DA XIAN XIONG TANG - 大陷胸汤 - MAJOR DECOCTION FOR PATHOGENS STUCK IN THE CHEST

English:	Major Decoction for Pathogens Stuck in the Chest
Also Known As:	Major Sinking into the Chest Decoction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Kansui	Gan Sui	0.3-0.6g	Drains water downward and eliminates congested Fluids and thin mucus.
Rx. et Rz. Rhei	Da Huang	18g	Drains Heat, purges accumulations, transforms Dampness and promotes urination. With Gan Sui, for accumulation of pathogenic Heat and Fluids in the chest and upper abdomen. With Mang Xiao, eliminates obstruction in the Intestines for severe constipation with passage of liquid but no solid stool.
Natrii Sulfas	Mang Xiao	9-12g	Purges accumulations, guides out Stagnation, softens hardness, moistens Dryness, clears Heat and drains Fire.

Formula Actions

• Drains Heat
• Purges Water Accumulation

Syndromes

• Heat and Water Accumulation in the chest

Clinical Manifestations

Fullness and hardness of the epigastrium and/or abdomen Lower abdominal pain Severe pain that becomes unbearable with the slightest pressure Tidal fever at dusk Shortness of breath

Severe constipation Thirst Irritability Restlessness T: Normal C: Very dry P: Deep, tight and forceful

Treats

Acute pancreatitis Acute cholecystitis Acute obstructive cholangitis Adhesive ileus Paralytic ileus Acute peritonitis Acute Intestinal obstruction

Acute upper gastrointestinal perforations Acute exudative pleurisy Severe pneumonia Pericardial effusions Pediatric meningitis Psychiatric disorders Severe constipation

Contraindications And Herb/Drug Interactions

Notes

Modifications

For acute pancreatitis or Intestinal obstruction:
+ Major Order the Qi Decoction Da Cheng Qi Tang