Herb Formulas Notebook

Xiao Cheng Qi Tang

(Minor Order the Qi Decoction)

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Drain Downward

Pattern: Mild clumped Heat in the Yangming, Yin Wei Mai Heat pain with Taiyin pattern.

Key Symptoms: Constipation, focal distention, abdominal fullness and pain that does not increase upon pressure

Tongue: Dirty, dry, yellow coat
Pulse: Slippery, rapid
Abdomen: Distended and painful but does not increase on pressure, focal distention in the epigastrium

Da Huang 12g (add near end)
Hou Po 6g
Zhi Shi 6-9g

Preparation: Decoction.

Actions: Mildly purges Heat accumulation

Contraindications: Abdominal distention and pain that increases with pressure (Da Cheng Qi Tang should be used instead)

Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009). The text only states "Cheng Qi Tang" potentially meaning any of the decoctions that end in this name.

Research Links:
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Journal of Chinese Medicine
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Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.