Formulas · Purge Downward 瀉下 · Seui Deukhyobang (世醫得效方)
Spikemoss Powder
Gwonbaek-san
한글 권백산 · Pinyin Juan Bai San
Each is powdered separately and the powders must not be mixed. For each dose take 1 don of each, except areca at 2 don. At the first watch before dawn, take them stirred into a strong scallion-white decoction; by mid-morning malign matter is brought down resembling fish jelly. For the vacuous, halve the dose. Follow with thin gruel, and afterward a decoction such as Cheongyeolsaseup-tang. **Note on modern practice: kansui (甘遂) is a drastic purgative and a toxic medicinal, restricted in contemporary practice. Recorded as classical text.**
Composition 構成
- Gwonbaek卷柏 권백 · Spikemoss4 g
Chief 君 east-facing best; boiled half a day in salt water, then half a day in fresh cold water, and baked dry - Binrang檳榔 빈랑 · Areca Seed8 g
Deputy 臣 - Heukchuk黑丑 흑축 · Black Morning Glory Seed4 g
Deputy 臣 first-ground powder - Gamsu甘遂 감수 · Kansui (toxic)4 g
Deputy 臣
Total 20 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
- Answers a leg qi of many years that has resisted treatment
- Brings the malign matter down before dawn
Indications 主治
Pattern-based
- Leg qi of long years
- difficult to treat (治遠年脚氣難治)
- Refractory chronic leg qi
- Long-standing damming
Biomedical correlates
- Chronic refractory leg swelling — historical management
- Long-standing leg qi
- Short-course purgative therapy
Source text 原文
Donguibogam 東醫寶鑑
治遠年脚氣難治, 此方特效. 卷柏(東向者佳, 先以鹽水煮半日, 卽甘冷水煮半日焙乾)ㆍ黑牽牛子頭末ㆍ甘遂ㆍ檳榔. 右各爲末, 不得相雜. 每服每件各取一錢, 惟檳榔二錢. 五更初, 濃煎葱白湯調下, 至辰巳時, 取下惡物如魚凍. 虛人減半服. 隨喫淡粥, 更服湯藥, 如淸熱瀉濕湯調之. 《得效》
Translation
Treats leg qi of long years that is difficult to treat; this formula is especially effective. Spikemoss — east-facing is best; first boiled half a day in salt water, then half a day in fresh cold water, and baked dry — black morning glory seed first-ground powder, kansui, and areca nut. Powder each separately; they must not be mixed. For each dose take 1 don of each, only the areca at 2 don. At the first watch before dawn, take them stirred into a strong scallion-white decoction; by mid-morning malign matter is brought down resembling fish jelly. For the vacuous, halve the dose. Follow with thin gruel, and take a decoction afterward, such as Cheongyeolsaseup-tang. — Deukhyo 得效 (Donguibogam · Jok)