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Differetiation and Treatment of Common Syndromes in Traditional Chinese Medicine

1. Damp-heat in the Liver and Gallbladder (frequently oc-curring in acute cholecystitis or in acute attack of chronic form) :

Clinical manifestations: Alternate spells of fever and chill or fever without chill, pain in the right upper abdomen or right ribs, poor appetite, bitterness in the mouth, even ac-companied with nausea and vomiting, constipation, deep-coloured urine, sometimes with jaundice, red tongue with yel-low and greasy fur, and taut rapid pulse.

Therapeutic method: Clearing away pathogenic heat and dampness, soothing the liver and normalizing the function of gallbladder.

Recipe: The combination of Oriental Wormwood Decoc-tion and Decoction of Gentian for Purging Liver-fire with addi-tional ingredfents.

Ingredients:

Herba Artemisiae Capillaris
Fructus Gardeniae
Radix et Rhizoma Rhei
Radix Scutellariae
Radix Bupleuri
Radix Curcumae
Flos Lonicerae
Fructus Forsythiae
Radix Gentianae
Fructus Aurantii Immaturus
Radix Aucklandiae
Radix Glycyrrhizae
30g
12g
9g
15g
15g
15g
30g
15g
12g
9g
9g
9g

Administration: All the above drugs are to be decocted in water to get 200-- 300ml of decoction. Take equal shares in the morning and in the evening.

Modification: For the case with high fever, add

Gypsum Fibrosum
Radix Isatidis
30g
30g

For the case with nausea and vomiting, add

Rhizoma Pinelliae
Caulis Bambusae in Taeniam
9g
9g

For the case with poor appetite, add

Endothelium Corneum Gigeriae Galli
Fructus Crataegik
Massa Fermentata Medicinalis
Fructus Hordei Germinatus
9g
9g
9g
9g

2. Stagnation in the Liver and Gallbladder (frequently oc-curing in chronic cholecystitis) :

Clinical manifestations: Right-sided hypochondriac pain which sometimes radiates to the right shoulder and back, epi-gastric distension and fullness, which are aggravated by anger or intake of greasy foods, poor appetite, eruction, nausea, red tongue with thin yellowish fur, and taut pulse.

Therapeutic method: Soothing the liver and normalizing the function of gallbladder.

Recipe: Modified Major Bupleurum Decoction.

Radix Bupleuri
Radix Scutellariae
Radix Curcumae
Endothelium Corneum Gigeriae Galli
Spora Lygodii
Fructus Aurantii
Radix Aucklandiae
Flos Lonicerae
Fructus Forsythiae
Radix Paeoniae Alba
Radix et Rhizoma Rhei
Radix Glycyrrhizae
9g
9g
15g
9g
15g
9g
9g
30g
15g
15g
6g
6g

Administration: All the above drugs are to be decocted in water for oral administration.

Modification: For the case with poor appetite, add

Fructus Crataegi
Massa Fermentata Medicinalis
Fructus Hordei Germinatus
9g
9g
9g

For the case with distinct symptoms of spleen deficiency,add

Rhizoma Atractylodis Macrocephalae
Radix Codonopsis Pilosulae
Poria
9g
9g
9g


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