| title | Medical Cases of Bi Mingyi |
Yu Mou, female, 36 years old, first visited on September 15, 1983. The patient was generally healthy, but one month prior, she caught a cold during sleep at night. Around 6 a.m. the next morning, she suddenly experienced abdominal pain and borborygmus, followed by diarrhea with watery stools, occurring every 40 to 50 minutes, resembling a sudden and forceful discharge, and frequent vomiting of watery substances. She was subsequently hospitalized and diagnosed with acute gastroenteritis. After three days of treatment, her condition improved and she was discharged. Two days after discharge, she experienced continuous vomiting and diarrhea again, vomiting yellow-green water and passing undigested food. She was hospitalized again for six days, and the vomiting and diarrhea stopped.
After discharge, she again consumed cold food, leading to the recurrence of vomiting and diarrhea, vomiting food, sometimes mixed with blood-like substances, and passing watery stools mixed with undigested food. She also experienced epigastric distension and discomfort, which worsened after eating, along with weight loss, a shallow yellow complexion, and signs of dehydration. The tip of her tongue was red, with tooth marks on the sides, a thick white coating with a slight yellow tint, and a greasy texture. Her pulse was deep, with a wiry and slippery quality at the guan position. A comprehensive analysis of her pulse and symptoms indicated a deficiency of middle qi, disharmony of cold and heat, and dysfunction of the spleen and stomach's ascending and descending functions. The treatment should focus on alleviating urgency, tonifying the middle, harmonizing the middle, and dispersing stuffiness to stop diarrhea. She was treated with Licorice Heart-Draining Decoction. Prescription: