HERB FORMULAS

TAO HE CHENG QI TANG

English: Peach Pit Decoction to Order the Qi
Also Known As: Persica and Rhubarb Combination
Purgative Decoction of Persica Seed

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Persicae Tao Ren 2.5-15g Breaks up Blood Stagnation, invigorates Blood circulation, moistens the Intestines and unblocks the bowels.
With Da Huang, for Blood Stasis and Heat in the Lower Jiao.
Rx. et Rz. Rhei Da Huang 3-12g Attacks and purges accumulations, clears pathogenic Heat, drains Heat from the Blood, invigorates the Blood and dispels Blood Stasis.
With Gui Zhi, for Blood Stasis (removes Stasis and unblocks the flow of Qi), combined Interior/Exterior conditions with chills, headache, fever, sweating and abdominal fullness and pain and abdominal fullness and pain as a result of purging an Exterior condition too soon.
Ram. Cinnamomi

 

Gui Zhi 2.5-6g Releases the exterior, assists the Yang, adjusts the Ying and Wei, releases the muscle layer, warms the sinews and dispels retained Blood from the Lower Jiao, effectively unblocking the Blood in the vessels.
With Tao Ren, breaks up and eliminates Blood Stasis.
Natrii Sulfas Mang Xiao 2-6g Purges accumulations, guides out Stagnation, softens hardnesses, clears Heat, drains Fire and moistens Dryness.
With Da Huang, moving the stool, drains Heat and Eliminates Blood Stasis.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-6g Protects the Stomach, Calms the Middle Jiao and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Drains Heat
  • Breaks up Blood Stasis

SYNDROMES

  • Lower Jiao Blood Stagnation with Heat
  • Tai Yang - Shang Han with Blood Stagnation
  • Yang Ming Stage with Blood Stagnation
  • Traumatic injury with intractable pain and difficulty passing stool

CLINICAL MANIFESTATIONS

  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C:
  • P: Deep and forceful or Choppy.

TREATS

  • Acute endometritis
  • Retained placenta
  • Acute pelvic inflammatory disease
  • Intestinal obstruction
  • Oophoritis
  • Habitual abortion
  • Stillbirth
  • Difficult childbirth
  • Cystitis
  • Cholelithiasis
  • Renal calculi
  • Urethritis
  • Prostatitis
  • Prostamegaly
  • Seborrheic dermatitis
  • Exudative eczema
  • Urticaria
  • Acne
  • Athletes foot
  • Ringworm
  • Frostbite
  • Warts
  • Prolonged lochia
  • Ectopic pregnancy
  • Benign prostatic hypertrophy
  • Hemorrhagic fever with renal syndrome
  • Traumatic headache
  • Sequelae of brain trauma
  • Recalcitrant migraine
  • Schizophrenia
  • Epilepsy
  • Hordeolum
  • Brandy nose
  • Cerebrovascular disease
  • Varicose veins
  • Scarlet fever
  • Cholecystitis
  • Enteroparalysis
  • Pharyngitis
  • Diabetes mellitus
  • Climacteric disorders
  • Rheumatism
  • Hematuria
  • Metrorrhagia
  • Periodontitis
  • Blepharitis
  • Conjunctivitis
  • Pterygium
  • Retinitis
  • Hemophthalmia
  • Glaucoma
  • Conjunctival bleeding
  • Bleeding of the tongue
  • Gingivitis with bleeding
  • Intestinal bleeding
  • Bleeding of the anus
  • Uterine bleeding
  • Hypertension
  • Myocardial infarction
  • Habitual constipation
  • Arteriosclerosis
  • Pyorrhea
  • Neuralgia
  • Rheumatism
  • Fibroid tumors (uterine).
  • Pelvic masses
  • Neurosis
  • Swellings
  • Leiomyoma
  • Retained placenta
  • Post tubal ligation syndrome
  • Perimenopausal syndrome
  • Gonorrhea
  • Ulcerative colitis
  • Cerebral contusion
  • Headache from subarachnoid hemorrhage
  • Trigeminal neuralgia
  • Hysterical psychosis
  • Reactive psychosis
  • Erysipelas
  • Allergic purpura
  • Hepatitis
  • Pyelonephritis
  • Renal insufficiency
  • Renal colic
  • Endometritis
  • Hemoptysis
  • Neuralgia
  • Pelvic cellulitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Exterior symptoms still present.
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS
  • This formula is recommended for treatment of menopausal symptoms induced by gonadotropin-releasing hormone agonists without a negative effect on serum estradiol levels.

NOTES

MODIFICATIONS

For irregular menstruation or dysmenorrhea: For concurrent Qi Stagnation:
+ Rx. Angelicae Sinensis Dang Gui + Rz. Cyperi Xiang Fu
+ Flos Carthami Hong Hua + Rx. Linderae Wu Yao
For more severe obstruction from Blood Stasis due to post-hemorrhagic retention of Blood, traumatic injury, impairment of circulation, difficult defecation, or bowel obstruction with continuous stabbing abdominal pain, thirst, fever and a choppy pulse:
+ Per. Citri Viride Qing Pi
+ Rx. Paeoniae Rubrae Chi Shao + Rx. Aucklandiae Mu Xiang
+ Rx. Pseudoginseng San Qi
or
For epistaxis or hemoptysis with a purple or dark color and a stifling sensation in the chest:
 + Rz. Cyperi Xiang Fu
+ Rx. Rehmanniae Sheng Di Huang + Rx. Linderae Wu Yao
+ Rz. Imperatae Bai Mao Gen + Fr. Aurantii Immaturus Zhi Shi
For lochioschesis, hard fullness in the lower abdomen or severe wheezing with chest distention:
For Blood Deficiency:
+ Sudden Smile Powder
Shi Xiao San
+ Rx. Angelicae Sinensis Dang Gui
For constipation:
+ Rx. paeoniae Alba Bai Shao
+ Fr. Aurantii Immaturus Zhi Shi
For restlessness and thirst:
+ Cx. Magnoliae Officinalis Hou Po + Rz. Coptidis Huang Lian
For oliguria:
+ Rx. Scutellariae Huang Qin
+ Sm. Plantaginis Che Qian Zi
For distention and pain due to Qi Stagnation:
+ Poria Fu Ling + Rz. Cyperi Xiang Fu
+ Caul. Akebiae Mu Tong + Fr. Aurantii Zhi Ke
For trauma-related pain:
For Fire Flaring Up with headache, distention of the head, red eyes and face and hematemesis:
+ Rx. Paeoniae Rubra Chi Shao + Rx. Rehmanniae Sheng Di Huang
+ Extremitas Rx. Angelicae Sinensis Dang Gui Wei + Cx. Moutan Mu Dan Pi
+ Flos Carthami Hong Hua + Fr. Gardeniae Zhi Zi
+ Lignum Sappan Su Mu + Rx. Achyranthis Bidentatae Niu Xi
For gallstones:
For early menstruation, amenorrhea and metrorrhagia:
+ Hb. Lysimachiae Jin Qian Cao - Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ Spora Lygodii Hai Jin Sha + Rx. Angelicae Sinensis Dang Gui
+ Rx. Curcumae Yu Jin
For postsurgical abdominal pain due to Blood Stasis or pain due to trauma, especially the early stage of fractures of the thoracic or lumbar vertebrae, due to Blood stasis and Heat:
+ End. Corneum Gigariae Galli Ji Nei Jin - Rx. Glycyrrhizae Preparata Zhi Gan Cao
For retention of lochia:
+ Rx. Cyathulae Chuan Niu Xi
+ Feces Trogopterori Wu Ling Zhi
For amenorrhea or dysmenorrhea:
+ Pollen Typhae Pu Huang + Rx. Angelicae Sinensis Dang Gui
    + Rz. Chuanxiong Chuan Xiong