Formulas · Reduce Food Stagnation 消食 · Dansim (丹心)

Costus and Bitter Orange Pill

Mokhyangjigak-hwan

한글 목향지각환 · Pinyin Mu Xiang Zhi Ke Wan

木香枳殼丸

Composition 構成

Heukchuk Hei Chou
黑丑 흑축 · Black Morning Glory Seed

80 g
Chief 君

lightly stir-fried (頭末微炒)
Daehwang Da Huang
大黃 대황 · Rhubarb

80 g
Chief 君
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

40 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

40 g
Deputy 臣

茯苓
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

40 g
Deputy 臣
Hubak Hou Po
厚朴 후박 · Magnolia Bark

40 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

40 g
Assistant 佐
Mokhyang Mu Xiang
木香 목향 · Costus Root

40 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

40 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Samneung San Leng
三稜 삼릉 · Sparganium

40 g
Assistant 佐
Bongchul E Zhu
莪朮 봉출 · Zedoary

40 g
Assistant 佐

蓬朮
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

40 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐
Maega Mai Ya
麥芽 맥아 · Barley Sprout

40 g
Assistant 佐
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

20 g
Assistant 佐

dried fresh ginger (乾生薑)
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

20 g
Assistant 佐

Total 760 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

Disperses food accumulation and gathering
Frees distending pain of heart and abdomen
Attacks and supplements at once

Indications 主治

Pattern-based

Accumulation and gathering from food and drink
Distending pain of the heart and abdomen
Retching counterflow with swallowing of acid
Accumulation in a depleted patient

Biomedical correlates

Chronic dyspepsia with mass
Functional abdominal distension

Source text 原文

Donguibogam 東醫寶鑑

治飮食積聚, 心腹脹痛, 嘔逆呑酸. 黑丑(頭末微炒)ㆍ大黃各二兩, 枳殼ㆍ茯苓ㆍ白朮ㆍ厚朴ㆍ半夏ㆍ人參ㆍ木香ㆍ靑皮ㆍ陳皮ㆍ三稜ㆍ蓬朮ㆍ檳榔ㆍ神麴ㆍ麥芽各一兩, 乾生薑ㆍ枳實各五錢. 右爲末, 薑汁糊和丸梧子大. 薑湯下七十丸. 凡人有積病, 則氣滯而餒. 此方攻補兼施, 眞得古人養正積自除之理. 宜誠心服之. 《丹心》

Translation

Treats accumulation and gathering from food and drink, with distending pain of the heart and abdomen, retching counterflow and swallowing of acid. Black morning glory seed (first milling only, lightly stir-fried) and rhubarb 2 nyang each; bitter orange, poria, white atractylodes, magnolia bark, pinellia, ginseng, costus, green tangerine peel, tangerine peel, sparganium, curcuma, areca, medicated leaven and barley sprout 1 nyang each; dried fresh ginger and bitter orange fruit 5 don each. Powder them, make pills with ginger juice paste the size of a firmiana seed, and take seventy down with ginger decoction. Whenever a person has an accumulation disease, the qi is stagnant and they are enfeebled. This formula applies attacking and supplementing together, and truly grasps the ancients' principle that nourishing the upright makes the accumulation disperse of itself. It should be taken with a sincere mind. — Dansim 丹心 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The formula the section on nourishing the upright names as its own, and the source says exactly why: it applies attacking and supplementing together. Morning glory seed and rhubarb drive downward at two nyang each; ginseng, white atractylodes and poria hold the centre; and the middle rank of qi-movers and food-reducers sits between them. That design answers the passage it accompanies at 1.10.2 — that the strong have no accumulations and only the depleted do, so that attacking with grinding and breaking medicines may remove the disease and leave the person ruined. Here the supplementing runs alongside rather than waiting until afterwards. **Contains morning glory seed and rhubarb, both purgatives. Contraindicated in pregnancy and not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.