Da Cheng Qi Tang (Major Order the Qi Decoction)

Da Cheng Qi Tang (大承氣湯) vigorously purges heat and accumulation from the Intestines; the principal formula for yang-ming organ-stage excess heat constipation.

Dà Chéng Qì Tāng  ·  大承氣湯  ·  Major Order the Qi Decoction

English Name

Major Order the Qi Decoction

Classical Source

Shang Han Lun, c. 220 CE

Ingredients

Actions & Functions

  • Vigorously purges heat accumulation and unblocks the bowels

Indications

Yang-ming organ excess: constipation, abdominal fullness and pain that resists pressure, tidal fever, delirium and profuse sweating.

Tongue & Pulse

Tongue: thick, dry yellow (or black, prickly) coat. Pulse: deep, excess and forceful.

Modifications

For milder cases use Xiao Cheng Qi Tang (omit Mang Xiao) or Tiao Wei Cheng Qi Tang (omit Zhi Shi/Hou Po).

Cautions & Contraindications

A strong purgative - contraindicated in pregnancy and in deficiency; stop once the bowels move.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

Check Also

PubMed research

Tai Chi Improves Motor Symptoms in Parkinson’s Disease, Though Underlying Mechanisms Remain Preliminary

Research summary (Tai Chi): Tai Chi for improving motor symptoms in Parkinson's disease patients: a systematic review of mechanisms. - Frontiers in aging neuroscience, 2026.