Formulas · Clear Heat 淸熱 · Seui Deukhyobang (世醫得效方)

Moutan Bark Decoction

Mokdanpi-tang

한글 목단피탕 · Pinyin Mu Dan Pi Tang

牡丹皮湯

The Bogam carries two formulas called 牡丹皮湯; this is the 癰疽門 one, and the 婦人門 formula for 室女經閉 is registered as mokdanpi-tang. The transcription prints 肺癕 for 肺癰 and 胷乳間 for 胸乳間, normalized here, and sets the dose as 甘草生各一錢三分 with a space after 生 — read as 甘草(生), raw licorice, at the shared dose of 1 don 3 fun.

Composition 構成

Mokdanpi Mu Dan Pi
牡丹皮 목단피 · Moutan Bark

5.2 g
Chief 君
Seungma Sheng Ma
升麻 승마 · Cimicifuga

5.2 g
Deputy 臣
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

5.2 g
Deputy 臣
Uiiin Yi Yi Ren
薏苡仁 의이인 · Coix Seed

5.2 g
Deputy 臣
Jiyu Di Yu
地楡 지유 · Burnet Root

5.2 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

5.2 g
Assistant 佐
Jeokjagyak Chi Shao
赤芍藥 적작약 · Red Peony

5.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

5.2 g
Envoy 使

raw (生)

Total 41.6 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 lung abscess with pain throughout the chest and breast
Cools the Blood and clears heat from the Lung
Expels pus and checks the foul breath

Indications 主治

Pattern-based

Lung abscess (肺癰) with pain through the chest and breast (胸乳間皆痛)
Pus and blood brought up from the mouth (口吐膿血)
Breath turned foul and rank (氣作腥臭)

Biomedical correlates

Lung abscess
Bronchiectasis with foul purulent sputum
Empyema

Source text 原文

Donguibogam 東醫寶鑑

治肺癰, 胸乳間皆痛, 口吐膿血, 氣作腥臭. 牡丹皮ㆍ升麻ㆍ桔梗ㆍ薏苡仁ㆍ地楡ㆍ黃芩ㆍ赤芍藥ㆍ甘草(生) 各一錢三分. 右剉, 作一貼, 水煎服. 《得效》

Translation

Treats lung abscess with pain throughout the chest and breast, pus and blood brought up from the mouth, and breath turned foul and rank. Moutan bark, cimicifuga, platycodon, coix seed, sanguisorba, scutellaria, red peony and raw licorice, 1 don 3 fun each. Cut up, make one packet, decoct in water and take. — Seui Deukhyobang 得效 (Donguibogam · Ongjeo)

Clinical commentary 臨床

A blood-cooling formula for a suppuration of the Lung: moutan bark, red peony and sanguisorba against the bleeding and the heat in the vessels, with platycodon and coix seed to carry the pus out and cimicifuga to lift the whole upward into the chest. Raw rather than honey-fried licorice, because the formula is cooling rather than building. Its indication is the clearest statement of 肺癰 in the chapter — 口吐膿血, pus and blood brought up from the mouth, with 氣作腥臭, breath gone foul and rank. Taken together those two signs read straightforwardly as a lung abscess, bronchiectasis or an empyema; foul sputum in particular points to anaerobic infection. **Foul purulent sputum with chest pain needs chest imaging, sputum culture and antibiotics, and a collection usually needs drainage.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.