Differentiation

Symptoms

Formula

E x c e s s

Excess heat in the Liver and Gallbladder channels

sensation of heat in the urethra, urine that is yellow, turbid, and foul smelling, headache, bitter taste in the mouth, irritability, short temper, red tongue with yellow greasy coating, wiry and rapid pulse

Long Dan Xie Gan Tang

Damp-heat in the lower Jiao

acute onset; dark, turbid, and scanty urination; burning sensation in the urethra, difficult, and painful urination, red tongue with yellow greasy coating, slippery and rapid pulse

Ba Zheng San

Toxic heat in the all three Jiaos

acute onset; dark, turbid, and scanty urination; burning sensation in the urethra, difficult, and painful urination, thirst, dry mouth, irritability, red tongue with yellow greasy coating,
slippery and rapid pulse

Huang Lian Jie Du Tang

Water retention in the lower Jiao

difficult urination, thirst with a desire to drink water, but with vomiting immediately after drinking; may be accompanied by slight chills and fever and a headache; white moist tongue coating, slippery and floating pulse

Wu Ling San modified

Water and heat accumulation in the lower Jiao with Yin impairment

hot or bloody painful urination, or urinary difficulty accompanied by fever and thirst with a desire to drink, lower abdominal fullness and pain, insomnia, nausea. may have diarrhea;
a red tongue with scanty coating, thin slippery and rapid pulse

Zhu Ling Tang

D e f i c i e n c y

Qi deficiency

chronic urinary difficulty, weak stream, slight hypogastric distension, a feeling of heaviness in the lower abdomin; fatigue, usually induced by overwork; or chronic blood in the urine,
pale tongue, weak pulse

Bu Zhong Yi Qi Tang modified

Yin deficiency

chronic Lin syndrome which is induced by overwork; scanty dark urine with slight burning and pain, weak stream or dribbling, five center heat, red tongue with peeled coating, thready pulse

Liu Wei Di Huang Wan modified

Yang deficiency

chronic, recurrent Lin syndrome induced by overwork; urine with slight burning and pain; light color urine, weak stream or dribbling, fatigue, pale face, cold extremities, pale moist tongue with white coat, weak and deep pulse

Jin Gui Shen Qi Wan modified