Aidus & E-Fong Herbal Solution
Herbal Formula for Purgative-Da Cheng Qi Tang
                             
                                Da Cheng Qi Tang

SOURCE: Shang Han Lun (Treatise on Cold-Attack)
INGREDIENTS:

Da Huang (Rhubarb) 12g
Hou Po (Magnolia bark) 15g
Zhi Shi (Unripened bitter orange) 12g
Mang Xiao ( Mirabilite) 9 g

DIRECTIONS: Decoct the above herbs in water for oral administration. The Zhi Shi (unripened bitter orange) and Hou Po
(magnolia bark) are decocted prior to rhubarb. The decoction could be taken warmly twice a day after Mang Xiao (mirabilite)
is infused in it. When ever constipation is relieved, medication should be stopped.
EFFECTS: Drastically purging the heat caaumulation.
INDICATIONS:
(1) Excessive syndrome of Yangming fu organs manifested by tidal fever, delirium, frequent fart, constipation, continuous
sweating of limbs, abdominal distention with tenderness, prickled tongue with yellow and dry coating, or dry and black coating
with fissures, slow slippery pulse, or deep, slow and forceful pulse.
(2) Syndrome of heat accumulation with watery discharge marked by watery diarrhea with terrible foul odor, abdominal pain,
dryness of mouth and tongue, rapid slippery pulse or slippery forceful pulse.
(3) Cold limbs, convulsion or mania pertaining to excessive syndromes of interior heat
ANALYSIS OF FORMULA: This is a representative formula for purging heat accumulation drastically. Da Huang (Rhubarb)
is the main herb which can purge heat for relieving constipation and clear gastrointestinal tract as well as activating blood for
removing stasis. Being salty flavor and cold nature, Mang Xiao (mirabilite) acts as the assistant herb to soften hardness and
moisten dryness for relieving constipation, which strengthens the purgative power of rhubarb. As the adjuvant herbs, Hou Po
(magnolia bark) and Zhi Shi (unripened bitter orange) activate qi and dissolve accumulation for fullness and stuffiness, which
help Da Huang (rhubarb) and Mang Xiao (mirabilite) in clearing
NOTES: All the three Purgative formulae are taken Da Huang (rhubarb) as the main herb to clear the accumulated heat in
gastrointestinal tract and all are applied to heat accumulation syndrome of Yangming. Da Cheng Qi Tang (The Major Purgative
Decoction) is a drastic purgative formula for treating the heavy syndrome of heat accumulation of Yangming including all the
stuffiness, fullness, dryness and excessiveness. Xiao Cheng Qi Tang (The Minor Purgative Decoction) is a moderate purgative
formula for treating the light syndrome of heat accumulation of Yangming only including the stuffiness, fullness and
excessiveness. Tiao Wei Cheng Qi Tang (Stomach-Regulating Purgative Decoction) is a light purgative formula for treating heat
accumulation syndrome of Yangming without stuffiness and fullness. This formula can be applied to acute simple intestinal
obstruction, adhesive intestinal obstruction, ascaris intestinal obstruction, ascariasis of biliary tract, acute pancreatitis, acute
appendicitis, and the beginning of acute bacterial dysentery pertaining to the excessive syndrome of Yangming fu organs.
This formula cannot be overused because of its drastic purgative effect.
ASSOCIATED FORMULAE:
(1) Xiao Cheng Qi Tang ( Minor Purgative Decoction ) , (Shang Han Lun-Treatise on Cold-Attack) :
Da Huang (Rhubarb) 12g, Hou Po ( magnolia bark) 6g,  Zhi Shi (unripened bitter orange) 9g.
The above herbs should be decocted in water for oral administration. It is used to treat syndrome of Yangming fu organ
marked by delirium, constipation, tidal fever, stuffiness and fullness of epigastrium and abdomen, yellow shivered coating,
slipery rapid pulse; or the initial stage of dysentery with symptoms of severe abdominal pain, or distention of abdomen with
tenesmus.
(2)Tiao Wei Cheng Qi Tang (Stomach-Regulating Purgative Decoction), (Shang Han Lun-Treatise on Cold-Attack) :
Da Huang (Rhubarb) 12g, Zhi Gan Cao (Roasted licorice root 6g), Mang Xiao (mirabilite) 9g.
The above herbs should be decocted in water with the exception of  Mang Xiao (mirabilite) which should be dissolved in the
decoction. It can be used to treat Yangming diseases manifested by aversion to heat, thirst, constipation, abdominal distention
with tenderness, yellow coating and slippery rapid pulse