Folio Bound VIEWS - Chinese Medicine

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extremely effective.


The tongue presentation appropriate to this remedy is a sticky-yellow coating.


Case History 18.1


Diarrhoea: Damp-Heat in the Intestines-Male, Age 37


A 37-year-old man had been suffering from diarrhoea for 2 years. It started suddenly two years
before in the autumn: at that time he had also a fever and nausea. He was prescribed antibiotics
but these did not help at all. His bowel movements, of which he had 3-4 a day, were always very
loose with some cramping pain during evacuation. He also suffered from a feeling of fullness
and distension and his appetite was poor. His head felt muzzy, his thinking "foggy" and his body
felt heavy. His tongue was Red with a thick, sticky-yellow coating (Plate 18.1(406)). His pulse
was Slippery.


Diagnosis This is a very clear condition of Damp-Heat affecting the Intestines
(diarrhoea with cramping pain, feeling of fullness, sticky-yellow tongue
coating, Slippery pulse), the muscles (feeling of heaviness) and the head
(muzzy head).


Treatment principle The principle of treatment adopted was to resolve Dampness and clear
Heat. He was treated with both acupuncture and herbs.


Acupuncture The main acupuncture points used were:


ST-25 Tianshu to stop diarrhoea;

SP-9 Yinlingquan to resolve Damp-Heat;

ST-37 Shangjuxu for chronic diarrhoea;

BL-20 Pishu to tonify the Spleen to resolve Dampness;

BL-22 Sanjiaoshu to resolve Dampness from the Lower Burner;

BL-25 Dachangshu to clear Heat in the Intestines.

Herbal treatment The herbal formula used was a variation of a combination of Ge Gen
Qin Lian Tang Pueraria-Scutellaria-Copits Decoction and Bai Tou
Weng Tang Pulsatilla Decoction:


Ge Gen Radix Puerariae 9 g
Huang Qin Radix Scutellariae baicalensis 4 g
Huang Lian Rhizoma Coptidis 4.5 g
Zhi Gan Cao Radix Glycyrrhizae uralensis praeparata 3 g
Huang Bo Cortex Phellodendri 6 g
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