The patient presented with a complex array of symptoms that could easily overwhelm a practitioner or confuse the diagnosis. However, the presentation painted a clear picture of weakened Center Qi and an accumulation of dampness and heat in the Liver and Gallbladder systems. The tongue color confirmed the illness and the pulse its location. When treating the Liver one cannot address it solely or directly – restoring the Spleen is paramount. Akin to growing a garden this process takes time, the efficacy of which is clearly portrayed in the case history.