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(Two sections on pulse diagnosis, three prescriptions, two moxibustion methods)

Excess Heat of the Small Intestine

If the pulse at the Cun Kou position on the left hand, anterior to the Ren Ying point, presents as an excess Yang pulse, it indicates a disease of the Hand-Taiyang (Small Intestine) meridian. The patient suffers from fever, with sweat appearing intermittently or absent. There is mental restlessness and fullness, heaviness of the body, and sores in the mouth. This is termed Excess Heat of the Small Intestine.

Prescription for treating heat distension of the Small Intestine and oral ulcers:
Chai Hu (Bupleuri Radix), Ze Xie (Alismatis Rhizoma), Ju Pi (Citri Reticulatae Pericarpium, alternatively Jie Geng / Platycodonis Radix), Huang Qin (Scutellariae Radix), Zhi Shi (Aurantii Fructus Immaturus), Xuan Fu Hua (Inulae Flos), Sheng Ma (Cimicifugae Rhizoma), Mang Xiao (Natrii Sulfas) [each 2 liang], Sheng Di Huang (Rehmanniae Radix Praeparata) [1 sheng, sliced].
The above nine ingredients are cut into small pieces, decocted in one dou of water until three sheng remain, filtered to remove dregs, then Natrii Sulfas is added. Divide into two doses.

Prescription for treating heat accumulation and obstruction causing fullness in the Small Intestine:
Da Huang (Rhei Radix et Rhizoma), Shao Yao (Paeoniae Radix), Ting Li (Semen Lepidii seu Descurainiae) [each 2 liang], Da Ji (Euphorbiae Pekinensis Radix), Pu Xiao (Natrii Sulfas) [each 3 liang], Ba Dou (Crotonis Fructus) [7 seeds], Xing Ren (Armeniacae Semen Amarum) [50 seeds].
The above seven ingredients are powdered, mixed with honey to form pills the size of wu zi (Chinese quince seeds). Take seven pills with warm water; children take two or three pills. Administer twice daily. Once the heat is cleared, reduce to once daily.

For excess heat and fullness of the Small Intestine, moxa moxibustion can be applied to Yin Du (ST15). The number of moxa cones should correspond to the patient's age. The point is located one cun lateral to both sides of Zhong Wan (CV12). For dysentery with pus and blood due to Small Intestine heat, moxa moxibustion can be applied to Hun She (EX-LE4) for one hundred cones; reduce for children. The point is located one cun lateral to both sides of the umbilicus.
Additionally, moxa moxibustion can be applied to Xiao Chang Shu (BL27) for seven cones.

Deficiency Cold of the Small Intestine

If the pulse at the Cun Kou position on the left hand, anterior to the Ren Ying point, presents as a deficient Yang pulse, it indicates a disease of the Hand-Taiyang (Small Intestine) meridian. The patient suffers from unilateral headache at the side of the head, and pain in the ears and cheeks. This is termed Deficiency Cold of the Small Intestine.

Tonifying prescription for treating pain due to deficiency cold of the Small Intestine, passage of red and white discharge, intestinal sliding/incontinence, and chest discomfort:
Gan Jiang (Zingiberis Rhizoma) [3 liang], Dang Gui (Angelicae Sinensis Radix), Huang Bo (Phellodendri Cortex), Di Yu (Sanguisorbae Radix) [each 4 liang], Huang Lian (Coptidis Rhizoma), E Jiao (Colla Corii Asini) [each 2 liang], Shi Liu Pi (Granati Cortex) [3 pieces].
The above seven ingredients are cut into small pieces, decocted in seven sheng of water until two sheng five he remain. Filter to remove dregs, add E Jiao, and continue decocting until the gelatin is completely dissolved. Divide into three doses.

(One treatise)

Treatise states: The tongue is the external manifestation of the Heart and reflects the condition of the Small Intestine. It is essential to skillfully balance the Five Flavors. Regarding diet, excessive salt causes the tongue vessels to stagnate and change color; excessive bitter flavor causes the tongue tissue to wither and external hair to become dry and brittle; excessive pungent flavor causes tongue tendons to contract and nails to become dry; excessive sour flavor causes tongue flesh to become hypertrophic and lips to peel; excessive sweet flavor causes pain at the root of the tongue and hair loss. Furthermore, it is said: The Heart desires bitter, the Lung desires pungent, the Liver desires sour, the Spleen desires sweet, and the Kidney desires salty. These five flavors internally harmonize with the Qi of the Five Zang organs. If the Zang organs have heat, sores appear on the tongue, leading to redness and peeling of the lips. If the Fu organs have cold, the tongue base retracts, the mouth becomes locked, and lips turn cyan. Cold conditions are suitable for tonification, heat conditions are suitable for purgation, and if neither cold nor heat predominates, regulation should be based on the Zang and Fu organs.