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A patient has constipation, abdominal pain, fever, and a thick-dry-yellow tongue coating. What is the treatment plan?

1) Promote Fluids in Large Intestine
2) Clear Heat in the Large Intestine and Stomach, Promote Body Fluids
3) Clear Heat in Stomach and Large Intestine, Promote Bowel Movement
4) Clear Heat

1 Answer

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Final answer:

The most appropriate treatment plan appears to be option 2, which focuses on clearing heat in the Large Intestine and Stomach while promoting body fluids to combat symptoms including constipation, fever, and a dry-yellow tongue coating.

Step-by-step explanation:

The treatment plan for a patient experiencing constipation, abdominal pain, fever, and a thick-dry-yellow tongue coating should prioritize addressing the underlying causes of these symptoms. Based on the provided symptoms and conditions, option 2) Clear Heat in the Large Intestine and Stomach, Promote Body Fluids seems most appropriate. This approach takes into account the need to manage the heat, which could be indicative of an inflammation or infection, and also the necessity of promoting hydration to resolve constipation and support overall digestive function.

The symptoms such as abdominal pain, fever, and the description of the tongue coating seem to align with those found in gastrointestinal issues like gastroenteritis and may suggest an underlying inflammatory process. Clearing heat and promoting fluids would address the dehydration caused by fever and potential fluid loss due to constipation. It's important to provide hydration to ensure the patient's electrolyte balance is maintained, which can be critical in cases of prolonged gastrointestinal symptoms.