Diarrhea

Diarrhea

Excess type diarrhea: acute onset, short period, frequent diarrhea.

Differentiation

Symptoms

Formula

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

damp cold

diarrhea with watery stool, abdominal pain relieved by warmth, tenesmus, borborygmi, pale tongue with white greasy coating, slippery pulse

Ping Wei San

with exterior syndrome

same as above, but accompanied with chills and fever, headache, floating pulse

Huo Xiang Zheng Qi San

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

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

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
Xiao Yao San, modified

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

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

Yin impairment

thirst and desire to drink, restlessness, insomnia

Zhu Ling Tang

Excess with Deficiency

heat and cold accumulation
in the middle Jiao

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

Diarrhea, Cont.

Deficiency type diarrhea: chronic, long period illness, intermittent attack.

Differentiation

Symptoms

Formula

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

later stage Spleen Qi deficiency diarrhea, above symptoms with heavy sensation in the anal region or rectal prolapse

Bu Zhong Yi Qi Tang

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
Da Jian Zhong Tang

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

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