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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Da Huang / Rhubarb Rhizome |
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Taste: Bitter • Temperature: Cold • Category: Downward Draining • Sub Category: Purgative |
Dosage3-12g |
Actions1. Drains heat & purges accumulations: for high fever, profuse sweating, thirst, constipation, abdominal pain & distention, delirium, yellow tongue coating, & a full pulse. This presentation is referred to either as Intestinal heat excess or the yang brightness organ-stage of the six stages of disease.
2. Drains damp-heat via the stool, especially in cases of damp-heat jaundice or acute, hot dysentric disorders. Also for painful urinary dysfunction.
3. Drains heat from the blood: for blood in the stool either from bleeding hemorrhoids or heat accumulating in the Intestines. Also for reckless movement of hot blood that overflows, manifested in vomiting blood or nosebleed accompanied by constipation.
4. Invigorates the blood & dispels blood stasis: for amenorrhea, immobile abdominal masses, or fixed pain due to blood stasis. Also for blood stasis due to traumatic injury or Intestinal abscess. This is an important herb for treating both recent & long-terms blood stasis.
5. Clears heat obstructing the blood level: for fever, hot, swollen & painful eyes, or fire toxin sores due to heat excess obstructing the blood level.
6. Clears heat & reduces fire toxicity: used either topically or internally for burns or hot skin lesions. |
MeridiansHeart, Large Intestine, Liver, Stomach |
CautionsContraindicated in cases of exterior disorders, qi or blood deficiency, cold from deficiency of the Spleen & Stomach. Use with exteme caution during pregnancy, menstruation, or post partum. Contraindicated for nursing mothers because the active ingredients enter the milk. |
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Mang Xiao / Mirabilite, Glauber's Salt |
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Taste: Acrid, Bitter, Salty • Temperature: Very Cold • Category: Downward Draining • Sub Category: Purgative |
Dosage3-9g |
Actions1. Purges accumulation & guides out stagnation: for heat in the Stomach & intestines with constipation, this substance moistens dryness & softens hardness.
2. Clears heat & reduces swelling: for red, swollen, painful eys; painful, swollen, ulcerated mouth or throat; & red, swollen skin lesions including breast problems. |
MeridiansStomach, Large Intestine |
CautionsContraindicated in cases of heat excess, Spleen deficiency, in the elderly, during pregancy, post partum, & during menstruation. |
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Zhi Shi / Orange (Bitter) unripened, immatured fruit |
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Taste: Bitter, Acrid • Temperature: Slightly Cold • Category: Regulate Qi • Sub Category: |
Dosage3-9g |
Actions1. Breaks up stagnant qi & reduces accumulation: for epigastric or abdominal pain & distention or indigestion with focal distention or gas.
2. Directs the qi downward & unblocks the bowels: frequently used for abdominal pain & constipation caused by accumulation & stagnant qi. Also used for dystentric diarrhea that is difficult, with or without tenesmus.
3. Transforms phlegm & expels focal distention: for focal distention & fullness in the chest & epigastrium due tp phlegm obstructing the qi mechanism.
4. Also used with qi tonifying herbs for gastriectasis, gastroptosis, rectal prolapse, or uterine prolapse. recently used to raise blood pressure. |
MeridiansLarge Intestine, Spleen, Stomach |
CautionsUse with caution during pregnancy, or in cases where the normal qi is weak or there is Stomach cold from deficiency. |
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Hou Po / Magnolia Bark |
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Taste: Bitter, Acrid • Temperature: Warm • Category: Qi Regulating / Moving; Transform Damp - Aromatic • Sub Category: |
Dosage3-9g |
Actions1. Regulates qi & reduces stagnation of the middle jiao: Key herb for treatment of qi stagnation of the Spleen & Stomach that is causing epigastric & abdominal fullness & distention, loss of appetite, & poor digestion. Indispensable herb when treating bloating, distention, & other related signs of qi stagnation.
2. Regulates qi circulation & dries dampness. Clinically qi stagnation with accumulation of dampness in the middle jiao is characterized by epigastric & abdominal fullness, nausea, vomiting, decreased intake of food, & a greasy tongue coat.
3. Descends qi, dissolves phlegm, relieves wheezing: treats cough & wheezing when phlegm blacks the normal circulation of qi in the Lung. Best for tightness in the chest, dyspnea, & cough & wheezing accompanied by profuse phlegm. |
MeridiansLarge Intestine, Lung, Spleen, Stomach |
CautionsUse with caution during pregnancy or in cases of qi deficiency. Hou po has a mild anticoagulant effect, & should be used with caution in patients who take anticoagulant or antiplatelet medications. Unprocessed hou po is sometimes irritating to the throat & may cause nausea. Processing it with sheng jiang reduces bitterness & the stimulatory effect, & is less likely to cause nausea & stomach discomfort. |