Xiao Ke is divided into three basic patterns: upper, middle and lower. Upper Xiao Ke has excessive thirst as the most prominent symptom, while middle Xiao Ke has excessive hunger, and lower Xiao Ke has excessive urination. In clinical practice these patterns are often mixed together. Today we'll cover upper Xiao Ke.
As we noted yesterday, a TCM disease diagnosis is accompanied by a TCM pattern diagnosis. For the disease Xiao Ke, the pattern diagnosis of Lung Heat with Injury to Fluids is given when excessive thirst predominates.
The clinical signs are excess thirst, high fluid intake and dry mouth, along with frequent urination and excess hunger. The pulse is rapid, the tongue has a dry red tip with a thin yellow coating. The treatment method is to clear heat, moisten the lung, generate fluid and relive thirst.
Prescription: Xiao Ke Fang (Wasting Thirst Formula)
Tian Hua Fen 15g (trichosanthes)
Huang Lian 6g (coptis)
Sheng Di Huang 15g (rehmannia)
Sheng Jiang 3g (fresh ginger)
Xian Ou Zhi 50cc (fresh lotus root juice, stirred in)
Feng Mi 20g (honey)
Ren Ru Zhi 50cc (human or cow's milk, stirred in)
Ge Gen 15g (pueraria)
Mai Men Dong 12g (ophiopogon)
These ingredients are cooked together (except the lotus root juice and the milk) in water for about 30 minutes. After they are done, the other ingredients are added and stirred in.
This prescription was taken from Practical Therapeutics of Traditional Chinese Medicine, by Yan Wu and Warren Fischer.
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