da cheng qi tang • major order the qi decoction • 大承气汤

👉 the chinese herbal prescription da cheng qi tang is used for

patterns with heat in the intestines, yang ming fu disorder, wen bing qi stage disorder.

🤕 symptoms indicating the use of da cheng qi tang

severe constipation (dry pellets) and flatulence, abdominal fullness and focal distention, abdominal pain – worse upon pressure, hot sensation in the sternum and epigastrum, tense firm abdomen, sweaty palms and soles, sweating from the head, trembling extremities, aversion to heat

🤠 western interpretation of da cheng qi tang

acute uncomplicated appendicitis, acute intestinal obstruction, postoperative constipation and distention, roundworm in the bile duct, early-stage dysentery, and pneumonia, especially in kids.

tcm pocketguide - da cheng qi tang • major order the qi decoction • 大承气汤 chinese herbal prescription - chinese medicine - tcm

💡 explanation of the mechanism

this is yang ming organ-stage disorder characterized by heat accumulation which can be due to externally-contracted heat. when heat enters this stage it injures the fluids, which become viscous and turbid. the heat and turbidity of the fluids cause the stool to dry out. the heat and dry stool then combine to form clumps, which obstruct the orderly, downward movement of qi through the intestines. this results in severe constipation and flatulence, focal distention, a sensation of fullness in the abdomen, and the other abdominal symptoms mentioned. a dry, yellow tongue coating indicates dryness in the interior. in severe cases the coating will become black with prickles. dryness also accounts for the deep, excessive pulse.

⚠️ important note: these prescriptions are not meant for self-medication and should only be prescribed by a licensed tcm practitioner upon a proper diagnosis.

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