Formulas · External Application 外用 · Deukhyo (得效)

Magnolia Bud Powder

Mokpilhwa-san

한글 목필화산  ·  Pinyin Mu Bi Hua San

木筆花散

The head of the leaf is 木筆花散 but the drug line reads 辛夷花, so the leaf resolves its own name: 木筆花 is an alternative name for the magnolia flower bud, and the drug entered is sinyi on the strength of the leaf's own 辛夷花 rather than on any identification of 木筆花, which has no entry in the alias table. No weights are given for either drug. hanrom.py cannot read 筆 and returns mok?hwa-san for this name; the reading is settled by hand as Mokpilhwa-san, and that id is free. 爲 is printed for the transcription's 為.

Composition 構成

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

Indications 主治

Pattern-based

  • 愈後餘瘡塞鼻中, 不得睡卧 — after the pox has healed, the residual sores blocking the nose so the child cannot sleep lying down

Biomedical correlates

  • Nasal obstruction from healing mucosal lesions after smallpox (historical)
  • Obstructed nasal breathing in an infant, interfering with sleep and feeding

Source text 原文

Donguibogam 東醫寶鑑

辛夷花爲細末, 加麝香少許, 以葱白蘸入鼻中數次, 卽通. 《得效》

Translation

Powder magnolia flower buds fine, add a little musk, dip a scallion white in it and put it up the nose several times; it opens at once. — Deukhyo 得效 (Donguibogam · Soa)

Clinical commentary 臨床

Two drugs and an onion for a brush. Magnolia flower bud is the nose drug of this materia medica and is still the nose drug; a little musk goes in as the opener; and the powder is carried up the nostril on the white of a scallion dipped in it, which is an applicator rather than an ingredient, though scallion white is itself used elsewhere in this chapter to open things. The observation is good and the detail that makes it good is 不得睡卧 — the child cannot sleep lying down. Smallpox put lesions on the nasal mucosa along with everywhere else, and in the convalescent weeks the healing sores narrowed the nose. In a baby that is not a nuisance but a real problem: infants breathe through the nose by preference and in the early months by necessity, and a blocked nose interferes with feeding as well as with sleep. The section has noticed a specific, age-dependent consequence of the disease and named the symptom that reveals it. **Contains musk, the preputial-gland secretion of the male musk deer and a CITES Appendix I material. The demand this tradition created is a principal reason the musk deer are endangered; it must not be sourced, and no substitute is being recommended. And the method itself is the hazard here: dry powder is being pushed repeatedly up the nose of an infant in order to clear it, which is as likely to obstruct the nose further as to open it, and powder put into the nose of a small child can be inhaled. A baby who cannot breathe through the nose needs the nose cleared with saline and suction and needs to be looked at, not packed with powder. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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