Treatment of spleen deficiency and liver meridian damp-heat (liver meridian feeling damp-heat evil qi) is based on the principle of tonifying the spleen and clearing liver and gallbladder damp-heat (damp-heat evil qi accumulating in the liver and gallbladder), and can be treated with Longgibi Diarrhea Liver Tang combined with Sijunzi Tang.
Liver meridian damp-heat with spleen deficiency may present with symptoms such as coercive and rib pain, abnormal mood, bitter mouth, headache and red eyes, tinnitus and deafness, loss of appetite, and weakness, etc. Sijunzi Tang can be combined with Longgian Diarrheal Liver Tang for evidence-based treatment.
Gentian Diarrhea Liver Tang has the effect of clearing dampness and heat in the liver and gallbladder and is composed of gentian herb, gardenia, scutellaria, chaihu, raw huangdi, psyllium, zedoaria, and raw glycyrrhiza. Sijunzi Tang has the effect of benefiting qi and strengthening the spleen (regulating the qi of the spleen and stomach) and is composed of ginseng, atractylodes, poria, and roasted licorice.
Gentian Diarrhea and Liver Soup is bitter and cold, which is easy to injure the spleen and stomach, so it is not suitable for the symptoms of spleen and stomach deficiency and hyperactivity of yin and yang (deficiency of yin fluid and hyperactivity of yang qi). It is recommended to use the medicine under the guidance of a professional Chinese medicine practitioner, not self-medication.