Dysentery Li Ji

Question 1

Abdominal pain, tenesmus, stools mixed with both pus and blood, burning sensation in the anus, dark scanty urine, irritability, thirst, fever and in some cases, aversion to cold in the early stages.
Tongue: yellow slimy coating
Pulse: rapid, slippery

Answer 1

Damp-heat dysentery
Shao Yao Tang
(Peony Decoction)
LI4, ST25, ST37, LI11, SP9

Question 2

Sudden onset of illness, high fever, thirst, headache, irritability, loss of consciousness with convulsions in severe cases, acute abdominal pain, tenesmus, stools mixed with pus and blood.
Tongue: dark red with dry yellow coating
Pulse: rapid, slippery

Answer 2

Epidemic toxic dysentery
Bai tou weng Tang
(Pulsatilla Decoction)
LI4, ST25, ST37, DU14

Question 3

Sticky stools mixed with pus and blood (pus being more predominant) abdominal pain, tenesmus, oppression in the chest and fullness of the epigastrium, aversion to cold and preference for warmth, loss of appetite, no apparent thirst, heaviness of the head and limbs.
Tongue: pale with white slimy coating
Pulse: soft, tardy

Answer 3

Cold-Dampness dysentery
Wei Ling Tang
(Stomach-calming poria five Decoction)
LI4, ST25, ST37, SP9, Ren12

Question 4

Stools mixed with pus and blood, elimination of fresh blood and thick mucus (in some cases), burning pain in the abdomen, loss of appetite, irritability, thirst.
Tongue: dark red with little coating
Pulse: rapid, thready

Answer 4

Yin Vacuity dysentery
Zhu Che wan
(Carriage-halting Pill)
LI4, ST25, ST37, KD6, SP6

Question 5

Liquid stools mixed with pus, incontinence of stools (in severe cases), dull cold abdominal pain, loss of appetite, fatigue, physical cold, cold extremities, lower back ache.
Tongue: pale with white coating
Pulse: deep, thready

Answer 5

Vacuity-Cold dysentery
Zhen Ren Yang Zang Tang
True man viscus-nourishing Decoction
LI4, ST25, ST37, UB20, UB23

Question 6

Recurring dysentery showing no improvement over an extended time, abdominal pain, tenesmus, stools mixed with both pus and blood during attacks of dysentery, tiredness, fatigue, lethargy and loss of appetite.
Tongue: pale with slimy coating
Pulse: thready

Answer 6

Chronic intermittent dysentery
Lian Li Tang
(Coptis rectifying Decoction)
LI4, ST25, ST37, Ren4, ST36