Formulas · Release the Exterior 解表 · Donguibogam · Japbyeong (Cold Damage)

Five Accumulations Powder

Ojeok-san

한글 오적산 · Pinyin Wu Ji San

五積散

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

8 g
Chief 君
Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

3.2 g
Deputy 臣
Hubak Hou Po
厚朴 후박 · Magnolia Bark

3.2 g
Assistant 佐
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

3.2 g
Assistant 佐
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

3.2 g
Assistant 佐
Danggui Dang Gui
當歸 당귀 · Korean Angelica

3.2 g
Assistant 佐
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

3.2 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

3.2 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2.8 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

2.8 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

2.8 g
Assistant 佐
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

2.8 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

3 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

2.4 g
Envoy 使
Chongbaek Cong Bai
蔥白 총백 · Scallion White

2 g
Envoy 使

Total 57 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

Releases exterior cold and warms the interior
Moves the five accumulations — Qi
Blood
phlegm
cold
and food

Indications 主治

Pattern-based

Exterior cold with interior cold stagnation
Low back and body pain aggravated by cold
Cold-type menstrual pain with digestive stagnation

Biomedical correlates

Cold-aggravated low back pain
Dysmenorrhea with cold intolerance
Mixed digestive and musculoskeletal complaints in cold constitutions

Clinical commentary 臨床

Reportedly the most prescribed formula in the history of Korean insurance medicine — seventeen herbs sweeping cold, damp, Qi, Blood, and food stagnation in one pass. The classic choice for cold-type low back pain, which makes it a constant companion in musculoskeletal practice. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.