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A person asked: "What is the condition when sores appear around the waist, linked together like beads?" The answer was: "This is named Huodai Chuang (Fire Belt Sore), also known as Chanyao Huodan (Coiling Waist Fire Dan). It arises from the failure of communication between the Heart and Kidney, with Liver Fire blazing internally, flowing into the Bladder, and coiling around the Dai Mai (Girdle Vessel), hence resembling a belt. One should immediately take Neishu Huanglian Tang (Internal Draining Coptis Decoction). For those with robust constitution, Yili Jindan (One Pill Golden Elixir) can be used to purge. Huoming Yin (Life-Saving Drink) added with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Huangbai (Phellodendri Cortex) can be taken internally, while external application of heat-clearing and detoxifying medicines is recommended. If this condition is not treated early, and the toxin spreads all around the waist, the toxin will enter through the umbilicus, leading to abdominal distension, anorexia, and death."

Treatment for Shechan Chuang (Snake-Coiling Sore / Herpes Zoster):
Grind Xionghuang (Realgar) into powder, mix with vinegar for topical application, and simultaneously take it mixed with wine orally. This method is applicable for snake bites, as well as stings from bees, scorpions, centipedes, and other venomous insects, and bites from mad dogs.

*Guiyi* states: "Swelling arising at both sides of the upper thighs is called Biandu (Genital Abscess). Located below the tips of the buttocks in the perineal region, anterior to the anus (Gu Dao) and posterior to the urethra (Shui Dao). It forms Xuanyong (Hanging Abscess). This type of carbuncle occurs in individuals who are extremely deficient. Located near the anus on either side, it is also called Shiyong (Hemorrhoidal Carbuncle). Urgent tonification of the Spleen is required, along with topical herbal pastes applied to the affected area. First, use Faxue San (Acupoint-Expelling Powder); after rupture, use Chounong Gao (Pus-Withdrawing Ointment); once the pus is exhausted, use Hechuangkou San (Wound-Closing Powder) to promote healing. Do not let the condition persist until winter, or it will become a cold fistula that is difficult to treat. Biandu originates below the lower abdomen, in the crease between the two legs. Upon initial onset, alternating chills and fever occur, accompanied by swelling and pain in the legs. The Kidney is the official of strength, storing essence and intelligence. Excessive sexual desire that cannot be fulfilled causes degraded essence and blood to contend and stagnate in the meridians and collaterals, forming Biandu. The crease between the thigh and lower abdomen is the pathway where essence and qi emerge. If visual stimuli arouse the mind, or nocturnal emissions occur without release, failing to achieve yin-yang union or extinguish desires, essence and blood interact and stagnate, forming swellings. In the initial stage, cold-natured medicines must strictly be avoided, lest they cause further stagnation of qi and blood, preventing free flow and exacerbating the condition. Instead, one should resolve depression and dissipate qi, clear heat and drain toxicity, allowing essence and blood to flow freely, leading to natural recovery."

Sun Yikui commented: "The preceding discussion seems designed for cases involving endless thoughts and unfulfilled wishes. While this is one perspective, it is incomplete. If this were true, monks, nuns, widows, and unmarried men would suffer from this frequently. However, I have witnessed prostitutes engaging in unclean outdoor intercourse among merchants contracting this disease. Similarly, chancre or syphilis lesions arise from excessive lustful fire; upon unclean intercourse, the lustful fire agitates, opening the skin and pores. Therefore, at the initial stage of toxin invasion, it is inadvisable to use bitter-cold purgatives to drain the toxin. Why? Toxins do not invade unless there is deficiency. Further damaging Stomach Qi would cause the toxin to sink downward, resulting in a chronic condition lasting years. The expedient method is to induce sweating first, followed by promoting urination. Pathogens affecting the skin and pores are easily dispersed via sweating. The penis and leg creases are collaterals of the Liver Meridian. The Liver and Kidney govern the Lower Jiao, and the Liver controls urination, facilitating the exit of toxins via urine. Such treatments follow the pathogenic mechanism, achieving results within ten days. If sweating and diuresis have been attempted but the patient has a robust constitution with entrenched pathogens that cannot be dispersed, then formulas that break up toxins, invigorate blood, and regulate qi should be used. Once the toxic qi is dispersed, tonics should be employed to support the body, maintaining the correct sequence of treatment."

Xue Ji commented: "Bi Yong (Genital Carbuncle) belongs to the Jueyin Liver Meridian, presenting with internal heat and external cold. Causes include excessive fatigue, immoderate sexual activity, unfulfilled desires, forced retention of essence, or damp-heat in the Liver Meridian. Treatment methods: For internal heat and external cold, use Shuangjie San (Double Resolution Powder); for excessive fatigue, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); for immoderate sexual activity, use Liuwei Wan (Six-Ingredient Pill with Rehmannia); for unfulfilled desires, first use Wuling San (Five-Ling Powder) with Dahuang (Rhei Radix et Rhizoma) to unblock seminal stagnation, followed by Dihuang Wan (Rehmannia Pill) to tonify the Liver and Kidney. For damp-heat obstruction, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction) to soothe the Liver and guide out stagnation. Bi Yong is a type of Xue Shan (Blood Hernia), belonging to the collaterals of the Jueyin Liver Meridian and the tunnels of the Chong, Ren, and Du vessels. Thus, women suffering from this often experience swelling and pain in the inner thighs, abdominal masses, or dysuria. If treated correctly and managed properly, healing is assured. However, indiscriminate use of Dahuang to seek internal resolution, or allowing pus to discharge via stool, damages qi and blood. Neglecting lifestyle and diet renders the condition incurable."

[Exterior Syndrome]
A patient with swelling, pain, and fever was treated with Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxifying Powder) for two doses, stopping the symptoms; subsequently, Shuangjie San resolved the swelling.
Jingfang Baidu San treats Bi Yong with chills, fever, or spasmodic pain. (Formula see Swollen Ulcer section.)

[Interior Syndrome]
A patient with testicular swelling and pain, constipation of both stool and urine, and a forceful pulse was treated with Yuzhu San (Jade Candle Powder) for two doses, causing rapid subsidence; followed by Longdan Xiegan Tang for four doses to eliminate the condition.
Zihe's Yuzhu San (Combines Siwu Tang [Four Substances Decoction] and Tiaowei Chengqi Tang [Regulate the Stomach and Direct Downward Decoction] in equal parts.)

[Worldly Formula] Another Prescription
Liujinu (Artemisiae Annuae Herba), Wangbuliuxing (Vaccariae Semen), Dahuang, Jinyinhua (Lonicerae Japonicae Flos), Mubiezi (Strychni Semen).
Equal parts, decocted in water and wine, exposed overnight, taken at dawn (5-7 AM).

[Danjxi] Treating Early Stage Biandu
Shegan (Belamcandae Rhizoma, 2 cun), Shengjiang (Fresh Ginger, size of a finger, crushed).
Decoct in flowing water until slightly boiling. Take until purgation occurs. Additionally, boil Niupijiao (Asini Corii Colla) in vinegar and apply topically. (Use purple-flowered Shegan; red-flowered is ineffective.)

Treating Established Pus
Dahuang (0.5 liang), Zhishi (Immaturus Citri Fruuctus), Houpo (Magnoliae Officinalis Cortex) (each 3 qian), Gancao Jie (Glycyrrhizae Radix et Rhizoma joint), Lianqiao (Forsythiae Fructus) (0.5 liang), Taoren泥 (Persicae Semen paste) (21 seeds).
Divide into three doses. Add three slices of ginger, decoct in water, and take orally.

Another Treatment for Biandu
Qingpi (Citri Reticulatae Pericarpium Viride), Baizhi (Angelicae Dahuricae Radix), Chaihu (Bupleuri Radix), Chishaoyao (Paeoniae Radix Rubra), Binglang (Arecae Semen), Poxiao (Natrii Sulfas), Wuyao (Linderae Radix), Mugua (Chaenomelis Fructus), Dahuang, Lianqiao, Gualou (Trichosanthis Fructus), Shengdi Huang (Rehmanniae Radix), Gancao Jie, Huangqin (Scutellariae Radix), Sanleng (Sparganii Rhizoma), Pengzhi (Curcumae Zedoariae Rhizoma), Xijiao (Rhinoceoris Cornu), Zaojiaoci (Gleditsiae Sinensis Spina).
Crush into coarse powder. Decoct three bowls of water to one bowl. Take when very hungry, aiming for purgation.

Sanwu Tang (Three-Ingredient Decoction) Treating Bi Yong
Muli (Ostreae Concha), Dahuang, Shanzhizi (Gardeniae Fructus) (equal parts).
Powder form. Decoct one large cup of water and wine to 70%, expose overnight. Take warm on an empty stomach.

Sishen San (Four-God Powder) Treating Biandu
Effective for early-stage chills/fever and impending abscess formation.
Dahuang, Mubiezi, Jiangcan (Bombyx Batryticatus), Beimu (Fritillariae Cirrhosae Bulbus) (each 2.5 qian).
Decoct one cup each of water and wine to one cup. Take hot before meals. Sweating or purgation is ideal.

Shuangjie San (Double Resolution Powder) Treating Biandu
For internal heat accumulation with external cold constraint, causing qi-blood stagnation, swelling, and pain.
Chuan Dahuang (3 qian), Zexie (Alismatis Rhizoma), Qianniu (Pharbitidis Semen), Baishaoyao (Paeoniae Radix Alba), Taoren (Persicae Semen, de-skinned and de-pitted, each 2 qian), Lagui (Cinnamomi Ramulus), Gancao (Licorice Root) (each 1 qian).
One dose. Decoct two cups of water with five slices of ginger to one cup. Take before meals.

Buguzhi San (Psoralea Powder)
Poguozhi (Psoraleae Fructus, stir-fried and ground), Niubangzi (Arctii Fructus, lightly stir-fried), Qianniu (Stir-fried), Dahuang (Stir-fried with wine, equal parts).
Powder. Take 1 liang each time, mixed with wine.

Xiaodu Wusheng Tang (Five-Saints Detoxifying Decoction) Highly Effective for Biandu Swelling/Pain.
Wulingzhi (Trogopterori Faeces), Bai Jiangcan (Bombyx Batryticatus), Yujin (Curcumae Longae Radix), Beimu, Dahuang (each 3 qian).
Decoct half water, half wine. Take three consecutive doses for immediate cure.

Xiaodu Yin (Detoxifying Drink) Treating Early Biandu
Resolvable in 3-4 days.
Zaojiaozhen (Gleditsiae Sinensis Spina tip), Jinyinhua, Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Dahuang, Gancao Jie, Gualou Shi (Trichosanthis Fructus) (equal parts).
Crush. Decoct half water, half wine. Take warm before meals. Frequently lifting the hair at the vertex (Baihui point) enhances efficacy.

Another Formula
Mubiezi, Dahuang, Gualou, Taoren, Caolongdan (Gentiana Scabra).
Crush, decoct strongly, expose overnight. Take warm at dawn for immediate cure.

Tongzhi Miaojue Yin (Wonderfully Pain-Relieving Drink) Treating Hard, Non-Resolving, Non-Ulcerated Biandu with Unrelenting Pain
One dose provides immediate pain relief.
Renshen (Ginseng Radix), Dahuang (each 5 qian).
Decoct one cup each of water and wine to one cup. Add Ruxiang (Olibanum) and Moyao (Myrrha) (each 1 qian). Take warm on an empty stomach before meals.

Muli San (Oyster Shell Powder) Treating Xue Shan (Blood Hernia), i.e., Biandu.
Danggui (Soaked in wine), Gancao Jie, Huashi (Kaolin, calcined), Muli (Calcined) (each 1.5 qian), Dahuang (3 qian), Mubiezi (5 seeds, pounded).
One dose. Decoct two cups of water to one cup, expose overnight. Take all at once at dawn. Warm over fire in winter. Whether ulcerated or not, pus/blood discharging via stool indicates progress.

[Xue Ji] Commentary: This formula uses salty-cold herbs to guide out stagnation. It is suitable for those abstaining from sex for long periods, experiencing constipation, fever, pain, or forced retention of essence leading to qi-blood stagnation and hard swelling. For fatigued patients with mild pain, normal bowel/bladder function, or red urine without suppuration, or non-healing ulcers, Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) is appropriate. This condition mostly affects those with insufficient labor recovery or excessive sexual exertion, leading to qi-essence deficiency. Folk saying: 'One stone of rice sore' implies healing takes 100 days. However, with strong tonification, healing occurs in less than 10 days. Healing depends on abundant qi and blood. I once treated Scholar Ling Daizhi, who was deficient but took draining herbs, nearly dying; I cured him with interior-supporting and spleen-tonifying herbs. Scholar Wang Wenyuan, suffering from fatigue-induced Biandu, had exterior symptoms resolved by Xiaochaihu Tang (Minor Bupleurum Decoction), then suppuration promoted by interior-supporting herbs, punctured, and healed in 10 days. Judge Hu, with thin pus and weak pulse, healed with major tonics. A case of recurrence post-marriage treated self-medicated with Liaoqiao Xiaodu Yin led to fatal diarrhea. This proves the condition is largely deficiency-based and requires tonification. Generally, Biandu belongs to the Liver Meridian; initial hardness is due to Liver governing tendons. After 5-7 days, it should soften and redden as pus forms. If still hard, Yuan Qi fails to transform toxins. People often mistake hardness for excess and use dispersing drugs, causing deficiency complications. The previous cases validate this.

Another Formula
Shanzhi (Gardeniae Fructus), Dahuang, Ruxiang, Moyao, Danggui (each 0.5 qian), Gualou Ren (Trichosanthis Semen) (2 qian), Daizheshi (Haematitum) (1 qian).
One dose, decoct in water.

[Exterior-Interior]
A patient with swelling/pain from improper sexual activity was treated with Shuangjie San for two doses, stopping the disease. Then Buzhong Tang (Tonify Middle Decoction) for several doses to promote suppuration and puncture, followed by Bazhen Tang (Eight-Treasure Decoction) plus Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix), and Chaihu for over 30 doses. Generally, Bi Yong is Xue Shan,俗称 Biandu (inconvenient place sore). It involves the Foot Jueyin Liver Meridian and collateral channels of Chong, Ren, and Du, pathways of qi-blood flow. Obstruction causes heat-toxin swelling/pain. First resolve stagnation, then use interior-supporting agents. This is clinical adaptation.

Fangtong Tongsheng San (Wind-Barrier Universal Success Powder) Treating Sores and Biandu. Remove Mangxiao (Natrii Sulfas) and Dahuang if diarrhea occurs. Clears summerheat-toxin or sores on head/body.
Shaoyao (Roasted), Mangxiao, Huashi (Calcined), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dahuang (Roasted), Jiegeng (Platycodonis Radix), Shigao (Gypsum Fibrosum, calcined), Jingjie (Schizonepetae Spica), Mahuang (Ephedrae Herba) (each 4.5 fen).
Shanzhi, Baizhu (Atractodis Macrocephalae Rhizoma), Lianqiao, Danggui, Bohe (Menthae Haplocalycis Herba), Gancao, Fangfeng, Huangqin (Roasted, each 8 fen).
One dose. Decoct two cups of water to 80%. Take orally.

Commentary: This formula is unsuitable for patients without full exterior-interior excess and constipation. Exercise caution. Tongsheng San combined with Yiyuan San is named Shuangjie San.

Sufang San (Sandalwood Powder) Treating Biandu.
Mubie Rou (Strychni Semen endocarp), Danggui Wei (Angelicae Sinensis Radix tail), Shaoyao, Baizhi, Fen Gancao (Licorice Root), Chuanxiong, Shegan, Rendong (Lonicerae Japonicae Flos), Dahuang, Moyao, Sumu (Santalum Album Lignum), Chanshanjia (Manis Squama, fire-roasted) (each 6 fen).
Finely chop. One dose. Decoct one cup each of water and wine to one cup. Take before meals.

[Qi-Circulating Blood-Invigorating]
Dongyuan Qingpi Tang (Blue Peel Decoction) Treating Biandu.
Qingpi, Fangfeng, Danggui Shen (Angelicae Sinensis Radix heart), Gancao Shao (Licorice Root tip, raw, equal parts).
Crush. Divide into four doses. Decoct one small bowl of water to 80%, strain. Take warm on an empty stomach, three times daily.

Che Xiao Tong Qi San (Eliminate Swelling Unblock Qi Powder) For Early Biandu.
Nanmuxiang (Aquilariae Lignum Resinatum), Yanhusuo (Corydalis Rhizoma), Tianhuafen (Trichosanthis Radix, wine-soaked), Boshang Xiang (Agarwood), Baixianqiu (Arctii Fructus, stir-fried), Baizhi, Danggui, Gancao (each 1 liang), Qingmuxiang (Aucklandiae Radix) (0.5 liang), Chanshanjia (Wine-soaked, roasted until scorched, 2 liang).
Fine powder. Take 2 qian before meals with warm wine. Muxiang Tang is also acceptable.

[Tonifying Deficiency]
Shen Niwen, age 20, suffered from left-sided Biandu. Diagnosed as Liver-Kidney Yin Deficiency, treated initially with interior-supporting herbs. After ulceration and nearing recovery, he engaged in sexual activity, developing fever/thirst and right-sided pain. Pus was thin/watery, signs of deficiency were prominent, pulse was flooding but weak. Condition appeared critical. Used Shiquan Dabu Tang plus 1 qian Fuzi (Aconiti Lateralis Radix Praeparata). Pulse/symptoms improved immediately; second dose resolved them. Followed by major tonifying decoction for 30+ doses for full recovery.
A male patient with swelling but no ulceration: Attributed to Yang Qi deficiency. Used Renshen, Huangqi (Astragali Radix), Danggui, Baizhu to tonify/support Yuan Qi; Baizhi, Zaojiaoci, Chaihu, Gancao Jie to drain pus and clear Liver heat. Several doses led to ulceration. Then Bazhen Tang plus Chaihu to tonify qi-blood, resolving the condition.
A patient with thin pus and weak pulse: Treated with Shiquan Dabu Tang plus Wuweizi, Maidong, Bailian (Verbenae Herba) for 30 doses, showing slight improvement. Then Shenqi Gui Zhu Gao (Ginseng, Astragalus, Angelica, Atractylodes Paste) normalized the condition. Recurrence post-marriage presented with hard swelling, cold limbs, weak pulse, cold skin, poor appetite (extreme deficiency). Continued previous formula plus Rougui (Cinnamomi Cortex) and Fuzi for 3 doses, showing slight improvement. Patient sought quick cure, self-medicated with Liaoqiao Xiaodu Yin, leading to fatal diarrhea.
A man over 40, chronically fatigued, developed Biandu with chills/fever. First dose of Xiaochaihu Tang plus Qingpi resolved exterior symptoms. Then Buzhong Yiqi Tang plus Chanshanjia for 2 doses reduced swelling by 30-40%. Followed by 5-6 doses of interior-supporting herbs, suppuration promoted, punctured, healed in 10 days.
Patient with swelling/no ulceration: Treated with Renshen, Huangqi, Danggui, Baizhu, Gancao Jie, Zaojiaozhen, Baizhi, Chaihu. Several doses led to ulceration. Bazhen Tang plus Chaihu resolved it.
Patient with ulceration/non-resolving swelling/non-healing: Pulse floating and choppy. Treated with Fermented Soybean (Danshi) moxibustion, then Shiquan Dabu Tang. Healed in over a month.

[Detoxifying Clearing Fire]
A scholar with swelling/pain and dysuria: Treated with Bazheng San (Eight-Righteous Powder) for 2 doses, clearing Liver fire and guiding damp-heat, resolving swelling/pain. Then Xiaochaihu Tang plus Chuanxiong, Danggui, Zexie, Shanzhi for 2 doses, clearing Liver fire, tonifying Spleen blood, restoring smooth urination.
Male patient with persistent pain/swelling after ulceration: Residual toxin unresolved. Huoming Yin (Life-Saving Drink) for 1 dose stopped pain, 2nd dose reduced swelling.
Male patient with severe pain/fever: Previous drink for 1 dose stopped pain. Shenxiao Gualou San (Miraculous Trichosanthes Powder) plus Shanzhi, Chaihu for 2 doses resolved swelling.
Male patient with persistent pain after ulceration, scanty/difficult urination: Liver fire unresolved. Xiaochaihu Tang plus Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Chuanxiong, Danggui stopped pain and restored urination. Then Tuoli Danggui Tang (Interior-Supporting Angelica Decoction) healed the sore. If toxin unresolved with persistent pain, Huoming Yin is necessary.
Patient with large pain before pus formation, unresponsive to detoxifying/interior-supporting/internal-draining drugs, flooding pulse, toxin present: Xianfang Huoming Yin (Immortal Formula Life-Saving Drink) for 1 dose stopped pain, 2nd dose resolved swelling.
Patient with persistent pain after ulceration, unresponsive to various drugs: Pulse large, rapid on pressure, toxin unresolved. Xianfang Huoming Yin stopped pain. 2 more doses resolved swelling.
Patient with swelling/pain, afternoon fever: Xiaochaihu Tang plus Qingpi, Tianhuafen for 4 doses stopped pain/fever. Shenxiao Gualou San for 4 doses resolved swelling.

Gualou San (Trichosanthes Powder) Treating Bi Yong and other malignant sores.
Gualou (1 fruit), Jinyinhua, Niubangzi (Stir-fried, each 3 qian), Shengjiang, Gancao (each 0.5 liang).
Do not use copper/iron vessels. Pound herbs. Decoct one large sheng of wine, boil several times. Take warm on empty stomach.

Weilingxian San (Serissa Powder) Treating Biandu.
Weilingxian (Sinomenii Caulis), Beimu, Zhimu (Anemarrhenae Rhizoma) (each 1 liang).
Powder. Take 3 qian before meals with warm wine. Repeat if unresolved.

[Xue Ji] Commentary: This formula unblocks meridians, drains pus, detoxifies, tonifies deficiency, and augments qi. Commonly seen in Yin-deficient patients. For testicular pain with frequent urination, use Modified Longdan Xiegan Tang first. For constipation and testicular swelling/pain, use Bazheng San. For chills/fever, use Jingfang Baidu San. Then use this formula. If no pus forms or pus does not drain, use major tonics. For non-healing ulcers, use Danshi cake moxibustion.

[Urinary Difficulty]
Old female patient with swelling/pain, no pus yet, urinary stagnation, rapid Liver pulse: Modified Longdan Xiegan Tang plus Shanzhi, Huangbai for 4 doses resolved swelling.
Modified Longdan Xiegan Tang
Longdancao (Gentianae Radix, wine-soaked, stir-fried), Zexie, Cheqianzi (Plantaginis Semen, stir-fried), Mutong (Akebiae Caulis), Shengdi Huang, Danggui Wei, Shanzhi (Stir-fried), Huangqin (each 1 qian), Gancao (Raw, 5 fen).
One dose. Decoct two cups of water to 80%. Take before meals. Add Huanglian (Coptidis Rhizoma) if dampness is heavy. Add Dahuang if constipated.

[Loose Stools]
Patient taking draining herbs seeking internal resolution developed diarrhea/anorexia. Ershen Wan (Two-Spirit Pill) stopped diarrhea first. Shiquan Dabu Tang with doubled Baizhu and Fuling (Poria) for several doses resolved swelling.
Man over 40 with Biandu, excessive draining, poor appetite, loose stools, spermatorrhea, faint pulse. Li Dongyuan stated: Uncontrolled sperm leakage, difficult defecation, heavy waist/legs indicate Lower Jiao deficiency. Zhang Zhongjing stated: Faint pulse indicates qi-blood deficiency. Liujunzi Tang (Six-Gentlemen Decoction) plus Poguozi, Roudoukou (Myristicae Semen) stopped diarrhea and improved appetite. Then Shiquan Dabu Tang plus blood-invigorating herbs for 10+ doses resolved swelling.

[Females]
Female patient, previously ascetic, contracted prior symptoms from depression/anger. Used toxic/cold drugs, leading to evening fever, internal heat, spontaneous/night sweats, amenorrhea, dry mouth/throat. Diagnosis: Depression injuring Spleen, worsened by drugs. Treated with Danggui Tang for several doses, then Xiaoyao San (Free and Easy Wanderer Powder) for 50+ doses each, resolving all symptoms.
Female patient with sensation of blockage in lower abdomen, swelling of inner thighs/vulva, dribbling urination, irregular menstruation, internal heat/thirst, poor appetite, abdominal mass growing from egg-sized, flooding-rapid-deficient pulse (stronger at Left Guan): Liver-Spleen depression-stagnation. Jiawei Guipi Tang (Modified Restore the Spleen Decoction) cleared Liver fire and strengthened Spleen earth. Intermittently used Xiaoyao San plus Lushui Wan (Aloe Pill) for cure.
Female patient with inner thigh swelling/pain, abdominal mass attacking upwards, irregular menstruation >1 month, dysuria. Diagnosed as Liver-Spleen qi stagnation. Sijunzi Tang (Four-Gentlemen Decoction) plus Chuanxiong, Danggui, Chaihu, Shanzhi cured her. Later, recurrence with depression/anger, chest/hypochondriac distension, night sweats indicated Liver Wood overacting on Spleen Earth. Jiawei Guipi Tang plus Lushui Wan cured her.
Female patient with lower abdominal pain/distension, inner thigh swelling/pain, internal heat/chills, chest discomfort, poor taste, emaciation. Liver qi stagnation injuring Spleen qi. Morning: Buzhong Yiqi Tang; Evening: Liuwei Wan. Gradually improved, fully cured with Lushui Wan.
Female patient with inner thigh swelling/pain, lower abdominal distension, frequent urination, leukorrhea, alternating chills/fever, dribbling urination. I...