Formulas · Drain Dampness 利水滲濕 · Injae Jikji (仁齋直指方)

Spirit's Aid Powder

Sinjo-san

한글 신조산 · Pinyin Shen Zhu San

神助散

Composition 構成

Heukchuk Hei Chou
黑丑 흑축 · Black Morning Glory Seed

12 g
Chief 君

first-milled powder only (頭末)
Jeongryeokja Ting Li Zi
葶藶子 정력자 · Pepperweed Seed

8 g
Deputy 臣

stir-fried (炒)
Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

6 g
Assistant 佐

seed only (椒目)
Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

4 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

4 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

4 g
Assistant 佐

Total 38 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

Drives out water throughout the body
Calms panting and frees urine

Indications 主治

Pattern-based

Water swelling over the whole body with hasty panting and inhibited urine

Biomedical correlates

Generalized oedema with dyspnoea

Source text 原文

Donguibogam 東醫寶鑑

治遍身水腫, 喘急, 小便澁. 黑丑(頭末) 三錢, 葶藶子(炒) 二錢, 椒目一錢半, 猪苓ㆍ澤瀉ㆍ木香各一錢. 右爲末, 先以漿水一盞, 葱白三莖, 煎至半盞, 入酒半盞, 調藥三錢, 絶早, 面東服. 如人行十里久, 以漿水煮葱白粥, 入酒五合, 熱啜, 當利小便三四升. 隔日再服, 須斷鹽味及房室三年. 《直指》

Translation

Treats water swelling over the whole body, with hasty panting and rough urination. Black morning glory seed (first milling only) 3 don; lepidium seed (stir-fried) 2 don; zanthoxylum seed 1.5 don; polyporus, alisma and costus 1 don each. Powder them. First take one jan of fermented millet water with three stalks of scallion white and reduce to half a jan; add half a jan of wine, stir in 3 don of the powder, and take very early in the morning facing east. After about the time it takes to walk ten li, take a gruel of scallion white boiled in fermented millet water with five hop of wine added, drunk hot; three or four seung of urine should pass. Take again on alternate days. Salt and sexual activity must be cut off for three years. — Injae Jikji 直指 (Donguibogam · Bujong)

Clinical commentary 臨床

The dosing ritual is unusually elaborate — before dawn, facing east, followed an hour later by a scallion gruel — and the stated result is three or four seung of urine, which is a diuresis of two litres or more. What follows is the striking part: salt and sexual activity forbidden for three years. The chapter's section on prohibitions at 2.13 gives the reasoning. **Contains morning glory seed and lepidium, both strong diuretic purgatives. Contraindicated in pregnancy and not suitable for self-administration. Generalized oedema with breathlessness requires medical assessment — cardiac and renal failure are among the causes.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.