Folio Bound VIEWS - Chinese Medicine

Ban Xia Rhizoma Pinelliae ternatae 6 g

Qing Hao Herba Artemisiae apiaceae 4 g

Zhu Ru Caulis Bambusae in Taeniis 4 g

Chen Pi Pericarpium Citri reticulatae 3 g

Zhi Ke Fructus Citri aurantii 4 g

Hua Shi Talcum 6 g

Da Qing Ye Folium Isatidis seu Baphicacanthi 6 g

Jin Yin Hua Flos Lonicerae japonicae 4 g

Zhi Gan Cao Radix Glycyrrhizae uralensis praeparata 3 g

Explanation The first 9 herbs are part of the root formula to harmonize the Lesser
Yang and clear Gall-Bladder Heat.

Qing Dai was eliminated and replaced with Da Qing Ye as this is better

at resolving Fire-Poison from the throat and has anti-viral properties.

Jin Yin Hua was added to resolve Fire-Poison and clear residual Heat.

Gan Cao harmonizes.

This girl was very diligent and cooperative in taking the herbal

decoction and after 15 doses of it, all the symptoms of the Lesser Yang

pattern went. She still felt quite tired and I prescribed the patent remedy

Bu Zhong Yi Qi Wan Tonifying the Centre and Benefiting Qi Pill which

restored her energy to normal in 1 month.

Case History 25.9

Myalgic Encephalomyelitis: Lesser-Yang Pattern-Female, Age 13

A 13-year-old girl had had an influenza-like viral infection 4 months previously. This persisted
and was not treated for 1 month, after which she was given antibiotics. These did not alleviate
the condition at all and gave her mouth ulcers. When she came for treatment her symptoms and
signs were the following: feeling hot and cold in alternation, dry and sore throat, headaches on
the temples, umbilical and hypochondrial pain, itchy eyes and poor appetite. Her tongue was Red
and slightly peeled in the centre. There was a strip of white coating on the right side. Her pulse
was Fine and slightly Wiry.

Diagnosis This is a clear example of Lesser-Yang pattern. Some of the symptoms
are not typical of it (umbilical pain, poor appetite and peeled centre of
tongue) but they can be explained by the use of antibiotics. These most
probably injured the Yin of Stomach and Intestines which caused the
peeling of the centre of the tongue, the lack of appetitie and the
umbilical pain.

This is a clear case when the antibiotics did not expel the pathogenic

factor and weakened the body condition. The pathogenic factor