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A disease pattern arising when persistent dampness encumbering the spleen and stomach affects the liver’s free coursing function. The main signs are distension and pain in the chest, rib-side, stomach duct, and abdomen, and torpid intake with sloppy stool. Other signs include constrained affect-mind, vexation, agitation, and irascibility, rib-side pain and distension, nausea, lassitude of spirit and lack of strength, fatigued cumbersome limbs, withered-yellow facial complexion, short voidings of scant urine, in severe cases with puffy swelling, and yellowing of the eyes and skin. The tongue fur is yellow and slimy or thick and slimy. The pulse is soggy and moderate or fine and stringlike.

Analysis: When dampness evil causes internal obstruction, qì dynamic is inhibited, hence the distension and pain in the chest, rib-side, stomach duct, and abdomen. When the spleen’s movement and the stomach’s harmonious downbearing are impaired, there is torpid intake, sloppy stool, and nausea. When dampness obstructs qì dynamic, and the movement of qì and blood is inhibited, there is lassitude of spirit, fatigued cumbersome limbs, and withered-yellow facial complexion. When dampness obstructs the liver and gallbladder, bile does not keep to its normal path, but spills out, hence the yellow skin and eyes. When exuberant internal dampness affects bladder qì transformation, there are short voidings of scant urine. When dampness floods the skin and flesh, there is puffy swelling of the limbs. When the liver’s free coursing action is impaired, constrained affect mind, or vexation, agitation, and irascibility are observed. The slimy tongue fur reflects the spleen dampness. The pulse is soggy and moderate when spleen dampness is dominant and is fine and stringlike when liver depression is dominant.

Medicinal therapy: Use Costusroot and Amomum Six Gentlemen Decoction (香砂六君子汤 xiāng shā liù jūn zǐ tāng) combined with Bupleurum Liver-Coursing Powder (柴胡疏肝散 chái hú shū gān sǎn).

Acumoxatherapy: Base treatment mainly on CV, back transport points, ST, SP, and LR. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), LR-13 (Camphorwood Gate, 章门 zhāng mén), ST-25 (Celestial Pivot, 天枢 tiān shū), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), BL-20 (Spleen Transport, 脾俞 pí shù), BL-18 (Liver Transport, 肝俞 gān shù), GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán), PC-6 (Inner Pass, 内关 nèi guān), LR-3 (Supreme Surge, 太冲 tài chōng), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with drainage or with even supplementation and drainage, and, if appropriate, add moxa.

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