Pt comes in for treatment of diarrhea. This began after a trip to a country that they had not visited previously. The diarrhea is accompanied by abdominal pain, a burning sensation, and contains blood. The tongue is red with a yellow coating and the pulse is rapid and forceful.

Bai Tou Weng Tang (Heat Toxin in Stomach and Intestines)

Pt complains of loose BM and occasionally diarrhea. This has been gradually worsening over the last 2 years. The diarrhea can be watery. They also report nausea, mild abdominal pain and poor appetite. You discover that they are not thirsty, and their tongue is pale with a white coating. The pulse is weak.

Li Zhong Tang (Spleen Yang Deficiency)

Pt. complains of diarrhea. It is intermittent but occurs when they are under stress. They also report abdominal pain which improves after a BM. The pulse is wiry and the tongue is pink with a thin white coating.

Tong Xie Yao Fang (Spleen Deficiency due to Overcontrolling Liver (Wood Overacting on Earth))

Pt. complains of diarrhea of several years duration. They also report poor appetite, abdominal bloating, occasional nausea and fatigue. The pulse is weak and thin. The tongue is pale with a thick white coating.

Shen Ling Bai Zhu San (Spleen deficiency with dampness/phlegm)

Pt. complains of fatigue. They tire quickly from physical activity and have shortness-of-breath and dizziness. They also report loose stools and poor appetite. You observe that they are pale and that their voice is weak. They report feeling cold most of the time but occasionally experience feverishness and sweating, usually after exertion. The tongue is pale; the pulse is weak.

Bu Zhong Yi Qi Tang (Spleen and Stomach deficiency with inability to raise the clear Qi) Tonifies the Lung and the Spleen

Pt. complains of fatigue. The fatigue improves if they go for a run, but often they do not have time because they are a student at SIEAM. Other signs/symptoms they report include abdominal bloating, belching, and feeling frustrated and irritable. Upon palpation you discover pain below the ribs and a wiry pulse.

Chai Hu Shu Gan Tang (Liver Qi Stagnation)

Pt. complains of fatigue. They also report a chronic dry cough, dry mouth, shortness-of-breath, and they sweat spontaneously or with mild exertion. They feel warm. The pulse is weak, thin, and rapid; the tongue is red and dry.

Sheng Mai San (Lung Qi and Yin deficiency)

Pt. complains of fatigue. They feel cold all the time and have achy pain in their lower back and knees. Other signs/symptoms include erectile dysfunction and incontinence. The tongue is pale; the pulse is deep and weak.

You Gui Wan (Kidney Yang deficiency)

Pt. complains of dizziness, nausea, sleep disturbed by dreams, occasional palpitations, and anxiety. They report coughing up yellow sputum. The tongue is red with a greasy yellow coating; the pulse is rapid and slippery.

Wen Dan Tang (Heart Phlegm-Heat)

Pt. complains of headache, fatigue, chills, feverishness in the afternoons, and body aches. You find that they also have a generalized sensation of heaviness, poor appetite, and they are not thirsty. The tongue has a greasy coating; the pulse is soggy.

San Ren Tang (Spleen Damp-Heat)

Pt. complains of cough with thick yellow sputum. They also report a sensation of fullness in the chest and nausea. The tongue is red with a greasy yellow coating; the pulse is rapid and slippery.

Qing Qi Hua Tan Tang (Lung Phlegm-Heat)

Pt. complains of headaches and dizziness. They also report irritability, red eyes with pain, and burning urination. The tongue is red with a yellow coating; the pulse is wiry, rapid and forceful.

Long Dan Xie Gan Tang (Liver Fire / Damp Heat)

Pt complains of chronic migraines. These are accompanied by dizziness and tinnitus and their head feels hot. They have insomnia with disturbing dreams. The pulse is wiry and rapid and the tongue is red. They have hypertension, with BP averaging around 160/95 although during periods of stress it can go higher.

Tian Ma Gou Teng Yin (Liver Internal Wind)

Pt comes in for treatment of premenstrual tension and dysmenorrhea. Menstruation is irregular, but about 10 days prior they experience headaches, fatigue, and hypochondriac pain. Closer to the menses they will have breast distention. They also generally have poor digestion, with a tendency towards loose stools. Tongue is pale red; pulse is thin and slightly wiry.

Xiao Yao San (Qi Stagnation with Liver invading Spleen causing Spleen deficiency and causing Liver Blood deficiency)

Pt complains of frequent urination and incontinence. This has been going on for years. The urine is profuse and clear. They also report lower back and knee achiness. Tongue is pale and puffy. Pulse is deep and weak.

Shen Qi Wan (Kidney Yang Deficiency w/ insufficient fire at Ming Men)

Pt. complains of burning urination. Urination is difficult and scanty. Upon palpation and questioning you discover the following: hypochondriac pain; red eyes, occasionally painful; outbursts of anger; wiry rapid pulse; red tongue with yellow coating.

Long Dan Xie Gan Tang (Liver Fire / Damp-Heat)

Pt. complains of a UTI. They have scanty, dark yellow urine with slight burning. This is chronic. They also report lower back pain and restless sleep with night sweating. Pulse is rapid and thin.

Zhi Bai Di Huang Wan (Kidney Yin Deficiency w/ Deficiency Heat)

Pt. complains of depression. They describe low mood, no motivation to undertake activities that they once enjoyed. Other signs/symptoms you uncover include chronic low back achiness, frequent urination which is clear, nocturia several times per night. They report always feeling cold. The tongue is pale; the pulse is deep and weak.

You Gui Wan (Kidney Yang deficiency)

Pt. complains of depression. They feel frustrated and irritable. Other signs/symptoms they report include abdominal pain, loose BM with occasional diarrhea, and dysmenorrhea. They also report cold hands and feet but do not feel cold overall. The tongue is red; the pulse is wiry.

Si Ni San (Liver Qi Stagnation / Liver-Spleen Disharmony)

Pt. complains of depression. They are tired and easily frustrated. Other signs/symptoms include poor appetite, loose BM and pain under the ribcage; dysmenorrhea, with scanty menstruation; dry eyes; headaches; the pulse is wiry but thin; the tongue is pale red.

Xiao Yao San (Liver Blood and Spleen Deficiency)

Pt. complains of heartburn. This can occur before or after eating. Upon palpation you discover tenderness under the ribs, both sides. Other signs/symptoms include dry mouth and throat, headaches, and irritability. The tongue is red and dry with little coating; the pulse is thin, slightly rapid, and slightly wiry.

Yi Guan Jian (Liver Yin Deficiency with Qi Stagnation)

Pt. complains of heartburn which is worse after eating. Other signs/symptoms include abdominal bloating, hypochondriac pain, frequent belching, nausea, poor appetite, occasional cough with sputum. They also report depression and irritability. The tongue is red with a greasy coating; the pulse is slippery.

Yue Ju Wan (Liver Blood Stasis "Six Stagnations")

A patient has a chief complaint of dizziness. This occurs primarily upon standing up. They also report SOB, fatigue, poor appetite, and loose BM. The pulse is weak; the tongue is pale. What is your diagnosis and which formula would you recommend?

Bu Zhong Yi Qi Tang (Spleen Qi deficiency with inability to raise the clear qi)

A 30 year-old patient, AFAB, reports prolonged menstrual bleeding. The period starts with 1-2 days of moderate flow, followed by up to 10 days of very light flow or spotting. They also report anxiety, insomnia, poor appetite, and fatigue. The tongue is pale and the pulse is thin and weak. What is the diagnosis and which formula would you choose?

Gui Pi Tang (Spleen Qi and Heart Blood deficiency)

A patient has a chief complaint of nausea and GERD. These can occur after eating or on an empty stomach. They also report fatigue and weakness, loose BM and poor appetite, and coughing with copious thin, white sputum. The pulse is weak and the tongue is pale with a greasy white coating. What is your diagnosis and which formula would you recommend?

Liu Jun Zi Tang (Spleen Qi deficiency with Phlegm)

A patient complains of loose bowel movements. The stool is sticky. They also report low appetite and they are not thirsty. Upon further questioning you discover that they feel warm and have a generalized sensation of heaviness. The pulse is soggy and slightly rapid. What is your diagnosis and which formula would you recommend?

San Ren Tang (Middle Burner Damp-Heat)

A pt. reports a chronic cough. They don't recall the date of onset but it has been gradually worsening over the past year. They expectorate small amounts of clear sputum. The cough worsens during and following exertion and they experience shortness-of-breath and frequently catch colds. Their pulse is weak and the tongue is pale. What is the diagnosis and what formula would you recommend?

Bu Fei Tang (Lung Qi Deficiency)

A pt. complains of a cough. They have profuse white sputum. They also report nausea and a fullness sensation in the chest. The pulse is slippery and the tongue has a thick white coating. What is the diagnosis and what formula would you recommend?

Er Chen Tang (Lung Damp-Phlegm)

Pt complains of fever, of 102F. However, they feel very cold. They report body aches, neck stiffness, and cough. The pulse is tight and floating. What is the diagnosis and which formula would you choose?

Ma Huang Tang (Wind-Cold in the Exterior)

Pt complains of fever and coughing/wheezing. They feel warm but have not taken their temperature. They report being thirsty. The pulse is rapid. The tongue is red with a light yellow coating. What is the diagnosis and which formula would you choose?

Ma Xing Shi Gan Tang (Lung Heat)

Pt complains of fever in the afternoons and especially at night, at which time they experience sweating. They also report a dry, sore throat and dry cough with scanty, occasionally blood-streaked sputum. The pulse is thin, weak, and rapid. The tongue is red with no coating. What is the diagnosis and which formula would you choose?

Bai He Gu Jin Tang (Lung and Kidney Yin Deficiency)

A pt. complains of a cough. They report sticky yellow sputum, chest fullness/distention, and nausea. You observe a red tongue,with a greasy yellow coating and a slippery, rapid pulse. What is your diagnosis and which formula would you recommend?

Qing Qi Hua Tan Tang (Lung Phlegm-Heat)

A patient comes in with a chief complaint of insomnia. They are very restless at night, feeling hot and being disturbed by night sweating. They also have anxiety with palpitations. They have a very difficult time concentrating on their work and are very forgetful. They also report dry stools and occasional sores on their tongue. What is your diagnosis and which herb formula would you recommend?

Tian Wang Bu Xin Dan (Heart and Kidney Yin Deficiency)

A patient complains of restless insomnia. They also report depression, with anxiety, sadness, and crying spells. The pulse is thin and the tongue is pink with a thin white coating. What is the diagnosis and which formula would you choose?

Gan Mai Da Zao Tang (Zang Zao)

A patient complains of palpitations. They also report fatigue, anxiety, insomnia, poor memory and inability to concentrate. They have loose BM. They also report depression and insomnia and prolonged menstrual bleeding. The pulse is thin and weak; the tongue is pale. What is the diagnosis and which formula would you recommend?

Gui Pi Tang (Spleen Qi and Heart Blood deficiency)

A patient complains of palpitations. They also report anxiety, shortness of breath, and constipation. The pulse is irregular; the tongue is pale. What is the diagnosis and which formula would you recommend?

Zhi Gan Cao Tang (Heart Qi and Blood Deficiency)

A patient complains of palpitations. They are accompanied by chest pain and hypochondriac pain. They also report depression and insomnia. The pulse is wiry; the tongue is dark red with purple spots. What is the diagnosis and which formula would you recommend?

Xue Fu Zhu Yu Tang (Heart Blood Stagnation in Chest)

A patient complains of headaches. These are accompanied by a sensation of heat rising the head. They also report dizziness, tinnitus, and insomnia. You find that their blood pressure is slightly elevated. The pulse is wiry and rapid and the tongue is red. What is you diagnosis and which formula would you recommend?

Tian Ma Gou Teng Yin (Liver Yang Rising)

A patient complains of chest pain. Upon palpation you discover the pain is below the ribs bilaterally. You observe that they sigh repeatedly. They also report feelings of frustration and anger, and abdominal bloating with frequent belching. The pulse is wiry. What is your diagnosis and which formula would you recommend?

Chai Hu Su Gan San (Liver Qi Constraint)

A patient complains of lower back pain. This is accompanied by a sensation of weakness and coldness in the lower body. You observe pitting edema in the lower legs. The pulse is weak, especially in the proximal positions. The tongue is pale and puffy, with a wet, white coating. What is your diagnosis and which formula would you recommend?

Shen Qi Wan (Kidney Yang Deficiency)

A patient complains of dry eyes and that their vision has worsened, especially at night. Upon questioning you find that they also have soreness in their lower back, dizziness, tinnitus, and occasional sensations of feverishness and night sweating. The tongue is red with no coating; the pulse is thin, weak, and rapid. What is your diagnosis and which formula would you recommend?

Qi Ju Di Huang Wan (Liver and Kidney Yin Deficiency)

A patient complains of dysmenorrhea. They also report abdominal pain, diarrhea, and cold extremities. Upon palpation you find tension under the ribs. The hands do feel cold although their abdomen is warm. The pulse is wiry. What is the diagnosis and which formula would you recommend?

Si Ni San (Liver Qi Stagnation)

A patient comes in for treatment of infertility. Their menstrual cycle is 35-40 days. The period is 3 days and the flow is light, with pale blood. Other symptoms include a pale complexion, dizziness upon standing, fatigue, poor appetite and loose BM. The pulse is thin and weak; the tongue pale with a white coating. What is the diagnosis and which formula would you recommend?

Ba Zhen Tang (Qi and Blood Deficiency affecting the Lung/Spleen/Heart)