Formulas · Transform Phlegm 化痰 · Seui Deukhyobang (世醫得效方)

White Mustard Seed Powder

Baekgaeja-san

한글 백개자산 · Pinyin Bai Jie Zi San

白芥子散

Composition 構成

Baekgaeja Bai Jie Zi
白芥子 백개자 · White Mustard Seed

37.5 g
Chief 君
Mokbyeolja Mu Bie Zi
木鼈子 목별자 · Momordica Seed (toxic)

37.5 g
Deputy 臣
Molyak Mo Yao
沒藥 몰약 · Myrrh

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

9.4 g
Assistant 佐
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

9.4 g
Envoy 使桂心 gyesim — inner bark

Total 103.2 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

Courses binding of the seven affects
Frees congealed constructive and defensive Qi
Disperses phlegm lodged between the shoulder blades

Indications 主治

Pattern-based

Pain dragging from shoulder to arm to scapula
Pain that comes and goes with emotional state
Binding depression of the seven affects

Biomedical correlates

Stress-related shoulder and scapular pain
Intermittent myofascial pain
Somatic manifestation of emotional strain

Source text 原文

Donguibogam 東醫寶鑑

治七情鬱結, 榮衛凝滯, 肩臂背胛牽引作痛, 時發時止. 白芥子ㆍ木鼈子各一兩, 沒藥ㆍ木香ㆍ桂心各二錢半. 右爲末, 每取一錢, 溫酒調下. 《得效》

Translation

Treats binding depression of the seven affects with constructive and defensive Qi congealed and stagnant, the shoulder, arm, back and scapula dragging and hurting, now flaring and now stopping. White mustard seed and momordica seed 1 nyang each; myrrh, costus root, and cinnamon inner bark 2.5 don each. Powder the above; take 1 don each time, mixed down with warm wine. — Deukhyo 得效 (Donguibogam · Su)

Clinical commentary 臨床

The intermittency is the diagnostic key — 時發時止, now flaring and now stopping, tracking the emotional weather rather than the physical one. This is the formula for the patient whose shoulder pain has been worked on mechanically for months without result, and whose history reveals the pain arrived with a life event. White mustard seed reaches phlegm lodged between the membranes and beneath the skin, territory no other phlegm agent covers. Momordica seed (木鼈子) is toxic and used externally in most modern practice; at 1 nyang in a powder taken 1 don at a time the actual per-dose exposure is small, but this formula should not be scaled up. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.