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Background Information
Book: Li Hanqing Chapter: Main Text (6/50) Category: Comprehensive

Case 1 Zhang, female, 38 years old. Outpatient No.: 78893.
First visit on August 1, 1964: For two years, poor appetite; aggravated in the past month with nausea, vomiting of saliva, lower back soreness and fatigue, diarrhea, preference for hot drinks, abundant and clear vaginal discharge, white greasy tongue coating, and slow pulse. This is a syndrome of Spleen deficiency with failure to transform Phlegm-Dampness (Tan-Shi). The treatment should invigorate the Spleen, dry Dampness, resolve Phlegm, and stop diarrhea. Formula used: Liu Jun Zi Tang (Six Gentlemen Decoction) with modifications:
Dang Shen (Codonopsis Radix) 7.5g, Sheng Bai Zhu (Atractylodis Rhizoma) 7.5g, Fu Ling (Poria) 7.5g, Chen Pi (Citri Reticulatae Pericarpium) 7.5g, Jiang Ban Xia (Pinelliae Rhizoma Preparatum) 7.5g, Sha Ren (Amomi Fructus) 4.5g, Kou Ren (Cardamomi Fructus) 4.5g, Ji Nei Jin (Galli Gigerii Endothelium Corneum) 6g.
Sha Ren and Kou Ren warm the Stomach, stop vomiting, and aid digestion; Ji Nei Jin promotes digestion and removes food stagnation; Chen Pi and Ban Xia dry Dampness, resolve Phlegm, harmonize the Middle Jiao, direct rebellious Qi downward, regulate Qi, and stop vomiting; Ginger paired with Ban Xia harmonizes the Stomach, directs rebellious Qi downward, warms the Middle to dispel Dampness, resolves Phlegm, and stops vomiting.
Second visit: After taking 3 doses, all symptoms alleviated, but still feeling abdominal distension and flatulence, and tenderness upon pressure in the lower abdomen. Add Guang Mu Xiang (Aucklandiae Radix) to the above formula to move Qi and relieve pain.
Third visit: After taking 3 doses, appetite increased, stool normalized, except for abdominal pain during menstruation. Add Xiang Fu (Cyperī Rhizoma) 6g to regulate Qi, relieve depression, regulate menstruation, and relieve pain.
Commentary: This patient with diarrhea suffers from Spleen deficiency failing to transport, complicated by Phlegm-Dampness, leading to poor appetite, nausea, vomiting of saliva, and persistent diarrhea. Liu Jun Zi Tang (Six Gentlemen Decoction) is used to invigorate the Spleen, dry Dampness, and resolve Phlegm. Sha Ren and Kou Ren are added to warm the Stomach, stop vomiting, and aid digestion; Ji Nei Jin promotes digestion and removes food stagnation; Jiang Ban Xia also warms the Middle, directs rebellious Qi downward, and stops vomiting. In the second and third visits, Mu Xiang and Xiang Fu are added to regulate Qi and relieve pain, as women's diseases often involve Qi stagnation and depression.

Case 2 Xu, male, 27 years old. Outpatient No.: 79212.
First visit on October 5, 1964: Bowel sounds and abdominal pain before dawn, followed by diarrhea, with pain relief after defecation. Diarrhea also occurs after meals, 3-4 times daily, with loose stools, feeling comfortable after defecation, worsening upon exposure to cold. Yellowish complexion, mental fatigue, weakness in limbs, abdomen prefers pressure, thin white tongue coating, and slow pulse. Differentiation indicates Kidney-Spleen Yang Deficiency, primarily Spleen deficiency. Treatment should tonify both Spleen and Kidney. Formula used: Si Jun Zi Tang (Four Gentlemen Decoction) and Si Shen Wan (Four Spirits Pill) with modifications:
Dang Shen (Codonopsis Radix) 9g, Sheng Bai Zhu (Atractylodis Rhizoma) 7.5g, Gan Jiang (Zingiberis Rhizoma) 4.5g, Rou Gui (Cinnamomi Cortex) 4.5g, Bu Gu Zhi (Psoraleae Fructus) 6g, Rou Dou Kou (Myristicae Semen) 4.5g, Fu Ling (Poria) 6g, Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) 6g.
Take 2 doses, decocted in water.
Second visit: Symptoms greatly reduced after medication; continued taking 2 more doses, cured.
Commentary: Although this syndrome belongs to Wugeng Xie (Fifth Watch Diarrhea) due to Kidney-Spleen Yang Deficiency, it is primarily Spleen deficiency. Spleen Yang is weak, unable to transform and transport food and fluids, causing immediate diarrhea after eating, relief after defecation, multiple loose stools daily. Combined with Kidney Yang deficiency leading to insufficient Mingmen Fire (Gate of Life), Spleen Yang is further damaged, resulting in dawn diarrhea, mental fatigue, weakness, and inability to "rot and ripen" food and fluids, causing diarrhea. Dang Shen, Bai Zhu, Fu Ling, and Zhi Cao in the formula invigorate the Spleen, benefit Qi, leach out Dampness, and stop diarrhea; Gan Jiang warms the Middle, disperses Cold, and treats abdominal pain; Bu Gu Zhi tonifies the Kidney, strengthens Yang, warms the Spleen, and stops diarrhea; Rou Dou Kou warms the Middle, astringes the Intestines, and stops diarrhea; Rou Gui warms and tonifies Kidney Yang, warms the Middle, and expels Cold.

Case 3 Chen, male, 45 years old. Outpatient No.: 93075.
First visit on October 12, 1965: Abdominal pain and diarrhea occurring several times daily for months, abdomen prefers pressure, thin white tongue coating, deep and slow pulse. Syndrome belongs to Spleen Yang not rising, Dampness trapping the Middle Jiao. Treatment should invigorate the Spleen and promote urination to remove Dampness. Prescription:
Chen Pi (Citri Reticulatae Pericarpium) 7.5g, Cang Zhu (Atractylodis Rhizoma) 7.5g, Fu Ling (Poria) 6g, Ze Xie (Alismatis Rhizoma) 6g, Sheng Bai Zhu (Atractylodis Rhizoma) 6g, Sheng Bai Shao (Paeoniae Radix Alba) 9g, Rou Gui (Cinnamomi Cortex) 4.5g, Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparatum) 3g.
Second visit: After taking 2 doses, abdominal pain and diarrhea greatly reduced. Continued taking 3 more doses, cured.
Commentary: This patient suffers from Spleen Yang weakness, inability to transform and transport water and Dampness, leading to the Spleen being trapped by Dampness and chronic diarrhea. Cang Zhu, Bai Zhu, Fu Ling, and Ze Xie in the formula invigorate the Spleen, dry Dampness, benefit the Spleen, and stop diarrhea; Rou Gui warms the Middle, disperses Cold, and tonifies Kidney Yang; Bai Zhu soothes the Liver and relaxes Wood, ensuring Spleen health and Liver harmony; adding Gan Cao tonifies the Spleen, relieves urgency and pain, treats Middle Jiao Qi deficiency, poor appetite, indigestion, and loose stools; Chen Pi regulates Qi and opens the appetite.

Case 4 Yang, male, 40 years old. Outpatient No.: 31909.
First visit on August 27, 1960: Poor appetite for several months. Epigastric fullness, loose stools, 3-4 times daily, accompanied by testicular distension and pain, preference for hot diet, thin white tongue coating, slow and delayed pulse. Differentiation belongs to Spleen deficiency with excessive Cold. Treatment should invigorate the Spleen and warm the Middle. Prescription:
Chen Pi (Citri Reticulatae Pericarpium) 7.5g, Cang Zhu (Atractylodis Rhizoma) 7.5g, Bai Zhu (Atractylodis Rhizoma) 7.5g, Wu Zhu Yu (Evodiae Fructus) 6g, Xiao Hui Xiang (Foeniculi Fructus) 4.5g, Ju He (Citri Reticulatae Semen) 15g, Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparatum) 3g.
After taking 4 doses, epigastric and abdominal fullness and diarrhea significantly improved. Continued taking 4 more doses, all symptoms disappeared.
Commentary: This patient suffers from Spleen deficiency with excessive Cold and Qi mechanism obstruction, causing loose stools and epigastric/testicular distension and pain. Wu Zhu Yu in the formula warms the Stomach, disperses Cold, soothes the Liver, awakens the Spleen, and warms the Kidney, treating diarrhea caused by Spleen-Kidney Yang Deficiency; Xiao Hui Xiang warms the Kidney, dispels Cold, and treats testicular distension and pain; heavy use of Ju He regulates Qi and relieves pain; Cang Zhu and Bai Zhu dry Dampness and invigorate the Spleen; Chen Pi regulates Qi and resolves Phlegm. All herbs together achieve the effect of warming Spleen and Kidney to dispel Cold, moving Qi stagnation, and drying Dampness.

Case 5 Nan, female, 32 years old. Outpatient No.: 19457.
First visit on August 10, 1959: Abdominal pain and diarrhea for 5 years, 4-5 times daily, poor appetite, occasional nausea, postprandial abdominal distension, feeling relieved after defecation, white greasy tongue coating, deep, wiry, and fine pulse. Differentiation belongs to Spleen Yang not rising, Water-Dampness stagnation. Treatment should support the Spleen and promote urination to remove Water. Prescription:
Dang Shen (Codonopsis Radix) 7.5g, Chen Pi (Citri Reticulatae Pericarpium) 7.5g, Cang Zhu (Atractylodis Rhizoma) 6g, Sheng Bai Zhu (Atractylodis Rhizoma) 9g, Fu Ling (Poria) 6g, Zhu Ling (Polyporus) 4.5g, Gui Zhi (Cinnamomi Ramulus) 4.5g, Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparatum) 3g.
Second visit: After taking 2 doses, diarrhea and abdominal fullness decreased, stool once daily, but vaginal discharge increased. Added Sheng Shan Yao (Dioscoreae Rhizoma) 15g, Bu Gu Zhi (Psoraleae Fructus) 4.5g, Rou Dou Kou (Myristicae Semen) 4.5g, Long Gu (Fossilia Ossis Mastodi) 9g, Sheng Mu Li (Concha Ostreae) 9g to the above formula to warm the Kidney and astringe.
Third visit: Abdominal distension and diarrhea basically disappeared, vaginal discharge greatly reduced. Continued taking 4 more doses, cured.
Commentary: This case involves Spleen deficiency with excessive Dampness, failure to transform Water-Dampness, which subsequently traps and suppresses Spleen Yang, causing long-term persistent diarrhea. This formula takes Si Jun Zi Tang (Four Gentlemen Decoction) to assist Yang, benefit Qi, and invigorate the Spleen to treat the root; Cang Zhu, Zhu Ling, and Gui Zhi promote urination to remove Dampness and stop diarrhea to treat the branch. The entire formula addresses both root and branch, invigorating the Spleen and removing Dampness so that diarrhea stops naturally.

Case 6 Gu, female, 40 years old. Outpatient No.: 58756.
First visit on September 6, 1962: Diarrhea for 3 years, 4-6 times daily, loose stools mixed with small amounts of mucus, pus, and blood, tenesmus. Initially diagnosed as Dysentery (Li Ji) at another hospital, hospitalized for over 3 months with no effect. Later examined at another hospital with colonoscopy and lower gastrointestinal contrast study, diagnosed with Ulcerative Colitis and Colon Polyps. Changed to Traditional Chinese Medicine treatment with modified Shao Yao Tang (Peony Decoction), Tao Hua Tang (Peach Blossom Decoction), Si Shen Wan (Four Spirits Pill) etc. for over 1 year with no obvious effect. Treated with modified Wu Mei Wan (Mume Pill) for over 20 doses with no effect. After Dr. Li's diagnosis, he said: "Besides bloody dysenteric stools and tenesmus, there are also mouth ulcers, epigastric tenderness, and deep, fine pulse. This is caused by accumulation of Cold that fails to transform. Treatment should warm the Middle and guide out stagnation." Prescription:
Fu Zi (Aconiti Lateralis Radix Preparata) 3g, Mu Xiang (Aucklandiae Radix) 9g, Xiang Fu (Cyperī Rhizoma) 9g, Wu Yao (Linderae Radix) 9g, Dang Shen (Codonopsis Radix) 8g, Bai Zhu (Atractylodis Rhizoma) 8g, Da Huang (Rhei Radix et Rhizoma) 3g, Gan Jiang (Zingiberis Rhizoma) 3g.
One dose per week.
The next day the patient came for consultation, saying there was no obvious effect. Dr. Li said: It doesn't matter, you can take medicine again next week. One week later, the patient came for consultation, saying: Stool frequency changed to twice a day, bloody stools disappeared. Dr. Li said: One dose per week is sufficient, do not take too much; this is waiting for the recovery of Qi. Taken 4 doses in total, cured.
Commentary: This case is a typical syndrome of deficiency mixed with excess, with more Cold than Heat, requiring modified Li Zhong Da Huang Tang (Regulate the Middle with Rhubarb Decoction). The entire formula focuses on warming and tonifying, intending to use heavy doses to warm Spleen Yang and strengthen Spleen Qi to treat the root, with a small amount of bitter-cold Da Huang as an adjunct to clear Heat, facilitate general movement, and purge Cold accumulation to treat the branch. The formula highlights key points, addresses both root and branch, combines Cold and Heat, and applies both attacking and tonifying methods, with dosage proportions just right, truly serving as a model for treating mixed syndromes.

Starting from Symptom Differential Diagnosis and Treatment
Scholars newly entering clinical practice would be best served by selecting one symptom (when choosing a symptom, it must be the most prominent and noticeable to the patient) as the main goal. Around this symptom, further explore related signs, comprehensively analyze them to determine their nature, and establish corresponding treatments. An example is given below: For a patient with diarrhea, if there is abdominal fullness and tenderness upon pressure, judging it as involving excess, one can add Zhi Shi (Aurantii Fructus Immaturus) to the diarrhea formula, or even add Da Huang (Rhei Radix et Rhizoma); if there is aversion to cold, cold limbs, no thirst, or preference for hot drinks, its nature is Cold, and Gan Jiang (Zingiberis Rhizoma) and Fu Zi (Aconiti Lateralis Radix Preparata) should be added; if diarrhea occurs at dawn, it is Wugeng Xie (Fifth Watch Diarrhea), and Bu Gu Zhi (Psoraleae Fructus) and Rou Dou Kou (Myristicae Semen) should be added; if there is shortness of breath, fatigue, and weakness, indicating severe Qi deficiency, Dang Shen (Codonopsis Radix) and Huang Qi (Astragali Radix) should be added. The same applies to the study of other symptoms; mastering one leads to understanding many, requiring effort in differential diagnosis and flexible application. Similarly, when studying a prescription, one must grasp its main function to avoid being confused by it in learning or application. For example, there are many formulas for treating Damp-Warmth (Shi Wen), which may confuse learners. One can pre-analyze and summarize, classify based on application, find the functional characteristics of each formula, making it easy to understand and apply freely.

Differentiation between Re Jing Pang Liu (Heat Binding with Side Flow) and Shi Xie (Food Diarrhea)
Re Jing Pang Liu (Heat Binding with Side Flow) is a type of Yangming Fu Organ Syndrome in Shang Han (Cold Damage) and Wen Bing (Warm Diseases). Its main manifestations include Yangming Fu Organ Syndrome (fever, aversion to heat rather than cold, delirium, dry tongue, tidal fever in the afternoon, sweating on hands and feet, abdominal tenderness upon pressure, etc.), combined with watery stool or fecal water. The cause is that dry feces in the large intestine cannot be excreted, stimulating accelerated intestinal mucosa peristalsis. What is excreted is not feces, but only a small amount of liquid squeezed out from beside the dry feces.
The focus of diagnosing Re Jing Pang Liu is tenderness upon pressure in the abdomen and hypogastrium. This syndrome has similarities with Shi Xie (diarrhea caused by food stagnation), which can be compared. Shi Xie is caused by irregular diet, while this syndrome arises from Heat pathogen invading Yangming; the excrement in Shi Xie is loose stool, while in this syndrome it is watery fluid; tenderness upon pressure in Shi Xie is mostly in the stomach region, while in this syndrome it is mostly in the colon; Shi Xie treatment should promote digestion and remove stagnation, using formulas like Bao He Wan (Preserve Harmony Pill), while this syndrome treatment should vigorously purge Heat binding, using formulas like Cheng Qi Tang (Order the Qi Decoction) category.

Dysentery (Li Ji)
Differentiating Pus in Stool: Internal Abscess vs. Dysentery
Pus in the stool can be seen in two types of diseases: Internal Abscess (Nei Yong) and Dysentery (Li Ji). Their causes, clinical manifestations, and pathological mechanisms differ, and treatment principles and methods also differ; they should be differentiated clinically.
At the initial stage of Internal Abscess, there must be vague, stabbing pain in the hypogastrium, umbilical region, or hypochondrium. For internal abscesses in the Lower Jiao, once the pus has ruptured, it all exits through the stool, such as in hypogastric abscess, small intestine abscess, hypochondrial abscess, liver abscess, etc., where ruptured pus exits via the stool. Dr. Li believes that this syndrome is best treated urgently before pus formation to avoid the danger of pus rupture. Symptoms include vague stabbing pain and fullness, deep slippery rapid pulse, or even pain like needle piercing, thirst. Use Dan Pi Tang (Moutan Decoction) plus Ru Xiang (Olibanum), Mo Yao (Myrrha), Zi Jing (Cinnabaris), Shan Jia Zhu (Spina Gleditsiae Preparated), etc., to urgently drain the blood and prevent pus formation.
Dysentery (Li Ji) must feature tenesmus, desire to defecate without success, and passage of red and white pus and blood as characteristics, with obvious seasonality, commonly seen in summer and autumn. Among these, dysenteric discharge of white jelly-like substance, or more white than red, usually indicates Dampness heavier than Heat, pathogen injuring the Qi level, shallow disease; if purely white and thin, or like jelly or nasal mucus, it is Cold-Dampness injuring the Qi level; if white and slipping/prolapsing, it mostly belongs to Deficiency-Cold; dysenteric discharge of red jelly-like substance, or more red than white, usually indicates Heat heavier than Dampness, pathogen injuring the Blood level, deeper disease; mixed red and white discharge usually indicates Damp-Heat mixed with stagnation, obstructing the Stomach and Intestines, affecting both shallow and deep levels; yellow and dark, foul-smelling discharge indicates Heat syndrome or Excess syndrome of stagnation failing to transform; if yellow and pale, not very foul, it mostly indicates Cold syndrome; purple-black discharge mostly belongs to Blood Stasis, or Heat injuring Blood level with Damp-Toxin stasis; if purple-dark and stool texture thin/light, it indicates Yang Deficiency; if charred black and stool texture thick/foul, it mostly indicates Fire Excess; mixed five-color discharge has differentiation between Excess and Deficiency. Excess syndrome is mostly due to premature astringency or Heat-Toxin lingering inside, presenting with severe tenesmus, strong and forceful pulse; Deficiency syndrome is mostly due to prolonged dysentery consuming Zang-Fu Qi, Spleen and Kidney dual deficiency, presenting with urgent pain below the umbilicus, frequent empty sitting, weak and powerless pulse. Treatment of Dysentery should determine corresponding treatment principles based on the Cold/Heat/Excess/Deficiency of the syndrome. New onset belonging to Excess/Heat syndrome should be treated by clearing and transforming Damp-Heat, harmonizing Qi and Blood, avoiding astringent products; if there is Exterior syndrome, combine with releasing the Exterior; if Interior Excess-Heat is severe, assist with purging; if there is Food Stagnation inside, treat by promoting digestion and removing stagnation; chronic dysentery belonging to Deficiency/Cold syndrome should be treated by tonifying deficiency, warming the Middle, regulating Spleen and Stomach, and astringing to secure collapse and stop dysentery; mixed Excess/Deficiency should be treated by combining attacking and tonifying methods.

Peptic Ulcer
Ulcer Disease: Emphasis on Treatment and Care
"The Three Fives" Reflect Holistic Thought
Peptic ulcer is a chronic, systemic disease. Based on common sites, it is mainly divided into gastric ulcer and duodenal ulcer. Soviet scholars proposed that ulcer disease is a disease of the entire organism, not just a local pathology of the stomach or duodenum. Since this disease tends to recur frequently, many patients' course can last for decades, keeping patients in a state of physical exhaustion and mental distress, difficult to cure radically. Dr. Li believes that although Western medicine at home and abroad has invented advanced methods such as tissue therapy, sleep therapy, hemolysis therapy, and block therapy for this disease, they have not yet reached the stage of specific efficacy, and Western drug therapy has not broken out of the framework of symptomatic treatment and neglecting the root for the branch. Traditional Chinese Medicine emphasizes holistic thought, valuing the patient more than the disease, emphasizing care alongside treatment. It believes that people's living habits, surrounding environment, and psychological activities are closely related to disease treatment and prognosis. Especially for systemic diseases with complex causes and difficulty in radical cure like ulcer disease, Traditional Chinese Medicine's focus on holistic convalescence thinking has obvious advantages. There is endless treasure in thousands of years of accumulated experiential knowledge, especially various difficult diseases directly related to higher nervous activity influence, with rich treatment experiences. Regarding the treatment and care of ulcer disease with Chinese and Western medicine, it is believed that some things can be organized, enriching or improving the content of convalescence for this disease in modern medicine. Summarizing years of experience in adjusting and treating ulcer disease, combined with previous relevant discussions, Dr. Li proposed a comprehensive "Three Fives" plan for comprehensive management and care of ulcer disease, described as follows:
I. Five Coordination Plan of Doctor, Nurse, Medicine, Food, Patient
1. Coordination of Chinese and Western medicine.
2. Coordination of doctor and nurse.
3. Coordination of medicine and pharmacy.
4. Coordination of medical treatment and diet.
5. Coordination of doctor and patient.
II. Five Attention Plan for Doctors
1. Pay attention to the patient's ideological situation and other relevant conditions.
2. Pay attention to changes in the patient's condition and the causes of changes.
3. Pay attention to whether medication is appropriate and what side effects there are.
4. Pay attention to whether drug quality, preparation, and decoction/administration methods comply with standards.
5. Pay attention to whether there are other adverse external stimulating factors.
III. Five Precautions for Patients to Prevent Recurrence
1. Pay attention to moderation in physical and mental activities. Avoid excessive physical fatigue; rest more if fatigued. Avoid excessive tension in mental activities; do not overthink, worry, grieve, or anger; avoid mental stimulation; maintain pure heart and few desires, think more of happy things, maintaining a good mindset.
2. Practice Qigong at any time or regularly.
3. Adjust clothing and bedding when getting up, going out, or sleeping to prevent colds.
4. Pay attention to dietary regulation; do not eat stimulating foods like chili peppers and alcohol; do not eat randomly hot and cold foods; avoid overeating or hunger; eat nutritious, reasonably matched foods at regular times and fixed amounts.
5. During the initial healing period of ulcers, before complete consolidation, pay attention to moderating sexual desire, as any excess is harmful to physical recovery.

Severe Hepatitis
Severe Hepatitis: First Clear and Drain
Then Invigorate Spleen and Protect Stomach Qi
Modern medicine collectively refers to acute and chronic hepatitis, severe hepatitis, and liver cirrhosis as liver diseases. Dr. Li believes that liver diseases in Traditional Chinese Medicine include Jaundice (Huang Dan), Hypochondriac Pain (Xie Tong), Accumulation and Mass (Ji Ju), and Distension (Gu Zhang). Their formation can be caused by invasion of external pathogens, emotional discomfort, overwork, irregular diet, etc., leading to Spleen failing to transport and transform, Liver failing to disperse and descend, Dampness generated internally, accumulating and transforming into Heat over time, sinking into Ying and Blood levels, thus seeing high fever, irritability, coma, convulsions, hematochezia, epistaxis, etc. Especially severe necrotizing hepatitis, which comes violently in clinic, has severe condition, deep pathogenic toxins, and if not rescued in time, prognosis is extremely poor. Therefore, in treatment, first clear and drain, with good results.
Attached Case:
Zhang, male, 28 years old. Inpatient No.: 67-3542.
First visit on March 7, 1964: The patient developed whole-body fatigue, fever, nausea, vomiting, aversion to oily food, yellow urine, red urine, scleral icterus, and poor appetite due to overwork 3 days ago. Emergency liver function test: ALT 1650 units, Thymol Turbidity Test 20 units, Thymol Flocculation Test (+++), Jaundice Index 165 units, Total Bilirubin 15.3 mg%. Liver percussion slightly smaller under right hypochondrium, spleen not palpable. Clinically diagnosed as Severe Hepatitis, Acute Liver Necrosis. Admitted to hospital.
First visit: Face, eyes, and whole body yellow, yellow like orange peel, skin itching, yellow-red urine, red tongue body, yellow greasy coating, wiry and rapid pulse. Syndrome arises from Spleen failing to transport and transform, Damp-Heat congesting Liver and Gallbladder, belonging to TCM Ji Huang (Acute Jaundice) syndrome. Urgently clear and drain. Prescription:
Yin Chen (Artemisiae Scopariae Herba) 20g, Jin Qian Cao (Lysimachiae Herba) 10g, Chi Shao (Paeoniae Radix Rubra) 20g, Sheng Di Huang (Rehmanniae Radix) 20g, Huang Qin (Scutellariae Radix) 8g, Huang Lian (Coptidis Rhizoma) 9g, Sheng Da Huang (Rhei Radix et Rhizoma) 5g, Chen Pi (Citri Reticulatae Pericarpium) 10g, Sheng Shan Zha (Crataegi Fructus) 15g, Chao Lai Fu Zi (Radish Seed Preparated) 10g.
Use fresh ginger as guide.