Formulas · Drain Dampness 利水滲濕 · Bonsa (本事)

Ten Waters Pill

Sipsu-hwan

한글 십수환 · Pinyin Shi Shui Wan

十水丸

The composition is a rule rather than a fixed prescription: the medicinal matching the patient's water pattern is doubled and the other nine are used in equal parts. Grams are entered at 40 for each as a notional equal share, with the doubling left to the practitioner.

Composition 構成

Daegeuk Da Ji
大戟 대극 · Peking Spurge (toxic)

40 g
Chief 君

for green water · toxic
Jeongryeokja Ting Li Zi
葶藶子 정력자 · Pepperweed Seed

40 g
Chief 君

for red water, rooted in the heart
Gamsu Gan Sui
甘遂 감수 · Kansui (toxic)

40 g
Chief 君

for yellow water · toxic
Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

40 g
Chief 君

for white water, rooted in the lung
Yeongyo Lian Qiao
連翹 연교 · Forsythia

40 g
Chief 君

for black water, rooted in the kidney
Wonhwa Yuan Hua
芫花 원화 · Genkwa (toxic)

40 g
Chief 君

for mysterious water · toxic
Taeksa Ze Xie
澤瀉 택사 · Alisma

40 g
Chief 君

for wind water, rooted in the bones
Gobon Gao Ben
藁本 고본 · Ligusticum Root

40 g
Chief 君

for stone water, rooted in the bladder
Padu Ba Dou
巴豆 파두 · Croton Seed

40 g
Chief 君

for high water · toxic
Jeoksodu Chi Xiao Dou
赤小豆 적소두 · Adzuki Bean

40 g
Chief 君

for qi water

Total 400 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

Treats all ten kinds of water qi
Drains water according to the viscus it is rooted in

Indications 主治

Pattern-based

The ten water patterns
each rising from a different viscus and beginning at a different site

Biomedical correlates

Oedema of varied origin

Source text 原文

Donguibogam 東醫寶鑑

治十種水氣. 右十證, 看病根源, 除一味倍多爲君, 餘九味等分, 修製, 焙爲細末, 蜜丸梧子大. 以赤茯苓湯呑下三丸或五丸, 日二三服, 忌食生冷油膩醎鹽, 及猪ㆍ魚ㆍ酒ㆍ麪, 一百二十日. 《本事》神助散亦佳. <span class='sochu'>方見上</span>

Translation

Treats the ten kinds of water qi. For the ten patterns above, look to the root of the disease; take the one medicinal that answers to it and double its amount to serve as chief, and take the remaining nine in equal parts. Process them, dry-roast and grind to a fine powder, and make honey pills the size of a firmiana seed. Take three or five down with a decoction of red poria, two or three times a day. Raw, cold, oily, greasy and salted foods are to be avoided, as are pork, fish, wine and wheat, for a hundred and twenty days. Spirit's Aid Powder is also good. <span class='sochu'>formula above</span> — Bonsa 本事 (Donguibogam · Bujong)

Clinical commentary 臨床

Not a formula so much as a method of assembling one. The section at 2.6 assigns each of the ten waters a viscus, a site where the swelling begins, and a single medicinal; this entry takes all ten, doubles whichever matches, and makes pills of the lot. The scheme is worth reading for its diagnostic logic rather than as a prescription. Where the swelling starts is the evidence — ribside for green water and the liver, tongue root for red and the heart, feet for white and the lung — and the medicinal follows from the viscus rather than from any property of the water itself. The dietary prohibition is the longest in the chapter: pork, fish, wine and wheat for a hundred and twenty days. **Contains euphorbia, kansui, genkwa and croton — four toxic drastic purgatives — in a single preparation. Must not be prepared or taken; recorded for textual completeness.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.