Tiao Wei Cheng qi Tang: a classic prescription for clearing away heat, purging stools, and soothing the stomach and relieving constipation

Tiao Wei Cheng qi Tang comes from the ancient Chinese medical classic "Treatise on Febrile and Miscellaneous Diseases", which was written by Zhang Zhongjing, a famous physician in the late Eastern Han Dynasty. It is one of the important classics of Chinese medicine. Tiao Wei Cheng qi Tang is described in detail in this book and has been widely used by physicians in later generations.

Explanation of the prescription of Tiao Wei Cheng qi Tang

Tiao Wei Cheng qi Tang is composed of three herbs: licorice, rhubarb and sodium sulfate. According to the theory of "monarch, minister, assistant and envoy" in traditional Chinese medicine, these three herbs can be divided into the following groups:

Sovereign drug : Rhubarb Rhubarb is the main drug in the prescription, which has the effects of laxative, purgative, promoting blood circulation and removing blood stasis, clearing away heat and detoxifying. It can attack gastrointestinal stagnation, remove heat and toxins in the body, and expel heat evil from the stool. The bitter and cold nature of rhubarb makes it play a major role in the prescription, and it can effectively remove heat evil and stagnation in the body.
Assistant medicine : Glauber's salt Glauber's salt has the functions of moistening the intestines and facilitating bowel movements, clearing away heat and cooling blood, and eliminating symptoms and dispersing stagnation. It can soften dry stool and assist rhubarb in clearing away dry heat accumulation in the intestines. The salty and cold nature of Glauber's salt enables it to moisten the intestines, and it is used together with rhubarb to enhance the laxative effect.
Auxiliary drugs : Licorice Licorice has the function of harmonizing various drugs, alleviating the properties of drugs, and replenishing the middle and replenishing qi. In the prescription, licorice can alleviate the harsh nature of rhubarb and mirabilite, preventing them from being too aggressive and damaging the vital energy. At the same time, it can also harmonize the stomach qi and protect the spleen and stomach. The sweet and mild nature of licorice enables it to neutralize the cold nature of rhubarb and mirabilite and protect the stomach qi.

Pathogenesis of Tiao Wei Cheng qi Tang

Tiao Wei Cheng qi Tang is mainly used to treat Yangming Fushi syndrome, which is caused by excessive heat evil in the body, resulting in heat accumulation in the gastrointestinal tract and damage to body fluid, which in turn causes a series of symptoms. The typical manifestations of Yangming Fushi syndrome include constipation, abdominal distension and pain, hot flashes, delirium, dry mouth and tongue, etc. The appearance of these symptoms is mainly because heat evil accumulates in the body, resulting in obstruction of gastrointestinal qi, which in turn forms internal heat and excess heat.

In this case, the heat evil in the body needs to be discharged through the method of purgation. The rhubarb and mirabilite in Tiao Wei Cheng qi Tang have the effect of purging heat and purging the intestines, and can effectively clear the dry heat accumulation in the intestines. The bitter and cold nature of rhubarb enables it to attack gastrointestinal stagnation and clear the heat toxins in the body, while the salty and cold nature of mirabilite can moisten the intestines and promote bowel movements, soften dry stools, and assist rhubarb in clearing the dry heat accumulation in the intestines. The two complement each other and enhance the effect of purgation.

However, simply purging may damage the vital energy, so licorice is added to balance the medicinal properties. The sweet and mild nature of licorice can moderate the harsh purgative properties of rhubarb and mirabilite, preventing them from being too aggressive and damaging the vital energy. At the same time, it can also harmonize the stomach qi and protect the spleen and stomach. In this way, Tiao Wei Cheng qi Tang can not only effectively clear away heat and promote purgation, but also protect the stomach qi, making the purgative force milder and avoiding harsh damage to the vital energy.

Tiao Wei Cheng qi Tang is mainly used to treat the following symptoms:

Yangming Fu Shi, gastrointestinal heat accumulation : manifestations include constipation, abdominal distension and pain, hot flashes, delirium, dry mouth and tongue, yellow and dry or burnt yellow and dry and cracked tongue coating, deep and solid or slippery and rapid pulse, etc.
Perspiration that does not stop, and steaming fever : As stated in the "Compendium of Materia Medica Easy to Read": "Tiaowei Chengqi Decoction, roasted licorice, rhubarb, and sodium sulfate, is used to treat perspiration that does not stop, and steaming fever."
Disharmony of stomach qi : As stated in "Treatise on Cold and Miscellaneous Diseases (Song Dynasty Edition)", "If the stomach qi is disharmony and the patient is talking nonsense, give him a small amount of Tiaowei Chengqi Decoction."
Yang syndrome: madness, irritability, red face, and a strong pulse : As stated in the "Wei Sheng Bao Jian": "Yang syndrome/madness. Irritability. Red face. A strong pulse. Treat with Tiao Wei Cheng Qi Tang."
Heat accumulation in the lower part, causing rashes, toothache, and sore throat : According to classic records, Tiao Wei Cheng Qi Tang is mainly used to treat heat accumulation in the lower part, causing rashes, toothache, and sore throat.
Discomfort and palpitations, discomfort and fullness : As stated in Lei Zheng Zhi Cai: "Discomfort and palpitations are caused by heat, so take Tiao Wei Cheng Qi Tang." "Discomfort and fullness, take Tiao Wei Cheng Qi Tang"
Zhongxiao : As Lei Zheng Zhi Cai points out: "Zhongxiao, Tiao Wei Cheng Qi Tang, see Volume 2 for sweating."
Nosebleeding from the teeth does not stop, and constipation : As mentioned in "Lei Zheng Zhi Cai": "If the condition is severe, the nosebleed will not stop, and there will be constipation, so take Tiao Wei Cheng Qi Tang."
Constipation : As stated in Lei Zheng Zhi Cai: "〔Constipation〕, Tiao Wei Cheng Qi Tang, rhubarb, Glauber's salt, and roasted licorice."
Yangming stomach fullness, sweating on the forehead : As stated in "Lei Zheng Zhi Cai": "Yangming stomach fullness, also sweating on the forehead, take Tiao Wei Cheng Qi Tang."

Effects of Tiao Wei Cheng qi Tang

The main effect of Tiao Wei Cheng qi Tang is to clear away heat and promote defecation. It is especially suitable for cases where there is excessive heat in the body and heat accumulation in the gastrointestinal tract. When the heat in the body accumulates in the gastrointestinal tract, it will cause symptoms such as constipation, abdominal distension and pain, hot flashes, and dizziness. The rhubarb and mirabilite in Tiao Wei Cheng qi Tang have the effect of purging heat and can effectively clear the dryness and heat accumulation in the intestines, allowing the heat to be discharged through the stool, thereby alleviating these symptoms.

In addition to clearing away heat and purging, Tiao Wei Cheng qi Tang also has the effect of harmonizing stomach qi. The licorice in the prescription can harmonize the other medicines, mitigate the harsh nature of rhubarb and mirabilite, and prevent them from being too aggressive and damaging the vital energy. At the same time, licorice can also harmonize stomach qi, protect the spleen and stomach, and make the purgative force become gentle, avoiding harsh damage to the vital energy. In this way,Tiao Wei Cheng qi Tang can not only effectively clear away heat and purge, but also protect stomach qi, make the purgative force become gentle, and avoid harsh damage to the vital energy.

The main effects of Tiao Wei Cheng qi Tang can be summarized as follows:

Relieve heat accumulation : Through the synergistic effect of rhubarb and sodium sulfate, the purpose of clearing away heat, purging stool, and dispersing heat accumulated in the stomach and intestines is achieved.
Soothing the stomach : The addition of licorice can harmonize the properties of the medicine, protect the stomach, and make the laxative force milder, thus avoiding severe damage to the body.

Modern application of Tiao Wei Cheng qi Tang

In modern medicine, Tiao Wei Cheng qi Tang is widely used to treat constipation, acute gastritis, intestinal heat accumulation and other symptoms. For example, the Japanese kaempferia medicine "Tsumura Tiaowei Chengqi Decoction Essence Granules" is based on the prescription in "Treatise on Febrile Diseases" and is mainly used to treat constipation, abdominal pain, abdominal distension and other symptoms in people with better physical strength. Tiao Wei Cheng qi Tang can effectively improve these symptoms and improve the quality of life of patients by clearing away heat, purging and harmonizing stomach qi.

農本方 - 調胃承氣湯

Buy Now

In addition, Tiaowei Chengqi Tang has also shown potential in the treatment of some modern diseases. For example, studies have shown that it may have a certain auxiliary therapeutic effect on metabolic syndrome, obesity and hypertension. These studies provide scientific basis for the modern application of Tiaowei Chengqi Tang and broaden its scope of use. Through continuous research and application, the status of Tiaowei Chengqi Tang in traditional Chinese medicine and modern medicine has been further consolidated and developed.

Notes

When using Tiao Wei Cheng qi Tang, you need to pay attention to the following points:

Contraindications : People with poor complexion and weak abdomen should avoid use.
Usage : In most cases, it is taken all at once.
Adjust dosage : The ancient dosage needs to be adjusted according to the specific conditions of modern patients to avoid overdose.

Conclusion

As a classic Chinese medicine prescription, Tiao Wei Cheng qi Tang has the effects of clearing away heat, purging stools, and harmonizing stomach qi. It is suitable for a variety of gastrointestinal heat accumulation, constipation and other symptoms. In modern medicine, Tiaowei Chengqi Decoction has a wide range of applications, but when using it, you need to pay attention to contraindications and dosage adjustments to ensure safety and effectiveness.