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Herb Formulas Notebook

Tao He Cheng Qi Tang

(Peach Pit Decoction to Order the Qi)

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

Category: Formulas that Regulate Blood

Pattern: Blood stagnation in the lower Jiao causing Blood accumulation and Heat, Yin Wei Mai Heat pain with Taiyin pattern.

Key Symptoms: Acute lower abdominal pain that is aggravated by pressure, constipation but smooth urination, facial flushing, mental agitation
Secondary Symptoms: Headache, dizziness, tinntitus, night-time fevers, irritability, restlessness, insomnia, thirst, delirious speech, dysmenorrhoea, amenorrhoea, dark or black stools

Tongue: Dry body, white coating, visible and enlarged sublingual veins
Pulse: Submerged and full, choppy
Abdomen: Generally strong, hardness and distention in the lower abdomen with resistance to pressure, hypertonicity of rectus abdominus

Tao ren 12g
Da huang 12g
Gui zhi 6g
Mang xiao 6g
Zhi gan cao 6g

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

Preparation: Decoction.

Actions: Drains Heat, breaks up Blood stasis

Contraindications: Pregnancy, deficiency patterns, chronic diarrhoea, exterior pathogens (should be released first)

Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009). The text only states "Cheng Qi Tang" potentially meaning any of the decoctions that end in this name.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

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.