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Chinese Symptomology SIGNS & SYMPTOMS OF LIVER DEPRESSION INCLUDE:Irritability ~PMS ~Breast distention and pain ~Possible ribside distention and pain ~A bowstring pulse ~SIGNS & SYMPTOMS OF SPLEEN VACUITY INCLUDE:Fatigue ~Lack of strength ~Possible lack of appetite ~Possible loose stools ~An enlarged tongue with teethmarks on its edges and/or cracks in its center ~SIGNS & SYMPTOMS OF DEPRESSIVE HEAT INCLUDE:A dark red tongue with yellow fur ~Possible swelling and redness of the rims of the tongue ~A bitter taste in the mouth on arising ~A rapid pulse ~SIGNS & SYMPTOMS OF HEAT ENTERING THE BLOOD ASPECT:The above signs and symptoms of liver depression and depressive heat, plusPathological bleeding ~Red, possibly dark skin rashes ~Vexation and agitation Western Symptomology A liverspleen disharmony with depressive heat, especially depressive heat which has entered the blood aspect or division manifesting as irregular menstruation, uterine bleeding, dysmenorrhea, abnormal vaginal discharge, breast distention, premenstrual syndrome (PMS), climacteric disorders, chronic hepatitis, pleurisy, chronic gastritis, peptic ulcer, insomnia, central retinitis, and psychoemotional depression Actions Harmonizes the liver and spleen, clears heat and resolves depression, clears heat from the blood aspect or division Pattern A liverspleen disharmony with depressive heat, especially depressive heat which has entered the blood aspect or division Ingredients Mu Dan Pi (Cortex Moutan) 102.3 mg ~ Zhi Zi (Fructus Gardneiae) 102.3 mg ~ Chai Hu (Radix Bupleuri) 102.3 mg ~ Dang Gui (Radix Angelicae Sinensis) 102.3 mg ~ Bai Shao (Radix Alba Paeoniae) 102.3 mg ~ Bai Zhu (Rhizoma Atractylodis Macrocephalae) 102.3 mg ~ Fu Ling (Poria) 102.3 mg ~ Gan Cao (Radix Glycyrrhizae) 33.9 mg Within this formula, Dan Pi (Cortex Moutan), and Zhi Zi (Fructus Gardneiae), clear heat and resolve depression and especially clear heat from the blood aspect. Chai Hu (Radix Bupleuri), courses the liver and resolves depression. The combination of Dang Gui (Radix Angelicae Sinensis), and Bai Shao (Radix Alba Paeoniae), nourishes the blood and emolliates the liver. Because Dang Gui is somewhat aromatic, it moves the qi, but because it is sweet, it also relaxes tension. Therefore, it is an essential medicinal for treating liver depression with blood vacuity. Bai Zhu (Rhizoma Atractylodis Macrocephalae), and Fu Ling (Poria), fortify the spleen and eliminate dampness. Mixfried Gan Cao (Radix Glycyrrhizae), boosts the qi and supplements the center as well as relaxes the liverís tension. It is the assistant medicinal in this formula. This formula is a modification of Xiao Yao San (Rambling Powder) from the Tai Ping Hui Min He Ji Ju Fang (Tai Ping Imperial Grace Formulary). As such, it comes from the late Qing dynasty Nei Ke Zhai Yao (The Selected Essentials of Internal Medicine) published in the mid 19th century.