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Da Cheng Qi Tang (Major Order the Qi Decoction)

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  • Formulas that Purge Heat Accumulation


  • Yang Ming Organ Heat with Constipation or Diarrhea


  • Strongly purges accumulation and clears heat from the Stomach and the Intestines
  • Activates Qi


  • Severe Constipation and flatulence
  • Epigastric and abdominal focal distention and fullness.
  • Firm abdomen with pain that is aggravated by pressure.
  • Possible tidal fever, Profuse sweating from the hands and the feet, irritability, and delirious speech.

Possible Tongue Appearance:

  • Red with prickles with a dark dry yellow or dry black coat

Possible Pulse Patterns:

  • Submerged, forceful, rapid, slippery, and excess

Western Uses:

  • Constipation
  • Acute (simple) intestinal obstruction
  • Acute Cholecystitis
  • Acute appendicitis
  • Acute Pancreatitis
  • Roundworm in the bile duct
  • Early stage dysentery
  • Pneumonia
  • Syncope
  • Seizures

Cautions, Contraindications, Herb Drug Interactions:

  • Due to the strong nature of this formula it may cause diarrhea and vomiting
  • Do not use during pregnancy.

Preparation Notes:

  • Decoction. Da Huang is added towards the end of cooking and Mang Xiao is dissolved in the strained decoction.

Originally Appeared In:

  • On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

  • Large Intestine, Stomach, Spleen, Lungs

Substances in this Formula (4 Total):

Da Huang (Radix Et Rhizoma Rhei)
Da Huang (Rhubarb Root and Rhizome) 大簧
Qty: 12 grams
Chan: HT, LI, LIV, ST
Prop: Bitter, Cold
Latin: Radix Et Rhizoma Rhei
Cat: Purgatives
Mang Xiao (Natrii Sulfas)
Mang Xiao (Sodium Sulfate, Mirabilite, Glauber's Salt) 芒硝
Qty: 9-12 grams
Chan: ST, LI.
Prop: Salty, Bitter, Very Cold
Latin: Natrii Sulfas
Cat: Purgatives
Zhi Shi (Fructus Immaturus Citri Aurantii)
Zhi Shi (Immature Fruit of the Bitter Orange) 枳实
Qty: 12-15 grams
Chan: LI, SP, ST
Prop: Bitter, Spicy, Slightly Cold
Latin: Fructus Immaturus Citri Aurantii
Cat: Herbs that Regulate the Qi
Hou Po (Cortex Magnoliae Officinalis)
Hou Po (Magnolia Bark) 厚朴
Qty: 24 grams
Chan: LI, LU, SP, ST
Prop: Bitter, Spicy, Warm, Aromatic
Latin: Cortex Magnoliae Officinalis
Cat: Aromatic Herbs that Transform and Dissolve Dampness

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