bubble_chart Content Wang, male, 39 years old, first consultation on September 13, 1993. Main symptoms: diarrhea for 6 years, 3-4 times a day, with pus, blood, and mucus, no tenesmus, gastric stuffiness, occasional lower abdominal pain, anorexia, lack of strength, no thirst, slightly red tongue texture, yellow greasy coating, deep and slippery pulse. Colonoscopy was performed, diagnosed as "chronic ulcerative colitis"
Pattern identification: cold and heat in complexity, abnormal transportation and transformation.
Treatment method: mild regulation of cold and heat, dispelling putridity to promote tissue regeneration.
Prescription: Modified Mume Pill.
Smoked Plum 30g, Coptis Rhizome 10g, Phelloendron Bark 10g, Chinese Angelica 12g, Tangshen 20g, Dried Ginger 10g, Cinnamon Twig 10g, Asarum 3g, Pricklyash Peel 10g, Chinese Yam 30g, Hyacinth Bean 15g, Coix Seed 15g, Liquorice Root 6g
Decocted with water for oral administration. Additionally, 150ml of the decoction is retained, 9g of Xilei Powder is dissolved in it, and retained enema is performed once a day.
Second consultation on October 3: After taking 15 doses, the frequency of bowel movements reduced to 2-3 times a day, no pus, blood, or mucus, gastric stuffiness alleviated, lower abdominal pain reduced, slightly red tongue texture, thin yellow greasy coating, deep and slippery pulse. Continue with the above prescription.
Third consultation on October 18: After taking 15 doses, stool is basically formed, 1-2 times a day, no pus, blood, or mucus, gastric stuffiness and abdominal pain disappeared. Lack of strength alleviated, appetite improved, pale red tongue, thin white coating, deep and slippery pulse. Continue with the above prescription for 15 doses.