Case of 加減瀉白散 (Jiājiǎn xiè bái sǎn)// Modified White-Draining Powder's case

1) Female, 35 years old

Protruding eyes

Pale face

The throat has a smell of fish, ammonia, and alcohol.

She experiences shortness of breath and despite 10 years of treatment, it has not been cured.

Itchy nose, sore mouth, occasional fever, and hives, usually at night and in summer.

Severe menstrual cramps and occasional lower abdominal pain.

There are signs and symptoms of phlegm-dampness.

加減瀉白散 Jiājiǎn xiè bái sǎn (from 東醫寶鑑 Dong Yi Bo Gam)

[Deep understanding and adaptation] 

The patient's protruding eyes indicate the presence of fever.(yang ming type, copious blood and qi) The pale face suggests a lung-related issue. Shortness of breath and a fishy smell are symptoms of liver disease. Considering the form and color, the basic formula is 瀉白散. However, in this case, there is a strong fishy smell, so 加減瀉白散 from the [口舌門 on 東醫寶鑑] category was prescribed.

2) Male, 61 years old

Many wrinkles on the forehead.

He had a history of pulmonary tuberculosis and had experienced coughing.

Coughing with wheezing, accompanied by a fishy smell from the mouth.

There is phlegm in the throat.

加減瀉白散 Jiājiǎn xiè bái sǎn (from 東醫寶鑑 Dong Yi Bo Gam)

[Correspondence and Transformation]

The wrinkles on the forehead are related to the lungs. Considering the patient's past medical history and current symptoms, the appropriate prescription is 加減瀉白散 from the [ 口舌門] category.

The source from 芝山刑象醫案