Formulas · Warm the Interior 溫裏 · Uihak Immun (醫學入門)

Quince and Evodia Powder

Mogyu-san

한글 목유산 · Pinyin Mu Yu San

木萸散

Composition 構成

Mogwa Mu Gua
木瓜 모과 · Chinese Quince

20 g
Chief 君
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

20 g
Chief 君
Yeom Yan
鹽 염 · Salt

20 g
Deputy 臣

table salt, dry-fried with the others

Total 60 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 sudden turmoil with vomiting and diarrhoea
cramping of the limbs and cold reversal

Indications 主治

Pattern-based

Sudden turmoil with cramping sinews
Cold reversal of the limbs after violent vomiting and diarrhoea

Biomedical correlates

Severe gastroenteritis with cramps from electrolyte loss

Source text 原文

Donguibogam 東醫寶鑑

治霍亂吐瀉, 肢體轉筋逆冷. 木瓜ㆍ吳茱萸ㆍ食鹽各五錢. 右同炒令焦, 缾盛百沸水三升, 入藥同煎至二升, 冷煖任意服, 卽效. ○如無前藥, 枯白礬末一錢, 沸湯調服. 如無白礬, 只用鹽一捻ㆍ醋一盞, 同煎服. 或鹽梅ㆍ鹹酸等物, 皆可煮服. 《入門》

Translation

Treats sudden turmoil with vomiting and diarrhoea, and cramping and cold reversal of the limbs. Quince, evodia and table salt, 5 don each. Dry-fry them together until scorched, put three seung of thoroughly boiled water in a jar, add the drugs and decoct down to two seung, and let the patient take it hot or cold as he likes; it works at once. If the above drugs are not to be had, give 1 don of calcined alum powder stirred into boiling water. If there is no alum, decoct a pinch of salt with a cup of vinegar and take it. Or salted plum, or anything salty and sour, may be boiled and taken. — Uihak Immun 入門 (Donguibogam · Gwallan)

Clinical commentary 臨床

The chapter's main formula for cramping, and the three drugs are chosen for what cramp needs: quince relaxes the sinews, evodia warms and settles the stomach, salt replaces what has been lost. The substitutions the source offers if the drugs are unavailable all keep one of the two tastes — salty and sour — which is a clue to what was thought to be doing the work. The cramps of 轉筋 after profuse vomiting and diarrhoea are a loss of salt and water, and a salty-sour drink taken warm is a rough oral rehydration solution. That part of the reasoning holds. **Severe cramping with cold limbs after violent vomiting and diarrhoea means serious dehydration and electrolyte derangement; it needs proper rehydration and medical assessment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.