Da Cheng Qi Tang (Major Order the Qi Decoction)

Da Cheng Qi Tang (Major Order the Qi Decoction)

Formula 7 of 14 in Formulas that Drain Downward

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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 (Rhubarb Root and Rhizome)
Quantity = 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 (Sodium Sulfate, Mirabilite, Glauber's Salt)
Quantity = 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 (Immature Fruit of the Bitter Orange)
Quantity = 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 (Magnolia Bark)
Quantity = 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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References Used

The TCM information presented here has been referenced from numerous sources; including teachers, practitioners, class notes from Five Branches University, the following books, as well as other sources. If you have benefited from this information, please consider supporting the authors and their works by purchasing the books below.

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General Formulas