bubble_chart Efficacy

Clearing heat and purging, tonifying qi and nourishing blood.

bubble_chart Indications

Dryness-heat in the stomach and intestines, deficiency of both qi and blood. Diarrhea with clear water, unconsciousness and delirious speech, abdominal pain that resists pressure, body heat and thirst, mental fatigue and shortness of qi, tongue coating that is scorched yellow or scorched black, and a deep, thin, and rapid pulse.

bubble_chart Formula Principles

In the formula, Major Purgative Decoction uses Rhubarb Rhizoma, Mirabilite, Immature Orange Fruit, and Magnolia Bark to purge gastrointestinal excess heat, achieving emergent purgation to preserve yin; Ginseng and Chinese Angelica tonify both qi and blood, supporting the body's vital energy to aid in expelling pathogens; Platycodon Root ventilates the lung and unblocks the large intestine; Fresh Ginger Rhizome, Chinese Date, and Liquorice Root harmonize stomach qi and regulate the effects of the other herbs, collectively achieving the goal of supporting the body's vital energy while purging.

For those with blood deficiency due to old age, remove Mirabilite.

bubble_chart Documentation

1. "The Six Books on Cold-Damage Diseases" states: "There is a condition where the patient experiences hardness and pain below the heart, diarrhea with pure clear water, delirious speech, thirst, and fever. Incompetent physicians fail to recognize this syndrome. Upon seeing diarrhea, they hastily diagnose it as fistula disease or cold-damage disease and use hot medicines to stop it. This is akin to adding fuel to the fire, and many have died due to such errors. They do not realize that this is caused by pathogenic heat transmitting inward, leading to dry and hardened stool in the stomach. This diarrhea is not due to internal cold but is a result of expelling fluid through the use of decoctions. It should be treated with drastic purgation, known as the syndrome of heat-bound diarrhea. For those with fever, this decoction should be used; for those without fever, the previous Liu Yi Shun Qi Decoction should be applied."
2. Zhangshi Yitong: "The decoction is named Huang Long (Yellow Dragon) and specifically targets the central dry earth. When the earth is parched, even if the three Qi-regulating formulas are combined, without ginseng and angelica to stimulate stomach qi, how can clouds be summoned and rain be induced? Some may think that ginseng is used due to deficiency, but they do not realize that when ginseng is used in a group of potent formulas, its sweeping power becomes even more fierce. How can one expect it to have a tonifying effect?"

bubble_chart Modern Application

Promotes bowel movement, inhibits bacteria, reduces inflammation, removes toxins, and enhances immunity. Commonly used for cold-damage disease, secondary cold-damage disease, epidemic cerebrospinal meningitis, Japanese encephalitis, senile intestinal obstruction, etc., belonging to Yangming fu-organ excess syndrome with qi and blood deficiency.