Lifelong, constitutional constipation on and off.
Night sweats, dryness of mouth/throat, insomnia, constant heat sensation, continuously sipping water.
Indicates deep interior heat and severe body fluid injury from dry-heat.
Thready shows Yin/Blood deficiency; Wiry indicates Liver; Rapid confirms Heat.
Diagnostic Assessment & Pattern Identification
Analyze the patient's symptoms, tongue, and pulse. What is the correct underlying pattern of disharmony according to traditional diagnostic criteria?
Formulating the Treatment Strategy
Every successful TCM prescription relies on a deliberate treatment plan targeting both Root (Ben) and Manifestation (Biao). Map each patient presentation to its corresponding treatment principle.
Presentation A
Dry mouth, red dry tongue, rapid pulse, and a constant feeling of heat.
Presentation B
Chronic, lifelong constipation (Biao) requiring gentle lubrication.
Presentation C
Disruptive night sweats accompanied by insomnia.
Herb Cabinet: Module Selection
Consult The Book of Modules. Choose the most precise herbal combination for each of our three treatment objectives.
1. Nourish Kidney & Liver Yin, Subdue Yang, Clear Heat Required
2. Moisten Intestines (Lubricate chronic constipation & regulate peristalsis) Required
3. Relieve Night Sweats & Calm the Shen (Insomnia) Required
Dosing Decisions & Customizations
Dosing is where clinical theory meets the actual patient. Determine the target dosing weight ranges based on TCM principles, and decide if you want to optimize for fluid production.
Module 1 (Yin Def)
Addresses the long term, constitutional Liver/Kidney Yin deficiency.
Module 2 (Constipation)
Addresses the chief complaint (lifelong, bothersome constipation).
Module 3 (Night Sweats)
Addresses the distressing acute presentation of night sweats & insomnia.
Check this option to clinically boost the specific herbs within your selected modules that have the direct secondary function of promoting fluids and relieving intense dryness.
Final Formula Prescription & Clinical Summary
Below is the complete compound herbal prescription compiled from your modular choices. Review the final dosage adjustments and clinical rationale.
Module 1: Nourish Liver & Kidney Yin / Clear Heat
Module 2: Moisten Intestines (Chief Complaint Priority)
Module 3: Astringe Night Sweats & Calm the Shen
Clinical Takeaway:
- Modularity: Traditional formulas can be parsed, stacked, and adjusted according to symptoms.
- Dosage Balance: The chief complaint (Constipation) is dosed at the higher end of the ranges, while the constitutional chronic base (Yin Def) is treated slowly with low-to-mid range dosages.
- Targeted Fluid Promotion: Active fluid-promoting herbs (Sheng Di, Zhi Mu, Huo Ma Ren, Wu Wei Zi) can be elevated individually inside their modules when profound dryness manifests.