Zeng Ye Cheng Qi Tang - 增液承氣湯 - Increase The Fluids And Order The Qi Decoction

English:	Increase the Fluids and Order the Qi Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Scrophulariae	Xuan Shen	30g	Clears Heat, cools the Blood, and nourishes Yin. With Sheng Di Huang, for Excess or Deficiency Heat patterns. With Sheng Di Huang and Mai Men Dong, for constipation due to Dryness and sore, dry throat due to Deficiency Fire.
Rx. Ophiopogonis	Mai Men Dong	24g	Moistens the Lungs, nourishes Yin, nourishes Stomach Yin, generates fluids and moistens the Intestines. With Sheng Di Huang, for hematemesis or epistaxis due to Yin Deficiency with Excess Heat.
Rx. Rehmanniae	Sheng Di Huang	24g	Clears Heat, cools the Blood, nourishes Yin and generates fluids. With Da Huang, for Blazing Heart and Stomach Fire with epistaxis, and hemoptysis, Deficiency Fire and parched, dry stools with damaged Yin.
Rx. et Rz. Rhei	Da Huang	9-12g	Drains Heat, purges accumulations, drains Fire and drains Heat from the Blood. With Mai Men Dong, Xuan Shen and Sheng Di Huang, for constipation with Heat consuming Body Fluids.
Natrii Sulfas	Mang Xiao	1.5-4.5g	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.

Formula Actions

• Generates Fluids
• Drains Heat
• Unblocks the bowels
• Enriches Yin

Syndromes

• Yang Ming Xu with constipation
• Yin Deficiency constipation which has not responded to Zeng Ye Tang

Clinical Manifestations

Constipation Dry stools that cannot easily be expelled, even with purgatives Thirst Distention and fullness of the epigastrium and abdomen

Dry mouth Dry lips T: Red, dry and thin C: Little or None or thin and yellow or Burnt and yellow P: Thready and slightly rapid or weak and forceless

Treats

Habitual constipation Hemorrhoids Aphthous ulcers Chronic pancreatitis Sequelae of infectious diseases Skin diseases Anal fissures Postpartum anuria Gingivitis Periodontitis Glaucoma Dizziness Fever Neck stiffness

Irritable bowel syndrome Hyperthyroid conditions Foundation of formulas to treat oral side effects of radiation Toothache Dry mucus membranes Renal failure Epistaxis Intestinal tuberculosis Hypertension Headache Kidney failure Abdominal fullness and distention Dry skin

Contraindications And Herb/Drug Interactions

Notes

Modifications

For anal fissures with hematochezia:		For anal fissures with severe pain:
+ Dry-fried Rx. Sanguisorbae	Di Yu	+ Fr. Aurantii	Zhi Ke
+ Rz. Corydalis	Yan Hu Suo
+ Dry-fried Flos Sophorae	Huai Hua	For postpartum anuria:
+ 30g Sm. Plantaginis	Che Qian Zi
For postpartum anuria with fever caused by infection:		+ 10g Rx. Platycodi	Jie Geng
For epistaxis:
+ 30g Sm. Plantaginis	Che Qian Zi	+ Cx. Moutan	Mu Dan Pi
+ 10g Rx. Platycodi	Jie Geng	+ Fr. Aurantii Immaturus	Zhi Shi
+ 10g Cx. Phellodendri	Huang Bai	+ Cx. Magnoliae	Hou Po
+ 50g Hb. Taraxaci	Pu Gong Ying	For reducing the side effects of phenothiazine-induced constipation:
For Kidney failure without constipation:		+ Fr. Aurantii Immaturus	Zhi Shi
- Rx. et Rz. Rhei	Da Huang	+ Cx. Magnoliae	Hou Po
- Natrii Sulfas	Mang Xiao	+ Rx. Trichosanthis	Tian Hua Fen
For bleeding hemorrhoids:		For a stiff neck:
+ Flos Sophorae Immaturus	Huai Hua Mi	+ 12g Rx. Puerariae	Ge Gen
+ 9g Rx. Trichosanthis	Tian Hua Fen
+ Rx. Sanguisorbae	Di Yu
Or
+ Sophora Japonica Powder Huai Hua San