Formulas · Release the Exterior 解表 · Gogeum Uigam (古今醫鑑)

Five Tigers Decoction

Oho-tang

한글 오호탕 · Pinyin Wu Hu Tang

五虎湯

Composition 構成

Seokgo Shi Gao
石膏 석고 · Gypsum

20 g
Chief 君
Mahwang Ma Huang
麻黃 마황 · Ephedra

12 g
Chief 君
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

8 g
Deputy 臣
Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

6 g
Deputy 臣
Seacha Xi Ya Cha
細芽茶 세아차 · Fine Tea Buds

—
Assistant 佐

a pinch of fine tea
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Chongbaek Cong Bai
蔥白 총백 · Scallion White

—
Envoy 使

one stalk

Total 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

Treats cold damage with hurried panting

Indications 主治

Pattern-based

Hot wheeze with cold damage in the exterior
Lung heat with wheeze after a chill

Biomedical correlates

Acute bronchospasm with fever

Source text 原文

Donguibogam 東醫寶鑑

治傷寒喘急. 麻黃三錢, 石膏五錢, 杏仁二錢, 甘草一錢, 細茶一撮, 桑白皮一錢半. 右剉, 作一貼, 入薑三片ㆍ葱白一莖, 水煎服. 《醫鑑》

Translation

Treats cold damage with hurried panting. Ephedra, 3 don; gypsum, 5 don; apricot kernel, 2 don; licorice, 1 don; a pinch of fine tea; mulberry root bark, 1 don 5 fun. Cut up, make one packet, add three slices of ginger and one stalk of scallion white, and decoct in water. — Gogeum Uigam 醫鑑 (Donguibogam · Haesu)

Clinical commentary 臨床

Mahaenggamseok-tang — ephedra, apricot kernel, gypsum, licorice — with mulberry root bark and tea added, and it is the classical formula for a wheeze that is hot rather than cold: the gypsum outweighs the ephedra, so the formula opens the airway while cooling the lung. The tea is not decoration; it was used for its own effect on the breath, and caffeine is a bronchodilator. **Ephedra is a sympathomimetic and is contraindicated in hypertension and heart disease. Acute severe breathlessness is an emergency.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.