Da Cheng Qi Tang - 大承气汤 - American Dragon - Chinese Herbs

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Ask The Doctor | Donate back to herb formulas index HERB FORMULAS

DA CHENG QI TANG - 大承气汤 - MAJOR ORDER THE QI DECOCTION - MAJOR RHUBARB COMBINATION

English: Major Order the Qi Decoction
Also Known As: Major Rhubarb Combination Decoction for Sustaining Qi Major Purgative Decoction Decoction for Potent Purgation

HERBS AND ACTIONS

Pharmaceutical Latin Pin Yin Dosage Actions
Rx. et Rz. Rhei Da Huang 2-12g Drains Heat, purges accumulations, drains Fire, transforms Dampness, promotes urination, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis, reduces Fire toxicity and eliminates Phlegm. With Mang Xiao, eliminates obstruction in the Intestines for severe constipation with passage of liquid but no solid stool and abscess, swellings and toxic sores. With Zhi Shi, Mang Xiao and Hou Po, for unremitting high fever, delirious speech, and constipation.
Natrii Sulfas Mang Xiao 2-12g Purges, eliminates stagnation, clears Heat, softens hardness, moistens Dryness, drains Fire and reduces swelling . With Da Huang, for constipation due to Heat in the Stomach and Intestines.
Fr. Aurantii Immaturus Zhi Shi 2-15g Dissipates Qi Stagnation, reduces distention, descends Qi, removes stagnant food, transforms Phlegm, resolves hardenings and unblocks the bowels. With Da Huang, for Food and for Qi Stagnation with distention and constipation.
Cx. Magnoliae Hou Po 5-24g Promotes the movement of Qi in the Middle Jiao, resolves Stagnation resolves Food Stagnation, descends Rebellious Qi, reduces Phlegm, dries Dampness and calms wheezing. With Da Huang and Zhi Shi, for constipation due to accumulation and stagnation. With Zhi Shi, for clumped Qi failing to move, with abdominal distention, wheezing, shortness of breath, nausea and constipation and abdominal or chest distention, focal epigastric distention, wheezing, shortness of breath nausea, rebellious Qi or constipation from Cold, Heat, Dampness or Phlegm as long as clumped Qi is at the root of the problem (use with caution in weaker patients).

FORMULA ACTIONS

  • Strongly purges Heat Accumulation

SYNDROMES

  • Colon Excess Heat
  • Intestinal Abscess
  • Yang Ming Fu
  • Wen Bing Qi Stage - Intestinal Dry Heat
  • Syncope and seizures (closed type Wind-Stroke or Heat Collapse)
  • San Jiao - Large Intestine Damp-Heat
  • Internal Blood Stasis with spasms

CLINICAL MANIFESTATIONS

  • Severe constipation (dry knots)
  • Flatulence
  • Focal distention
  • Abdominal fullness
  • Abdominal pain - worse with pressure
  • Tense firm abdomen
  • Tidal fevers
  • Delirious speech
  • Profuse perspiration from the palms and soles
  • Trembling extremities
  • Aversion to Heat
  • Mania
  • Convulsions
  • Abdominal masses
  • Dry mouth
  • Thirst
  • Cracked lips
  • Periumbilical pain
  • Irritability
  • Heavy body
  • Hemorrhoids
  • Fever
  • Cold extremities
  • Perspiration from the head
  • A hot sensation in the sternum and epigastrium
  • Scanty, dark urination
  • Green, watery and foul-smelling diarrhea
  • Abdominal spasms
  • T: Pink with prickles or Red
  • C: Yellow and dry or Black and dry
  • P: Deep, Excess and rapid or Slippery and rapid

TREATS

  • Acute uncomplicated appendicitis
  • Acute cholecystitis
  • Acute pancreatitis
  • Uncomplicated intestinal obstruction
  • Postoperative constipation and distention
  • Roundworms in the bile duct
  • Early-stage dysentery
  • Pneumonia (especially in children)
  • Hypertension
  • Beriberi
  • Mania
  • Cholelithiasis
  • Acute icteric hepatitis
  • Stomach flu
  • Purulent tonsillitis
  • Asthma
  • Urolithiasis
  • Schizophrenia
  • Bi-polar disorder
  • Habitual constipation
  • Enteroparalysis
  • Organophosphorus poisoning
  • Convulsions
  • Abdominal pain
  • Oliguria
  • Abdominal Fullness and distention
  • Abdominal masses
  • Peritoneal tuberculosis
  • Diverticulitis
  • Pelvic inflammatory disease
  • Salpingitis
  • Hyperlipoproteinemia
  • Profuse perspiration
  • Postpartum abdominal pain
  • Severe constipation
  • Postoperative constipation
  • Food poisoning
  • Ephidrosis
  • Moist fever
  • Typhoid fever
  • Influenza
  • Measles
  • Meningitis
  • Tetanus
  • Neurosis
  • Obesity
  • Hemorrhoids
  • Bacterial dysentery
  • Encephalitis
  • Lobar pneumonia
  • Cardiopulmonary disease
  • Enuresis
  • Stroke
  • Acute eczema
  • Lead poisoning
  • Enteritis
  • Irritable bowel syndrome
  • Biliary ascariasis
  • Nausea/Vomiting
  • Diarrhea
  • Abdominal spasms
  • Anorexia
  • Crohn's disease
  • Mesenteric lymphadenitis
  • Trichomonas
  • Vaginal discharge
  • Ascites
  • Vaginitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Contraindicated when a pathogen remains at the protective (Wei) stage or in the Tai Yang level.
  • Contraindicated when there is hardness in the epigastric area indicating that the pathogen is still above the diaphragm.
  • Contraindicated when there is a flushed face due to Heat Floating in the Exterior.
  • Contraindicated for those with Spleen and Stomach Deficiency who eat only small amounts.
  • Contraindicated for those who stop eating.
  • Contraindicated for those who vomit frequently due to the pathogen remaining in the Shao Yang.
  • Contraindicated for those who have Interior Cold with a slow pulse.
  • Contraindicated for those with spontaneous sweating and normal urination.
  • Use extreme caution with weak patients, add tonics.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For simultaneous Yang Ming Jing and Fu syndromes with high fever, pronounced thirst and a forceful, rapid pulse: For severe bloating:
+ Rx. Anemarrhenae Zhi Mu + Sm. Raphani Lai Fu Zi
+ Gypsum Fibrosum Shi Gao For Blood Stasis:
for Yang Ming disorder with damage to the fluids including dry lips, a burnt, yellow, dry tongue coat and a thin, rapid pulse: + Sm. Persicae Tao Ren
+ Rx. Rehmanniae Sheng Di Huang + Rx. Paeoniae Rubra Chi Shao
+ Rx. Scrophulariae Xuan Shen + Rx. Angelicae Sinensis Dang Gui
+ Rx. Ophiopogonis Mai Men Dong For Qi Deficiency:
For fullness, distention and oppression in the abdomen: + Rx. Ginseng Ren Shen
+ Sm. Raphani Lai Fu Zi For dry stools and pain:
Rx. Aucklandiae Mu Xiang + More Natrii Sulfas Mang Xiao
For hemorrhoids and painful defecation: + Sm. Trichosanthis Gua Lou Ren
+ Rx. Scutellariae Huang Qin For ascites:
+ Olibanum Ru Xiang + Rx. Kansui Gan Sui
For severe Qi and Blood Deficiencies: + Flos Genkwa Yuan Hua
+ Rx. Ginseng Ren Shen For mild damage to the Body fluids:
+ Rx. Angelicae Sinensis Dang Gui - Natrii Sulfas Mang Xiao
+ Rx. Glycyrrhizae Gan Cao For mild abdominal distention and fullness:
For severe abdominal bloating and pain: - Cx. Magnoliae Hou Po
+ Sm. Raphani Lai Fu Zi - Fr. Aurantii Immaturus Zhi Shi
+ Sm. Persicae Tao Ren + Rx. Glycyrrhizae Gan Cao
+ Rx. Paeoniae Rubra Chi Shao For severe Dryness in the intestines:
For high fever: - Cx. Magnoliae Hou Po
+ 15g Gypsum Fibrosum Shi Gao - Fr. Aurantii Immaturus Zhi Shi
For severe pain: + Rx. Scrophulariae Xuan Shen
+ 9g Rx. Aucklandiae Mu Xiang + Rx. Ophiopogonis Mai Men Dong
+ 9g Per. Citri Reticulatae Viride Qing Pi For severe abdominal cramping:
+ 9g Rz. Corydalis Yan Hu Suo
For thirst: + 12g Rx. Paeoniae Alba Bai Shao
+ 12g Rx. Scrophulariae Xuan Shen + 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 12g Rx. Ophiopogonis Mai Men Dong
For Yin Deficiency: For Intestinal Obstruction:
+ 12g Rx. Rehmanniae Sheng Di Huang + Sm. Raphani Lai Fu Zi
+ 12g Hb. Dendrobii Shi Hu + Rx. Scutellariae Huang Qin
For cholecystitis: For cholecystitis with Qi Stagnation :
+ Hb. Taraxaci Pu Gong Ying + Hb. Taraxaci Pu Gong Ying
+ Hb. Lysimachiae Jin Qian Cao + Hb. Lysimachiae Jin Qian Cao
+ Rx. Notoginseng San Qi + Rx. Notoginseng San Qi
For cholecystitis with Excess Heat: + Rz. Cyperi Xiang Fu
+ Hb. Taraxaci Pu Gong Ying + Rx. Curcumae Yu Jin
+ Hb. Lysimachiae Jin Qian Cao For cholecystitis with Damp-Heat:
+ Rx. Notoginseng San Qi + Hb. Taraxaci Pu Gong Ying
+ Flos Lonicerae Jin Yin Hua + Hb. Lysimachiae Jin Qian Cao
+ Fr. Forsythiae Lian Qiao + Rx. Notoginseng San Qi
For acute appendicitis: + Hb. Artemisiae Scopariae Yin Chen
- Natrii Sulfas Mang Xiao
- Fr. Aurantii Immaturus Zhi Shi + Fr. Gardeniae Zhi Zi
+ Fr. Aurantii Zhi Ke For acute pancreatitis:
+ 30g. Hb. Patriniae Bai Jiang Cao + Rx. Scutellariae Huang Qin
+ 30g Hb. Hedyotis Diffusae Bai Hua She She Cao + Cx. Phellodendri Huang Bai
+ Rx. Bupleuri Chai Hu
+ 30g Caulis Sargentodoxae Hong Teng For acute pancreatitis with Excess Yang Ming Heat :
+ 30g Rz. Polygoni Cuspidatae Hu Zhang + Rx. Scutellariae Huang Qin
+ Cx. Phellodendri Huang Bai
+ 25g Rx. Salviae Miltiorrhizae Dan Shen + Rx. Bupleuri Chai Hu
+ Flos Lonicerae Jin Yin Hua
+ 12g Sm. Persicae Tao Ren + Fr. Forsythiae Lian Qiao
For acute pancreatitis with Damp-Heat jaundice: For acute pancreatitis with biliary ascariasis:
+ Rx. Scutellariae Huang Qin + Rx. Scutellariae Huang Qin
+ Cx. Phellodendri Huang Bai + Cx. Phellodendri Huang Bai
+ Rx. Bupleuri Chai Hu + Rx. Bupleuri Chai Hu
+ Hb. Artemisiae Scopariae Yin Chen + Cx. Meliae Ku Lian Pi
+ Sm. Arecae Bing Lang
+ Fr. Gardeniae Zhi Zi + Rx. Asari Xi Xin
For acute pancreatitis without constipation: For a mild case of tetanus:
- Rx. et Rx. Rhei Da Huang + Periostracum Cicadae Chan Tui
- Natrii Sulfas Mang Xiao For urolithiasis:
+ Rx. Scutellariae Huang Qin + Spora Lygodii Hai Jin Sha
+ Cx. Phellodendri Huang Bai + Hb. Lysimachiae Jin Qian Cao
+ Rx. Bupleuri Chai Hu For acute eczema with:
For acute eczema with severe itching: + Periostracum Cicadae Chan Tui
+ Periostracum Cicadae Chan Tui + Rx. Paeoniae Rubra Chi Shao
+ Rx. Paeoniae Rubra Chi Shao + Flos Lonicerae Jin Yin Hua
+ Flos Lonicerae Jin Yin Hua For acute eczema with loose stools:
+ Cx. Dictamni Bai Xian Pi - Natrii Sulfas Mang Xiao
+ Rx. Sophorae Flavescentis Ku Shen + Periostracum Cicadae Chan Tui
+ Rx. Paeoniae Rubra Chi Shao
For acute eczema with discharge: + Flos Lonicerae Jin Yin Hua
+ Periostracum Cicadae Chan Tui + Rz. Dioscoreae Shan Yao
+ Rx. Paeoniae Rubra Chi Shao For acute eczema with fever:
+ Flos Lonicerae Jin Yin Hua + Periostracum Cicadae Chan Tui
+ Hb. Taraxaci Pu Gong Ying + Rx. Paeoniae Rubra Chi Shao
+ Rz. Atractylodis Cang Zhu + Flos Lonicerae Jin Yin Hua
For lead poisoning with acute, excruciating abdominal pain: + Pheretima Di Long
For lead poisoning with chronic constipation:
+ Rz. Corydalis Yan Hu Suo + Sm. Pharbitidis Qian Niu Zi
+ Rx. Linderae Wu Yao + Sm. Pruni Yu Li Ren
For lead poisoning with a poor appetite: For lead poisoning with Qi and Blood Deficiency:
+ Fr. Crataegi Shan Zha + Rx. Ginseng Ren Shen
+ Sm. Raphani Lai Fu Zi + Rx. Astragali Huang Qi
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Rx. Angelicae Sinensis Dang Gui
+ Rx. Paeoniae Alba Bai Shao
For biliary ascariasis due to worm Heat: For biliary ascariasis due to worm Heat with jaundice:
+ Sm. Arecae Bing Lang
+ Fr. Quisqualis Shi Jun Zi + Sm. Arecae Bing Lang
+ Hb. Lysimachiae Jin Qian Cao + Fr. Quisqualis Shi Jun Zi
+ Fr. Mume Wu Mei + Hb. Lysimachiae Jin Qian Cao
For a high fever with Yin damage: + Fr. Mume Wu Mei
+ 9g Rx. Rehmanniae Sheng Di Huang + Hb. Artemisiae Scopariae Yin Chen Hao
+ 9g Rx Scrophulariae Xuan Shen
+ 9g Rx. Ophiopogonis Mai Men Dong For a high fever with dark, scanty urine:
For acute pancreatitis cholecystitis, appendicitis and Intestinal obstruction with significantly damaged Body Fluids: + 9g Poria Fu Ling
+ 12g Sm. Plantaginis Che Qian Zi
+ 12g Sm. Coicis Yi Yi Ren
- Cx. Magnoliae Officinalis Hou Po For acute pancreatitis cholecystitis, appendicitis and Intestinal obstruction with Heat affecting the Small Intestine (dysuria, frequent urination):
- Fr. Aurantii Immaturus Zhi Shi
+ 15g Rx. Scrophulariae Xuan Shen + 12g Rx. Paeoniae Rubra Chi Shao
+ 12g Rx. Rehmanniae Sheng Di Huang
+ 12g Rx. Ophiopogonis Mai Men Dong + 12g Rx. Rehmanniae Sheng Di Huang
For hyperlipoproteinemia: + 12g Cx. Phellodendri Huang Bai
- Natrii Sulfas Mang Xiao + 6g Rz. Coptidis Huang Lian
+ 15g Rx. Scutellariae Huang Qin For hyperlipoproteinemia with Damp-Heat:
+ 9g Rx. Picrorhizae Hu Huang Lian - Natrii Sulfas Mang Xiao
+ 9g Rz. Acori Tatarinowii Shi Chang Pu + 15g Rx. Scutellariae Huang Qin
+ 9g Rx. Picrorhizae Hu Huang Lian
+ 9g Rz. Anemarrhenae Zhi Mu + 9g Rz. Acori Tatarinowii Shi Chang Pu
+ 9g Fr. Crataegi Shan Zha
+ 6g Rx. Glycyrrhizae Gan Cao + 9g Rz. Anemarrhenae Zhi Mu
For hyperlipoproteinemia with Yin damage: + 9g Fr. Crataegi Shan Zha
- Natrii Sulfas Mang Xiao + 6g Rx. Glycyrrhizae Gan Cao
+ 15g Rx. Scutellariae Huang Qin + 9g Rz. Polygoni Cuspidatae Hu Zhang
+ 9g Rx. Picrorhizae Hu Huang Lian
+ 9g Rz. Acori Tatarinowii Shi Chang Pu + 9g Rx. Curcumae Yu Jin
For hyperlipoproteinemia with Liver Qi Stagnation:
+ 9g Rz. Anemarrhenae Zhi Mu
+ 9g Fr. Crataegi Shan Zha - Natrii Sulfas Mang Xiao
+ 6g Rx. Glycyrrhizae Gan Cao + 15g Rx. Scutellariae Huang Qin
+ 9g Rx. Polygoni Odorati Yu Zhu + 9g Rx. Picrorhizae Hu Huang Lian
+ 9g Rz. Acori Tatarinowii Shi Chang Pu
+ 9g Rx. Polygoni Multiflori He Shou Wu
+ 9g Rz. Anemarrhenae Zhi Mu
For hyperlipoproteinemia with Qi Deficiency: + 9g Fr. Crataegi Shan Zha
- Natrii Sulfas Mang Xiao + 6g Rx. Glycyrrhizae Gan Cao
+ 15g Rx. Scutellariae Huang Qin + 12g Rx. Curcumae Yu Jin
+ 9g Rx. Picrorhizae Hu Huang Lian For hyperlipoproteinemia with Blood Deficiency:
+ 9g Rz. Acori Tatarinowii Shi Chang Pu - Natrii Sulfas Mang Xiao
+ 15g Rx. Scutellariae Huang Qin
+ 9g Rz. Anemarrhenae Zhi Mu + 9g Rx. Picrorhizae Hu Huang Lian
+ 9g Fr. Crataegi Shan Zha + 9g Rz. Acori Tatarinowii Shi Chang Pu
+ 6g Rx. Glycyrrhizae Gan Cao
+ 12g Ganoderma Ling Zhi + 9g Rz. Anemarrhenae Zhi Mu
+ 6g Rx. Ginseng Ren Shen + 9g Fr. Crataegi Shan Zha
+ 6g Rx. Glycyrrhizae Gan Cao
+ 9g Rx. Polygoni Multiflori He Shou Wu
+ 9g Rx. Angelicae Sinensis Dang Gui

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