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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: Pulse: 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
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| Contraindications: |
| Description |
| Name Variations: Xiao Cheng Qi Tang, 小承气汤, Minor Order the Qi Decoction, |
| Herb List: Da Huang (4g) • Hou Po(2g) • Zhi Shi(3p) |
| 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. • Xiao Cheng Qi Tang is for beginning of dysentery, abdominal distention pain, tenesmus and mild constipation due to Yang Ming Fu heat. • Da Cheng Qi Tang is for severe flatulence, abdominal pain that worsens with applied pressure, abdominal focal distention and fullness, severe constipation, and excessive sweating. • Tiao Wei Cheng Qi Tang is for mild Yang Ming Fu syndrome causing mild constipation, thirst, abdominal distention, swollen gums. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Da Huang |
Downward Draining |
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 • 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 stagnationPairs 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, 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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