Formulas · Clear Heat 淸熱 · Taepyeong Hyeminhwajebang (太平惠民和劑局方)

Fifth and Sixth Pill

Mugi-hwan

한글 무기환 · Pinyin Wu Ji Wan

戊己丸

戊 and 己 are the fifth and sixth of the ten heavenly stems, both belonging to the earth phase; the name means the formula is directed at the stomach and spleen.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

—
Chief 君

equal parts
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

—
Deputy 臣

equal parts
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

—
Deputy 臣

equal parts
Baengmyeon Bai Mian
白麪 백면 · White Wheat Flour

—
Envoy 使

as paste for the pills

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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 damp dysentery

Indications 主治

Pattern-based

Damp heat with liver wood overwhelming spleen earth
Damp dysentery with cramping

Biomedical correlates

Bacillary dysentery
Irritable bowel syndrome with pain

Source text 原文

Donguibogam 東醫寶鑑

治濕痢. 黃連ㆍ吳茱萸ㆍ白芍藥各等分. 右爲末, 麵糊和丸梧子大, 空心, 米飮下五七十丸. 《局方》

Translation

Treats damp dysentery. Coptis, evodia and white peony, equal parts. Powder, make pills with wheat-flour paste the size of a paulownia seed, and take fifty to seventy on an empty stomach in rice water. — Gukbang 局方 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Three drugs, and the name is the diagnosis: the fifth and sixth stems are both earth, so the formula addresses the spleen and stomach. Coptis clears, evodia warms and curbs the liver's overbearing, peony relaxes the cramp — the standard trio for a damp dysentery with pain, and one of the few formulas in the chapter still prescribed in this form. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.