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

膩粉 is 輕粉, calomel — mercurous chloride. The 湯液篇 entry for 輕粉 reads 一名汞粉, 一名水銀粉, 亦名膩粉, 或曰峭粉. 飛煉水銀而成, sublimed from quicksilver; 胡粉, white lead, is 一名定粉, 一名光粉, 一名瓦粉 and does not carry the name. The corpus formerly entered 膩粉 as 胡粉 here and in five other leaves, and that reading is withdrawn. With 朱砂 at 9 don the pill therefore holds two mercury compounds rather than one metal and one lead salt.

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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