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Formula理血剂· 活血祛瘀

桃核承气汤

Táo Hé Chéng Qì Tāng

Peach Pit Qi-Coordinating Decoction

The representative formula for lower-burner Blood amassment. Tao Ren combined with Cheng Qi Tang achieves simultaneous Blood-breaking stasis-dispelling and bowel-freeing heat-draining. Stasis-heat bind in the lower burner and lesser abdomen; the formula exploits the natural downward tendency to guide Blood downward and expel stasis.

Source《伤寒论》辨太阳病脉证并治下

Treatment Principle

破血下瘀

Break Blood and purge stasis downward

Composition · 组成

Herb	Role	Dosage	Notes
桃仁Táo Rén	君Sovereign	12g	破血行瘀，润肠通便
大黄Dà Huáng	臣Minister	12g	荡涤瘀热，通便泄热
芒硝Máng Xiāo	佐Assistant	6g	泻热软坚，助大黄荡涤瘀热
桂枝Guì Zhī	佐Assistant	6g	通行血脉，助桃仁活血祛瘀
甘草Gān Cǎo	使Courier	6g	缓急和中，调和诸药

Modifications · 加减

瘀热甚
+ 牡丹皮、赤芍
热结下焦
腹痛甚
+ 红花、延胡索
瘀滞较重

Preparation · 煎服法

水煎服。先煎大黄，后下芒硝。

Editor-reviewed· 2026-04-16

PractitionerPatientDate

桃核承气汤Táo Hé Chéng Qì Tāng

Peach Pit Qi-Coordinating Decoction

Herb	Pinyin	Role	Dose
桃仁	Táo Rén	Jun (Sovereign)	12g
大黄	Dà Huáng	Chen (Minister)	12g
芒硝	Máng Xiāo	Zuo (Assistant)	6g
桂枝	Guì Zhī	Zuo (Assistant)	6g
甘草	Gān Cǎo	Shi (Courier)	6g

Preparation: 水煎服。先煎大黄，后下芒硝。

This prescription is provided only by the dispensing TCM practitioner. Take as directed; do not modify the dose or share it. If you experience any adverse effect, stop immediately and contact your practitioner. The content of this platform is educational reference, not medical advice.
Bencao Dian · https://bencaodian.org · CC BY-SA 4.0

Permalink · CC BY-SA 4.0

Cite this entry

@misc{bencaodian-tao-he-cheng-qi-tang,
  author       = {{Bencaodian Editorial}},
  title        = {Táo Hé Chéng Qì Tāng 桃核承气汤 (Peach Pit Qi-Coordinating Decoction)},
  year         = {2026},
  howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
  url          = {https://bencaodian.org/en/formulas/tao-he-cheng-qi-tang},
  urldate      = {2026-04-16},
  note         = {CC BY-SA 4.0}
}

Permalink is fixed

Herb

Role

Dosage

Notes

桃仁Táo Rén

君Sovereign

12g

破血行瘀，润肠通便

大黄Dà Huáng

臣Minister

12g

荡涤瘀热，通便泄热

泻热软坚，助大黄荡涤瘀热

通行血脉，助桃仁活血祛瘀

缓急和中，调和诸药

Herb

Pinyin

Role

Dose

桃仁

Táo Rén

Jun (Sovereign)

12g

大黄

Dà Huáng

Chen (Minister)

12g

芒硝

Máng Xiāo

Zuo (Assistant)

桂枝

Guì Zhī

Zuo (Assistant)

甘草

Gān Cǎo

Shi (Courier)

@misc{bencaodian-tao-he-cheng-qi-tang, author = {{Bencaodian Editorial}}, title = {Táo Hé Chéng Qì Tāng 桃核承气汤 (Peach Pit Qi-Coordinating Decoction)}, year = {2026}, howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine}, url = {https://bencaodian.org/en/formulas/tao-he-cheng-qi-tang}, urldate = {2026-04-16}, note = {CC BY-SA 4.0} }