寶鑑Bogam

Formulas · Warm the Interior 溫裏 · Seui Deukhyobang (世醫得效方)

Costus Powder (Slippery Diarrhoea)

Mokhyang-san

한글 목향산 (활설)  ·  Pinyin Mu Xiang San

木香散

The Bogam gives three different 木香散 in this chapter — this one under Slippery Diarrhoea, a short one under Kidney Diarrhoea, and the Bonsa's under Enduring Dysentery — and a fourth in the Distension chapter; all are registered separately.

Composition 構成

Total 270 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients 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

Indications 主治

Pattern-based

  • Visceral cold with slippery stool
  • True cold with false heat above

Biomedical correlates

  • Malabsorption
  • Chronic diarrhoea with oral ulceration

Source text 原文

Donguibogam 東醫寶鑑

治藏寒滑泄, 米糓不化, 上熱下冷, 口瘡瘦瘁. 木香ㆍ破故紙(炒) 各一兩, 良薑ㆍ縮砂ㆍ厚朴 各七錢半, 赤芍藥ㆍ陳皮ㆍ肉桂ㆍ白朮 各五錢, 吳茱萸ㆍ胡椒 各二錢半, 肉豆蔲(煨) 四箇, 檳榔 一箇. 右爲末, 每三錢, 猪肝 四兩, 批開, 重重糝藥, 漿水 一椀, 入醋少許, 蓋覆煮熟, 入鹽ㆍ葱白 三莖ㆍ生薑 彈子大, 同煮, 水欲盡, 空心作一服, 冷食之. 初微溏不妨. 經年滑泄與冷痢, 只一服效. 渴則飮粥湯. 《得效》

Translation

Treats visceral cold with a slippery diarrhoea, the grain passing untransformed, heat above and cold below, mouth sores and wasting. Costus root and stir-fried psoralea, 1 nyang each; lesser galangal, amomum and magnolia bark, 7.5 don each; red peony, tangerine peel, cassia bark and white atractylodes, 5 don each; evodia and black pepper, 2.5 don each; nutmeg roasted in dough, four fruits; areca, one fruit. Powder; for each 3 don take 4 nyang of pig's liver, split it open, layer the powder through it, put it in a bowl of rice-water with a little vinegar, cover and cook it through, add salt, three stalks of scallion white and ginger the size of a pellet, and cook together until the water is nearly gone. Take it as one dose on an empty stomach, eaten cold. A slight looseness at first does no harm. For a slippery diarrhoea or a cold dysentery of years' standing, one dose is effective. If thirsty, drink gruel water. — Seui Deukhyobang 得效 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The most elaborate preparation in the chapter and the most interesting indication: heat above with cold below, mouth ulcers in a wasting patient with chronic diarrhoea. That constellation is real — aphthous ulceration with malabsorption is how coeliac disease and Crohn's often present — and the tradition reads it correctly as one disorder rather than two. The powder is cooked into pig's liver and eaten cold as a single meal, which makes it a food-medicine; given that the patient is wasting and probably anaemic, four nyang of liver may have been the most therapeutic part of it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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