Formulas · Regulate Qi 理氣 · Hwaje Gukbang (和劑局方)

Costus and Areca Pill (Distension)

Mokhyangbinrang-hwan

한글 목향빈랑환(창만)  ·  Pinyin Mu Xiang Bing Lang Wan

木香檳榔丸

A formula of the same name from the Qi chapter is cited elsewhere in this database; the two are distinct prescriptions and are separated by chapter suffix. Gleditsia pod is used twice here — once in the powder and again as the binding paste.

Composition 構成

Total 440 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

Indications 主治

Pattern-based

  • Distension and fullness from damp phlegm congealed and stagnant in the three burners

Biomedical correlates

  • Abdominal distension with constipation and phlegm

Source text 原文

Donguibogam 東醫寶鑑

疏導三焦, 通利大小便, 下濕痰凝滯, 則脹滿自消, 最爲神效. 半夏麴ㆍ皂角(酥灸去皮弦子)ㆍ郁李仁 各二兩, 木香ㆍ檳榔ㆍ枳殼ㆍ杏仁(麩炒)ㆍ靑皮 各一兩. 右爲末, 別以皂角 四兩, 浸漿水搓揉, 熬膏去滓, 入煉蜜少許, 和丸梧子大. 薑湯下五七十丸. 《局方》

Translation

Courses and conducts the three burners, frees stool and urine, and brings down congealed and stagnant damp phlegm; the distension and fullness then disperse of themselves, and the effect is most marvellous. Fermented pinellia, gleditsia pod (butter-fried, skin, strings and seeds removed) and bush cherry kernel 2 nyang each; costus, areca, bitter orange, apricot kernel (bran-fried) and green tangerine peel 1 nyang each. Powder them; separately take 4 nyang of gleditsia pod, steep it in fermented millet water and rub it out, reduce to a paste and strain, add a little refined honey, and make pills the size of a firmiana seed. Take fifty to seventy down with ginger decoction. — Hwaje Gukbang 局方 (Donguibogam · Changman)

Clinical commentary 臨床

則脹滿自消 — the distension then disperses of itself — states the strategy. Nothing here attacks the fullness directly: the three burners are opened, the passages freed, the phlegm brought down, and the distension is expected to follow. Gleditsia pod appears twice, in the powder and as the binder, which makes it the formula's real chief. It is acrid and dispersing and opens orifices; four nyang of it rubbed out into paste is a substantial dose by any measure. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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