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Ni Wang TCM Pavilion

小承气汤

xiao cheng qi tang
Yangming 阳明Shanghan Lun 伤寒论阳明病方证辨阳明病脉证并治High risk

阳明腑实轻,尚能进食、放屁

Composition

HerbClassical dose
Han system: 1 liang ≈ 15.6 g
Master Ni's clinical dose
Taiwan system: 1 qian = 3.75 g
Processing / notes
大黄四两—酒洗
厚朴二两—炙去皮
枳实三枚—大者炙

Doses and preparation are compiled from the course texts for study only and are not personal medication advice.

Master Ni's key points

  • 小便变成淡白就可以停药了。得利则止,如果得利了,大便出来了,小便还是很黄,不能停药。
  • 轻下热结。

Decoction & administration

Formula pattern

Key symptoms尚能进食放屁
【第225条】

阳明病,潮热:大便已鞕者,可与大承气汤;不鞕者,不可与之。若不大便六七日,恐有燥屎,欲知之法,少与小承气汤,汤入腹中,转矢气者,此有燥屎,乃可攻之,若不转矢气者,此但初头鞕后必溏,不可攻之,攻之必胀满,不能食也,欲饮水者,与水则哕。

伤寒论 · 辨阳明病脉证并治

Differentiation

与大承气汤看食欲、屁、腹痛拒按程度

Classroom boards

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In the lecture notes

Ordered by relevance, Ni's own course material first; open a page to read it and copy the citation.

Source: Ni Haixia courses · screenshots compiled from nihaisha-nishi-tcm (JuneYaooo, GitHub)github.com/JuneYaooo/nihaisha-nishi-tcm

Classical content is kept in the original Chinese. Press “Translate” for an AI translation.