Formulas · External Application 外用 · Hwaje Gukbang (和劑局方)

Costus and Areca Powder

Mokhyangbillang-san

한글 목향빈랑산 · Pinyin Mu Xiang Bing Lang San

木香檳榔散

The main formula is three drugs in equal part with no weights given. 一方加黃丹, the alternative adding red lead, is printed but the red lead is not entered as an ingredient of the base formula.

Composition 構成

Mokhyang Mu Xiang
木香 목향 · Costus Root

—
Chief 君

equal parts
Billang Bing Lang
檳榔 빈랑 · Areca Seed

—
Chief 君

equal parts
Hwangnyeon Huang Lian
黃連 황련 · Coptis

—
Deputy 臣

equal parts

Total 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

Treats 癰疽 and boils whose pus and fluid will not stop after bursting, where flesh neither grows nor draws in
Stirred into fresh water and painted on; where the sore is wet, dusted on dry
Suited above all to the heat sores of those who eat richly

Indications 主治

Pattern-based

癰疽瘡癤 after bursting, with pus and fluid not stopping
肌肉不生不斂 — flesh neither growing nor drawing in
膏粱熱瘡 — the heat sores of rich living

Biomedical correlates

Chronically discharging wound or ulcer — topical
Non-healing wound in metabolic disease, including diabetic ulcer — topical

Source text 原文

Donguibogam 東醫寶鑑

治癰疽瘡癤潰後膿水不止, 肌肉不生不斂. 木香ㆍ檳榔ㆍ黃連各等分. 右細末, 新水調塗, 濕則乾糝. 膏粱熱瘡所宜用. ○一方加黃丹. 《局方》

Translation

Treats abscesses, sinus abscesses and boils whose pus and fluid will not stop after bursting, where the flesh neither grows nor draws in. Costus root, areca seed and coptis, in equal parts. Grind fine, stir into fresh water and paint it on; where the sore is wet, dust it on dry. It is suited above all to the heat sores of rich living. ○ An alternative formula adds red lead. — Gukbang 局方 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Three drugs, used either wet or dry depending on how much the sore is running — painted on with plain fresh water when it is drying, dusted on as a powder when it is weeping. That is a sensible rule for a dressing and it is the most practical sentence in this group of leaves. 膏粱熱瘡, the heat sores of those who eat fat and fine grain, is the chapter picking out a class of patient rather than a lesion: the well-fed, whose wounds fester and will not close. That observation has outlived its explanation — a chronic non-healing wound in someone who eats richly and is not thin is now most often looked at as a problem of blood sugar and perfusion. The chapter had the association without the mechanism. **The alternative form adds red lead, which is lead tetroxide and is absorbed from a raw wound surface. That form must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.