honey.Patent Remedy
Shen Ling Bai Zhu Wan (Pian)
(Ginseng-Poria-Atractylodes Pill (Tablet))
Explanation
This remedy, mentioned above under "Stomach and Spleen Deficient and Cold", may also be
used for deficiency of Stomach-Yin. In this case, the tongue would be without coating in the
centre and possibly with a Stomach crack.
Dietary Advice
The patient should avoid eating drying foods, i.e. baked or broiled foods (including bread). It is
beneficial to eat warm and moist foods such as soups, porridge, etc.
Case History 14.7
Epigastric Pain: Stomach- and Spleen-Yin Deficiency-Male, Age 37
A 37-year-old man had been suffering from epigastric pain for many years. The pain was rather
dull but persistent and was accompanied by slight nausea. The pain was better for pressure. His
mouth felt always dry but he liked to sip liquids. His lips and stools were also often dry.
His tongue was slightly Red, without enough coating and with very clear Stomach and Spleen
cracks (Plate 14.3(380)): the Stomach crack runs vertically in the midline, while the Spleen
cracks are transversal on the edges. His pulse was Floating-Empty on the right Middle position.
Diagnosis This is a very clear example of Stomach- and Spleen-Yin deficiency.
The latter often accompanies the former and its symptoms are dry lips
and stools (apart from the transversal cracks on the edges of the tongue).
Besides Yin deficiency, there is also some Stomach Empty-Heat as the
tongue is Red.
Treatment principle The treatment principle followed was to nourish Stomach- and
Spleen-Yin and clear Empty-Heat. This patient was treated with
acupuncture and herbs.
Acupuncture The points were selected from the following (all with reinforcing
method except for ST-44 Neiting):
ST-36 Zusanli, Ren-12 Zhongwan and SP-6 Sanyinjiao to nourish