Commonly Used Chinese Herb Formulas with Illustrations - Major Rhubarb Combination (Da Cheng Qi Tang)


0311 大承氣湯 (Da Cheng Qi Tang)


Major Rhubarb Combination


Major Order the Qi Decoction



Chinese Name

Pharmaceutical Name

Pin Yin Name

English Name


Cortex Magnoliae officinalis

Hou Po

Magnolia Bark


Rhizoma Rhei

Da Huang



Natrii Sulfas

Mang Xiao



Fructus Aurantii immaturus

Zhi Shi

Zhi Shih


Classic Literature Reference

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

Compiler: Zhang, Zhong-jingo




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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