Formulas · Drain Dampness 利水滲濕 · Boncho (本草)

Pierce the Diaphragm Powder

Tugyeok-san

한글 투격산 · Pinyin Tou Ge San

透膈散

The source gives no weight for the mineral, only the dose of 2 don; the figure here is nominal.

Composition 構成

Yeomcho Yan Xiao
焰硝 염초 · Saltpetre

40 g
Chief 君

雪白硝石, the snow-white saltpetre, ground fine

Total 40 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 the five stranguries and urine that will not pass
Takes a different vehicle for each kind of strangury

Indications 主治

Pattern-based

The five kinds of strangury
Urinary retention

Biomedical correlates

Historically used for urinary stones and retention
Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

硝石, 治五淋及小便不通. 雪白硝石細硏, 每二錢: 勞淋, 葵子湯下; 血淋ㆍ熱淋, 幷冷水調下; 氣淋, 木通湯下; 石淋, 隔紙炒, 溫水調下; 小便不通, 小麥煎湯下. 幷空心服, 名曰透膈散. 諸藥無效, 服此立愈. 《本草》

Translation

Saltpetre treats the five stranguries and urine that will not pass. Snow-white saltpetre ground fine, 2 don a dose: for taxation strangury, down with mallow-seed decoction; for blood strangury and heat strangury, both stirred down in cold water; for qi strangury, down with akebia decoction; for stone strangury, parched through paper and stirred down in warm water; for urine that will not pass, down with wheat decoction. All taken on an empty stomach. It is called Tugyeok-san. Where no other medicine has worked, taking this cures at once. — Boncho 本草 (Donguibogam · Sobyeon)

Clinical commentary 臨床

One drug and five vehicles, each matched to a kind of strangury, and that is what makes the entry worth keeping: the formula does not change, the carrier does. 石淋, stone strangury, is a urinary stone, and the one dose that is prepared differently — parched through paper — is the one given for it. Nitrates taken by mouth are not a treatment for retention, and urine that will not pass is an emergency needing catheterization. 諸藥無效, 服此立愈 is the compiler's confidence, not a finding. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.