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0311 大承氣湯 (Da Cheng Qi Tang)

 

Major Rhubarb Combination

 

Major Order the Qi Decoction

 

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【Formulation】

Chinese Name	Pharmaceutical Name	Pin Yin Name	English Name
厚朴	Cortex Magnoliae officinalis	Hou Po	Magnolia Bark
大黃	Rhizoma Rhei	Da Huang	Rhubarb
芒硝	Natrii Sulfas	Mang Xiao	Mirabilitum
枳實	Fructus Aurantii immaturus	Zhi Shi	Zhi Shih

 

【Classic Literature Reference】

Shang Han Lun (Treatise on Febrile Diseases, 206).

Compiler: Zhang, Zhong-jingo

 

【Indications】

Traditional:

1. Severe excess syndrome of the yangming organ marked by constipation; fullness and distention in the abdomen and epigastrium; abdominal pain aggravated by pressure; abdominal muscle rigidity; dry mouth; a yellow, dry, rough tongue coating or dry and black coating with fissures; and a deep, forceful pulse. There may be tidal fever, delirium, or sweating from the palms and soles.

2. Syndrome caused by fecal impaction due to heat with watery discharge: watery diarrhea, abdominal pain around the umbilicus, a feeling of hardness and fullness upon pressure, dry mouth and tongue, and a slippery and forceful pulse.

3. Interior excess heat: cold limbs due to excess heat, delirium, or convulsions.

Modern: Constipation, intestinal obstruction, acute pancreatitis, acute cholecystitis, choleithiasis, acute hepatitis, acute appendicitis, enteroparalysis, flatulence after surgery, stroke, and acute lead poisoning.

  

 

Pattern of Excess Heat in the Stomach and Intestine

(Excess Heat Pattern of Yangming Organ)

 

【Herbs and Actions】

 

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