Sun, male, 38 years old, worker. The patient experienced abdominal pain, nausea, vomiting, irritability, thirst, constipation, and scanty urine for two days due to irregular diet. After overeating at noon, severe abdominal pain and chest and abdominal distension and fullness occurred one hour later, leading to hospitalization. Examination: Abdominal distension, tympanic resonance of the gastric bubble reaching two fingers below the navel, tenderness in the upper abdomen, and obvious splashing sound in the abdomen. Borborygmus was slightly hyperactive. Abdominal X-ray showed grade I gastric dilation, with a gastric bubble length of 17cm and a large amount of food retention. Gastric fluid occult blood was positive. The pulse was strong and forceful, and the tongue coating was thick and yellow. The syndrome was attributed to obstruction of fu-qi and stagnation of heat. Treatment aimed to eliminate food retention and promote bowel movement. Prescription:
Magnolia Bark 24g, Mirabilite 18g, Rhubarb Rhizoma 15g, Immature Orange Fruit 12g, Liquorice Root 6g, Chinese Date 5 pieces
. Despite gastrointestinal decompression and fluid infusion, abdominal distension did not decrease, and the patient felt like vomiting. After taking one dose, everything was vomited. Another dose of the original prescription was taken, and about one and a half hours later, a large amount of grayish-white, foul-smelling stool was passed, abdominal distending pain disappeared, and the splashing sound significantly reduced. The patient fasted for one day and recovered.