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Chinese Symptomology Signs & symptoms of liver depression qi stagnation include: * Irritability * Cold hands as a stress response * Chest and ductal distention and fullness * Rib-side distention and pain * Abdominal pain * A bowstring pulseSigns & symptoms of depressive heat include (but may not be present): * A bitter taste in the mouth * Constipation with dark stools * A red tongueSigns & symptoms of spleen qi vacuity include: * Vomiting * Diarrhea * Lack of appetite Western Symptomology Liver-spleen disharmony resulting in 1) disorders characterized by spasmodic pain, such as cholecystitis/cholelithiasis, gastritis, gastric prolapse, peptic ulcers, allergic colitis, appendicitis, adhesive intestinal obstruction, pancreatitis, urolithiasis, and dysmenorrhea; 2) disorders related to psycho-emotional stress, such as neurogenic headache, premenstrual syndrome, impotence, coronary artery disease, stress incontinence, enuresis, and peri- and menopausal syndromes; and 3) disorders characterized by inpatent excretions or secretions, such as rhinitis, acute mastitis, fallopian tube blockage, and encapsulated periappendical abscesses. Other possible indications include intercostal neuralgia, trigeminal neuralgia, epilepsy, autonomic dystonia, hepatitis, and epidemic hemorrhagic fever. Actions Out-thrusts depression, soothes the liver, and regulates the spleen Pattern Liver-spleen disharmony Ingredients Bai Shao (Radix Alba Paeoniae) 250 mg ~ Chai Hu (Radix Bupleuri) 187.5 mg ~ Zhi Shi (Fructus Immaturus Aurantii) 187.5 mg ~ mix-fried Gan Cao (Radeix Glycyrrhizae) 125 mg Within this formula, Chai Hu courses the liver and rectifies the qi. Zhi Shi moves the qi, breaks stagnation, and disperses accumulation, thus aiding the movement and transformation of the spleen. Bai Shao nourishes the blood and relaxes the liver. When combined with Chai Hu, these two medicinals together harmonize the liver (qi and blood). Gan Cao combined with Bai Shao relaxes urgency and stops pain. This formula comes from Zhang Zhong-jing’s late Han dynasty Shang Han Lun (Treatise on Damage [Due to] Cold).