Formulas · Purge Downward 瀉下 · Seui Deukhyobang (世醫得效方)

Kansui Powder (Both Passages)

Gamsu-san

한글 감수산 (대소변불통) · Pinyin Gan Sui San

甘遂散

Kansui is toxic. A different 甘遂散 from the Immun's for deafness, which is registered separately.

Composition 構成

Gamsu Gan Sui
甘遂 감수 · Kansui (toxic)

80 g
Chief 君

red-skinned kansui · toxic
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

two hop of refined honey

Total 80 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 both passages not passing

Indications 主治

Pattern-based

Water accumulation with obstruction of both passages

Biomedical correlates

Faecal impaction with urinary retention

Source text 原文

Donguibogam 東醫寶鑑

治大小便不通. 赤皮甘遂二兩, 煉蜜二合, 和勻, 每一兩分四服, 日進一服, 蜜水調下. 《得效》

Translation

Treats both passages not passing. Red-skinned kansui, 2 nyang, and refined honey, 2 hop, mixed evenly; divide each nyang into four doses and take one dose a day, stirred into honey water. — Seui Deukhyobang 得效 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Kansui is one of the harshest purgatives in the pharmacy and is given here with honey to blunt it and in divided daily doses rather than at once, which is the only responsible way to handle it. Even so the dose is large. Its diterpene esters are severe mucosal irritants and the margin between purgation and poisoning is narrow. **This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.