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

Double Resolution Powder

Ssanghae-san

한글 쌍해산 (옹저) · Pinyin Shuang Jie San

雙解散

The Bogam carries two formulas called 雙解散; the Summer Heat chapter's 河間 formula, registered as ssanghae-san, is Igwon-san and Bangpung-tongseong-san compounded, and this 得效 leaf from the 便癰 section shares with it only rhubarb, white peony and licorice, so this one takes the chapter tail. 頭末 is the first, finest powder sifted from the fried morning glory seed. The transcription runs 水煎服空心 together; it is punctuated here as 水煎服, 空心.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

6 g
Chief 君
Heukchuk Hei Chou
黑丑 흑축 · Black Morning Glory Seed

6 g
Chief 君

fried, the first powder (炒, 頭末)
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Taeksa Ze Xie
澤瀉 택사 · Alisma

4 g
Deputy 臣
Doin Tao Ren
桃仁 도인 · Peach Kernel

4 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

4 g
Assistant 佐

written 官桂 in the text
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices

Total 30.8 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 便毒, the groin toxin
Opens both the urinary and the faecal way so that the heat and the thick toxin leave by both
Taken on an empty stomach with five slices of ginger

Indications 主治

Pattern-based

便毒 — groin toxin with swelling and pain
Damp-heat and toxin bound below, needing both water and stool freed

Biomedical correlates

Suppurative inguinal lymphadenitis (bubo)
Inguinal abscess with local oedema

Source text 原文

Donguibogam 東醫寶鑑

治便毒. 大黃ㆍ黑丑(炒, 頭末) 各一錢半, 官桂ㆍ白芍藥ㆍ澤瀉ㆍ桃仁各一錢, 甘草七分. 右剉, 作一貼, 薑五片, 水煎服, 空心. 先小便快, 是熱從小便出也, 後大便利, 皆是稠毒. 《得效》

Translation

Treats groin toxin. Rhubarb and black morning glory seed, fried and taken as the first powder, 1 don 5 fun each; cinnamon bark, white peony, alisma and peach kernel, 1 don each; licorice, 7 fun. Cut the above, make one packet, add five slices of ginger, decoct in water and take on an empty stomach. First the urine runs freely, which is the heat leaving by the urine; afterwards the stool passes, and all of that is the thick toxin. — Deukhyo 得效 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The name here means something different from the Hagan formula's double resolution of exterior and interior: in this leaf the two ways opened are the urinary and the faecal, and the leaf says so in its own closing sentence — the urine runs first and that is the heat leaving, then the stool passes and that is the thick toxin. Rhubarb and black morning glory seed drive the bowel, alisma takes the water out, peach kernel breaks the blood, white peony and licorice moderate, and a small amount of cinnamon bark warms and opens the way so that the cold draining drugs can reach a region the section calls rich in blood and remote. The chapter's first line of treatment for 便癰 is Oryeong-san with rhubarb added, or this; which is to say the first move against a groin abscess was to drain it inward through urine and stool before any thought of cutting. **Black morning glory seed is a drastic purgative and rhubarb a strong one; neither is for a depleted patient, and both are contraindicated in pregnancy. An inguinal abscess that has pointed needs drainage and antibiotics, and a bubo following a genital ulcer needs testing for sexually transmitted infection.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.