Differetiation and Treatment of Common Syndromes in

Traditional Chinese Medicine

1. Stagnation of the Liver-qi and Deficiency of the Spleen:

Clinical manifestations: Anorexia, abdominal distress and distension, vague hypochondriac pain, lassitude and fatigue, or nausea and loose stool, Whitish coating of the tongue, and taut pulse.

Therapeutic method: Relieving the depressed liver-q/and invigorating the spleen, promoting blood circulation to remove blood stasis.

Recipe: Modified Ease Powder.

Ingredients,:

Radix Bupleuri 12g

Radix Angelicae Sinensis 15g

Radix Paeoniae Alba 15g

Rhizoma Atractylodis Macrocephalae 15g

Poria 9g

Endothelium Corneum Gigeriae Galli 9g

Radix Glycyrrhizae Praeparata 6g

Rhizoma Cyperi 9g

Fructus Cirri Sarcodactylis 12g

Radix Salviae Miltiorrhizae 15g

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

Modification: In case of thick coating of the tongue and distension of the abdomen due to abundance of pathogenic

dampness, add

Rhizoma Atractylodis 10g

Cortex Magnoliae Officinalis 10g

In case of obvious fatigue, add

Radix Codonopsis Pilosulae 12g

Fructus Lycii 12g

2. Obstruction of the Liver-blood:

Clinical manifestations: Hepatomegaly and splemo-megaly, twinge or distress in the hypochondrium, distension of the abdomen, anorexia, dim complexion, or accompanied with spider nevi and liver palms, deep-red tongue or with ec-chymoses, taut and thready pulse.

Therapeutic method: Promoting blood circulation to re-move blood stasis, softening hard hepatosple.nomegaly to re-move obstruction in the liver-channel.

Recipe: Modified Decoction for Removing Blood Stasis.

Ingredients:

Radix Angelicae Sinensis 12g

Radix Salviae Miltiorrhizae 15g

Semen Persicae 10g

Flos Carthami 10g

Radix Curcumae 10g

Radix Bupleuri 10g

Pericarpium Citri Reticulatae Viride 10g

Carapex Trionycis 15g

Squama Manitis 10g

Concha ostreae 30g

Rhizoma Atractylodis Macrocephalae 12g

Radix Glycyrrhizae Praeparata 6g

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

Modification : For patients with symptoms of deficiency of qi, add

Radix Codonopsis Pilosulae 12g

Radix Astragali seu Hedysari 15g

For patients with manifestations of impairment of fin, add

Radix Rehmanniae 12g

Herba Dendrobii 10g

3. Retention of Water within the Body :

Clinical manifestations : Tympanites which is firm and full when pressed, epigastric distress, anorexia, scanty urine, red tongue, taut and thready pulse.

Therapeutic method: Regulating the flow of qi to induce diuresis, removing blood stasis to soften hard hepatospleno-migaly.

Recipe: Modified Stomach Decoction with Poria.

Ingredients:

Rhizoma Atractylodis 10g

Rhizoma Atractylodis Macrocephalae 10g

Cortex Magnoliae Officinalis 10g

Poria 15g

Polyporus Umbellatus 12g

Rhizoma Alismatis 15g

Pericarpium Arecae 15g

Semen Plantaginis 20g(wrapped in a piece

of cloth for decoction)

Radix Aucklandiae 10g

Radix Salviae Miltiorrhizae 15g

Carapax Trionycis 15g

Semen Persicae 10g

Radix Glycyrrhizae Praeparata 6g

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

Modification: If the case is complicated with deficiency of the liver-yin and kidney-yin marked by abdominal distension with dry mouth and lips, hot sensation in the palms and soles, deep-red tongue with very little fur or none, and taut, thready and rapid pulse, the treatment should be concentrated on nour-ishing the liver and kidney, and nourishing yin and inducing diuresis. The modified Decoction for Nourishing the Liver and Kidney is preferable for the very treatment. The compositions are:

Radix Glehniae 10g

Radix Ophiopogonis 10g

Radix Rehmanniae 15g

Fructus Lycii 12g

Polyporus Umblelatus 15g

Rhizoma Alismatis 15g

Poria 15g

Talcum 12g

Concha Ostreae 30g

Radix Salviae Miltiorrhizae 15g

Carapax Trionycis 15g

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