Diarrhea Due To Yang Deficiency Of The Spleen And Kidney

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Main symptoms and signs chronic diarrhea without  recovery, or dawn diarrhea, thin and cold stool, or stool with undigested food, cold body and limbs, pale complexion, listlessness, poor appetite, or sleep with eyes slightly open, pale tongue with whitish fur, deep and thready pulse.

Therapeutic methods: Warming and tonifying the spleep and kidney, inducing astringency to arrest diarrhea.

Prescriptions and drugs: The prescription used isthe modified Fuzi Lizhong Decoction (Aconite Decoction for Regulating the Middle Energizer) in combination with Sishen Pill composed of 8 g of Paojiang (baked Ginger), 6 g of Wuzhuyu (Fructus Euodiae), 10 g of Baizhu (Rhizoma Atractylodis Macrocephalae), 10 g of Dangshen (Radix Coclonopsis Pilosulae), 4 g of Fuzi (Radix Aconiti Praeparata) (to be decocted first), 8 g of Buguzhi (Fructus Psoraleae), 8 g of Roudoukou (Semen Myristicae) and 6 g of Wuweizi (Fructus Schisandrae).

Modification: For the patients with chronic diarrhea and without food retention, 10 g of Chishizhi (Haltoysitum Rubrum), 6 g of Hezi (Fructus Chebutae) and 10 g of Yuyuliang (Limonitum) are added.

Impairment of both qi and yin
Main symptoms and signs: Endless diarrhea, listlessness, hypodynamia, dysphoria with restlessness due to deficiency, dry skin, sunken sockets of eyeball and fontanel, cry without tears, scanty urine, and even anuria, dry mouth with red lips, red tongue with a little fluid and fur, thready and rapid pulse.

Therapeutic methods: Promoting the generation of yin with sour and sweet drugs generation.

Prescription and drugs: The prescription used is the modified Lianmei Decoction (Decoction of Rhizoma Coptidis and Fructus Mume) composed of 10 g of Wumei
(Fructus Mume), 10 g of Baishaoyao (Radix Paeoniaz Alba), 3 g of Gancao (Radix Glycyrrhizae ), 10 g of Maimendong (Radix Ophiopogonis), 10 g of Shengdihuang (Radix Rehmanniae), 3 g of Huanglian (Rhizoma Coptidis), 6 g of Huangqin (Radix Scutellariae), 10 g of Gegen (Radix Puerariae) and 8 g of Renshen (Radix Ginseng).

Modification: For the patients with thirst, 10 g of Shihu (Herba Dendrobii), 10 g of Lugen (Rhizoma Phragmitis) and 10 g of Yuzhu (RMzoma Polygonat Odorati) are added.

Diarrhea

 

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