HERB FORMULAS

TAO HE CHENG QI TANG - 桃核承氣湯 - PEACH PIT DECOCTION TO ORDER THE QI

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 2.5-9g 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 2-9g Purges accumulations, guides out Stagnation, softens hardness, 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
  • Afternoon fever
  • 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: Yellow
  • P: Deep and forceful or Choppy

TREATS

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. Aucklandiae Mu Xiang
or
+ Rz. Cyperi Xiang Fu
+ Rx. Paeoniae Rubra Chi Shao + Rx. Linderae Wu Yao
+ Rx. Notoginseng San Qi + Fr. Aurantii Immaturus Zhi Shi
For epistaxis or hemoptysis with a purple or dark color and a stifling sensation in the chest:
For Blood Deficiency:
+ Rx. Angelicae Sinensis Dang Gui
+ Rx. Rehmanniae Sheng Di Huang + Rx. Paeoniae Alba Bai Shao
+ Rz. Imperatae Bai Mao Gen
For restlessness and thirst:
For lochioschesis, hard fullness in the lower abdomen or severe wheezing with chest distention:
 + Rz. Coptidis Huang Lian
+ Rx. Scutellariae Huang Qin
+ Sudden Smile Powder
Shi Xiao San
For distention and pain due to Qi Stagnation:
+ Rz. Cyperi Xiang Fu
For constipation:
+ Fr. Aurantii Zhi Ke
+ Fr. Aurantii Immaturus Zhi Shi
For Fire Flaring Up with headache, distention of the head, red eyes and face and hematemesis:
+ Cx. Magnoliae Officinalis Hou Po
+ Rx. Rehmanniae Sheng Di Huang
For oliguria:
+ Cx. Moutan Mu Dan Pi
+ Sm. Plantaginis Che Qian Zi + Fr. Gardeniae Zhi Zi
+ Poria Fu Ling + Rx. Achyranthis Bidentatae Niu Xi
+ Caul. Akebiae Mu Tong
For early menstruation, amenorrhea and metrorrhagia:
For trauma-related pain:
+ Rx. Paeoniae Rubra Chi Shao - Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ Extremitas Rx. Angelicae Sinensis Dang Gui Wei + Rx. Angelicae Sinensis Dang Gui
For post-surgical 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:
+ Flos Carthami Hong Hua
+ Lignum Sappan Su Mu
For gallstones:
- Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ Hb. Lysimachiae Jin Qian Cao
+ Spora Lygodii Hai Jin Sha + Rx. Cyathulae Chuan Niu Xi
+ Rx. Curcumae Yu Jin
For amenorrhea or dysmenorrhea:
+ End. Corneum Gigeriae Galli Ji Nei Jin + Rx. Angelicae Sinensis Dang Gui
+ Rz. Chuanxiong Chuan Xiong
For retention of lochia:
For endometriosis with severe Qi Stagnation:
+ Feces Trogopterori Wu Ling Zhi + Rz. Cyperi Xiang Fu
+ Pollen Typhae Pu Huang + Per. Citri Reticulatae Viride Qing Pi
For endometriosis with severe Blood Stagnation:
+ Rx. Angelicae Sinensis Dang Gui
For cholecystitis:
+ Flos Carthami Hong Hua - Natrii Sulfas Mang Xiao
For hepatitis:
+ Rz. Coptidis Huang Lian
+ Bupleurum and Poria Decoction
Chai Ling Tang
+ Rx. Scutellariae Huang Qin
+ Fr. Aurantii Immaturus Zhi Shi
For severe paralysis of the Small Intestine due to trauma to the thorax or lumbar spine:
For severe paralysis of the Small Intestine due to trauma to the thorax or lumbar spine with no bowel movement after the first treatment:
- Ram. Cinnamomi Gui Zhi
+ Fr. Aurantii Immaturus Zhi Shi - Ram. Cinnamomi Gui Zhi
+ Cx. Magnoliae Officinalis Hou Po + Fr. Aurantii Immaturus Zhi Shi
+ Cx. Magnoliae Officinalis Hou Po
+ Fol. Sennae Fan Xie Ye
For polynephritis with diarrhea:
+ Fol. Sennae Fan Xie Ye
- Natrii Sulfas Mang Xiao
For polynephritis with frequent, urgent urination:
For polynephritis with lower abdominal pain:
+ More Ram. Cinnamomi Gui Zhi + Talcum Hua Shi
or
For renal insufficiency:
+ Top Quality Lindera Powder
Tian Tai Wu Yao San
- Natrii Sulfas Mang Xiao
+ Rx. Astragali Huang Qi
For pharyngitis:
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rx. Achyranthis Bidentatae Niu Xi
+ Rz. Alismatis Ze Xie
+ Rz. Belamcandae She Gan + Hb. Leonuri Yi Mu Cao
+ Rx. Platycodi Jie Geng + Fr. Ligustri Lucidi Nu Zhen Zi
+ Sm. Sterculiae Lychnophorae Pang Da Hai
For toothache:
+ Spica Prunellae Xia Ku Cao
For toothache due to Wind and Fire:
+ Rx. Angelicae Dahuricae Bai Zhi
+ Spica Prunellae Xia Ku Cao
+ Rx. Angelicae Dahuricae Bai Zhi
For toothache due to Stomach Fire:
+ Spica Prunellae Xia Ku Cao
+ Rx. Saposhnikoviae Fang Feng + Rx. Angelicae Dahuricae Bai Zhi
+ Scorpio Quan Xie
For toothache with Yin Deficiency Fire:
+ Gypsum Fibrosum Shi Gao
+ Spica Prunellae Xia Ku Cao + Rz. Cimicifugae Sheng Ma
+ Rx. Angelicae Dahuricae Bai Zhi
For toothache with abscesses:
+ Spica Prunellae Xia Ku Cao
+ Rx. Rehmanniae Sheng Di Huang + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Paeoniae Alba Bai Shao
For hemafecia due to severe Blood Stagnation in the Intestines with Heat:
+ Nidus Vespae Lu Feng Fang
+ Rz. Clematidis Wei Ling Xian
+ 98-12g Cx. Moutan Mu Dan Pi
For hemafecia with severe pain due to severe Blood Stagnation in the Intestines with Heat:
+ 9-12g Rx. Paeoniae Rubra Chi Shao
+ 98-12g Cx. Moutan Mu Dan Pi
+ 3-6g Rx. Notoginseng San Qi + 9-12g Rx. Paeoniae Rubra Chi Shao
For jaundice:
+ Hb. Artemisiae Scopariae Yin Chen + 3-6g Rx. Notoginseng San Qi
+ 9-12g Pollen Typhae Pu Huang
For Bladder cancer:
+ 9-12g Dry-fried Faeces Trogopterori Chao Wu Ling Zhi
+ 12g Fr. Gardeniae Zhi Zi
+ 9g Rx. Angelicae Sinensis Dang Gui
For hemorrhoids:
+ 6g Fr. Aurantii Zhi Ke
+ 9g Faeces Trogopterori Wu Ling Zhi + 9g Flos Sophorae Immaturus Huai Hua Mi
+ 6g Cornu Rhinoceri Xi Jiao
For hemorrhoids without constipation:
+ 6g Spora Lygodii Hai Jin Sha - Natrii Sulfas Mang Xiao
For hemorrhoids with stabbing pain in the anus:
+ 6g Fr. Aurantii Zhi Ke
+ 6g Fr. Aurantii Zhi Ke + 9g Flos Sophorae Immaturus Huai Hua Mi
+ 9g Flos Sophorae Immaturus Huai Hua Mi
For hemorrhoids with severe bleeding:
+ 9g Faeces Trogopterori Wu Ling Zhi + 6g Fr. Aurantii Zhi Ke
+ 9g Flos Sophorae Immaturus Huai Hua Mi
+ 9g Pollen Typhae Pu Huang
For hemorrhoids with anal distention and pain, tenesmus or abdominal fullness:
+ 3g Rx. Notoginseng San Qi
+ 9g Pollen Typhae Pu Huang
+ 6g Fr. Aurantii Zhi Ke + 9g Rx. Sanguisorbae Di Yu
+ 9g Flos Sophorae Immaturus Huai Hua Mi
For severe, protruding hemorrhoids:
+ 6g Fr. Aurantii Zhi Ke
+ 9g Rx. Aucklandiae Mu Xiang + 9g Flos Sophorae Immaturus Huai Hua Mi
+ 9g Sm. Arecae Bing Lang
For severe hemorrhoids with constipation and pain:
+ 30g Rx. Astragali Huang Qi
+ 9g Rz. Cimicifugae Sheng Ma
+ 9-12g Rx. Paeoniae Rubra Chi Shao
For Liver cancer with severe Blood Stagnation:
+ Rx. Angelicae Sinensis Dang Gui
+ 9-12g Pollen Typhae Pu Huang + Flos Carthami Hong Hua
+ 9-12g dry-fried Faeces Trogopterori Chao Wu Ling Zhi
For Liver cancer with severe Qi Stagnation:
+ Rz. Cyperi Xiang Fu
+ 3-6g powdered Rx. Notoginseng San Qi + Per. Citri Reticulatae Viride Qing Pi
For endometriosis with menstrual irregularity and painful periods:
For endometriosis with pronounced Qi Stagnation:
+ Rx. Angelicae Sinensis Dang Gui + Rz. Cyperi Xiang Fu
+ Flos Carthami Hong Hua + Per. Citri Reticulatae Viride Qing Pi
For endometriosis with severe Blood Stagnation:
+ Rx. Paeoniae Rubra Chi Shao
For endometriosis with premenstrual nosebleeds and the Blood is purple and clotted:
+ Rx. Notoginseng San Qi
    + Rx. Rehmanniae Sheng Di Huang
    + Rz. Imperatae Bai Mao Gen