Li, female, 28 years old. She has a strong temperament and is easily angered. For the past six months, she has been experiencing stuffiness and fullness in the epigastric and abdominal regions, with distending pain in the hypochondrium that radiates and causes discomfort. Both Chinese and Western medications have provided limited relief. Recently, after a verbal altercation, she experienced syncope, after which the stuffiness and fullness worsened, and the distending pain in the hypochondrium made it difficult for her to lie down. She speaks in an agitated manner, frequently sighs, and has irregular bowel movements. Her face appears distressed, and she has a bitter taste in her mouth. Her tongue is red with a slightly yellow coating, and her pulse is wiry and forceful. The syndrome is attributed to liver qi stagnation due to a strong liver and weak spleen. The treatment should focus on relieving stagnation and moving qi, while harmonizing the liver and spleen. Prescription:
Bupleurum 20g, Skullcap Root 5g, Peony Root 15g, Pinellia 5g, Fresh Ginger Rhizome 3g, Chinese Date 20g, Immature Orange Fruit 15g, Rhubarb Rhizoma 5g
. After taking 2 doses, the stuffiness, fullness, distension, and pain all reduced. Upon follow-up, she was prescribed 3 more doses, and she fully recovered. A follow-up after six months showed no recurrence.