June 20, 2011

Rib-side pain (Hepatitis)


Liu Du-Zhou, New Chinese Medicine, 1979; 2: 36

Mr. Liu, a 54 year old male presented at the clinic with hepatitis manifesting with abdominal distension and diarrhea. He had very little desire to eat, and experienced rib-side pain that extended to his back. He had taken several formulas which offered very little benefit. It was at this point that I was asked to treat this gentleman. His pulse was wiry and moderate, and his tongue was pale with a white coat.

This was a case of liver disease affecting the spleen manifesting with a decline in spleen yang.

I decided to course (the liver) using Chai Hu Gui Zhi Gan Jiang Tang (Bupleurum, Cinnamon Twig, and Ginger Decoction).

Chai Hu 12g
Huang Qin 4.5g
Zhi Gan Cao 9g
Gan Jiang 9g
Gui Zhi 9g
Tian Hua Fen 12g
Mu Li 12g

Altogether 4 packages were taken which resulted in the complete resolution of the abdominal distension and diarrhea. His appetite also improved indicating that the liver and spleen were harmonized and his GOT (Glutamyl oxaloacetic transaminase) and GPT (Glutamyl pyruvic transaminase) levels were basically back to normal and thus he recovered.

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