-IBIS-1.5.0-
rx
formula
Major Rhubarb C.
chinese formulae

definition

Major Rhubarb C. = Da Cheng Qi Tang = Major Order the Qi Decoction"
sources: Hsu, 1980, p. 145; Yeung, p. 62; Dharmananda, 1986, p. 150; Bensky and Barolet, p. 115.
signs and symptoms: Constipation and flatulence, tenesmus, abdominal fullness and distention, abdominal pain worse with pressure, tidal fevers, sweating, thirst, delirious speech, and profuse sweating from the palms and soles with cold legs and arms.
tongue and pulse: Dry, yellow or dry, black tongue coating with prickles, and deep, excessive pulse.
indications: Stomach and Large Intestine Heat. With the appropriate presentation, may be used in conditions conventionally diagnosed as acute pneumonia (especially in children), influenza, measles, tetanus, meningitis, hypertension, obesity, food poisoning, acute cholecystitis, acute pancreatitis, uncomplicated appendicitis, habitual constipation, hemorrhoids, uncomplicated intestinal obstruction, postoperative constipation, and early-stage dysentery.
cautions and contraindications: This formula may cause vomiting or severe diarrhea. Use only when absolutely necessary for weak patients, and then modify with tonifying herbs. Contraindicated during pregnancy, for patients with a rapid, weak pulse, and in ascites.
ingredients: dosage for two days:
» 9 grams: rhubarb (da huang), magnolia bark (huo po), chih-shih (zhi shi).
» 6 grams: mirabilitum (mang xiao).
modifications:
» for high fever, severe thirst, and a rapid and forceful pulse, add anemarrhena (zhi mu) and gypsum (shi gao).
» for signs of Xue Yu (Blood Stasis), add persica (tao ren) and red peony (chi shao yao).




footnotes