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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Products |
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Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Drain Downward ⌕ |
| Subcategory: Purge Heat Accumulation Source: Shang Han Lun |
| Actions: Purges heat accumulation [31] |
| Diagnosis |
| Tongue: dirty and dry yellow coat Pulse: slippery, rapid Other: |
| Patterns: Mild Yang Ming Fu Excess |
| Indications: Moderate Yangming organ syndrome causing constipation [35] • [no dryness] Mild type of Yangming Fu-organ excess syndrome.– Delirium, tidal fever, constipation, fullness and oppressed in abdomen, dark yellow tongue coating, slippery fast pulse – Beginning of dysentery, abdominal distention pain, tenesmus[31] • Abdominal pain NOT worsen with pressure[42]
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| Contraindications: |
| Description |
| Name Variations: Xiao Cheng Qi Tang, 小承气汤, Minor Order the Qi Decoction, |
| Herb List: Jiu Xi Da Huang (12g) • Zhi Hou Po(6g) • Zhi Zhi Shi(6-9g) |
| Commentary: |
| Related Formulas: Da Cheng Qi Tang, Ma Zi Ren Wan, Huang Long Tang, Tao He Cheng Qi Tang, Tiao Wei Cheng Qi Tang
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| NCCAOM: The 3 NCCAOM formulas for constipation from Yang Ming Heat are Xiǎo Chéng Qì Tāng, Dà Chéng Qì Tāng, and Tiào Wèi Chéng Qì Tāng. • Da Cheng Qi Tang is for severe constipation, abdominal pain that WORSENS with pressure, abdominal focal distention and fullness, severe flatulence, and excessive sweating. • Xiao Cheng Qi Tang is for beginning of dysentery, abdominal distention pain NOT WORSEN with pressure, tenesmus and mild constipation due to heat in ST and intestines. • Tiao Wei Cheng Qi Tang is for mild symptoms like mild constipation, thirst, NO abdominal distention or pain, swollen gums, nosebleed, and petechiae from the ST and intestine heat. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Da Huang |
Downward Draining |
Strongly purges heat accumulations (yangming organ heat, treats “shi” aka hardness) • Drain damp heat • Invigorate and cool blood • Promote menstruation • Promote urination • Stop bleeding • Clear heat, reduce toxicity (used topically for fire toxin sores, hot skin lesions, carbuncles, boils and burns)
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Anti-inflammatory • Antibiotic • Antipyretic • Choleretic • Cholagogic • Hemostatic • Immunity booster • Laxative • Nephroprotective |
| Hou Po |
Aromatic Transform Damp |
Transform spleen dampness • Transform stomach dampness • Clear food stagnation • Transform Phlegm • Clear Qi stagnation moving downwardPairs with Cang Zhu |
GABA-ergic • Sedative • Cannabimimetic • Antioxidant • Anticoagulant • Antidepressant • Anti-inflammatory • Antibiotic • Antispasmodic • Antitumor • Antimicrobial |
| Zhi Shi • Immature Bitter Orange • 枳实 |
Regulate Qi |
Breaks up Qi stagnation, move Qi downward, clear accumulation, resolve phlegm obstruction, unblock bowelsFor moving Qi: from epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke |
hypertensive, acidic, enhances circulation, diuretic, increase intestinal peristalsis, uterine stimulant |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Caution |
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ALERT: Contraindications of each herb - use with caution under these conditions:
Hou Po: Anticoagulant drugs • Antidepressant drugs
Da Huang: Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum • Caution with pregnancy, lactation, menstruation [21]
Zhi Shi: pregnancy, Spleen and Stomach deficiencies, gastric or duodenal peptic ulcers[18]
Mang Xiao: Pregnancy • Spleen and Stomach deficiency cold |
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