Tong Cheng Qi Tang - 痛承气汤 - Eliminate Pain And Order The Qi Decoction

English:	Eliminate Pain and Order the Qi Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Sm. Persicae	Tao Ren	4-10g	Breaks up Blood Stasis, invigorates Blood circulation, moistens the Intestines and unblocks the bowels. With Da Huang, for severe abdominal infection. With Da Huang and Gui Zhi, for Blood Stasis and Heat in the Lower Jiao.
Rx. et Rz. Rhei	Da Huang	3-15g	Drains Heat, purges accumulations, drains Fire, drains Heat from the Blood, invigorates the Blood and dispels Blood Stasis. With Mang Xiao, eliminates obstruction in the Intestines for severe constipation with passage of liquid but no solid stool.
Ram. Cinnamomi	Gui Zhi	9-15g	Warms the channels and collaterals to relieve pain, assists the Heart Yang and warms and facilitates the flow of Yang Qi in the chest, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels. With Da Huang, for Blood Stasis (removes Stasis and unblocks the flow of Qi).
Natrii Sulfas	Mang Xiao	4-18g	Purges accumulations, guides out Stagnation, softens hardness, moistens Dryness, clears Heat and drains Fire. With Da Huang, for constipation due to Heat in the Stomach and Intestines. With Da Huang and Gan Cao, for moderate constipation due to accumulation of Excess Heat.
Sm. Juglandis	Hu Tao Ren	9-30g	Moistens the Intestines, Replenishes Jing, Strengthens the back and knees, Tonifies the Kidneys, Unblocks the bowels.
Rx. Glycyrrhizae	Gan Cao	1.5-14g	Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Breaks up Blood Stasis
• Invigorates Blood circulation
• Moistens the Intestines
• Unblocks the bowels
• Clears Heat
• Drains Fire

Syndromes

• Blood Stagnation with Heat

Clinical Manifestations

Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in chest Maybe drawing pain down internal aspect of arm (especially the left arm) Pain (in the chest and/or arm) tends to be severe and intermittent Easily startled Insomnia Much dreaming

Fever Perspiration Irritability Restlessness Dry mouth Thirst Dry throat T: Dark red with purple spots or Purple body or Red and dry C: Little or None P: Hasty or Choppy and rapid

Treats

Acute obstructive cerebral vascular disease

Contraindications And Herb/Drug Interactions

Notes

Modifications