Zhi Gan Cao Radix Glycyrrhizae uralensis praeparata
Sheng Jiang Rhizoma Zingiberis officinalis recens
Da Zao Fructus Ziziphi jujubaeExplanation
This pill has the same ingredients and functions as the homonymous prescription. It is suitable
for ME manifesting with the Lesser Yang pattern, whether within the 6 Stages or 4 Levels.
The tongue presentation appropriate to this remedy is a white coating on one side only.
Case History 25.8
Myalgic Encephalomyelitis: Gall-Bladder Heat-Female, Age 11
An 11-year-old girl had come down with a sore throat and tonsillitis 2 months before she came
for treatment. Her tonsils were swollen, inflamed and slightly purulent. During the acute stage
she also had a headache and swollen glands. Blood tests had shown a "viral infection similar to
glandular fever (mononucleosis)". At the time of her consultation she felt very tired, the tonsils
were still swollen albeit not so inflamed, her throat was sore but the glands were not swollen.
She still had sharp headaches on the temples and felt hot and cold in alternation. She felt thirsty,
irritable and did not sleep well. She occasionally had a pain on the right hypochondrial region.
Diagnosis The original attack was an invasion of Wind-Damp-Heat with some
Fire-Poison: the Dampness is shown by the swelling of the glands and
the Fire-Poison by the swollen, inflamed, and purulent tonsils.
At the time of her consultation 2 months later, the pathogenic factor had
lodged itself in between the Interior and Exterior, giving rise to a
Gall-Bladder Heat pattern within the Qi Level. This pattern is almost the
same as the Lesser-Yang pattern of the 6 Stages, except that there is
more Heat. The symptoms of Gall-Bladder Heat pattern at the Qi Level
are: alternation of feeling hot and cold, thirst, irritability, insomnia,
hypochondrial pain, sore throat and headache.Treatment principle She was treated with herbs only and the principle of treatment adopted
was to harmonize the Lesser Yang, clear Gall-Bladder Heat and expel
residual pathogenic factor.
Herbal treatment The formula chosen was a variation of Hao Qin Qing Dan Tang
Artemisia-Scutellaria Clearing the Gall-Bladder Decoction:
Chai Hu Radix Bupleuri 6 g
Huang Qin Radix Scutellariae baicalensis 4 g
Dang Shen Radix Codonopsis pilosulae 6 g