濕熱腰痛或久雨, 加甘遂, 遍身走注腫痛, 加白芥子. 熱毒腫痛, 久旱, 加朴硝, 氣血滯, 腸胃秘澁, 加郁李仁, 腰腿沈重, 加商陸. 《入門》

Translation

Treats all damp heat depressed and stagnant; it can diffuse and free the qi and blood. Black morning glory seed <span class='sochu'>first powder</span> and talc 4 nyang each; rhubarb and scutellaria 2 nyang each. Powder them and make water pills the size of a small bean. Take ten to fifteen down with warm water, taking purging as the measure. It is also called Store and Use Pill, and also Manifest Benevolence Pill. Method of additions: for damp heat lumbar pain, or in long rains, add kansui; for swelling and pain running through the whole body, add white mustard seed; for heat toxin with swelling and pain, or in long drought, add crude mirabilite; where qi and blood are stagnant and the intestines and stomach bound and rough, add bush cherry kernel; for the lumbus and legs heavy and sinking, add phytolacca. — Seonmyeongnon 宣明 (Donguibogam · Ha)

Clinical commentary 臨床

The additions are keyed to the weather as well as to the pattern: kansui 或久雨, in long rains, and crude mirabilite 久旱, in long drought. That is unusual and worth noting — the same presentation is modified according to whether the season has been wet or dry. Four medicinals at a two-to-one ratio, with talc alongside the morning glory seed so that the damp goes out by urine as well as by stool. That pairing is what distinguishes this from the pure purgatives around it. **A drastic purgative. Contraindicated in pregnancy.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another