Tao Ren Cheng Qi Tang (Taohe Chengqi Decoction) comes from "Treatise on Febrile Diseases" and is a compound prescription for promoting blood circulation and removing blood stasis created by Zhang Zhongjing. This prescription is mainly used to treat blood stasis in the lower abdomen, with symptoms such as lower abdominal pain that refuses to be pressed, dark stools, spontaneous urination, fever at night, and even delirium and heavy pulse.
Based on Zhang Zhongjing's theory, later generations of doctors made some changes to this prescription, and widely used it in various clinical departments to treat a variety of acute and chronic diseases, achieving good results. This article will introduce Tao Ren Cheng Qi Tang in detail based on relevant literature and personal clinical experience.
Tao Ren Cheng Qi Tang (Tao he Cheng qi Decoction) Recipe
King medicine: peach kernel (peach kernel)
Peach kernel has the effects of promoting blood circulation, removing blood stasis, moistening dryness and relieving constipation. Its main effect is to promote blood circulation and remove blood stasis, and it is the main drug of this prescription.
Assistant medicine: rhubarb, mirabilite
Rhubarb is bitter, cold and has the effect of dispelling heat, relieving constipation, and removing blood stasis and breaking up accumulations.
Glauber's salt is salty, cold and can soften hard objects, and can enhance the effect of clearing heat and removing blood stasis.
Adjuvant: cinnamon twig
Cinnamon twig is pungent in taste and can promote the circulation of qi and blood, warm the meridians, promote the circulation of qi and blood, and help dissipate blood stasis.
Cinnamon twig is warm in nature and can warm the heart yang, harmonize the nutrient and defensive systems, and prevent the bitter and cold nature of rhubarb and Glauber's salt from damaging the stomach.
Cinnamon twig also has the function of relieving adverse effects and can prevent blood stasis from rushing up.
Agent: Licorice
Licorice can alleviate the harsh laxative properties of rhubarb and sodium dapoxetine, protect the stomach qi, and prevent the bitter and cold diarrhea that damages the body.
The five medicinal ingredients are matched strictly and precisely to work together to break up blood and remove blood stasis.
Pathogenesis of Tao Ren Cheng Qi Tang (Taohe Chengqi Decoction)
The pathogenesis of Taohe Chengqi Decoction is mainly due to the fact that the evil in the Taiyang is not resolved, and it enters the viscera along the meridians to transform into heat, which fights with the blood and stagnates in the lower abdomen, forming a blood stagnation syndrome . The stasis and heat are mutually entangled in the lower abdomen, causing acute knots in the lower abdomen and pain that is resistant to pressure . The disease is in the blood and has nothing to do with the qi. The bladder qi transformation is not affected, so urination is spontaneous.
Fever occurs at night. The heart governs blood vessels and stores the spirit. Stagnation and heat disturb the heart and make the mind restless, so the patient becomes irritable and delirious, like a madman. The pulse is deep and astringent, which is a typical pulse of blood stasis. Postpartum fecal discharge, blood stasis in the uterus, trauma, blood stasis, and local blood stasis and pain caused by trauma are all within the scope of treatment of this prescription.
In short, the pathogenesis of Taohe Chengqi Decoction is the combination of blood stasis and heat. The treatment should be to break up blood and remove blood stasis to remove the blood accumulation in the lower part of the body . In the prescription, peach kernel is the main medicine, which can promote blood circulation and remove blood stasis. Rhubarb and mirabilite are the assistant medicines, which can attack the heat accumulation, eliminate symptoms and detoxify. Cinnamon twig is the adjuvant medicine, which can warm and dredge the meridians and promote the circulation of qi and blood. Licorice is the guiding medicine, which can alleviate the harsh nature of rhubarb and mirabilite and protect the stomach qi. The five medicines work together to break up blood and remove blood stasis.
Specific manifestations of Taoren Chengqi Decoction's pathogenesis:
Lower abdominal tightness: lower abdominal tightness, pain, and a feeling of a lump.
Amenorrhea and dysmenorrhea: Menstrual disorders or dysmenorrhea caused by blood stasis.
The person is like a madman: blood stasis and heat are intertwined, disturbing the mind, causing irritability, restlessness, and even mental symptoms such as madness.
Spontaneous urination: Although it is mainly due to blood retention, it may also affect the excretion of urine.
Heavy and astringent pulse: a typical pulse sign of blood stasis.
Postpartum lochia retention: Postpartum blood stasis blocks the uterus.
Traumatic injuries and blood stasis: local blood stasis and pain caused by external trauma.
Hernia: Hernia pain caused by cold, or accompanied by blood stasis.
Effects of Tao Ren Cheng Qi Tang (Taohe Chengqi Decoction)
Rhubarb and Glauber's Salt : Rhubarb and Glauber's Salt can attack heat accumulation, soften and disperse lumps, and enhance the effect of removing blood stasis. Rhubarb has a strong laxative effect, but it is not effective for lumps caused by dry stool. It needs to be combined with Glauber's Salt, which has both laxative and dissolving effects.
Targeting "acute abdominal congestion" : Many ancient texts emphasize that "acute abdominal congestion" is the main symptom of Taohe Chengqi Decoction, indicating that the efficacy of this prescription is mainly concentrated in the lower abdomen, targeting the area where blood stasis accumulates.
The main effect of Taoren Chengqi Decoction is to break up blood and remove blood stasis, and to clear away heat and promote defecation. Its therapeutic principles are mainly reflected in the following aspects:
Blood stasis removal : peach kernel is the main drug in the formula, which is used to promote blood circulation and remove blood stasis, targeting the core of the pathogenesis, blood stasis. Rhubarb and mirabilite attack the heat accumulation, eliminate symptoms and detoxify, and assist peach kernel in removing blood stasis. The two are assistant drugs.
Warming and unblocking as an auxiliary : Cinnamon twig warms and unblocks the meridians, promotes the circulation of qi and blood, and helps dissipate blood stasis, which is an auxiliary medicine. At the same time, cinnamon twig can also warm the yang and transform qi, which is especially important for diseases with cold stagnation.
Harmonizing the properties of the medicines : Licorice harmonizes the various medicines, alleviates the harsh nature of rhubarb and sodium sulfate, and can replenish qi and relieve urgency, preventing excessive attack.
Modern application of Tao Ren Cheng Qi Tang (Taohe Chengqi Decoction)
Tao Ren Cheng Qi Tang is commonly used in modern clinical practice to treat the following diseases:
Acute pelvic inflammatory disease
Retained placenta
Adnexitis
Intestinal obstruction
Endometriosis
These diseases are all caused by blood stasis and heat in the lower part of the body. The use of Taoren Chengqi Decoction can effectively remove blood stasis and relieve symptoms.
Notes
Pregnant women are forbidden to use this medicine: As this medicine has the effect of removing blood and removing blood stasis, pregnant women are forbidden to use this medicine to avoid causing miscarriage or other adverse reactions.
If the exterior symptoms have not been relieved, the exterior symptoms should be relieved first : If the patient has symptoms of exogenous infection, the exterior symptoms must be relieved first, and then this prescription can be used after the exterior symptoms are relieved.
Accurate syndrome differentiation : In clinical application, accurate syndrome differentiation should be made, especially the core pathogenesis of "acute abdominal distension" should be grasped to achieve good therapeutic effects.
Conclusion
Tao Ren Cheng Qi Tang is a classic prescription for treating blood stasis in the lower part of the body. It is mainly used to break up blood and remove blood stasis, and also to clear away heat and promote defecation. Its drug composition is precise and its compatibility is ingenious. Through multiple effects such as promoting blood circulation, attacking the lower part, warming and unblocking, and harmonizing, it achieves the therapeutic purpose of removing blood stasis, eliminating symptoms and dispersing nodules. In clinical application, accurate syndrome differentiation should be made, especially grasping the core pathogenesis of "acute abdominal knot" to achieve good therapeutic effects. In terms of precautions and side effects, it is forbidden for pregnant women to use it. If the external symptoms have not been resolved, the external symptoms should be resolved first to ensure the safety of the drug.
