bǎi yè tāng is used for patterns with
middle jiao qi xu cold with liver yang rising, spleen qi unable to govern the blood.
symptoms indicating the use of bǎi yè tāng
incessant vomiting or spitting up of dark blood or nosebleeds, wan face.
western interpretation of bǎi yè tāng
acute hemorrhagic esophagitis, hemorrhagic gastritis, bleeding from peptic ulcer.
explanation of the mechanism
this is cold from deficiency affecting the middle qi and results in the failure of the spleen qi to govern the blood. this is accompanied by ascendant liver yang which induces the upward-movement of uncon-trolled blood and causes incessant vomiting or spitting up of blood or nosebleeds.
although this pattern involves an aspect of ascendant yang, examination should reveal a clear predominance of spleen qi deficiency which is failing to govern the blood. this will include such characteristic signs of cold from deficiency of the middle qi as a wan complexion, a pale tongue with a thin coating, and a deficient, rapid, and forceless pulse.
(bensky & barolet)
important note: if you experience symptoms that resemble the ones presented in the tcm pocketguide please consult a medical doctor or tcm therapist. these prescriptions are not meant for self-medication and should only be prescribed by a licensed tcm practitioner. of course you can also book a consultation with me. i would be pleased to welcome you.
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