Tiao Wei Cheng Qi Tang - 调胃承气汤 - Regulate The Stomach And Order The Qi Decoction

English:	Regulate the Stomach and Order the Qi Decoction
Also Known As:	Stomach Regulating and Qi-Infusing Decoction Stomach Regulating and Purgative Decoction Rhubarb and Mirabilitum Decoction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. et Rz. Rhei	Da Huang	2-12g	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. With Mang Xiao, eliminates obstruction in the Intestines for severe constipation with passage of liquid but no solid stool and abscess, swellings and toxic sores.
Natrii Sulfas	Mang Xiao	2-12g	Purges, eliminates stagnation, clears Heat, softens hardness, moistens Dryness, drains Fire and reduces swelling . With Da Huang, for constipation due to Heat in the Stomach and Intestines.
Rx. Glycyrrhizae	Gan Cao	1-6g	Moistens, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Mildly purges Heat accumulation

Syndromes

• Stomach Excess Heat
• Colon Excess Heat
• Yang Ming Fu
• Wen Bing Qi Stage Intestinal Dry Heat
• Mild Yangming organ syndrome causing mild constipation (Secondary source)

Clinical Manifestations

Constipation without focal distention Epistaxis Tidal fevers Delirious speech Profuse perspiration from the palms and soles Aversion to Heat Dry mouth and tongue Irritability Heavy body Fever Thirst Fever Maculae

Vomiting Swollen gums Swollen throat Red eyes Nausea Headache Petechiae due to Heat in the Stomach and Intestines Steaming sensations of the whole body Toothache T: Pink and dry with prickles C: Yellow or Black P: Deep, Excess and rapid or Slippery and rapid or Deep and forceful

Treats

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 Mania Food poisoning Ephidrosis Fever Gingivitis Hiccup due to excess Stomach Heat Retching due to excess Stomach Heat Acute gastroenteritis Headache Acne Nausea/Vomiting Diverticulitis Ulcerative colitis Pelvic inflammatory disease Salpingitis Hematemesis Profuse perspiration Red eyes

Typhoid fever Influenza Measles Meningitis Tetanus Neurosis Obesity Hemorrhoids Food retention Toothache Canker sores due to Summer Heat Stomatitis Constipation Constipation in the elderly Side effects or complications arising from the inappropriate use of warming substances including excess alcohol consumption Acute simple Intestinal obstruction Epistaxis Hiccup Abdominal pain Crohn's disease Mesenteric lymphadenitis Trichomonas Insomnia Upper respiratory tract infection

Contraindications And Herb/Drug Interactions

Notes

• (Shi/Zao) Treats hardness and dryness without marked fullness or distention.
• Compared with Tao He Cheng Qi Tang: Tiao Wei Cheng Qi Tang (Da Huang, Mang Xiao, Gan Cao) treats the Yangming organ level; Tao He Cheng Qi Tang adds Tao Ren and Gui Zhi to it and treats the Taiyang organ level (Shang Han Lun).

Modifications

For damaged Yin characterizes by a faint or thin pulse:		For Excess Stomach and Intestinal Heat:
+ Clear the Stomach Powder Qing Wei San
+ Haematitum	Dai Zhe Shi
+ Rx. Asparagi	Tian Men Dong	- Rz. Cimicifugae	Sheng Ma
+ Rx. Ginseng	Ren Shen	- Rx. Angelicae Sinensis	Dang Gui
For Excess Stomach and Intestinal Heat with severe, scanty urination:		+ 15g Gypsum Fibrosum	Shi Gao
+ 6g Fr. Gardeniae	Zhi Zi
+ Clear the Stomach Powder Qing Wei San		+ 9g Rz. Alismatis	Ze Xie
For Excess Stomach and Intestinal Heat with severe Stomach Heat:
- Rz. Cimicifugae	Sheng Ma
- Rx. Angelicae Sinensis	Dang Gui	+ Clear the Stomach Powder Qing Wei San
+ 15g Gypsum Fibrosum	Shi Gao
+ 6g Fr. Gardeniae	Zhi Zi	- Rx. Angelicae Sinensis	Dang Gui
+ 9g Rz. Alismatis	Ze Xie	+ 15g Gypsum Fibrosum	Shi Gao
+ 9g Sm. Plantaginis	Che Qian Zi	+ 6g Fr. Gardeniae	Zhi Zi
+ 9g Polyporus	Zhu Ling	+ 9g Rz. Alismatis	Ze Xie
For Excess Stomach and Intestinal Heat with severe thirst with a desire to drink:		+ 9g Rz. Anemarrhenae	Zhi Mu
+ Clear the Stomach Powder Qing Wei San
- Rz. Cimicifugae	Sheng Ma
- Rx. Angelicae Sinensis	Dang Gui
+ 15g Gypsum Fibrosum	Shi Gao
+ 6g Fr. Gardeniae	Zhi Zi
+ 9g Rz. Alismatis	Ze Xie
+ 9g Rx. Trichosanthis	Tian Hua Fen
+ 9g Rz. Phragmitis	Lu Gen