Tiao Wei Cheng Qi Tang, Regulate the Stomach and Order the Qi Decoction, is Da Huang, Gan Cao and Mang Xiao. The catalogue classes it among the formulas that drain downward, and records it as purging accumulated Heat gently and clearing Fire from Stomach and Intestines.

Herb

Amount

da huang

12 g

gan cao

6 g

mang xiao

9 g

Actions and indications

Gently purges accumulated Heat

Mild excess Heat of the Yang Ming organs, where Heat has knotted with the stool in Stomach and Intestines and dried it, but there is no marked fullness, distension or hard, tender mass
Also Heat excess of the Stomach or Large Intestine, and dry Heat in the Intestines at the Qi stage of a warm disease
Dry, bound stools and constipation, with at most mild abdominal fullness or discomfort
Fever, which may be tidal and worse in the afternoon, a feeling of steaming heat through the body and dislike of heat
Thirst, a dry mouth and tongue, irritability and a heavy body
Delirious talk or restlessness in more marked cases
Palms and soles that sweat heavily

Clears Stomach and Intestine Fire

Swollen gums or toothache, a swollen throat, and sores on the mouth or tongue
Nosebleed, maculae, or petechiae from Heat in the Stomach and Intestines
Nausea, vomiting, headache and red eyes
Tongue red, or pink and dry with prickles, with a yellow or black coat; pulse slippery and rapid, deep, forceful and rapid, or deep and forceful

Modern uses

Constipation
Constipation in the elderly
Postoperative constipation and distension
Acute simple intestinal obstruction
Food retention
Food poisoning
Abdominal pain
Acute appendicitis
Acute cholecystitis
Acute pancreatitis
Biliary roundworm
Acute gastroenteritis
Early-stage dysentery
Typhoid fever
Diverticulitis
Ulcerative colitis
Crohn's disease
Mesenteric lymphadenitis
Hiccup
Hiccup or retching from excess Stomach Heat
Nausea and vomiting
Hematemesis
Gingivitis
Toothache
Stomatitis
Canker sores from Summer Heat
Pneumonia, especially in children
Upper respiratory tract infection
Influenza
Measles
Meningitis
Tetanus
Fever
Headache
Red eyes
Epistaxis
Profuse sweating
Ephidrosis
Hypertension
Beriberi
Obesity
Hemorrhoids
Acne
Pelvic inflammatory disease
Salpingitis
Trichomonas
Mania
Neurosis
Insomnia
Ill effects of misusing warming substances, including heavy drinking
Drug overdose

Modifications

Injured Yin with a pulse that is faint or thin: + dai zhe shi, + tian men dong, + ren shen

Excess Heat in the Stomach and Intestines (combined with Qing Wei San): + shi gao, + zhi zi, + ze xie, − sheng ma, − dang gui

Excess Heat in the Stomach and Intestines, with markedly scanty urine (combined with Qing Wei San): + shi gao, + zhi zi, + ze xie, + che qian zi, + zhu ling, − sheng ma, − dang gui

Excess Heat in the Stomach and Intestines, with marked Stomach Heat (combined with Qing Wei San): + shi gao, + zhi zi, + ze xie, + zhi mu, − dang gui

Excess Heat in the Stomach and Intestines, with strong thirst and a wish to drink (combined with Qing Wei San): + shi gao, + zhi zi, + ze xie, + tian hua fen, + lu gen, − sheng ma, − dang gui

Stronger Heat and vexation in the chest: + zhi zi, + dan dou chi

Cautions

pregnancy Contraindicated in pregnancy; Da Huang and Mang Xiao both purge strongly downward

caution In weak patients use with great care, and add tonics

contraindication Not for Cold or deficiency patterns, constipation without Heat signs, or exterior patterns where the pathogen has not yet formed interior excess Heat

contraindication Not for marked abdominal fullness, distension or hard masses, which call for a stronger purging formula that also moves Qi

caution A short-term purge only: stop when the bowels have moved and the Heat has cleared. Overuse, especially of the salty, cold Mang Xiao, can harm Spleen and Stomach Yang and drain fluids; seek professional guidance for the elderly and the weak

caution Obstruction of the bowel, cholecystitis and appendicitis can be surgical emergencies with severe abdominal pain and need immediate medical assessment; never give a purgative for an acute abdomen that has not been diagnosed

Pinyin

tiao wei cheng qi tang

English Name

Regulate the stomach and order the qi Decoction

tiao wei cheng qi tang

About tiao wei cheng qi tang

Ingredients

Actions and indications

Gently purges accumulated Heat

Clears Stomach and Intestine Fire

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification