Folio Bound VIEWS - Chinese Medicine

The tongue and pulse presentation appropriate to this remedy is a Red tongue body without
coating and a Floating-Empty pulse.

Case History 33.3

Pre-Menstrual Tension: Liver-Yin Deficiency-Female, Age 40

A 40-year-old woman had been suffering from pre-menstrual tension for 7 years. Before the
period she felt depressed and irritable and had a headache on the vertex. Her periods were
regular, lasted 3 days, were rather scanty and not painful. Apart from this, she suffered from
constipation, backache, a feeling of heat and dry mouth in the evening, sore eyes, and blurred
vision. Her hair was dry and had been falling out. Her tongue was slightly Red with a rootless
coating. Her pulse was Weak on the left-Rear position.

Diagnosis This is a clear condition of Liver-Yin deficiency leading to some
stagnation of Liver-Qi causing the pre-menstrual tension. The symptoms
of Liver-Yin deficiency are a feeling of heat and dry mouth at night,
sore eyes, blurred vision and dry and falling hair. There is also some
deficiency of Kidney-Yin as evidenced by the backache.

Treatment principle The treatment principle adopted was to nourish Liver-Yin, pacify the
Liver, eliminate stagnation, calm the Mind and settle the Ethereal Soul.
As she was receiving acupuncture from another practitioner who
referred her to me for herbal treatment she was treated only with herbs.

Herbal treatment The decoction used was a variation of Yi Guan Jian One Linking
Decoction which nourishes Liver-Yin:

Mai Men Dong Tuber Ophiopogonis japonici 6 g

Bei Sha Shen Radix Glehniae littoralis 6 g

Gou Qi Zi Fructus Lycii chinensis 9 g

Sheng Di Huang Radix Rehmanniae glutinosae 9 g

Dang Gui Radix Angelicae sinensis 9 g

Chuan Lian Zi Fructus Meliae toosendan 4 g

Xiang Fu Rhizoma Cyperi rotundi 6 g

Bai Shao Radix Paeoniae albae 9 g

Ju Hua Flos Chrysanthemi morifolii 6 g

Zhi Gan Cao Radix Glycyrrhizae uralensis praeparata 3 g

Explanation Mai Dong, Sha Shen, Gou Qi Zi, Sheng Di and Dang Gui nourish
Liver-Yin.

Chuan Lian Zi and Xiang Fu pacify the Liver and eliminate

stagnation.