Formulas · Warm the Interior 溫裏 · Jesaeng (濟生)

Atractylodes and Aconite Decoction

Chulbu-tang

한글 출부탕 · Pinyin Zhu Fu Tang

朮附湯

Cut and made into one packet with 3 slices of ginger, decocted in water and taken. **Note on modern practice: aconite is a regulated toxic medicinal requiring proper processing and professional prescription.**

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

8 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

8 g
Chief 君 blast-fried
Duchung Du Zhong
杜仲 두충 · Eucommia Bark

4 g
Deputy 臣 dry-fried
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices

Total 26 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

Warms and dries a Kidney channel that damp has entered
Lifts the cold heaviness from the low back

Indications 主治

Pattern-based

Damp damaging the Kidney channel with lumbar pain cold and heavy (治濕傷腎經腰痛冷重)
Damp lumbar pain
Heaviness with cold

Biomedical correlates

Low back pain with heaviness and cold
Weather-aggravated back pain
Damp-pattern lumbar pain

Source text 原文

Donguibogam 東醫寶鑑

治濕傷腎經, 腰痛冷重. 白朮ㆍ附子(炮) 各二錢, 杜沖(炒) 一錢. 右剉, 作一貼, 薑三片, 水煎服. 《濟生》

Translation

Treats damp damaging the Kidney channel, with lumbar pain cold and heavy. White atractylodes and blast-fried aconite, 2 don each; dry-fried eucommia 1 don. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — Jesaeng 濟生 (Donguibogam · Yo)

Clinical commentary 臨床

Three herbs for the damp kind, and the pairing at the head is the classical answer to cold damp anywhere in the body: atractylodes dries, aconite warms. Eucommia is what makes it a lumbar formula rather than a general one. Note the indication's two words — **cold and heavy** — which are precisely the qualities the damp section uses to identify this kind, as against the sharpness of stasis or the shifting of wind. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.