Major Order the Qi Decoction

Functions: Strongly purges Heat accumulation, focal distension, abdominal fullness, dry hard stool

Formula:

[1] add during the last 3-5 min. of the decoction process
[2] dissolve in strained decoction
Once diarrhea has been induced this formula should be discontinued.

Indications:  Yangming organ disease (pi man zhao shi - fullness, firmness, dryness, excess) causing masses in the abdomen, severe constipation and gas, abdominal fullness and pain that dislikes pressure, abdomen feels tense and firm; or yang jaundice with gallstones where the heat is greater than damp.  2.  Fire and toxin are severe, so the water parts extravasate causing watery dysentery with odorous stools, bowel incontinence while in a coma, mania, or convulsions with high fever.

T: bright red, dry yellow or black coat; P: rapid, forceful.

Notes:

Do not use during pregnancy
Formula is very cold and can cause diarrhea and vomiting.
Sometimes used to treat wind stroke of closed type.
See also da chai hu tang and xiao chai hu tang.

References

Shang Han Lun