DYSENTERY

Etiology
  • External Invasion
  • Improper diet or food consumption
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Dysentery
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T:  Normal
  • C:  Thin and white
  • P:  Superficial and slow or Moderate and maybe weak
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills (chills predominant)
  • Anhidrosis
  • Cough
  • Wheezing (asthma)
  • Copious, white, stringy, difficult to expectorate sputum
  • Stifling sensation in the chest
  • Lacrimation
  • General heaviness (especially upper body)
  • General body aches
  • No thirst
  • Floating edema (severe)
  • Considerable difficulty breathing while lying down (severe)
  • Intolerance of Cold
  • Periorbital edema
  • Dyspnea
  • Vomiting of frothy saliva during pregnancy
  • Chest distention
  • Dry heaves
  • Decreased urine
  • Subcardiac edema
  • Stridor
  • Occasional chills on the back
  • Hiccups
  • Retching
  • Dysphagia
  • Diarrhea
  • Dysuria
  • Flushed face
  • Dizziness
  • Headache
  • Inflammation of the tear ducts
  • T: Pink
  • C: Moist or White and greasy
  • P: Superficial and tight
Treatment Principle
  • Release the Exterior
  • Transform congested Fluids (Thin Mucus)
  • Transform Phlegm
  • Warm the Lungs
  • Descend Qi
  • Relieve wheezing and cough
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills (chills predominant)
  • Irritability
  • Anhidrosis
  • Cough
  • Wheezing (asthma)
  • Copious, white, stringy, difficult to expectorate sputum
  • Stifling sensation in the chest
  • Lacrimation
  • General heaviness (especially upper body)
  • General body aches
  • No thirst
  • Floating edema (severe)
  • Considerable difficulty breathing while lying down (severe)
  • Intolerance of Cold
  • Periorbital edema
  • Dyspnea
  • Vomiting of frothy saliva during pregnancy
  • Chest and abdominal distention
  • Dry heaves
  • Decreased urine
  • Subcardiac edema
  • Stridor
  • Occasional chills on the back
  • Hiccups
  • Retching
  • Dysphagia
  • Diarrhea
  • Dysuria
  • Flushed face
  • Dizziness
  • Headache
  • Inflammation of the tear ducts
  • T: Pink
  • C: Moist or White and greasy or Yellow and greasy
  • P: Superficial, tight and rapid
Treatment Principle
  • Release the Exterior
  • Transform congested Fluids
  • Transform Phlegm
  • Warm the Lungs
  • Descend Qi
  • Relieve wheezing and cough
  • Clear Heat
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Fever or afternoon fever
  • Sweating which comes in waves and is worse in the afternoon
  • Thirst
  • Acute or frequent, urgent, foul-smelling, hot diarrhea
  • A burning sensation around the anus
  • Gasping
  • Ephidrosis
  • Palpitations
  • Tenesmus
  • Maybe red tinged urine
  • Restlessness
  • Cramping abdominal pain
  • Irritability and Heat in the chest and epigastrium
  • Stiffness and spasms at the back of the neck
  • Dry mouth
  • Dyspnea with perspiration
  • Maybe wheezing
  • T: Red
  • C: Yellow (Greasy)
  • P: Rapid or Slippery and rapid
Treatment Principle
  • Release the Exterior
  • Clear Internal Yang Ming Heat
Herb Formulas
Points
  • LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie
    With high fever: + DU-14, LI-4
    With nausea: + PC-6
    With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40
  • Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic
Clinical Manifestations
  • Dysentery
  • High fever
  • Great thirst
  • Anhidrosis
  • Abdominal pain
  • Irritability
  • Restlessness
  • Feverish body parts
  • Red face
  • No constipation
  • No aversion to Cold
  • Scanty urine
  • Jaundice
    A greasy light colored stool
    A bitter taste in the mouth
  • T:  Red
  • C:  Greasy and yellow
  • P:  Slippery, wiry and forceful
Treatment Principle
  • Clear Heat
  • Remove Dampness
  • Regulate Qi flow of the Liver and Gall Bladder to remove jaundice
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Intolerance of Cold
  • Abdominal fullness and distention
  • Constipation
  • Cannot purge easily due to lack of Qi
  • Dysentery
  • Diarrhea
  • Hypochondriac pain
  • Fever
  • Cold extremities
  • Hernia
  • Abdominal pain
  • T:  Normal
  • P:  Rolling and forceful or Tight and wiry
Treatment Principle
  • Warm and Purge Cold retention
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Stuffy nose
  • Blood shot eyes
  • Sores that are red, swollen and painful
  • Dysentery
  • Generalized body aches and pain
  • Headache
  • Swollen eyes
  • Thirst or no thirst
  • T: Normal
  • C: Thin white
  • P: Floating or Floating and rapid
Treatment Principle
  • Induce sweat
  • Release the Exterior
  • Dispel Wind
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Chronic dysentery
  • Complete exhaustion of Yang
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat (Do not purge, create diaphoresis, or create emesis)
  • Revive Yang
Herb Formulas
Points
Clinical Manifestations
  • Acute abdominal pain
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Fever is unrelieved by sweating
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Foggy headaches
  • Irritability
  • Heaviness
  • Nausea
  • Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Floating or Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • Anhidrosis
  • Headache
  • Thirst
  • Flushed face
  • Tightness in the chest
  • Aversion to Cold
  • Fatigue
  • Aching body
  • Nausea
  • Reduced, dark urination
  • T: Red
  • C: White and greasy
  • P: Floating and rapid or Flooding on the right and Small on the left
Treatment Principle
  • Release Exterior Summerheat
  • Release External Cold
  • Clear Heat
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Chills
  • Skin that is warm to the touch
  • Anhidrosis
  • A heavy sensation in the head and body
  • Headache
  • Abdominal pain
  • A stifling sensation in the chest
  • Fatigued extremities
  • Anorexia
  • Lethargy
  • Aversion to Cold
  • Nausea
  • Vomiting
  • Diarrhea
  • T: Pink
  • C: White and greasy
  • P: Floating
Treatment Principle
  • Release the Exterior
  • Scatter Cold
  • Transform Dampness
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Pressure headache - like a bandage
  • Gastric distension
  • Poor appetite
  • Heaviness
  • Body aches
  • Chest distension
  • Diarrhea
  • Dysentery
  • T: Red
  • C: Greasy, yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clean Damp-Heat and toxins
Herb Formulas
Points
Clinical Manifestations
  • Chronic dysentery or
  • Chronic diarrhea or
  • Rectal prolapse
  • Dull abdominal pain with liking for warmth and pressure
  • Borborygmus
  • Cold limbs
  • Poor appetite
  • Mental fatigue
  • T: Pale
  • C: White
  • P: Minute, thready and forceless
Treatment Principle
  • Benefit the Intestines
  • Consolidate and constrict
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea with pus and thick Blood
  • Difficult evacuation
  • Abdominal pain
  • Burning anus
  • Scanty urination
  • Dry mouth and tongue
  • Fever
  • Irritability
  • T: Dry
  • C: Little or None
  • P: Flooding and rapid or Thready and rapid
Treatment Principle
  • Moisten Dryness
  • Clear Heat
  • Guide out Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Chronic diarrhea with a feeling of incomplete evacuation or tenesmus
  • The diarrhea may be purple or black
  • It may be sticky or tarry
  • It will contain mucus or clots of Blood
  • Fixed and localized, sharp or stabbing abdominal pain
  • The pain is usually in the lower left quadrant
  • The pain is worse with pressure
  • There may be palpable masses
  • Dark complexion
  • Dark lips
  • Dark rings around the eyes
  • Spider naevi or vascular abnormalities over the abdomen, face and legs, particularly around the inner knees and ankles
  • T: Purplish or with purple/brown petechial spots
  • C: Little or none
  • P: Wiry or Choppy or Thready
Treatment Principle
  • Regulate Qi and Blood
  • Eliminate stagnant Blood from the Intestine
Herb Formulas
  • Shao Fu Zhu Yu Tang modified
  • Chinese patent medicines:
    With Qi and Blood Stagnation: Xue Fu Zhu Yu Wan
    With Deficiency Cold: Fu Zi Wu Jin Wan
    With severe bleeding: Sheng Tian Qi Pian
    For severe Blood Stagnation with pain: Tong Jing Wan
  • Retention enema: Retention Enema #1
Points
Clinical Manifestations
  • Knotted constipation or
  • Watery, thin diarrhea (Heat knots or flows)
  • Burning hot sensation in the anus
  • Abdominal distention and pain (dislikes pressure)
  • High fever or infantile tidal fever
  • Hands and feet dripping with perspiration
  • Vomiting
  • Irritating thirst
  • Delirium
  • T: Pink, maybe prickles (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) or Red
  • C: Thick, yellow and dry
  • P: Deep and Excess
Treatment Principle
  • Clear Excess Heat with bitter, Cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Acute bacillary dysentery
  • Diarrhea with tenesmus which intensifies after defecation
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood
  • Burning hot sensation in anus
  • Colicky abdominal pain
  • Abdominal distention
  • Urine short and red
  • Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma
  • Mouth dry or thirst but no desire to drink or
  • Prefers cold drinks
  • Body heavy
  • Red complexion
  • Red eyes
  • Limbs tired
  • Fullness in chest
  • Lump in the epigastrium
  • Anorexia
  • Vomiting
  • Scanty, dark urine
  • Maybe fever and chills, headache and a floating pulse (first few days)
  • T: Red
  • C: Yellow and greasy or Yellow and sticky or Yellow and dry (more Heat)
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Regulate Qi and Blood
  • Stop dysentery
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal and epigastric fullness
  • Heavy head and body
  • Edema of the face and eyes
  • Watery diarrhea
  • Short, scanty urination
  • Scanty defecation
  • Epigastric distention and pain
  • Lingering abdominal pain
  • Aversion to Cold
  • Responds to warmth
  • Anorexia
  • Mucus in the stool
  • Maybe loose stools with undigested food
  • Edema of the lower extremities
  • Joint pain
  • Dysuria
  • Nausea
  • Vomiting
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of cold, feeling chilled
  • T: Pink or Pale
  • C: Thick, white and greasy or sticky
  • P: Soft and thready or Relaxed or Deep and slow
  • With remnants of External pathogens:
    Chills
    Mild fever
    Muscle aches
    Anhidrosis
    P: Floating
Treatment Principle
  • Regulate the flow of Qi in the Spleen and Stomach
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
  • Tonify the Large Intestine
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Loose stools with mucus
  • The dysentery comes and goes or is persistent
  • Lassitude
  • Sallow complexion
  • Abdominal distention and pain
  • Tenesmus
  • Chilliness
  • Anorexia
  • T: Pale
  • C: Sticky and white
  • P: Deficient or Deep and thready or Thready, rapid and intermittent or Thready and weak
Treatment Principle
  • Tonify the Spleen
  • Warm Spleen Yang
  • Excrete Damp
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Anhidrosis
  • Whole body painful
  • Diarrhea
  • Vomiting
  • Painful abdomen
  • Heaviness in the Intestines
  • T: Pale
  • C: Normal
  • P: Floating and slippery
Treatment Principle
  • Eliminate Wind
  • Strengthen the Spleen
  • Tonify Qi
Herb Formulas
Points
Clinical Manifestations
  • Long-term diarrhea
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Protracted dysentery
  • Pus and Blood in the stool
  • Shortness of breath
  • Pain in the abdomen and epigastrium with Cold sensations
  • The pain is relieved by warmth and pressure
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak or Thready and wiry
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Intermittent abdominal fullness, distention and discomfort
  • The distention is generally worse in the afternoon or after eating
  • The abdomen feels firm and may appear swollen
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Greasy skin
  • Red complexion
  • Maybe strong body odor
  • Nausea and vomiting
  • Lassitude
  • Heavy sensation in the body
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Dry mouth
  • Diarrhea with foul smell or
  • Constipation
  • Fever or afternoon fever
  • Restlessness
  • Irritability
  • Sweet sticky taste or bitter taste in mouth
  • T: Normal or Thick
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
  • Strengthen the Spleen and Stomach
  • Regulate Qi
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
                                                         or
  • Chronic , intermittent, spasmodic, dull abdominal pain, relieved by warmth and pressure
  • Aversion to Cold
  • Anorexia
  • Easily satiated
  • Abdominal pain and fullness after meals
  • Nausea / vomiting
  • Loose, unformed stools
  • Dysentery
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Fatigue
  • Depression
  • Shortness of breath
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale, maybe swollen
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Warm the Center
  • Dispel Cold
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Chronic, relentless dysenteric diarrhea which is thin, watery and mucoid
  • “Cock-crow” diarrhea (occurs at about 5 am) which is watery and may have undigested food
  • Diarrhea may contain pus and Blood
  • Diarrhea is worse with exposure to Cold and cold foods
  • Borborygmus or periumbilical pain may precede diarrhea
  • Body cold
  • Limbs icy (especially the legs)
  • Complexion white and shiny or sallow
  • Aversion to Cold
  • Watery cough
  • Dizziness
  • Anorexia
  • Fatigue
  • Listlessness
  • Depression
  • Exhaustion
  • Low back, knees and abdomen feel cold, weak and painful
  • Mild, persistent abdominal pain worse with Cold and better with warmth and pressure
  • Abdominal distention
  • Lower abdomen feels cold and painful
  • Mild tenesmus or
  • A dragging sensation in the lower abdomen which is relieved by the diarrhea
  • Loose stools containing undigested food
  • Edema of face and limbs
  • Heaviness and aching of the limbs and head
  • Palpitations
  • Dysuria
  • Copious, clear urine or
  • Scanty urination
  • Severe:
    Abdominal ascites
    Incontinence of stools
    Rectal prolapse
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidney
Herb Formulas
Points
Clinical Manifestations
  • No appetite or
  • Famished but with no desire to eat or
  • Indeterminate gnawing hunger
  • Persistent, dull, nagging epigastric pain
  • Heartburn
  • Morning nausea
  • Abdominal distention after meals
  • Black, sticky or tarry, dry stools
  • Irritability with low grade fever
  • Maybe dry retching or
  • Hiccups
  • Thirst
  • Dry skin, hair and mucous membranes
  • Tendency toward constipation or pellet-like stools
  • Facial flushing
  • Malar flush
  • Nightsweats
  • Five-sole-Heat
  • With Kidney Yin Deficiency:
    Dizziness
    Tinnitus
    Low back and knee weakness and pain
  • T: Red or Slightly red with a peeled center or Red and dry
  • C: Little and dry or Peeled in the center or Shiny
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Nourish the Stomach
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Acute or subacute on set of abdominal pain
  • Pain with diarrhea
  • Diarrhea with tenesmus which intensifies after defecation
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood
  • Dysentery
  • Patient feels heavy
  • Patient feels worse after defecation
  • Burning hot sensation in anus
  • Fever
  • Scanty dark urine or
  • Urine short and red
  • Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma
  • Mouth dry but no desire to drink
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Vomiting
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Detoxify
  • Transform Dampness
  • Stop dysentery.
Herb Formulas
Points
Clinical Manifestations
  • Dark, purple Blood in the stools or
  • Black, tarry, sticky stools
  • Burning Heat and pain in the epigastrium
  • Epigastric or abdominal distention
  • Dry mouth
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Bitter taste in the mouth
  • Acid reflux
  • Heartburn
  • Belching
  • Toothache
  • Irritability
  • Restlessness
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Constipation or
  • Maybe dysentery
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry
  • P: P: Slippery, big, Excess and rapid or Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Feelings of cold and heaviness
  • Fond of warmth and pressure
  • Abdominal fullness intermittently
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
  • T: Pale
  • C: Thin and white
  • P: Deep and even
Treatment Principle
  • Warm and Clear the Small Intestine
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Dysentery
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chronic or recurrent diarrhea with Blood and mucus
  • The diarrhea usually occurs in cycles from weeks to months with an obvious emotional component
  • The diarrhea may alternate with constipation
  • Abdominal distention and pain preceding an incident
  • Gas
  • Borborygmus
  • Dysentery
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Mood swings
  • Temporal or tension headaches
  • Red, sore, dry eyes
  • Facial flushing
  • Nightsweats
  • Bitter or metallic taste in the mouth
  • Dry mouth
  • Anorexia
  • Nausea
  • Acid reflux
  • The patient generally feels hot
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Red or Red edges or Red spots on the edges
  • C: Yellow
  • P:Strong, wiry and rapid
Treatment Principle
  • Regulate the Liver
  • Harmonize the Liver and Spleen
  • Clear Stagnant Heat or Damp-Heat from the Liver and Intestines
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Chronic diarrhea with small quantities of sticky mucus and Blood
  • Frequent urge to defecate, often in vain
  • Mild lower abdominal pain
  • Tenesmus
  • Anorexia
  • Nausea
  • Dry mouth and lips
  • Thirst, worse at night
  • Five sole Heat
  • Night sweats
  • Flushing
  • Weight loss
  • Emaciation
  • T: Red or Scarlet and dry
  • C: Peeled or Greasy
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear residual Damp-Heat
  • Nourish the Blood
  • Regulate the Blood
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Prefers Cold drinks
  • Painful abdomen
  • Constant diarrhea
  • Small quantities of red urine
  • Heavy, painful bowel movements'
  • T: Red
  • C: Thick and yellow
  • P: Rapid
Treatment Principle
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Persistent high fever
  • Irritability
  • Restlessness
  • Dizziness
  • Vertigo
  • Twitching
  • Spasms of the extremities
  • Insomnia
  • Tinnitus
  • Bitter taste in the mouth
  • Deafness
  • Dry throat
  • Stiff neck with convulsions
  • Severe headache
  • Loss of consciousness
  • Maybe opisthotonos
  • Maybe expectoration of thick, yellow sputum
  • T: Deep red, dry or burnt with prickles
  • C: Yellow and dry
  • P: Wiry and rapid or Wiry and smooth
Treatment Principle
  • Cool the Liver
  • Extinguish Wind
  • Increase Fluids
  • Relax the sinews
  • Stop convulsions
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of frequent, explosive diarrhea with copious fresh red, dark red or purple Blood
  • The Blood may contain mucus and pus
  • There may be diarrhea like bloody water
  • High fever (abrupt onset)
  • Thirst
  • Dryness
  • Dehydration
  • Pounding headache
  • Restlessness
  • Irritability
  • Severe abdominal pain
  • Tenesmus
  • Red, purple Blood and pus in the stool
  • Malaise
  • Red lips
  • Diarrhea without eating
  • Prefers cold drinks
  • Trismus
  • Nausea
  • Vomiting
  • Severe:
    Delirium
    Confusion
    Muscular spasms
    Convulsions
    Cold limbs
    Skin rashes
    Respiratory problems
  • T: Deep red
  • C: Yellow and dry
  • P: Forceful and rapid (if shock, weakens or disappears) or Slippery and rapid
Treatment Principle
  • Disperse Heat
  • Detoxify
  • Cool the Blood
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Cold body
  • Face and lips blue-green of white
  • Prefers warm drinks
  • Painful abdomen
  • Borborygmus
  • Diarrhea
  • Dysentery
  • Cold extremities
  • Eyes red and prominent
  • T: Normal or Pale
  • C: None
  • P: Deep
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Heaviness
  • Anorexia
  • Abdominal distention
  • Uncomfortable bowel movements
  • Nausea
  • Vomiting
Treatment Principle
  • Resolve Dampness
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Lethargy
  • Anorexia
  • Maybe jaundice
  • No thirst or
  • Thirst with no desire to drink
  • Nausea
  • Vomiting
  • Afternoon fever
  • Body aches
  • A sallow complexion
  • Scanty urination
  • Diarrhea
  • Chest discomfort
  • Epigastric pain and distention
  • Dull appearance
  • Maybe disorientation
  • Loose stools
  • Maybe skin vesicles
  • Heavy extremities
  • T: Pink
  • C: Greasy and yellow
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Resolve Damp and turbidity
Herb Formulas
Points
Clinical Manifestations
  • Dysentery
  • Stools of various colors
  • Bloody, purulent stools
  • Headache
  • Vomiting
  • Inability to eat or drink
  • T: Pink
  • C: Thin and white
  • P: Thready
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain (worse with pressure)
  • Abdominal and epigastric distention
  • Diarrhea
  • Dysentery
  • Scanty dark urine
  • Constipation
  • Heaviness of the Intestines
  • T: Red
  • C: Yellow and greasy or slippery
  • P: Deep and Forceful
Treatment Principle
  • Reduce and guide out Stagnation and Accumulation
  • Clear Heat
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Painful, distended abdomen which is worse with pressure
  • Warm body and abdomen
  • High fever or
  • Tidal fever
  • Vomiting
  • Constipation
  • Yellow or red scanty urine
  • Irritability
  • Restlessness
  • Sweating over the whole body or just the hands and feet
  • Thirst
  • Dry mouth
  • Likes cold drinks
  • With Heat in the Intestines:
    Pain in the left or right iliac fossa
    Constipation or
    Diarrhea or
    Constipation and diarrhea
    Maybe fecal impaction with foul, green, spurious diarrhea with a palpable mass and pain in the left iliac fossa
    Frequent flatulence
    Acute cases:
    Chills
    Rigors
  • T: Normal or Red or Red spots
  • C: Yellow or greasy yellow or Brown
  • P: Rapid and full or Rapid and slippery or Bounding, rapid and slippery Deep and strong
Treatment Principle
  • Clear Heat
  • Stop pain
  • Purge
  • Dry Damp
  • Clear Damp-Heat
  • Eliminate Toxic-Heat
Herb Formulas
Points
Clinical Manifestations
  • Stifling sensation and irritability in the chest
  • Nausea with an urge to vomit
  • Abdominal pain
  • Fever with slight chills
  • Diarrhea
  • Vexation
  • Borborygmus
  • Thirst
  • T: Pink
  • C: White and greasy
  • P: Wiry
Treatment Principle
  • Regulate Cold and Heat
  • Harmonize the Stomach
  • Descend Rebellious Qi
Herb Formulas
Points
Clinical Manifestations
  • Chronic intermittent diarrhea with variable mixtures of pus and Blood
  • Triggered or aggravated by overexertion, colds fatigue and stress or
  • May be no obvious trigger
  • Active phase: Diarrhea may occur many times daily
  • Fatigue
  • Tiredness
  • Tenesmus
  • Abdominal distention
  • Mild abdominal pain which is better with warmth and maybe pressure
  • Anorexia
  • Loss of sense of taste
  • Long-standing cases:
    Emaciation
    Sallow or pale complexion
    Listlessness
    Lethargy
    Increased desire to sleep
    Intolerance of Cold
    Cold extremities
  • T: Normal or Pale or Red
  • C: Greasy
  • P: Thready and choppy or Soft and weak
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Regulate Qi
  • Clear Damp-Heat or
  • Clear Cold-Damp or
  • Clear Toxic Heat
Herb Formulas
Points
Clinical Manifestations
  • Dysentery
  • Anorexia (inability to eat)
  • Vomiting upon eating or drinking
  • T: Normal
  • C: Whitish and slimy
  • P: Soft and floating
Treatment Principle
  • Release the Exterior
  • Tonify Qi
  • Eliminate toxins
  • Stop vomiting
Herb Formulas
Points
Etiology
  • Unresolved or poorly treated Damp-Heat or Cold-Damp dysentery
  • Follows an acute illness
  • Maybe Excess or Deficiency
  • This is a serious and potentially dangerous dysenteric disorder and should be managed in the hospital.
Clinical Manifestations
  • Short history of dysentery
  • Inability to take in any food or fluid without nausea and vomiting
  • A small or decreasing amount of diarrhea with mucus
  • There may or may not be small amounts of Blood in the stool
  • Severe anorexia
  • Refusal to eat
  • For Excess residual Heat prominent:
    A red complexion
    Thirst
    Dryness
    Fullness in the chest
    A foul taste in the mouth
    Restlessness
    T: Normal
    C: Greasy and yellow
    P: Slippery and rapid
  • For Deficiency prominent:
    Emaciation
    Continually nauseous
    Vomits upon eating
    No thirst
    T: Pale
    C: Little
    P: Thready and weak
Treatment Principle
  • Excess:
    Clear residual Heat
    Harmonize the Stomach
    Stop vomiting
    Descend Qi
  • Deficiency:
    Strengthen the Spleen
    Harmonize the Stomach
    Stop vomiting
    Descend Qi
Herb Formulas
Points