Early morning diarrhea

Chief Complaint: Early morning diarrhea which is worse just before and during menses

Medical History: Generally nervous person, tends to internalize stress. Too much cold and sweet food. Exercises daily. Drinks wine several times per week. Previous antibiotic use with subsequent yeast infections.

Questioning exam: Symptoms worse with period.
Symptoms worse in the winter. Symptoms worse with stress.

Pulse exam: wiry pulse which is slightly slow, very thin

Tongue exam: Puffy, pale, thin white coat, slightly purple body

OM Diagnosis: Liver Qi stagnation overacting on the spleen, over time this combined with poor eating habits caused the Spleen yang to get week.

Treatment Principle: Regulate Liver Qi, Warm spleen Yang

Point Prescription: Right side: LI4, SJ5, Sp9, LV3
Left side: P6, St36, St37, GB41
Also: R6 with moxa cones

Herbal Formula: Herbal Pills:

1)Mu Xiang Shun Qi Wan - 8 pills 3x/day

2)Xiang Fu Li Zhong Wan -8 pills 3x/day

3)Pro Biotics - 2 pills daily

After symptoms were gone for 1 month, I replaced Xing Fu Li Zhong Wan for Dang Gui Teapills.

Lifestyle prescription: Eat warm, cooked foods. Minimize alcohol and sugar consumption.

Results: Excellent results. Over the course of two menstrual cycles the chronic diarrhea gradually reduced, and now, 3 months later, all symptoms are gone. She also has better periods, and more energy, and feels less nervouse.

Synopsis: Good Result.