Yue Bi Jia Zhu Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

越婢加術湯 · Yuè Bì Jiā Zhú Tāng

A classical Shang Han formula for wind-edema with exterior signs, sweating and Spleen damp.

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Quick Facts

Formula Category
Exterior-Releasing Formulas
Primary Pattern
Wind-Cold
Primary Function
Release exterior, clear heat, fortify Spleen, drain damp
Primary Therapeutic Principle
Induce sweating to release exterior and drain damp edema
Classical Source
Shang Han Lun (Zhang Zhongjing, Eastern Han)
Available as Granules
Yes

Formula Overview

A classical Shang Han formula for wind-edema with exterior signs, sweating and Spleen damp.

Therapeutic Principle

Traditionally selected for wind-edema with exterior signs and Spleen damp, when Bai Zhu’s Spleen-fortifying action is needed beyond plain Yue Bi Tang.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Herba Ephedrae (Ma Huang) 9g
  • Gypsum Fibrosum (Shi Gao) 18g
  • Rhizoma Atractylodis Macrocephalae (Bai Zhu) 9g
  • Rhizoma Zingiberis Recens (Sheng Jiang) 9g
  • Radix et Rhizoma Glycyrrhizae (Gan Cao) 6g
  • Fructus Jujubae (Da Zao) 5pcs

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Induces sweating
  • promotes urination
  • and fortifies the spleen to disperse edema.

Indications

  • This formula is indicated for wind-water edema with spleen dampness.
  • Signs and symptoms include swelling, fever, and inhibited urination.
  • The coating is white and greasy.

Traditional Pathogenesis

Cause & mechanism

  • This pattern is due to externally contracted wind-cold that fetters the exterior and constrains lung qi.
  • Wind-water at the exterior with spleen dampness produces edema, fever and inhibited urination; bai zhu strengthens the transporting function.

Clinical presentation

  • Wei yang is obstructed, the interstices close, and the lung fails to diffuse, producing aversion to cold, absence of sweating, body aches and a superficial tight pulse.

Treatment strategy

  • The correct method is to induce sweating to release the exterior and diffuse the lung.
  • In this formula the emphasis is to induce sweating to release exterior and drain damp edema.

How does this formula compare?

Compare Yue Bi Jia Zhu TangYue Bi TangWu Ling SanFang Ji Huang Qi Tang
Primary Function Release exterior, clear heat, fortify Spleen, drain dampRelease exterior, clear heat, drain damp edemaPromote urination, drain Dampness, warm YangTonify Qi, dispel wind, drain dampness
Formula Category Exterior-Releasing FormulasExterior-Releasing FormulasDampness-Draining FormulasDampness-Draining Formulas
Typical TCM Pattern Wind-ColdWind-ColdDampnessQi Deficiency
Main Conditions Edema·Fever·Spontaneous SweatingEdema·FeverEdema·Frequent Urination·Damp ConstitutionEdema·Spontaneous Sweating·Joint Discomfort·Fatigue & Low Energy
Main Herbs Ephedra Herb·Gypsum·Fresh Ginger·Licorice Root·Jujube / Chinese DateEphedra Herb·Gypsum·Fresh Ginger·Licorice Root·Jujube / Chinese DateAlisma Rhizome·Poria / Hoelen·Polyporus·White Atractylodes Rhizome·Cinnamon TwigStephania Root·Astragalus Root·White Atractylodes Rhizome·Honey-fried Licorice
Classical Source Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Jin Gui Yao Lue (Zhang Zhongjing, Eastern Han)

Clinical Perspective

Yue Bi Jia Zhu Tang, Yue Bi Tang, Wu Ling San and Fang Ji Huang Qi Tang all treat edema. Yue Bi Tang induces sweating for wind-edema; Wu Ling San transforms Qi and drains water; Fang Ji Huang Qi Tang tonifies Qi while draining damp. Yue Bi Jia Zhu Tang adds Bai Zhu to Yue Bi Tang to fortify the Spleen while releasing exterior and draining damp.

Clinical Differentiation

  • Yue Bi Jia Zhu Tang is used for wind-water edema with spleen dampness.
  • Bai Zhu is added to Yue Bi Tang to strengthen transportation.
  • It is distinguished from Yue Bi Tang (more exterior wind-water) and from Fang Ji Huang Qi Tang (qi-deficient wind edema).

Safety notes: This formula induces sweating and leaches water. It is not appropriate for yin-deficiency edema or for deficiency exteriors with profuse sweating.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What are the actions of Yue Bi Jia Zhu Tang?
Yue Bi Jia Zhu Tang has the actions of releasing the exterior, dispersing Wind, promoting urination, reducing edema, clearing Heat, and strengthening the Spleen to dry dampness. It is a modification of Yue Bi Tang with the addition of Bai Zhu.
Which modern conditions is Yue Bi Jia Zhu Tang commonly applied to?
In modern TCM clinical practice it is frequently used for patients whose pattern differentiation matches Wind-Water or damp accumulation with Heat, including acute nephritis with edema, early nephrotic syndrome, rheumatoid arthritis with swelling, and certain damp-heat skin conditions such as eczema.
Is Yue Bi Jia Zhu Tang suitable for treating edema?
For presentations of facial or generalized edema, body heaviness, reduced urination, aversion to wind, and possible mild fever or thirst — when pattern differentiation confirms Wind-Water with Spleen dampness — TCM commonly applies Yue Bi Jia Zhu Tang as an adjunct. It cannot replace standard medical evaluation.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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