Herb Formulas Notebook

Tao He Cheng Qi Tang

Peach Pit Decoction to Order the Qi


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


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


Ingredients

Tao Ren 12g
Da Huang 12g
Gui Zhi 6g
Mang Xiao 6g
Zhi Gan Cao 6g

Subsitutions:
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)



Notes:
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.

---------------------------------------

One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).

---------------------------------------

Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Flos Arnicae(Arnica flowers)6g(Emperor)
Radix et Rhizoma Rhei(Rhubarb root)8g(Emperor)
Ramulus Cinnamomi(Cinnamon bark)2g(Minister)
Folium Rosmarini(Rosemary)3g(Minister)
Herba Equiseti(Horsetail)6g(Assistant)
Radix Glycyrrhizae(Licorice)2g(Assistant & Envoy)



Research Links:



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.