Ms. Chen, 42 years old, had been experiencing dull pain in her lower abdomen and yellow vaginal discharge for the past six months. Due to her busy work schedule, she never took it seriously until she had a physical examination at her workplace two months ago, when an ultrasound examination showed a right ovarian cyst measuring 2.3 cm × 2.7 cm. She was given anti-inflammatory drugs and intravenous infusions by a Western doctor for 10 days, but the symptoms did not improve, so she sought treatment from a traditional Chinese doctor. Examination: dull pain and discomfort in the right lower abdomen, yellow vaginal discharge, normal menstrual cycle and menstrual volume, dry and hard stool, one bowel movement every 2-3 days, good appetite, poor sleep at night, red tongue, yellow and greasy tongue coating, slippery pulse. TCM diagnosis is damp-heat internal accumulation type of stagnation, treatment is to clear away heat, detoxify and eliminate dampness, supplemented by phlegm-resolving, dispersing and reducing swelling. Prescription: Viola yedoensis, dandelion, Prunella vulgaris, Belamcanda chinensis, Patrinia suspensa, Forsythia suspensa, Scutellaria barbata, Coix seeds, Red vine, Golden vine, Plantago, Alisma orientalis, Curcuma, Fritillaria thunbergii, Licorice. Decoction in water and take 3 times, 1 dose per day. During the treatment, avoid spicy food, keep a happy mood, and avoid fatigue. After taking 20 doses, Ms. Chen came back for a follow-up visit: the pain in her lower abdomen on the right side had disappeared, her bowel movements were normal, and an ultrasound examination showed no abnormalities in the uterine appendages, and her disease was cured. Explanation of the prescription: Forsythia suspensa, dandelion and Viola yedoensis in the prescription clear away heat, detoxify and resolve nodules; Patrinia suspensa, Belamcanda chinensis, Caulis spatholobi, Scutellaria barbata and Rhizoma scutellariae clear away heat and detoxify; Caulis spatholobi and Rhizoma scutellariae also have the effect of promoting blood circulation; Curcuma aromatica promotes blood circulation, promotes qi and relieves pain; Fritillaria thunbergii and Spica prunellae soften and resolve nodules; Plantago seed, Alisma orientalis and Coix seed promote diuresis and eliminate dampness; Coix seed also strengthens the spleen to prevent other drugs from damaging the body; Licorice harmonizes all the drugs. |
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