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Xiao Cheng Qi Tang

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Pin Ying Name: Xiao Cheng Qi Tang

English Name: Minor Rhubarb Decoction

Chinese Name: 小承氣湯

Herbs & Actions
Pharmaceutical Latin Pin Yin Actions
Rx. and Rz. Rhei Da Huang

Drains Heat, purges accumulations, drains Fire transforms Dampness, promotes urination, drains Heat from the Blood, invigorates the Blood, dispels Blood Stasis, reduces Fire toxicity and eliminates Phlegm.

Fr. Aurantii Immaturus Zhi Shi

Dissipates clumps, reduces distention, breaks up and descends stagnant Qi and unblocks bowels.

With Hou Po, assists in moving Qi to expel the stool. With Da Huang, for Food and/or Qi Stagnation with distention and constipation.

Cx. Magnoliae Hou Po

Spreads and descends Qi, dries Dampness, transforms Phlegm and relieves fullness.

With Da Huang and Zhi Shi, for constipation due to accumulation and stagnation.

Formula Actions
  • Moderately purges Heat accumulation
  • Purges the Gallbladder
  • Normalizes the flow of Qi at the center
  • Eliminates Dampness
  • Relatively mild Colon Excess Heat
  • Relatively mild Yang Ming Fu
  • Relatively mild Wen Bing Qi Stage Intestinal Dry Heat
  • Early-stage dysentery
Clinical Manifestations
  • Constipation
  • Flatulence
  • Abdominal pain that is not worse with pressure
  • Hemorrhoids
  • Tidal fevers
  • Delirious speech
  • Profuse perspiration from the palms and soles
  • Aversion to Heat
  • Mania
  • Abdominal masses
  • Dry mouth
  • Tenesmus
  • Epigastric and abdominal distention and pain
  • Irritability
  • Heavy body
  • Fever
  • Dysuria
  • Diarrhea
  • Abdominal and chest distention
  • Abdominal fullness
  • T: Dry with prickles
  • C: Dark yellow and dry or Black and dry
  • P: Deep, Shi and rapid or Tenesmus Slippery and rapid
  • Acute uncomplicated appendicitis
  • Acute cholecystitis
  • Acute pancreatitis
  • Uncomplicated Intestinal obstruction
  • Postoperative constipation and distention
  • Roundworms in the bile duct
  • Early-stage dysentery
  • Pneumonia (especially in children)
  • Hypertension
  • Beriberi
  • Epilepsy
  • Food poisoning
  • Ephidrosis
  • Dysentery
  • Intestinal paralysis
  • Chronic gastritis
  • Viral hepatitis
  • Hydrothorax
  • Abdominal pain
  • Hiccups
  • Ulcerative colitis
  • Abdominal fullness and distention
  • Diverticulitis
  • Mesenteric lymphadenitis
  • Trichomonas
  • Profuse perspiration
  • Moist fever
  • Typhoid fever
  • Stomach flu
  • Measles
  • Meningitis
  • Tetanus
  • Neurosis
  • Obesity
  • Hemorrhoids
  • Mania
  • Constipation
  • Emotional disorders
  • Food retention
  • Acute simple Intestinal obstruction
  • Absence of peristalsis
  • Acute gastroenteritis
  • Food intoxication
  • Ascites
  • Irritable bowel syndrome
  • Crohn's disease
  • Nausea/Vomiting
  • Abdominal masses
  • Pelvic inflammatory disease
  • Salpingitis
  • Hernia
  • Toothache
  • Contraindicated during pregnancy.
  • Only when necessary for weak patients plus tonic herbs.

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