Formulas · Purge Downward 瀉下 · Uihak Immun (醫學入門)

Drain the Kidney Decoction

Sasin-tang

한글 사신탕  ·  Pinyin Xie Shen Tang

瀉腎湯

Composition 構成

Total 37.6 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

  • Strangury with severe lower-abdominal distension and urgency

Biomedical correlates

  • Urinary retention with distension

Source text 原文

Donguibogam 東醫寶鑑

諸淋, 小腹脹急甚者, 宜用此. 大黃 二錢(剉, 密器水浸一宿), 磁石(碎) 一錢六分, 石菖蒲ㆍ生地黃 各一錢, 玄參ㆍ細辛 各八分, 芒硝ㆍ赤茯苓ㆍ黃芩 各六分, 甘草 四分. 右剉, 水二盞煎藥至一盞半, 入大黃煎至七分, 去滓, 下芒硝攪勻, 空心服. 《入門》

Translation

For the stranguries, where the lower abdomen is severely distended and urgent, this should be used. Rhubarb 2 don (cut and steeped overnight in water in a sealed vessel); loadstone (crushed) 1 don 6 pun; acorus and fresh rehmannia 1 don each; scrophularia and asarum 8 pun each; mirabilite, red poria and scutellaria 6 pun each; licorice 4 pun. Cut up, boil in two jan of water down to one and a half, add the rhubarb and boil to seven parts, strain off the dregs, stir in the mirabilite, and take on an empty stomach. — Uihak Immun 入門 (Donguibogam · Sobyeon)

Clinical commentary 臨床

Rhubarb steeped cold overnight and added at the end, mirabilite stirred in after straining — both kept off the fire so their purging strength survives. Loadstone weighs the formula downward, which is the Immun's device for a distension that will not release. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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