Herb Formulas Notebook

Xiao Cheng Qi Tang

Minor Order the Qi Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

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


Category: Formulas that Drain Downward

Pattern: Mild clumped Heat in the Yangming, Yin Wei Mai Heat pain with Taiyin pattern.

Key Symptoms: Constipation, focal distention, abdominal fullness and pain that does not increase upon pressure

Tongue: Dirty, dry, yellow coat
Pulse: Slippery, rapid
Abdomen: Distended and painful but does not increase on pressure, focal distention in the epigastrium


Ingredients

Da Huang 12g (add near end)
Hou Po 6g
Zhi Shi 6-9g


Preparation: Decoction.


Actions: Mildly purges Heat accumulation

Contraindications: Abdominal distention and pain that increases with pressure (Da Cheng Qi Tang should be used instead)



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.

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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).



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