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Major Order the Qi Decoction

Chinese Prescription: Da Cheng Qi Tang

English Translation: Major Order the Qi Decoction

Formula Type: Purge Heat Accumulation

Actions: Vigorously purges heat accumulation.

Indications: Indicated for three different patterns. 1. Heat excess in the yang brightness organs: manifests with severe constipation & flatulence, focal distention & abdominal fullness, abdominal pain that increases upon pressure, a tense & firm abdomen, a dry, yellow or dry, black tongue coating with prickles, & a submerged, excessive pulse. In severe cases. there may by tidal fevers, delirious speech, & profuse sweating from the palms & soles. 2. Heat clumping with circumfluence: manifests with green, watery, & foul-smelling diarrhea accompanied by the same abdominal signs & symptoms outlined above. The tongue body & coating are dry, & the pulse is rapid & slippery. 3. Heat inversion: manifests with fever, cold extremities, thirst, sweating from the head, constipation, scanty & dark urine, disorientation, delirious speech, cracked lips, a red tongue, & a submerged, excessive, & forceful pulse. This formula is also for tetany & mania with a similar presentation.

Contraindications: Use with caution & only when necessary. This is a powerful formula. Physician He Lian-Chen lists 8 contraindications: 1. Conditions where a pathogen remains in the protective level & exterior. 2. Hardness in the epigastric area. 3. A flushed face. 4. Patients who habitually eat only small amounts. 5. Patients who stop eating as the disorder develops. 6. Frequent vomiting. 7. A slow pulse, indicating cold in the interior. 8. Spontaneous sweating & normal urination. In addition, this very strong formula may cause vomiting or severe diarrhea. For weak patients, it should be used only when absolutely necessary, & then with the additon of tonic herbs. Contraindicated during pregnancy.

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