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Learning Tongue Diagnosis with Teacher Si
25
Original Condition Description
Female,39years old, constipation, dry skin, itching all over in winter.
39-year-old female, constipation, dry skin, itching all over.
Tongue Characteristics: pale tongue, thin white coating, dry with little moisture, and bluish-purple under the tongue.
Constipation and dry skin are both caused by insufficient body fluids, which corresponds to the thin white coating and lack of moisture on the tongue.
Skin itching may also be caused by blood stasis, which is supported by the tongue appearance.
However, the main issue currently is blood deficiency and fluid depletion, which cannot nourish the skin and intestines; blood stasis may be a contributing factor, but further differentiation is needed.
This condition is primarily characterized by fluid deficiency and dry blood, so the treatment should focus on nourishing the liver and kidneys, combined with a small amount of blood-activating herbs, such as Dang Gui (Angelica Sinensis) and Chuan Xiong (Ligusticum Chuanxiong) found in Yao Xue Sheng Fa Capsules.
Treatment can use Run Zao Zhi Yang Capsules. If Run Zao Zhi Yang Capsules are not available, Yao Xue Sheng Fa Capsules can be used as a substitute.
Additionally, Zuo Gui Wan (Left Kidney Pill) or Qi Ju Di Huang Wan (Lycium and Chrysanthemum Pill) can be added to nourish kidney yin.
If symptoms change, the treatment plan may need adjustment; the current plan is based on the main complaints presented.
Responses to Student Questions:
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Ba Zhen Granules may nourish blood effectively but are harmful for constipation; the four gentlemen in Ba Zhen are too drying for fluid deficiency.
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Zuo Gui Wan and Liu Wei Di Huang Wan are excellent.Blood-nourishing herbs also have blood-activating effects, such as Sheng Di (Rehmannia Glutinosa) and Dan Pi (Moutan Cortex), both found in Di Huang Wan.Zuo Gui Wan is purely nourishing, while Di Huang Wan has both nourishing and draining properties.Zuo Gui Wan nourishes kidney yin, while You Gui Wan nourishes kidney yang, as per Zhang Jingyue’s formula.
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Body fluids are part of yin fluids; yin deficiency does not necessarily mean excess heat.
Recommended Medicinal Ingredients:
Zuo Gui Wan (Left Kidney Pill)
Shu Di Huang (Rehmannia Glutinosa, prepared), Shan Yao (Chinese Yam, fried), Gou Qi Zi (Goji Berries), Shan Zhu Yu (Cornus Fruit), Chuan Niu Xi (Cyathula Root, wine-washed and steamed), Tu Si Zi (Cuscuta Seed, processed), Lu Jiao (Deer Antler, crushed and fried), Gui Jiao (Tortoise Shell Gel)
This formula is the main support for nourishing water and cultivating the original yin of the left kidney.It is used for true yin and kidney water deficiency, which cannot nourish the nutritive and defensive qi, leading to weakness, or for false heat with spontaneous sweating and night sweats;or for spirit disturbance, blood not returning to the source;or for yin deficiency causing damage;or for urinary incontinence;or for qi deficiency causing dizziness;or for blurred vision and deafness;or for dry mouth and tongue;or for lower back pain and weakness of the legs, all signs of internal deficiency of essence and depletion of body fluids.
Formula Explanation:The formula emphasizes the use of Shu Di Huang to nourish the kidney and benefit essence;Gou Qi Zi nourishes the kidney and benefits essence, and brightens the eyes;Lu and Gui are both nourishing substances, strongly replenishing essence, with Gui Gel leaning towards nourishing yin and Lu Gel leaning towards nourishing yang, aiming to seek yin within yang;Tu Si Zi is neutral and nourishes the kidney.The above are the kidney-nourishing herbs.Shan Zhu Yu nourishes the liver and kidney, astringes essence and stops sweating, while Shan Yao benefits the spleen and nourishes yin, nourishing the kidney and securing essence; Chuan Niu Xi benefits the liver and kidney, strengthens the lower back and knees, strengthens tendons and bones, and activates blood, thus nourishing the kidney while also benefiting the liver and spleen.
Run Zao Zhi Yang Granules
He Shou Wu (Fo-Ti), Zhi He Shou Wu (prepared Fo-Ti), Sheng Di Huang (Rehmannia Glutinosa), Sang Ye (Mulberry Leaf), Ku Shen (Sophora Root), Hong Hua Ma (Red Hemp)
Nourishes blood, nourishes yin, dispels wind, stops itching, moistens the intestines, and relieves constipation.Used for skin itching, acne, and constipation caused by blood deficiency and wind dryness.
Previous Reviews ▼▼▼
“Learning Tongue Diagnosis with Teacher Si Series – Part 1: Recurrent Oral Ulcers”
“Learning Tongue Diagnosis with Teacher Si Series – Part 2: Children with Hard Dry Stools and Small Body Type”
“Learning Tongue Diagnosis with Teacher Si Series – Part 3: Phlegm-Qi Obstruction and Qi Stagnation”
“Learning Tongue Diagnosis with Teacher Si Series – Part 4: Liver and Kidney Deficiency with Stomach Qi Rebellion”
“Learning Tongue Diagnosis with Teacher Si Series – Part 5: Liver and Stomach Heat with Heart and Kidney Disharmony”
“Learning Tongue Diagnosis with Teacher Si Series – Part 6: Blood Stasis and Water Retention”
“Learning Tongue Diagnosis with Teacher Si Series – Part 7: Phlegm-Dampness Obstruction and Clear Yang Not Rising”
“Learning Tongue Diagnosis with Teacher Si Series – Part 8: Cold Stasis in the Lower Jiao with Liver Qi Stagnation and External Wind-Cold Binding”
“Learning Tongue Diagnosis with Teacher Si Series – Part 9: Spleen Heat and Spleen Deficiency”
“Learning Tongue Diagnosis with Teacher Si Series – Part 10: Dry Phlegm and Qi Stagnation”
“Learning Tongue Diagnosis with Teacher Si Series – Part 11: Wind-Damp Bi Pain with Clear Yang Not Rising”
“Learning Tongue Diagnosis with Teacher Si Series – Part 12: Qi Stagnation Transforming into Fire with Constipation”
“Learning Tongue Diagnosis with Teacher Si Series – Part 13: Water Not Nourishing Wood with Yin Deficiency and Yang Excess”
“Learning Tongue Diagnosis with Teacher Si Series – Part 14: Spleen Yang Deficiency and Stomach Yin Deficiency with Prolonged Menstrual Bleeding”
“Learning Tongue Diagnosis with Teacher Si Series – Part 15: Wind-Cold-Damp Bi Pain with Shao Yang Heat”
“Learning Tongue Diagnosis with Teacher Si Series – Part 16: Dietary Preferences for Fire and Heat”
“Learning Tongue Diagnosis with Teacher Si Series – Part 17: Liver and Stomach Heat with Blood Stasis”
“Learning Tongue Diagnosis with Teacher Si Series – Part 18: Qi Stagnation and Blood Stasis Leading to Leakage”
“Learning Tongue Diagnosis with Teacher Si Series – Part 19: Kidney Yin Deficiency with Internal Heat and Constipation”
“Learning Tongue Diagnosis with Teacher Si Series – Part 20: Liver and Kidney Yin Deficiency with Internal Wind”
“Learning Tongue Diagnosis with Teacher Si Series – Part 21: Liver and Stomach Disharmony”
“Learning Tongue Diagnosis with Teacher Si Series – Part 22: Spleen and Kidney Yang Deficiency with Chronic Diarrhea and Yin Damage”
“Learning Tongue Diagnosis with Teacher Si Series – Part 23: Phlegm-Dampness Obstruction and Internal Wind”
“Learning Tongue Diagnosis with Teacher Si Series – Part 24: Phlegm-Dampness External Attack”
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