I. Case Overview

Item	Details
Patient	Mr. Hong, male, 36 years old
Chief Complaint	Recurrent diarrhea with blood in stool; ~5 bowel movements per day
History	Ulcerative colitis, recurrent for 12 years
Initial Consult	August 6, 2026
Tongue	Pale tongue body, white coating
Pattern	Spleen deficiency with damp accumulation; damaged intestinal collaterals; mixed cold-heat

💬 Follow-up (patient's own words): "Master, this patient has fully recovered after taking your prescription, and has also given up milk and dairy." — From "years of recurrence" to "cured in ten doses," the key lies not only in the herbs, but in cutting off the source.

II. Etiology: The Root Lies in Years of Accumulation

This disease persisted for twelve years, with a strong association to chronic antibiotic abuse. Residual antibiotics in farmed fish, shrimp, and poultry continuously damage the gut microbiota and intestinal mucosa — a major reason the condition remained intractable.

Core principle: Discontinue all Western drugs and antibiotics; cut off the pathogenic source before any harmonization can take place.

Through the TCM holistic lens, the pathogenesis unfolds in three layers:

Layer	Manifestation	Treatment Principle
Spleen Deficiency (root)	Chronic diarrhea, pale tongue with white coat, failing to hold	Fortify spleen, boost qi, strengthen the root
Damp-Turbidity (manifestation)	Loose stool, borborygmus, recurrent stickiness	Aromatically transform dampness, dry with bitter-warm herbs
Damaged Intestinal Collaterals	Blood in stool, mucosal injury, chronic disease entering the collaterals	Harmonize qi and blood, protect and generate the mucosal lining

Dr. Wu's insight: Treat the disease by seeking its root. Without cutting off external pathogenic sources, even the most precise formula is merely "bailing out a flooded boat." Source-cutting + strict avoidance creates true, lasting resolution.

III. Lifestyle & Dietary Orders (Equal in Importance to the Prescription)

The single most important element of this case was not "what to take," but "what to stop and what to avoid."

❌ Strictly eliminate milk and all dairy products (including yogurt, cheese, cream, etc.)
❌ Avoid spicy, greasy, and raw/cold foods
❌ Discontinue all antibiotics and related Western medications
❌ Avoid fish, shrimp, and poultry with antibiotic residues (intensive-farming aquaculture and fast-growing poultry deserve special caution)

🔔 Important note: In modern intensive animal farming, fish, shrimp, and poultry are often given large quantities of antibiotics to accelerate growth. This widespread antibiotic use is a key etiological factor in ulcerative colitis — a non-negotiable boundary repeatedly emphasized in this case.

IV. Treatment Protocol

(A) Internal Decoction: Fortify Spleen, Transform Dampness, Warm the Center, Harmonize the Intestines

Directions: 10 doses total; 1 dose per day, decocted in water and taken warm.

Group Herbs (Dosage) Therapeutic Role Aromatic Damp-Transforming · Move Qi Huoxiang (Agastache) 10g, Dafupi (Areca peel) 10g, Suye (Perilla leaf) 6g, Baizhi (Angelica root) 5g Awaken spleen, transform dampness, disperse stagnant qi Fortify Spleen · Warm Center · Support Zheng Qi Baizhu (Atractylodes) 10g, Fuling (Poria) 15g, Gancao (Licorice) 5g, Ganjiang (Dried ginger) 6g, Hongzao (Red dates) 3 pcs, Wuzhaolong 10g Fortify spleen and qi, warm the middle burner Move Qi · Dry Dampness · Transform Phlegm Houpo (Magnolia bark) 10g, Chenpi (Tangerine peel) 5g, Fabanxia (Pinellia) 5g Dry dampness, descend rebellious qi, harmonize the stomach Relieve Food Stagnation Shenqu (Medicated leaven) 15g Transform food, assist spleen transportation

Formula rationale:

Huoxiang, Suye, Baizhi aromatically transform dampness and disperse stagnation in the intestines;
The Four Gentlemen base (Baizhu, Fuling, Gancao, Hongzao) fortifies spleen qi and secures the root;
Houpo, Banxia, Chenpi dry dampness with bitter-warm properties and descend rebellious qi;
Ganjiang and Wuzhaolong warm the center and assist transportation (Wuzhaolong also tonifies spleen qi);
The whole formula tonifies without stagnation, warms without drying — addressing root and manifestation simultaneously.

(B) External Navel Therapy (Prescription ③): Huoxiang Zhengqi Shui Application

Item Details Medicine Taiji brand Huoxiang Zhengqi Shui (Agastache Qi-Righting Liquid), 1 box Method Each evening, soak a cotton ball in the liquid and apply to the navel (Shenque / CV8 point) Duration 6–10 hours per application Frequency Every other day

📍 > Mechanism> : The Shenque point (navel) has thin, concave skin with rich vascularity, allowing easy herbal penetration. > Huoxiang Zhengqi Shui aromatically transforms dampness and regulates qi in the stomach> ; applied externally it reaches the affected area directly, working in concert with the internal decoction for a synergistic effect.

V. Treatment Outcome

✅ After 10 doses, diarrhea and bloody stool disappeared completely. Twelve years of ulcerative colitis were resolved. ✅ The patient maintained dietary avoidance afterward to consolidate the results, with no recurrence.

Dimension Before Treatment After Treatment Daily bowel movements ~5, with blood Returned to normal Blood in stool Recurrent Completely resolved Overall condition Years of recurrence, intractable Cured; maintained avoidance for consolidation

VI. Physician's Commentary (Dr. Wu Mingjie)

In this case, a twelve-year chronic ulcerative colitis resolved with only ten doses of herbs. Beyond the formula's actions — fortifying spleen, transforming dampness, warming the center, and harmonizing the intestines — dietary avoidance that cuts off pathogenic factors was the critical key to a complete cure.

Three clinical takeaways:

Cutting the source > medication alone: Clinical observation suggests antibiotic abuse is a major pathogenic factor in ulcerative colitis. Once the intestinal mucosa is damaged, continued intake of dairy and antibiotic-laden foods means the root cause can never be removed.
"Cutting off" is central to healing: Treatment is not just about prescribing — severing external pathogenic sources and strictly observing dietary prohibitions restores order at the root and prevents relapse.
Holism throughout: The spleen is the foundation of acquired constitution; the intestines govern reception and conduction. Supporting the spleen, transforming dampness, harmonizing the center, and combining internal and external approaches yield long-term stability.

🌿 > Fengyang Daoist principle> : > Seven parts nourishment, three parts treatment; cut the source, harmonize the qi, nourish the righteous.

⚠️ Disclaimer

> This article is for clinical case-sharing purposes only and does NOT constitute medical advice.> Ulcerative colitis is a complex, difficult-to-treat condition. > Please follow the guidance of a qualified TCM practitioner and do not self-prescribe from this formula.> The instruction to "discontinue Western drugs/antibiotics" was a physician's decision within this specific case; readers must NOT stop medications on their own, but should follow their primary physician's plan.

📖 Related Reading

💬 Engagement: Do you or a loved one struggle with chronic gut issues? Have you noticed a link between dairy/antibiotic intake and symptoms? Share your experience in the comments. If this helped you, please follow · like · share · repost to help more people understand the importance of "avoidance and source-cutting."

Wu Mingjie TCM Team · Fengyang Daoist Medicine · Inheritors of Fengyang Daoist Tui Na__Fengyang Daoist Institute of TCM (USA) | wuhealing.com

Ulcerative Colitis Cured in 10 Doses After 12 Years: A Fengyang Daoist TCM Case Study (Dr. Wu Mingjie, WeChat Telemedicine)