Da Xian Xiong Wan大陷胸丸
Major Sinking into the Chest Pill
Ingredients6 herbs
Indications
Heat and water bound in the upper chest. Because the bind sits above rather than below, a fast downward purge would pass beneath it; the formula therefore reaches upward with Lung herbs and slows itself with honey so the drugs stay in contact with the obstruction.
Clinical Manifestations
- Chest-bind pattern seated high, with neck and nape stiffness
- Hard, painful epigastrium with laboured breathing
- Fullness below the heart with cough and difficulty lying flat
- Constipation accompanying an upper-body water-heat bind
Health Categories
Modern Applications
Common adjustments
- Bind low and severe, abdomen stone-hard — the decoction form Da Xian Xiong Tang acts faster and lower
- Breathlessness prominent — the Ting Li Zi share is the part of the formula addressing it
Contraindications
Contains toxic Gan Sui and is an attack formula for a confirmed excess pattern only. Withheld in deficiency, in the frail and elderly, and after childbirth. Gan Sui must not be combined with Gan Cao. Discontinue as soon as the bowel opens.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Absolutely contraindicated in pregnancy. The honey base slows the action but does not change what is inside: Gan Sui is toxic and drastically water-expelling, and Da Huang with Mang Xiao purges hard. Also unsuitable while breastfeeding.
References
Source Shang Han Lun 《伤寒论》 · Eastern Han
「结胸者，项亦强，如柔痉状，下之则和，宜大陷胸丸。」
- Classical source (public domain), cited in the source-quote section.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— chapter placement, 功用 and pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.