Coptis and Costus Decoction

Hwangryeon-mokhyang-tang

한글 황련목향탕 · Pinyin Huang Lian Mu Xiang Tang

黃連木香湯

Composition 構成

Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

8 g
Chief 君

stir-fried
Hwangryeon Huang Lian
黃連 황련 · Coptis

4 g
Chief 君

stir-fried
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

6 g
Deputy 臣
Mokhyang Mu Xiang
木香 목향 · Costus Root

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣

stir-fried
Danggui Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣

wine washed
Sain Sha Ren
砂仁 사인 · Amomum

4 g
Assistant 佐

ground
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

three slices

Total 40 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 a dysentery following on malaria

Indications 主治

Pattern-based

Damp heat dysentery after an intermittent fever
Dysentery with blood and qi both affected

Biomedical correlates

Post-malarial dysentery
Secondary colitis

Source text 原文

Donguibogam 東醫寶鑑

治瘧後痢疾. 白芍藥(炒) 二錢, 白朮一錢半, 黃連(炒)ㆍ木香ㆍ縮砂(硏)ㆍ黃芩(炒)ㆍ陳皮ㆍ當歸(酒洗) 各一錢, 甘草五分. 右剉, 作一貼, 薑三片, 水煎服. 《醫林》

Translation

Treats a dysentery following on malaria. Stir-fried white peony, 2 don; white atractylodes, 1.5 don; stir-fried coptis, costus root, ground amomum, stir-fried scutellaria, tangerine peel and wine-washed tangkuei, 1 don each; licorice, 5 fun. Cut up, make one packet, add three slices of ginger, and decoct in water. — Uirim 醫林 (Donguibogam · Daebyeon)

Clinical commentary 臨床

A dysentery following malaria is a specific and well-attested sequence — the two diseases shared the same seasons and the same places, and a patient weakened by months of intermittent fever took enteric infection easily. The formula treats the aftermath rather than either disease: peony and atractylodes to rebuild, the two yellows in moderate dose, and the aromatics for the appetite. Specificity of this kind is rare in the chapter and worth noting. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.