Da Cheng Qi Tang (Major Order the Qi Decoction)
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Da Cheng Qi Tang (Major Order the Qi Decoction)

Formula 3 of 14 in Formulas that Drain Downward

Sub-Category:

  • Formulas that Purge Heat Accumulation

Pattern:

  • Yang Ming Organ Heat with Constipation or Diarrhea

Actions:

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

Indications:

  • 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, Heart, Liver, Spleen, Lungs

There are 4 Substances in this Chinese Medicne

Da Huang (Qty: 12 grams)

Cold Da Huang (Radix Et Rhizoma Rhei)
Channels:
HT, LI, LIV, ST
Properties:
Bitter, Cold
Latin:
Radix Et Rhizoma Rhei
Chinese:
大簧
Tone Marks:
dà huáng
Translation:
Big Yellow

Mang Xiao (Qty: 9-12 grams)

Cold Mang Xiao (Natrii Sulfas)
Channels:
ST, LI.
Properties:
Salty, Bitter, Very Cold
Latin:
Natrii Sulfas
Chinese:
芒硝
Tone Marks:
máng xiāo

Zhi Shi (Qty: 12-15 grams)

Slightly Cold Zhi Shi (Fructus Immaturus Citri Aurantii)
Channels:
LI, SP, ST
Properties:
Bitter, Spicy, Slightly Cold
Latin:
Fructus Immaturus Citri Aurantii
Chinese:
枳实
Tone Marks:
zhĭ shí

Hou Po (Qty: 24 grams)

Warm Hou Po (Cortex Magnoliae Officinalis)
Channels:
LI, LU, SP, ST
Properties:
Bitter, Spicy, Warm, Aromatic
Latin:
Cortex Magnoliae Officinalis
Chinese:
厚朴
Tone Marks:
hòu pò

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