Xiao Cheng Qi Tang (Minor Order the Qi Decoction)

Sub-Category:

• Formulas that Purge Heat Accumulation

Pattern:

• Mild Heat in the Yang-Ming (Organ Syndrome)

Actions:

• Clear Stomach and Intestinal Heat
• Moderately purges heat accumulation and moves the Qi.

Indications:

• Afternoon tidal fever, abdominal and focal distension, abdominal pain that does not increase with pressure, constipation or diarrhea, sweating, irritability or delirium, tenesmus

Possible Tongue Appearance:

• Dry, dirty, or old looking yellow tongue coat

Possible Pulse Patterns:

• Rapid and slippery pulse

Western Uses:

• Early Stage Dysenteric Disorders
• Acute Simple Intestinal Obstruction
• Acute Cholecystitis
• Acute Appendicitis
• Constipation

Cautions, Contraindications, Herb Drug Interactions:

• Do not use if external pathogens have not been released
• Use cautiously in patients with a weak constitution.
• Do not use during pregnancy.

Preparation Notes:

• Decoction. Decoct with 4 cups of water. Boil down to 2 cups and divide into two doses.

Originally Appeared In:

• On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

• Large Intestine, Stomach, Heart, Liver, Lungs, Spleen

Substances in this Formula (3 Total):

	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
	Hou Po (Magnolia Bark) 厚朴 Qty: 6 grams Chan: LI, LU, SP, ST Prop: Bitter, Spicy, Warm, Aromatic Latin: Cortex Magnoliae Officinalis Cat: Aromatic Herbs that Transform and Dissolve Dampness
	Zhi Shi (Immature Fruit of the Bitter Orange) 枳实 Qty: 3 pieces (6-9 grams) Chan: LI, SP, ST Prop: Bitter, Spicy, Slightly Cold Latin: Fructus Immaturus Citri Aurantii Cat: Herbs that Regulate the Qi