Mu Xiang (木香; Mù Xiāng; Latin: Aucklandiae Radix; English: costus root / Aucklandia root) is the dried root of Aucklandia lappa Decne. (also called Yun Mu Xiang). In Chinese medicine it is a qi-moving herb. It is acrid, bitter, and warm, enters the Spleen, Stomach, Large Intestine, Sanjiao, and Gallbladder channels, and its core actions are to move qi and relieve pain, and to strengthen the spleen and disperse food. The pharmacopoeia also lists Chuan Mu Xiang (Vladimiriae Radix), which moves qi and relieves pain, especially epigastric distention and tenesmus. Yun Mu Xiang is trade-controlled. Clinic use is legal prepared pieces only.
This name-trap matters: Qing Mu Xiang is the root of Aristolochia and contains aristolochic acid. It must not be used as Mu Xiang. Same two characters in the common name; different plants. It is also not costus essential oil. Aroma-therapy doses are not decoction-piece doses.
It is used most often for three patterns:
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Qi-stagnation distending pain — chest, flank, or abdominal fullness and pain
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Dysentery with tenesmus — abdominal pain and a feeling of incomplete evacuation
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Food accumulation — no desire to eat, focal fullness
Raw Mu Xiang moves qi more strongly and fits distending pain. Roasted (wei) Mu Xiang is less mobile and is used more to firm the intestines and stop diarrhea. The usual decoction dose is 3–10 g. Aromatic pieces may be added near the end. Yin deficiency with damaged fluids, and blazing fire, are cautions. Acrid-warm and fragrant-dry, it is not a daily “qi perfume root.”
When Liver and Spleen are not in accord, or food and qi stall, bloating, tenesmus, and poor appetite are common. Mu Xiang is acrid-warm and bitter-dry. It moves, disperses, and can stop diarrhea, which is why it appears in Xiang Lian Wan and Mu Xiang Bing Lang Wan. It moves more than it moistens. A dry mouth and a red tongue with little coating get drier if more fragrance is added.
Mu Xiang is not a catch-all for bloating or diarrhea. Qing Mu Xiang must never be substituted. In yin-deficiency qi stagnation or dry constipation from scant fluids, using it alone can dry yin. Raw or roasted should be decided by a licensed Chinese medicine practitioner after pattern diagnosis, using qualified pieces only.