Formulas · Drain Dampness 利水滲濕 · Geumgwe Yoryak (金匱要略)

Maidservant from Yue Decoction plus Atractylodes

Wolbigachul-tang

한글 월비가출탕 · Pinyin Yue Bi Jia Zhu Tang

越婢加朮湯

Composition 構成

Mahwang Ma Huang
麻黃 마황 · Ephedra

12 g
Chief 君
Seokgo Shi Gao
石膏 석고 · Gypsum

16 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

8 g
Deputy 臣
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Assistant 佐
Daejo Da Zao
大棗 대조 · Jujube

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

Total 50 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

Disperses wind-water from the surface
Clears interior heat and drains dampness through urine and sweat

Indications 主治

Pattern-based

Wind-water with heat — sudden edema with sweating and thirst
Swollen hot painful joints
Puffy face and limbs with scanty urine

Biomedical correlates

Acutely swollen inflamed joints (a Kampo standard for knee effusion)
Acute edema with heat signs
Weeping eczema flares (adjunctive)

Clinical commentary 臨床

Mahwang paired against Seokgo — sweat the water out while cooling the heat within, with Baekchul mopping the middle. The Kampo first choice for the hot swollen knee, a pattern every musculoskeletal practice sees weekly. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.