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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: yellow coat Pulse: slippery, rapid Other: |
| Patterns: Stomach and Large Intestine Dryness and Heat, Acne Stomach Heat |
| Indications: Mild Yangming organ syndrome causing mild constipation [35] • [dryness] Yangming ST and LI dryness heat syndrome
– Constipation, thirst, restlessness, steaming fever, abdominal distention pain, delirium, yellow tongue coating, slippery rapid pulse – Macula, vomit blood, swollen gums and tonsil, etc[31]
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| Contraindications: |
| Description |
| Name Variations: Tiao Wei Cheng Qi Tang, 调胃承气汤, Regulate the Stomach and Order the Qi Decoction, |
| Herb List: Da Huang(12g) • Mang Xiao(9-12g) • Gan Cao(6g) |
| Commentary: Da Huang 4, Mang Xiao half Shen, Gan Cao 2
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| Related Formulas: Da Cheng Qi Tang, Xiao 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 |
| Mang Xiao |
Downward Draining |
Moisten dryness • Soften clumping in the intestine • Purge accumulations • Drain fire • Clear phlegm • Reduce swelling • Clear stagnation • Clear heat • Promote or inhibit lactationThis material attracts water from the body into the intestine and bulks up stool • May be impacting the osmotic pressure in the intestinal peristosis |
Laxative |
| Gan Cao • Licorice Root • 甘草 |
Tonify Qi |
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. |
Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal |
| ♠ 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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