Dysentery with tenesmus

For dysentery with tenesmus, subtracting Gui and add Radix Saussureae Seu Vladimiriae Mu Xiang). 

Symptoms from EHEC infection can be severe, with as many as 11 to 12 bloody stools per day." " " Cramping and severe abdominal pain are common. Nausea occurs in about two-thirds of patients, and vomiting occurs in less than a third. Symptoms usually last 1 week. The white blood cell (WBC) count is elevated and accompanied by a left shift, but patients often remain afebrile. Stool cultures should be performed when EHEC is suspected. Death may occur rarely, usually as a result of HUS. EIEC infection presents most commonly as watery diarrhea, which can be indistinguishable from the secretory diarrhea seen with ETEC, but in a minority of cases, patients experience the dysentery syndrome, manifested as blood, mucus, and leukocytes in the stool with tenesmus and fever. 

Dysentery—Diarrhea characterized by blood, mucus, and leukocytes in the stool with tenesmus and fever. 

For red and white dysentery i.e., for dysentery with pus and blood) and tenesmus, add Radix Saussureae Seu Vladimiriae Mu Xiang), Semen Arecae Catechu Bing Lang), and Cortex Fraxini QinPi). 

Later—after approximately 48 hours, colitis develops with urgency, tenesmus, and dysentery. 

Main signs symptoms Slippery desertion diarrhea, abdominal pain which likes both pressure and warmth, red and white dysentery, bloody stools, tenesmus, fatigue, diminished appetite, soreness and weakness of the low back and knees, a pale tongue with a thin, white coating, and a slow, thready pulse... 

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