Formulas · Purge Downward 瀉下 · Hwaje Gukbang (和劑局方)

Wondrous Fragrance Pill

Myohyang-hwan

한글 묘향환  ·  Pinyin Miao Xiang Wan

妙香丸

Composition 構成

Total 108 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

  • Accumulated heat with tidal fever

Biomedical correlates

  • Febrile illness with constipation

Source text 原文

Donguibogam 東醫寶鑑

治積熱潮熱. 朱砂 九錢, 牛黃ㆍ龍腦ㆍ膩粉ㆍ麝香 各三錢, 巴豆 三十二箇<span class='sochu'>去皮心膜炒去油熟硏</span>, 金箔 九片. 右合硏勻, (煉)黃蠟 六錢, 入白沙蜜少許和勻, 兩作三十丸. 每用一丸, 米飮, 或涼水呑下, 取轉下一切惡毒涎. 如要藥速行, 以鍼刺一眼子, 冷水浸, 少時服, 其效更速. 《局方》 此疏決腸胃, 制伏木火之劑也. 《丹心》

Translation

Treats accumulated heat with tidal fever. Cinnabar 9 don; bezoar, borneol, calomel and musk 3 don each; croton seed thirty-two <span class='sochu'>skin, heart and membrane removed, fried, the oil pressed out and ground cooked</span>; gold leaf nine leaves. Grind them together evenly, add 6 don of refined beeswax and a little white honey, mix evenly and make thirty pills from each two nyang. Take one pill at a time down with rice broth or cool water, to bring down all foul and toxic drool. If the medicine is wanted to act quickly, prick one eye in it with a needle, steep it in cold water a little while and then take it, and the effect is quicker still. This is a preparation that dredges and opens the intestines and stomach and subdues the wood fire. — Hwaje Gukbang 局方 (Donguibogam · Hwa)

Clinical commentary 臨床

以鍼刺一眼子 — prick one eye in it with a needle — is the detail worth keeping. The pill is sealed in beeswax, which delays its action; piercing the coat and soaking it lets the contents out sooner. That is a deliberate control over onset time, built into the preparation, and it is the earliest form of the idea that a coating governs where and when a medicine acts. **Contains cinnabar and calomel, both mercury compounds, with croton seed and musk. This must not be prepared or taken under any circumstances.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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