1 Liver-Stomach Disharmony Type

(1) Liver-Stomach Disharmony Type

① Symptoms: Fullness and distension in the epigastric region, sometimes accompanied by pain radiating to both sides of the ribs, belching with acid reflux, loss of appetite and hiccups, sometimes even regurgitation, difficulty swallowing, pale or dark red tongue with bruising, thin white or yellow coating, and a wiry pulse.

② Treatment Principle: Soothe the liver and regulate qi, harmonize the stomach and reverse the upward flow of qi.

③ Prescription: Modified Chaihu Shugan San. Ingredients include 10g of Bupleurum, 10g of Citrus Peel, 10g of Curcuma, 10g of Chuanxiong, 15g of Salvia, 15g of White Peony, and 6g of Honey-fried Licorice. Decoct twice, mix well, and take in three doses daily, one dose per day. If nausea is severe and the tongue coating is greasy, add 10g each of Agastache and Citrus Peel; if there is acid reflux, add 6g of Evodia and 12g of Coptis; if there is severe pain in the ribs or epigastric region, or if the tongue shows hidden bruising or appears dark, consider adding 10g of Melia, 6g of Yuanhu, 6g of Agarwood or Cardamom, or 5g of Notoginseng.