Formulas · Tonify Qi & Blood 氣血雙補 · Uihak Immun (醫學入門)

Moutan Powder

Mokdan-san

한글 목단산 · Pinyin Mu Dan San

牡丹散

The transcription prints 癕 for 癰; 癰 is printed above. 官桂 is the cinnamon bark, registered as yukgye.

Composition 構成

Mokdanpi Mu Dan Pi
牡丹皮 목단피 · Moutan Bark

4 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君
Hwanggi Huang Qi
黃芪 황기 · Astragalus

4 g
Chief 君
Uiiin Yi Yi Ren
薏苡仁 의이인 · Coix Seed

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

4 g
Deputy 臣
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Cheonma Tian Ma
天麻 천마 · Gastrodia

4 g
Assistant 佐
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

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

2 g
Assistant 佐

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

2 g
Envoy 使
Mokhyang Mu Xiang
木香 목향 · Costus Root

1.2 g
Envoy 使

Total 45.2 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

Treats the cold pattern of 腸癰, where the belly is soft but painful and pus and blood come away from time to time
Supports the construction and expresses the toxin from within rather than draining it
Warms and moves while cooling the blood of the abscess

Indications 主治

Pattern-based

腸癰冷證 — the cold pattern of intestinal abscess
腹軟而痛 — a soft abdomen that is nevertheless painful
時下膿血 — pus and blood passed intermittently

Biomedical correlates

Chronic or walled-off appendiceal abscess discharging into the bowel
Chronic pelvic abscess with purulent or bloody stool
Enterocutaneous or entero-enteric fistula from an old abscess

Source text 原文

Donguibogam 東醫寶鑑

治腸癰冷證, 腹軟而痛, 時下膿血. 牡丹皮ㆍ人參ㆍ天麻ㆍ白茯苓ㆍ黃芪ㆍ薏苡仁ㆍ桃仁ㆍ白芷ㆍ當歸ㆍ川芎各一錢, 官桂ㆍ甘草各五分, 木香三分. 右剉, 作一貼, 水煎服. 《入門》

Translation

Treats the cold pattern of intestinal abscess, where the abdomen is soft but painful and pus and blood come away from time to time. Moutan bark, ginseng, gastrodia, white poria, astragalus, coix seed, peach kernel, dahurian angelica, Korean angelica and cnidium, 1 don each; cinnamon bark and licorice, 5 fun each; costus root, 3 fun. Cut the above, make one packet, decoct in water and take. — Immun 入門 (Donguibogam · Ongjeo)

Clinical commentary 臨床

The counterpart to the purging formulas, and the chapter is explicit about which patient gets which: 腹皮急, 按之痛 with heat is the hot bound pattern and takes rhubarb, while 腹皮急, 按之濡 with no fever is 陰冷所成, made by yin cold, and takes this. Ginseng and astragalus hold the centre, cinnamon bark and costus root warm and move, Korean angelica with cnidium and peach kernel move the blood, and moutan bark with coix seed stay in the formula to cool and drain what suppuration there is. It is an 內托 formula in all but name. 時下膿血, pus and blood coming away from time to time, is the sign that the abscess has already opened into the bowel. A patient like that is not acutely septic and not a candidate for a purge; what the tradition offers instead is support, and the reading is a chronic walled-off collection or a fistula draining into the gut rather than an acute appendicitis. The gastrodia is the odd drug here, and the Immun gives no reason for it. **A chronic abdominal abscess or a fistula needs imaging and, usually, drainage or surgery. Supporting the patient is not the same as resolving the collection.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.