Da+Cheng+Qi+Tang+(Major+Order+the+Qi+Decoction)

Da Cheng Qi Tang (Major Order the Qi Decoction)
T:dry yellow or dry black coat w/ prickles P: submerged, excessive
 * Category:** Drain Downward [Yangming Fu excess heat]
 * Preparation:** Decoct with water. Cook Zhi Shi, Huo Pu for 20 min., add Da Huang for additional 10 min, then dissolve in Mang Xiao
 * Function:** Vigorously purges heat accumulation
 * Indications:** Severe constipation and flatulence, focal distention and abdominal fullness, abdominal pain which increases with pressure, tense and firm abdomen (feels hard). In severe cases may be tidal fever, delirious speech, and profuse sweating from palms and soles
 * Clinical Applications:** Acute uncomplicated appendicitis, acute cholecystitis, acute pancreatitis, uncomplicated intestinal obstruction, postoperative constipation and distention, roundworm in the bile duct, early stage dysentery, pneumonia (esp. in children), purulent tonsillitis, acute icteric hepatitis, cardiopulmonary disease, asthma, enuresis, urinary tract stones, hemorrhoids, stroke, hypertension, schizophrenia
 * Contraindications:** Pregnancy, weak patient, Yin or fluid deficiency

**Ingredients:**
Da Huang (12-15g.) Mang Xiao (15-24g.) Zhi Shi (12-15g., 5 pieces) Hou Pu (24g.)

**Analysis:**
//Chief:// -Purging the interior excess and cool the interior heat (root)
 * Da Huang:** bitter, cold and purging

//Deputy://
 * Mang Xiao:** Softens the stool and clears blood

//Assistant://
 * Zhi Shi, Hou Pu:** Disperses clumps, move Qi and reduce distention

===**Modifications:**=== High fever, severe thirst, rapid forceful pulse: + Zhi Mu, Shi Gao Severe abdominal distention: + Lai Fu Zi Signs of Blood stsis: + Tao Ren, Chi Shao, Dang Gui