3 Qi Stagnation and Blood Stasis Type

(3) Qi Stagnation and Blood Stasis Type

① Symptoms: Sharp, stabbing pain in the epigastric region that is resistant to pressure, localized pain, palpable mass in the upper abdomen, abdominal distension, aversion to food, dark complexion, and stools resembling sheep droppings or tar-like. The tongue is dark purple or shows bruising, and the pulse is fine and rough.

② Treatment Principle: Soothe the liver and regulate qi, activate blood circulation, resolve blood stasis, and relieve pain.

③ Prescription: Modified Gexia Zhuyu Tang. Ingredients include 10g of Angelica, 10g of Chuanxiong, 10g of Peach Kernel, 10g of Safflower, 10g of Yuanhu, 10g of Cyperus, 10g of Citrus Peel, 10g of Curcuma, 10g of Moutan Bark, 15g of Red Peony, and 6g of Honey-fried Licorice. Decoct twice, mix well, and take in three doses daily, one dose per day. For those with obvious masses, remove Chuanxiong and Moutan Bark, and add 10g each of Sanleng and Ezhushi; for those who vomit old food, remove Cyperus and Curcuma, and add 10g each of Magnolia Bark and Leifuzi, along with 20g of Hawthorn; for those with both phlegm-dampness and qi stagnation leading to blood stasis and phlegm blockage, combine with Erchen Tang (Citrus Peel, Pinellia, Poria, Ginger) and Haizao Yuhu Tang (Citrus Peel, Pinellia, Poria, Curcuma, Seaweed, Kelp, Abalone, Golden Pumpkin, etc.); if there is hematemesis and tar-like stools, add 6g of Notoginseng, 10g of Baiji, and 20g of Xianhecao.