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Li, female, aged 19, first consultation in 1962. The patient has long suffered from stomachache, Zhongwan (CV12) stuffiness and discomfort, hiccup and acid regurgitation, dry and bitter mouth, alternating loose and dry stools, borborygmus with intense peristalsis, often pressing the upper left abdomen, causing abdominal sounds like flowing water, audible outside the house, persisting for a long time. X-ray barium meal examination revealed no organic sexually transmitted disease changes, but there was gastrointestinal reverse peristalsis. She had visited multiple hospitals but never fully recovered. I believe this condition is due to spleen-stomach weakness, impaired transportation and transformation, abnormal qi movement, and internal retention of water and dampness. Tentatively, I treated her with Fresh Ginger Heart-Draining Decoction to harmonize the middle and disperse stuffiness, using bitter and acrid herbs to open and drain.
Initially, 2 doses of the original formula were administered, and the stomach discomfort eased, with borborygmus sounds becoming fewer and shorter. However, she still had a bitter taste in the mouth, thirst, yellow urine, a bluish complexion, emaciation, a red tongue with yellow coating, and regular menstruation. This girl has a naturally weak constitution, coupled with the early loss of her parents, leading to emotional depression, the so-called "lifelong sorrow." Therefore, during the follow-up consultation, I prescribed Peony and Gardenia Peripatetic Powder with added Cyperus, Submature Bitter Orange, Yanhusuo, Chuanlianzi, Indian Bread Tuckahoe, Heterophylly Falsestarwort Root, and Talc to soothe the liver and relieve depression, while invigorating the spleen and draining dampness. After taking 2 more doses, her symptoms improved. Subsequently, I continued with the original Peripatetic Powder formula, adding Coptis, Pinellia, Immature Orange Fruit, Magnolia Bark, Bamboo Shavings, Hyacinth Bean, and Atractylodes to observe further effects.

Several months passed without her returning, and I privately suspected that she might have stopped treatment after recovery. Unexpectedly, she suddenly came back and mentioned that she had undergone Lanwei (EX-LE7) surgery in the surgical department, during which only mild gastric ptosis was found, with no other abnormalities. Since then, she has fully recovered, gotten married, and given birth to a child a year later, living a normal life.