Dysentery attributed to damage to spleen yáng by congealing stagnation of cold qì after excessive consumption of raw, cold, or unclean foods in hot weather. The stool is largely pure white (i.e., a high content of pus-like substance) or white with a little red (blood), and either thin in consistency with a fishy smell or gluey. The pulse is slow and the tongue fur is white.
Medicinal therapy: Use Center-Rectifying Decoction (理中汤lǐ zhōng tāng) plus chebule (Chebulae Fructus, 诃子hē zǐ), nutmeg (Myristicae Semen, 肉豆蔻ròu dòu kòu), costusroot (Aucklandiae Radix, 木香mù xiāng), and amomum (Amomi Fructus, 砂仁shā rén). If the stool has the appearance of duck’s droppings, and the sagging sensation in the abdomen is not pronounced, it can be treated with Priceless Qì-Righting Powder (不换金正气散bù huàn jīn zhèng qì sǎn) plus mume (Mume Fructus, 乌梅wū méi), and tangerine peel (Citri Reticulatae Pericarpium, 陈皮chén pí). If the stool is clear (i.e., clean) and the limbs are cold Center-Rectifying Decoction (理中汤lǐ zhōng tāng) or Ginger and Aconite Decoction (姜附汤jiāng fù tāng) may be used.
Acumoxatherapy: Base treatment on ST, LI, and CV, select LI-4 (Union Valley, 合谷 hé gǔ), ST-25 (Celestial Pivot, 天枢 tiān shū), ST-37 (Upper Great Hollow, 上巨虚 shàng jù xū), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), and CV-6 (Sea of Qì, 气海 qì hǎi) and needle with drainage with moxa.
Point selection according to sign: For stool bearing the appearance of duck’s droppings, add ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ) and SP-4 (Yellow Emperor, 公孙 gōng sūn). For cold limbs and clear stool, add BL-20 (Spleen Transport, 脾俞 pí shù) and BL-23 (Kidney Transport, 肾俞 shèn shù), applying moxa in large amounts. For persistent conditions needle with supplementation with moxa at ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), CV-4 (Pass Head, 关元 guān yuán), and BL-20 (Spleen Transport, 脾俞 pí shù).