Da Xian Xiong Wan

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大陷胸丸 (Major Sinking into the Chest Pill)

Source: Shang Han Lun — Zhang Zhong-Jing (Eastern Han, c. 220)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Da Xian Xiong Wan (Major Sinking into the Chest Pill), from the Shang Han Lun (Discussion of Cold-Induced Disorders) by Zhang Zhong-Jing — a variation of Da Xian Xiong Tang.

Presentation: Jie xiong (stagnant chest) with heat and water accumulated in the chest only: fullness, hardness and pain in the chest, neck stiffness.

Composition: Pills taken with a decoction of powdered Gan Sui 1 spoonful [1g] and Feng Mi 0.2 cup [40 mL]; modern preparation mixes the powder with Gan Sui 30g and Feng Mi 250g.

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 163.

Composition

Herb Amount % Role Function
Da Huang
as printed: Da Huang (Radix et Rhizoma Rhei) 240g
240g 31.33% —
Ting Li Zi
ao (simmered); as printed: Ting Li Zi (Semen Descurainiae seu Lepidii) 0.5 cup [175g]
175g 22.85% Clears Lung heat, regulates Lung qi and moves water downward
Mang Xiao
as printed: Mang Xiao (Natrii Sulfas) 0.5 cup [175g]
175g 22.85% Dose reduced relative to the decoction since there is no abdominal pain or fullness
Xing Ren
ao (simmered) to black; as printed: Ku Xing Ren (Semen Armeniacae Amarum) 0.5 cup [175g]
175g 22.85% Clears Lung heat, regulates Lung qi and moves water downward
Gan Sui
printed in the preparation text, powdered and cooked with honey; as printed: Gan Sui (Radix Kansui) 1 spoonful [1g]
1g 0.13% —
Feng Mi
printed in the preparation text; as printed: Feng Mi (Mel) 0.2 cup [40 mL]
40ml 100% —

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net cool (-1.31)

From 100% of the weighed grams.

cold warm

Grams by band: cold 77%, warm 23%.

Small but decisive: Gan Sui 1g (cold, 0% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet bitter salty
  • pungent 11%
  • sweet 0%
  • bitter 77%
  • salty 11%

From 100% of the weighed grams.

Channels reached

  • Large intestine 100%
  • Stomach 54%
  • Lung 46%
  • Spleen 31%
  • Pericardium 31%
  • Liver 31%

Share of the grams entering each channel, from 100% of the weighed grams.

1 herb without a dose in grams, so left out of every figure above: Feng Mi.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Preparation

Source: powder Da Huang and Ting Li Zi, add Mang Xiao and Ku Xing Ren, grind and form bullet-sized pills; cook 1 spoonful powdered Gan Sui with 0.2 cup Feng Mi in 2 cups water down to 1 cup; take 1 pill with that liquid, repeating until bowel movement within the night. Modern: powder herbs at bracketed doses, mix with 30g Gan Sui powder and 250g honey into pills; take 5-10g per dose with warm water.

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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