Archives: Case Studies

Si ni san (constipation)

On March 10, 1986, A 28 year male presented with dry stools like sheep’s feces, evacuating once every 2-3 days, which had been going on for for nearly 1 year. He also had abdominal distension, fullness, and pain, and cold hands. His tongue was red with a thin and yellow coat. His pulse was wiry and rapid. The pattern belonged to qi constipation.

Treatment was to regulate the qi, unlock the yang, moisten the intestines, and unblock the bowels.Frigid Extremities Powder (sì nì sân) with modifications was given:

Lower limb pain (painful obstruction)

Yīn and blood insufficiency mistakenly diagnosed as cold-damp painful obstruction pattern.

Liao was a 62 year old man who was hospitalized because of left buttock and left lower limb pain that had been going on for 3 months. He presented with left buttock and left posterior thigh muscular pain, fatigued spirit and lack of strength, poor food intake, bland / lack of taste in the mouth that was slightly dry, dry stools, facial color was dark and stagnant.

Tongue: pale purple body and a thin yellow coat
Pulse: wiry

Lower limb pain Misdiagnosed Modern Cases Painful Obstruction

Ye Tian-Shi – Constraint #5

Lu (24) [suffered] damage from constraint. Sinews were distended and there was heart pain (epigastric).

gou teng (Uncariae Ramulus cum Uncis)
sheng xiang fu (unprocessed Cyperi Rhizoma)
yu jin (curcuma tuber)
bai ji li (Tribuli Fructus)
mu dan pi (Moutan Cortex)
bo he (Menthae haplocalycis Herba)
chen pi (Citri reticulatae Pericarpium)
fu ling (Poria)

Constraint Epigastric pain Qing Dynasty Ye Tian-Shi

Gui Zhi Ma Huang Ge Ban Tang #1

2. Unresolved stasis on the exterior

This is a case from Dr. Wang Zhan[1], January 5, 1976

Ms. Liu, age 26, had a cold for 4-5 days. She still had a fever, fear of cold and a temperature of 38°C. She was sweating slightly. Although she had taken an instant tea for colds and anti-inflammatory analgesics, these had had no effect. She had body pain, her excretions were normal, her tongue moss was thin and white and her pulse was floating and tight. I gave her Gui Zhi Ma Huang Ge Ban Tang with added flavors.

Classical formulas External Attack Gui zhi ma huang ge ban tang Shang Han Lun Tai Yang Pattern

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