also be used to nourish Stomach- and Spleen-Yin.
The tongue presentation appropriate to this remedy is a rootless coating and a body with a central
Stomach crack and transversal Spleen cracks on the sides (Figure 12.3(346)).
Case History 12.2
Tiredness: Stomach- and Spleen-Yin Deficiency-Male, Age 37
A 37-year-old man had been suffering from extreme exhaustion for several years. His appetite
was poor and he felt often nauseous. His mouth felt dry and he liked to sip liquids. He often
developed a rash over his legs which was very itchy. He had a blood test which revealed him to
be HIV-positive. His pulse was Floating-Empty and his tongue was completely peeled and had
scattered Stomach cracks in the centre and transversal Spleen cracks on the sides (Plate
12.2(347)).
Diagnosis This is a very clear example of Stomach- and Spleen-Yin deficiency: the
tongue could not show this condition more clearly.
Treatment principle The treatment principle adopted was to nourish Stomach- and
Spleen-Yin and clear Stomach Empty-Heat. He was treated with both
acupuncture and herbs.
Acupuncture The points, all needled with reinforcing method, were selected from the
following:
Ren-12 Zhongwan, ST-36 Zusanli and SP-6 Sanyinjiao to nourish
Stomach-Yin.ST-44 Neiting to clear Stomach Empty-Heat and stop itching.T.B.-6 Zhigou and G.B.-31 Fengshi to expel Wind-Heat in order to
eliminate the rash and itching.Herbal treatment The herbal treatment was based on a variation of Yi Wei Tang
Benefiting the Stomach Decoction:
Bei Sha Shen Radix Glehniae littoralis 6 g
Mai Men Dong Tuber Ophiopogonis japonici 6 g
Sheng Di Huang Radix Rehmanniae glutinosae 9 g
Yu Zhu Rhizoma Polygonati odorati 6 g
Bing Tang Brown sugar 3 g
Shi Hu Herba Dendrobii 4 g
Tai Zi Shen Radix Pseudostellariae heterophyllae 6 g
Bian Dou Semen Dolichoris lablab 6 g