Formulas · Purge Downward 瀉下 · Gogeum Uigam (古今醫鑑)

Costus Guide the Qi Decoction

Mokhyang-dogi-tang

한글 목향도기탕 · Pinyin Mu Xiang Dao Qi Tang

木香導氣湯

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

6 g
Chief 君
Bakcho Pu Xiao
朴硝 박초 · Crude Mirabilite

4.8 g
Chief 君
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

4.8 g
Deputy 臣
Hwangryeon Huang Lian
黃連 황련 · Coptis

4.8 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

3.2 g
Deputy 臣

tails
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

4 g
Assistant 佐
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

3.2 g
Assistant 佐

Total 34.8 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 a dysentery at its onset with abdominal pain
inner urgency and dragging-down behind
red and white mixed
fever and the mouth clenched

Indications 主治

Pattern-based

Damp heat accumulation at the onset of dysentery
Heat dysentery with fever

Biomedical correlates

Acute bacillary dysentery

Source text 原文

Donguibogam 東醫寶鑑

治痢初起, 腹痛裏急後重, 赤白相雜, 發熱噤口. 大黃一錢半, 白芍藥ㆍ朴硝ㆍ黃連各一錢二分, 厚朴ㆍ檳榔各一錢, 當歸尾ㆍ赤茯苓各八分. 右剉, 作一貼, 水煎服. 《醫鑑》

Translation

Treats a dysentery at its onset with abdominal pain, inner urgency and dragging-down behind, red and white mixed, fever and the mouth clenched. Rhubarb, 1.5 don; white peony, mirabilite and coptis, 1 don 2 fun each; magnolia bark and areca, 1 don each; tangkuei tails and red poria, 8 fun each. Cut up, make one packet and decoct in water. — Gogeum Uigam 醫鑑 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Rhubarb and mirabilite together — the full purgative pair — at the onset of a dysentery with fever and vomiting. That is the chapter's most aggressive early intervention and it follows the rule the section defends: clear what is lodged before anything else, because binding a dysentery at the start seals the heat in. The reasoning is consistent even where the practice would now be thought reckless in a febrile patient already losing fluid. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.