Generally, purging therapy and tonifying therapy should be used at the same time to strengthen healthy qi and eliminate pathogenic factors, and corresponding methods are invigorating the spleen, replenishing qi, nourishing yin and blood, soothing the liver, activating blood to remove stasis, regulating qi and dissipating stagnant qi, purging retained fluid and alleviating edema.

Syndrome Differentiation and Treatment
1. Liver Qi Stagnation
Chief Manifestations: Distending pain in the right hypochondrium, chest oppression, frequent sighing, impaired appetite, occasional diarrhea, mass in the right lower hypohondrium, thin and greasy tongue coating, and wiry pulse.
Therapeutic Methods: To soothe the liver, invigorate the spleen, activate blood and remove stasis.

2. Qi Stagnation and Blood Stasis
Chief Manifestations: Huge mass in the hypochondrium, hypochondric pain radiating to the back, which is aggravated at night, tenderness, abdominal distension and fullness, impaired appetite, loose stools sometimes and dry stools at other times, lassitude, dark purple tongue with petechia and ecchymosis, deep and thready or wiry and unsmooth pulse.
Therapeutic Methods: To promote circulation of qi, activate blood, remove stasis and eliminate mass.

3 Damp-heat Accumulation
Chief Manifestations: Restlessness, irritability, yellowish skin and sclera, dryness and bitterness in the mouth, abdominal distension and fullness, impaired appetite, stabbing pain in the hypochondrium, deep yellow urine, dry stools, dark purple tongue with yellow coating, wiry and smooth or smooth and rapid pulse.
Therapeutic Methods: To clear away heat, normalize the function of gallbladder and purge fire to remove toxic substance.

4. Liver-yin Deficiency
Chief Manifestations: Hypochondriac pain, dysphoria with feverish sensation in the chest, palms and soles, vertigo, impaired appetite, distended abdomen with varicose veins, or hematemesis, hemafecia and subcutaneous hemorrhage in severe cases, red tongue with little coating, and thready and rapid pulse.
Therapeutic Methods: To nourish blood, soothe the liver and cool blood to remove toxic substance.