A 29-year-old patient comes into your clinic complaining of feeling quite irritable, frustrated, and even on the verge of tears sometimes. They want to get a handle on these feelings, so they do not end up snapping at their coworkers. Nothing seems to be wrong in their life; they enjoy their job and family life, so they are unsure why they feel this way.
the patient also has pain of the abdomen and side ribs
lately they haven’t been able to exercise as much as usually due to working passionately on a large job for an important client
their bowels haven’t been moving quite as regularly as usual
ever since they started working on this large job, their menstrual cycle has become irregular and their irritability is worse premenstrually
Question 31: Which of the following is the best herbal formula for this patient?
Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction)
Tao Hong Si Wu Tang (Four-Substance Decoction with Safflower and Peach Pit)
Xiao Yao San (Rambling Powder)
Chai Hu Shu Gan San (Bupleurum Powder to Spread the Liver)
Why is this CHAI HU SHU GAN SAN over XIAO YAO SAN? What are the cardinal signs to differentiate here?