Da Cheng Qi Tang
大承气汤

 

 

Major Order the Qi Decoction

 Disclaimer    For educational purposes only.  Do not use as medical advice

AboutHerbsCaution/Notes
Health Benefits
For: Early stage dysentery • Cholecystitis • Appendicitis • Pancreatitis
Attributes:
Products (online examples)

Powder

Capsules

Granules

Capsules

Research (sample)
Categories (Click on ⌕ for other formulas in the category)
Category: Drain Downward ⌕    Subcategory: Purge Heat Accumulation ⌕      Family: Da Huang Lei Fang ⌕      Source: Shang Han Lun  ⌕       Related Formula:
Actions
Strongly drain heat • Induce diarrhea • Dispel stasis • Relief Intestine
Indications and Contraindications
Appearance: Tongue -Excessive • Submerge      Pulse -Thin, tight, slow, wiry      Face/other 
Patterns:  
Indications: Severe flatulence • Abdominal pain that worsens with applied pressure • Abdominal focal distention and fullness • Severe constipation • Excessive sweating from the hands and the feet • Delirious speech • Low grade fever
Contraindications: Elderly patients • Pregnancy • Yin Deficiency
Properties
Data adapted from product found online.  Categories 4% or less not shown.

Herbs Cat/Dose Actions Properties
Da Huang • Rhubarb • 大黄 Downward Draining
12g
Drain downward • Promote menstruation • Reduce accumulation • Drain fire • Cools blood • Clear heat • Dry dampness • Resolve blood stasis (add near end of decoction) Anti-inflammatory • Antibiotic • AntipyreticCholereticCholagogic • Hemostatic • Immunity booster • Laxative • Nephroprotective
Mang Xiao
9g-12g
Hou Po • Magnolia Bark • 厚朴 Transform Dampness
24g
Transform spleen dampness • Transform stomach dampness • Clear food stagnation • Transform Phlegm • Clear qi stagnationPairs with Cang Zhu GABA-ergic • Sedative • Cannabimimetic • Antioxidant • Anticoagulant • Antidepressant • Anti-inflammatory • Antibiotic • Antispasmodic • Antitumor • Antimicrobial
Zhi Shi 
12g-15g
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:Stop using once diarrhea has been induced.  Decoction: Cook Zhi Shi and Hou Po in 10 cups of water until half is left.  Add Da Huang and cook until 2 cups are left.  Add Mang Xiao and bring back to a boil.  Today, physicians often use 6-12g of Da Huang and 12-15 g of Hou Po.  Except in the case of severe focal distention, then 24g of Hou Po would be used.
Modifications
+ Lai Fu Zi Severe abdominal distention
+ Tao Ren + Chi Shao Blood stasis
+ Zhi Mu + Shi Gao Yang channel and organ stage disorder

Caution
ALERT: Contraindications of each herb - use with caution under these conditions:
Da Huang: Pregnancy • Nursing • Menstruation • Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum
Hou Po: Anticoagulant drugs • Antidepressant drugs
Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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