HistoryMale, age: 25 yrs old, Diagnosed with Ulcerative Colitis 7 years ago.Chief Complaint: Chronic frequent diarrhea with mucus & pus in the stools. The attacks occur when he’s stressed and can last for days, with extreme urgency, he sometimes can’t make it to a bathroom and soils his pants. He gets cold after diarrhea and hot before. After 2 weeks of treatment, the patient revealed he was sexually assaulted by 4 boys from his high school when he was 17, following years of bullying. There was the physical tear of the anal area. The patient told his parents, but they didn’t believe him, and it was swept under the rug. The bowel issues started shortly after the assault. He has been given Steroids over the years, but he hates them and their side effects, so he’s looking for a better way to heal the lining of his colon. He lives alone. He’s obsessed about exercise and works out daily for 3 hours. EMOTIONAL: His main emotions are strong anger for his parents, and with the world. He’s frustrated because his career is not going where he wants it. He’s anxious about his Colitis attacks, and worries about it all the time. He has Obsessive Compulsive Disorder mainly washing his hands constantly. He can go days without eating when he has a Colitis attack, and when he feels better, he drinks coffee, hard liquor, and eats mostly pizza and fast foods. He goes to bed around 2 am and sleeps for 7 hours. His energy is up & down, depending on his Colitis. He has chronic low back pain which he manages with stretching, chiropractic adjustments and a heating pad.Pulse: wiry (left middle position), slippery (middle right position), weak at the rear positions.Tongue: Red sides, greasy coat at the center & back. TCM Diagnosis: LV Qi Stagnation (with LV Yang rising), which overact on SP, creating Sp Qi deficiency with Dampness. Kd Qi deficiency.Causes: Emotional & Physical trauma creating shock depleting the TCM Kidneys, and creating emotional stress with Anger (LV) and worry (SP). Fear and anxiety also affect KD & HT. Secondary cause: diet.Symptoms differentiation:Chronic frequent diarrhea with mucus & pus in the stools worse on stress (LV overact on SP with dampness).An irregular diet of no food, to fast foods, depletes SP & creates Dampness.Cold after diarrhea (SP Qi def. towards Yang def.), hot before (LV heat).Goes to sleep at 2 am (LV time).Anger & frustration: LV Qi stagnation leading to Lv Yang rising.OCD: Lv overact on Sp.Chronic low back pain better on warmth: Kd Qi def. towards Kd Yang def.Pulse: wiry (left middle position): LV Qi Stagnation. Weak (rear positions): Kd Def. and Slippery (middle right): Dampness in the Sp.Tongue: Red sides (Lv Yang rising), greasy coat at center & back (damp in the middle & lower Jiao).