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Qi Stagnation Due To Hepatic Depression

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Main symptoms and signs: Epigastric distending pain with the two sides of hypochondrium involved, frequent eructation, pain relieved after eructation or breaking wind, onset of pain in the case of emotional changes, red tongue with whitish and thin fur and wiry pulse.

Therapeutic methods: Soothing the liver and regulating qi, pacifying the stomach and checking pain.

Prescription and drugs: The prescription used is the modified Chaihu Shugan Powder (Bupleurum Powder for Relieving the Liver Qi) composed of 6 g of Chaihu (Radix Bupleuri), 8 g of Xiangfu (Rhizoma Cyperi), 8 g of Zhike (Fructus Aurantii), 15 g of Baishaoyao (Radix Paeoniae Alba), 10 g of Yujin (Radix Curcumae), 3 g of Chenpi (Pericarpium Cirri Reticulatae), 6 g of Chuanxiong (Rhizoma Ligustici Chuanxiong) and 3 g of Gancao (Radix Glycyrrhizae).

Modification For the patients with severe pain, 10 g of Yanhusuo (Rhizoma Corydalis) and 5 g of Foshou (Fructus Cirri Sarcodaetylis) are added; for the patients with adversely rising gastric qi, 8 g of Banxia (Rhizoma Pinelliae), 10 g of Zisugeng (Caulis Perillae) and 6 g of Xuanfuhua (Flos Inulae) are included; for the patients with fire transformed in the case of prolonged illness, 8 g of Mudanpi (Cortex Moutan Radicis), 8 g of Zhizi (Fructus Gardenia), 3 g of Huanglian (Rhizoma Coptidis) and 6 g of Wuzhuyu (Fructws Evodiae) are added.

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