4 Spleen-Stomach Damp-Heat Type

(4) Spleen-Stomach Damp-Heat Type

① Symptoms: Persistent pain in the epigastric region that worsens intermittently, with burning sensation in the epigastric area; most patients experience nausea, vomiting, diarrhea, or constipation; some patients have symptoms of gastrointestinal obstruction, emaciation, mental fatigue, and occasional fever. The tongue is red, the coating is yellow and greasy, and the pulse is wiry, slippery, and rapid.

② Treatment Principle: Clear heat and dry dampness, promote qi flow and relieve pain.

③ Prescription: Modified Huanglian Jiedu Tang, Qingwei San, and Banxia Xiexin Tang. Ingredients include 10g of Phellodendron, 3g of Coptis, 10g of Scutellaria, 10g of Gardenia, 6g of Dried Ginger, 6g of Pinellia, 10g of Salvia, 3g of Agarwood, 3g of Cardamom, 10g of Angelica, 15g of White Peony, 3g of Resin, 3g of Myrrh, and 6g of Licorice. Decoct twice, mix well, and take in three doses daily, one dose per day. If stools are very dry, add 10g of raw rhubarb (added later); if stools are black, add 20g of Xianhecao; if there is hematemesis, add 20g of raw ochre and 3g of cinnamon; if stomach pain is severe, add 10g of Corydalis and 10g of Melia.