Mu Xiang Dao Zhi Wan木香导滞丸
Aucklandia Pill to Guide out Stagnation
Ingredients10 herbs
Indications
Damp-heat food accumulation with pronounced qi stagnation. The obstruction is no longer only substance but the qi dynamic around it, so pain, distension and tenesmus outweigh the accumulation itself.
Clinical Manifestations
- Damp-heat food accumulation with severe abdominal distension
- Dysenteric stools with marked tenesmus
- Griping abdominal pain that resists pressure
- Constipation with fullness after overeating rich food
- Foul, scanty, urgent stools that bring no relief
Health Categories
Modern Applications
Common adjustments
- Pain predominant — increase Mu Xiang 木香 and add Yan Hu Suo 延胡索
- Dysentery with blood and pus — add Bai Shao 白芍 and Huang Bai 黄柏
- Accumulation lighter, qi stagnation still marked — reduce Da Huang 大黄 and keep the qi-moving herbs
- Weak constitution — use the parent formula Zhi Shi Dao Zhi Wan 枳实导滞丸 at a lower dose instead
Contraindications
Contraindicated in deficiency-cold diarrhoea and in chronic loose stools from Spleen deficiency. Bing Lang sinks qi and is avoided where qi is already sinking — prolapse, chronic weakness, marked fatigue. Because it contains a purgative plus two strongly downward-moving qi herbs, it is not a maintenance prescription and is stopped as soon as the bowels are freely open.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy. It carries everything that prohibits its parent formula — Da Huang as a purgative — and adds Bing Lang, which drives qi strongly downward and is traditionally avoided in pregnancy. Not used while breastfeeding without a practitioner's assessment.
References
Source Nei Wai Shang Bian Huo Lun 《内外伤辨惑论》 · Jin
- 《内外伤辨惑论》(classical source, public domain) — the appended-formula record for 枳实导滞丸.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.