Formula Database

Da Cheng Qi Tang

(Major Order the Qi Decoction)

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji (Zhong-Jing)

Category: Formulas that Drain Downward

Pattern: Excess Heat clumping in the Yangming

Key Symptoms: Constipation and flatulance, abdominal pain and distention that increases with pressure, irritability and restlessness
Secondary Symptoms: Profuse sweating from the palms and soles or the head, tidal fevers, delirious speech, disorientation, cracked lips, dark scanty urine

Tongue: Red body with dry, yellow or black coating, maybe prickled
Pulse: Deep, or deep and excessive, rapid and slippery
Abdomen: Distended and painful that worsens with pressure, focal distention in epigastrium

Da Huang 6-12g (add near end)
Mang Xiao 9g (dissolve into strained decoction)
Zhi Shi 12g
Hou Po 15-24g

In the UK Mang Xiao must be replaced with Yu Li Ren.

Preparation: Decoction.

Actions: Vigorously purges Heat accumulation

Contraindications: Pregnancy, deficient patients without modification as may cause vomiting or diarrhoea

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.