Daxianxiong Tang, a traditional Chinese medicine prescription, is a purgative that has the function of relieving heat and promoting diuresis. It is mainly used to treat chest congestion caused by the mutual obstruction of water and heat. The symptoms include pain in the epigastric region, resistance to pressure, hardness upon pressing, or severe pain and distention from the epigastric region to the lower abdomen, making it difficult to touch.
【Composition】
Rhubarb (peeled), 10 grams
Mangxiao (mirabilite), 10 grams
Gansui (Euphorbia kansui), 1 gram
【Usage】
Boil the above ingredients with 6 liters of water. First cook the rhubarb and take out 2 liters of the decoction. Remove the dregs and add mangxiao, boil for 1 or 2 boils, then add powdered gansui and take it warm. If there is quick relief, stop taking it and resume after symptoms reappear. (Modern usage: decoct with water, dissolve mangxiao, and take powdered gansui)
【Function】
Relieve heat and promote diuresis.
【Indications】
Chest congestion caused by the mutual obstruction of water and heat. Symptoms include pain in the epigastric region, resistance to pressure, hardness upon pressing, or severe pain and distention from the epigastric region to the lower abdomen, making it difficult to touch. Other symptoms may include shortness of breath, restlessness, constipation, dry and thirsty tongue, slight afternoon feverishness, red tongue, yellow and greasy coating or coating with water, deep and tight or deep and slow and forceful pulse.
【Application】
1. Key points for differentiation: This formula is commonly used to treat chest congestion. The key symptoms for clinical application are hardness and distention in the epigastric region, pain and resistance to pressure, constipation, dry tongue, yellow coating, and deep and forceful pulse. This formula should be avoided in patients who are weak or unable to tolerate purgatives. As a strong purgative, it is important to prevent excessive diarrhea that may harm the body's vitality, while also ensuring timely purgation to avoid lingering pathogenic factors. Whether to continue purgation should be determined based on the speed of relief after taking the medicine.
2. Modern application: This formula is commonly used for acute pancreatitis, acute intestinal obstruction, liver abscess, exudative pleurisy, cholecystitis, and cholelithiasis, which belong to the category of water and heat obstruction.
