Constraint (Lv->St) (YTS)

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Liver accosts the Stomach with qi counterflow and blood constraint.

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Wang (63) was overworked and had anger, which damaged the yang. There was qi counterflow and blood constraint leading to pain. There was focal distention and sloppy stools. This was wind and wood rebelling against earth. Previous formulas were ineffective.formula that unblocks and boosts the yang ming and jue yin was given.

Prescription: dà bàn xià(Major Pinellia Decoction) plus

táo rén (peach kernel, persica)
bǎi zǐ rén (Platycladi Semen)
dāng guī« (Angelicae sinensis Radix)
shēng jiāng (fresh ginger rhizome)
dà zǎo (Jujubae Fructus)

Commentary: dà bàn xià tang(Major Pinellia Decoction) contains zhì bàn xià (Pinelliae Rhizoma preparatum), rén shēn (Ginseng Radix), and honey 9-15g.

Translated by: Jason Blalack

Original Chinese:王(六三) 劳怒伤阳。气逆血郁致痛。痞胀便溏。风木侮土。前方既效。与通补阳明厥阴。(肝犯胃气逆血郁) 大半夏汤加桃仁柏仁当归姜枣汤法。

Source: From the Constraint Chapter of Case Records as a Guide to Clinical Practice (Lín zhèng zhî nán yï àn) 《临证指南医案》.

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