Effect
Drastically eliminating heat accumulation and relieving constipation.

Indications
Excess syndrome due to interior heat, marked by constipation, frequent farting,

fullness and distention in the gastric and abdominal region, tenderness with hard

sensation in the abdomen, or even tidal fever, delirium, persistent sweating in the

soles and palms, dry and yellowish tongue coating with prickles or dry black fissure

tongue coating, and deep forceful pulse, or marked by green watery stools, pain in the

abdomen or around the umbilicus, palpable masses in the abdomen, dry mouth and tongue,

and slippery forceful pulse; including such diseases with the above symptoms as acute

simple intestinal obstruction, cohesive intestinal obstruction, ascaris intestinal

obstruction, acute cholecystitis, acute appendicitis, acute bacillary dysentery, toxic

dysentery, schizophrenia, etc.

Ingredients
Radix et Rhizoma Rhei (Dahuang) 12 g,
Cortex Magnoliae Officinalis (Houpo) 15 g,
Zhi Shi (Fructus Aurantii Immaturus) 15 g,
Natrii Sulfas (Mangxiao) 9 g.

Explanation
Da Huang: The principal drug, being bitter in flavor and cold in nature, purging heat

to relax the bowels, removing stagnancy in the stomach and intestines.

Mang Xiao: Being salty in flavor and cold in nature, purging heat, softening hard

masses, moistening dryness.

Hou Po and Zhi Shi: Promoting the circulation of Qi to resolve masses, relieving

fullness and distention, assisting Mang Xiao and Da Huang in eliminating stagnancy to

remove accumulation of heat.

Contraindication
Because of its drastic action, this prescription should not be prescribed for pregnant

women. The administration of it should be stopped once its effectiveness appears.

Administration
Decocted in water for oral dose to be taken twice, Da Huang and Mang Xiao should be

decocted for a shorter time in order to keep their purgative action.