Da Cheng Qi Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

大承气汤 · Dà Chéng Qì Tāng

The strongest classical purgative formula for Yang Ming excess Heat with severe constipation, abdominal fullness and hardness, tidal fever and delirium. Attacks hardness, drains fullness and moistens dryness.

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Quick Facts

Formula Category
Purgative Formulas
Primary Pattern
Stomach Heat
Primary Function
Strongly purge Heat accumulation and constipation
Primary Therapeutic Principle
Strongly purge Heat accumulation, eliminate fullness and moisten dryness
Classical Source
Shang Han Lun (Zhang Zhongjing, Eastern Han)
Available as Granules
Yes

Formula Overview

The strongest classical purgative formula for Yang Ming excess Heat with severe constipation, abdominal fullness and hardness, tidal fever and delirium. Attacks hardness, drains fullness and moistens dryness.

Therapeutic Principle

Traditionally selected for severe Yang Ming fu excess — hard constipation, abdominal fullness with tenderness and high fever — the strongest of the Cheng Qi family, well beyond the milder Xiao Cheng Qi Tang, and without the Blood-invigorating action that defines Tao He Cheng Qi Tang.

Composition

(Sovereign / Minister / Assistant / Envoy)

Related Conditions

Related Health Topics

How does this formula compare?

Compare Da Cheng Qi TangTao He Cheng Qi TangWu Ling SanXiao Cheng Qi Tang
Primary Function Strongly purge Heat accumulation and constipationInvigorate Blood, clear Heat, purge accumulationPromote urination, drain Dampness, warm YangMildly purge Heat accumulation
Formula Category Purgative FormulasBlood-Invigorating FormulasDampness-Draining FormulasPurgative Formulas
Typical TCM Pattern Stomach HeatBlood StasisDampnessStomach Heat
Main Conditions Constipation ·Bloating ·Abdominal Pain ·Fever Irregular Menstruation ·Dysmenorrhea Edema ·Frequent Urination ·Damp Constitution Constipation ·Bloating ·Abdominal Pain ·Fever
Main Herbs Rhubarb Root and Rhizome ·Mirabilite / Glauber's Salt ·Magnolia Bark ·Immature Bitter Orange Peach Kernel ·Rhubarb Root and Rhizome ·Cinnamon Twig ·Mirabilite / Glauber's Salt ·Honey-fried Licorice Alisma Rhizome ·Poria / Hoelen ·Polyporus ·White Atractylodes Rhizome ·Cinnamon Twig Rhubarb Root and Rhizome ·Magnolia Bark ·Immature Bitter Orange
Classical Source Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)

Clinical Perspective

Da Cheng Qi Tang is for severe Yang Ming fu excess. Tao He Cheng Qi Tang adds Blood-invigorating action for stasis with Heat. Wu Ling San drains fluid rather than solid accumulation. Milder relatives include Xiao Cheng Qi Tang and Tiao Wei Cheng Qi Tang.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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