Diarrhea
Excess type diarrhea: acute onset, short period, frequent diarrhea.
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Differentiation |
Symptoms |
Formula |
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E x c e s s |
damp heat |
acute onset, foul smelling stool with blood or mucus, burning sensation in the anus area, tenesmus, thirst, a red tongue with yellow coating, slippery and rapid pulse |
Huang Lian Jie Du Tang |
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damp cold |
diarrhea with watery stool, abdominal pain relieved by warmth, tenesmus, borborygmi, pale tongue with white greasy coating, slippery pulse |
Ping Wei San |
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with exterior syndrome |
same as above, but accompanied with chills and fever, headache, floating pulse |
Huo Xiang Zheng Qi San |
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food stagnation |
abdominal pain relieved after diarrhea, condition induced by overeating, smelly stool with undigested food, foul belching, acid regurgitation, no appetite, red tongue with yellow greasy coat, rapid and slippery pulse |
Bao He Wan |
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Tai Yang complex entering Yang Ming Jing |
diarrhea with chills and fever, neck stiffness, irritability, insomnia, red face, frontal headaches, white tongue coating, floating and tight pulse |
Ge Gen Tang |
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Liver Qi stagnation |
diarrhea with tenesmus, abdominal pain unrelieved by diarrhea, aggravated by emotional stress or diarrhea alternating with constipation, hypochondriac pain and distention, irritability or mental depression, cold hands and feet, wiry pulse |
Si Ni San or |
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Yang Ming Fu syndrome |
black watery diarrhea with foul oder, severe abdominal pain which is aggravated by pressure, pain not relieved by diarrhea, thirst, red tongue with dark yellow, dry coat, rapid and forceful pulse |
Da Cheng Qi Tang |
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water retention |
exterior syndrome |
loose stool or diarrhea, nausea or vomiting, difficult urination, cough, body heaviness |
thirst with vomiting immediately after drinking, fever and chills |
Wu Ling San |
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Yin impairment |
thirst and desire to drink, restlessness, insomnia |
Zhu Ling Tang |
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Excess with Deficiency |
heat and cold accumulation |
diarrhea with borborygmus, full and tight sensation in the epigastric area but without pain, dry heaves or frank vomiting, poor appetite, thin yellow, greasy tongue coating, wiry rapid pulse |
Ban Xia Xie Xin Tang |
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Diarrhea, Cont.
Deficiency type diarrhea: chronic, long period illness, intermittent attack.
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Differentiation |
Symptoms |
Formula |
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D e f i c i e n c y |
Spleen Qi deficiency |
early stage Spleen Qi deficiency diarrhea which is chronic and contains undigested food, diarrhea worse after eating greasy or cold raw food, pale tongue, weak pulse |
Si Jun Zi Tang, modified |
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later stage Spleen Qi deficiency diarrhea, above symptoms with heavy sensation in the anal region or rectal prolapse |
Bu Zhong Yi Qi Tang |
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middle Jiao deficiency with cold |
alternating loose stools and watery diarrhea containing undigested food, abdominal pain worse after eating cold or greasy food, relieved by warmth or pressure, bloating, borborygmus, poor appetite; pale tongue, deep, weak pulse |
Li Zhong Tang |
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Kidney Yang deficiency |
early morning diarrhea, abdominal pain relieved after diarrhea, diarrhea immediately after borborygmus; cold extremities, sore back, poor appetite, pale tongue, deep and slow pulse |
Si Ni Tang |
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watery diarrhea with undigested food; cold extremities, aversion to cold, fatigue, vomiting and abdominal pain, no thirst, pale tongue, deep and weak pulse |
Si Shen Wan |