Formulas · Purge Downward 瀉下 · Geumgwe Yoryak (金匱要略)

Rhubarb and Moutan Decoction

Daehwangmokdanpi-tang

한글 대황목단피탕 · Pinyin Da Huang Mu Dan Tang

大黃牡丹湯

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

12 g
Chief 君
Mangcho Mang Xiao
芒硝 망초 · Mirabilite

8 g
Deputy 臣
Mokdanpi Mu Dan Pi
牧丹皮 목단피 · Moutan Bark

4 g
Deputy 臣
Donggwaja Dong Gua Zi
冬瓜子 동과자 · Winter Melon Seed

12 g
Assistant 佐
Doin Tao Ren
桃仁 도인 · Peach Kernel

10 g
Assistant 佐

Total 46 g per packet (첩) · representative dosage — verify against source texts.

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

Drains heat and breaks Blood stasis in the intestines
Disperses early intestinal abscess before it suppurates

Indications 主治

Pattern-based

Early-stage intestinal abscess with right lower abdominal pain
Pain refusing pressure with guarding and fever
Heat and stasis bound in the lower right quadrant

Biomedical correlates

Early appendicitis-pattern presentations (classical use; requires medical evaluation)
Pelvic inflammatory heat-stasis patterns

Clinical commentary 臨床

The Geumgwe's formula for the hot right-lower abdomen — the classical description maps unmistakably onto appendicitis, which today belongs first to the surgeon. Its architecture remains the model for heat-stasis abscess patterns. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.