叶左 初病喉痧，治愈之后，因复感停滞，酿成湿温。身热有汗不解，临晚畏寒，入夜热势较盛，天
明即觉轻减，已有三候。口干不多饮，小溲短赤，超时有粉汁之形。苔薄黄，脉濡数。素有失红，阴虚体
质，叠进清温化湿之剂，其热非特不减，反加肤肿足肿，脐腹饱满，面浮咳嗽。细推病情。太阳经邪未
解，膀胱腑湿不化，久则湿困大阴，健运无权。湿为阴邪，易于化水，水湿泛滥，则为肤肿足肿；中阳不
运，浊阴凝聚，则为脐腹饱满；水湿逆肺，则为咳嗽面浮；格阳于外，则身热不退也。恙势已入险境，岂
可泛视。今拟五苓加味，温开太阳而化水湿，勿可拘执阴虚体质，而畏投温剂，致一误而再误也。然乎否
乎？质之高明！
川桂枝（八分） 连皮苓（四钱） 炒白术（三钱） 猪苓（三钱） 仙半夏（三钱） 大腹皮（二钱）
砂仁（八分） 光杏仁（三钱） 泽泻（一钱） 姜皮（八分） 陈皮（一钱） 冬瓜子皮（各三钱）
二诊 两进五苓，症势未见动静。夫太阳为寒水之经，本阴标阳；太阳与少阴为表里，少阴为水火之
脏，本热标寒。太阳之阳不行，少阴之阴亦伤，少火不能生土，中央干健无权，水湿日积，泛滥横溢，浊
阴凝聚，阴盛格阳，肺失治节，水道不行，险象环生，殊可虑也。脉象寸部濡数，关尺迟弱，真阳埋
没，阴霾满布，若加气喘，则难为力矣。再拟五苓合真武汤，震动肾阳，温化水湿，千钧一发，惟此一
举，狂见如斯，明者何如！？
熟附块（一钱） 川桂枝（八分） 陈皮（一钱） 大砂仁（八分） 连皮苓（四钱） 猪苓（二钱）
大腹皮（二钱） 川椒目（十四粒） 炒白术（三钱） 泽泻（一钱五分） 水炙桑皮（一钱五分） 淡姜
皮（八分）
三诊 连服五苓真武以来，肤肿跗肿腹满，已见轻减，小溲稍多，真阳有震动之渐，水湿有下行之
势，临晚形寒身热，至天明得汗而退，枢机有斡旋之意，均属佳象。口干渴喜热饮，痰多咳嗽，谷食衰微，
白苔化而转淡。夫太阴为湿久困，干健无权，肺失肃化。脉象关尺迟弱略起，虽逾险岭，夫涉坦途。仍守
前法，努力前进。
桂枝（六分） 白术（三钱） 熟附块（一钱） 软柴胡（七分） 大腹皮（二钱） 茯苓（四钱）
泽泻（一钱五分） 大砂仁（八分） 仙半夏（二钱） 水炙桑皮（一钱五分） 清炙草（五分） 生姜（二片）
红枣（四枚） 炒谷芽苡仁（各，三钱）
四诊 温少阴，开太阳，运中阳，逐水湿，又服二剂，肿退，腹满渐消，临晚寒热亦轻，惟痰多咳嗽，
纳谷衰少，小溲不清，苔薄腻微黄，脉象缓滑。此脾不健运，胃不流通，湿痰积之于肺，肺失肃化之权。
再仿前意，制小其剂。
吉林参须（八分） 连皮苓（四钱） 炒白术（一钱五分） 光杏仁（三钱） 冬瓜子皮（各三钱）
陈皮（一钱） 熟附块（八分） 炒谷麦芽（各三钱） 软柴胡（八分） 福泽泻（一钱五分） 清炙草（五分）
大砂仁（八分） 仙半夏（二钱）
五诊 肿满已消，寒热亦退，惟纳谷衰少，口有甜味，痰多咳嗽，小溲不清，脉象濡滑。余湿留恋中
焦，脾胃运化失司，津液不布为痰，此痰多而咳嗽
也。今当调理脾胃以化余湿，节其饮食而慎起居。
炒白术（五钱） 陈广皮（一钱） 清水豆卷（四钱） 炒谷芽苡仁（各三钱） 冬瓜子皮（各三钱）
连皮苓（四钱） 仙半夏（二钱） 省头草（一钱五分） 大砂仁（七分） 光杏仁（三钱） 川贝（二钱）
通草（八分） 清炙枇杷叶（去毛、包，二钱）
哈右 湿温匝月，身壮热，汗多畏寒，胸闷呕吐，纳食不进，烦躁懊 ，少腹胀痛拒按，溺时管痛，小便
不利，口干唇燥，渴喜热饮，舌苔白腻，脉象左弦迟而紧，右沉细无力，据述病起于经行之后，阅前所服之方，
栀豉、二陈、泻心、八珍、金铃子散等剂。推其病情，其邪始在太阴阳明，苦寒叠进，邪遂陷入少阴厥阴，清
阳窒塞，蓄瘀积于下焦，膀胱宣化失司，烦躁似阳，实阴躁也，阴盛于下，格阳于上，若再投苦降，则邪愈陷
愈深矣。今拟吴茱萸汤加味，温经逐湿，理气祛瘀，冀其转机为幸。
淡吴萸（六分） 熟附片（八分） 赤苓（三钱） 连壳蔻仁（八分） 焦楂炭（三钱） 姜半夏（二钱）
砂仁（八分） 陈皮（八分） 延胡索（一钱） 五灵脂（一钱五分） 两头尖（酒浸、包，一钱五分）
泽泻（一钱） 生姜（二片）
二诊 两进吴茱萸汤，呕吐烦躁，均已轻减，少腹胀痛亦松，反加大便溏泄，有七八次之多，寒滞有
下行之机，中阳有来复之渐，佳象也。身热依然，口干唇燥，渴喜热饮，苔腻稍化，脉仍弦迟，勿可因口
干唇燥，即改弦易辙，虽有身热，可毋庸虑，但使卫阳能入于阴，则身热自除矣。仍守原法，更进一筹。
原方去生姜、连壳蔻仁，加炮姜炭（六分）、炒白术（一钱）。
三诊 呕吐溏泄已止，少腹胀痛亦减大半。惟小溲不利，溺时管痛，唇燥口干不多饮。脉象寸关濡
滑，尺部涩迟，是蓄瘀蕴湿，留恋下焦，膀胱气化无权，脾不能为胃行其津液，浸润于上，症虽转机，还
当谨慎。今制小其剂，加入通关滋肾之品，使蓄瘀蕴湿，从下窍而出。
吴萸（四分） 仙半夏（二钱） 熟附片（八分） 赤苓（三钱） 陈皮（一钱） 炒白术（二钱）
炮姜炭（四分） 清炙草（四分） 砂仁（八分） 琥珀屑（冲，六分） 通天草（五钱） 滋肾通关丸
（包煎，三钱）
四诊 诸恙十减七八，小溲亦利，惟纳谷衰少，神疲肢倦，唇干口干不多饮，苔转淡黄，脉现濡缓，
是脾胃两伤，运化失常。今拟醒脾和胃，而宣余湿，隔一日服一剂，仿经旨大毒治病，十去其六，小毒
治病，十去其八，毋使过之，伤其正也之意。
炒白术（二钱） 云苓（三钱） 清炙草（五分） 陈皮（一钱） 仙半夏（二钱） 大砂仁（八分）
焦谷芽（五钱） 省头草（五钱） 绛通草（八分） 通天草（五钱） 生姜（二片） 红枣（四枚）
郑左 湿温十八天，初起身热，继则不热，两颧红赤，小溲自遗，时时欲寐，舌灰薄腻，口干不欲
饮，脉沉细无神。此邪陷少阴，肾阳堙没，龙雷之火，飞越于上，戴阳症也，殊为可虑！急拟温经扶正
而潜浮阳，未识能得挽救否。
潞党参（五钱） 龙骨（三钱） 煨益智（一钱五分） 炙远志（一钱） 熟附块（三钱） 牡蛎（三钱）
清炙草（五分） 炒于术（一钱五分） 鹿角霜（五钱）
复诊 加炙黄 、大砂仁。
周左 湿温月余，身热汗多，神识昏糊，谵语郑声，唇燥口干不欲饮，谷食不进，舌苔干腻，脉象沉
细。此湿邪久困太阴，陷入少阴，湿为阴邪，最易伤阳，卫阳失于外护则汗多，浮阳越于躯壳则身热，神
不守舍则神糊，与热入心包者，有霄壤之别。动则微喘，肾气不纳也。十余日未更衣，此阴结也。脉证参
合，正气涣散，阴阳脱离即在目前矣。急拟参附回
阳，龙牡潜阳，苟能阳回神定，庶可望转危为安之幸。
别直参（二钱） 熟附块（二钱） 左牡蛎（三钱） 大砂仁（八分） 仙半夏（二钱） 炙远志（一钱）
花龙骨（三钱） 朱茯神（三钱） 炒枣仁（三钱） 北秫米（包，三钱） 浮小麦（四钱）
二诊 两进参附回阳，龙牡潜阳，汗收神清，阳气有内返之佳境。口干，渴喜热饮，纳谷衰少，精神
困顿，十余日未更衣，腹内微胀，并不拒按，苔干腻，脉沉细。阳不营运，阴气凝结，肠垢不得下达，
犹严寒之时，水冰而地坼也，险岭虽逾，未入坦途。再拟扶正助阳，温通腑气。
别直参（一钱五分） 熟附块（一钱五分） 朱茯神（三钱） 炙远志（一钱） 炒枣仁（三钱） 仙半夏
（三钱） 陈广皮（一钱） 大麻仁（研，四钱） 郁李仁（研，三钱） 焦谷芽（四钱） 半硫丸（包，二钱）
外用蜜煎导法。
三诊 服两剂后，腑气已通，余恙如故。原方去半硫丸、郁李仁、大麻仁，加米炒于术。
朱孩 湿温已延月余。身热不退，腹痛便泄，大腹膨胀，面浮体肿，舌苔灰黄，脉象濡数，纹色青
紫，已逾气关。某专科投以银翘、芩、连、滑石、通草、
楂、曲、鸡金、苓、术等，意谓疳积成矣。惟按脉论证，此三阳之邪，已传入三阴。在太阴则大腹胀痛，在少
阴则泄泻体肿，在厥阴则腹痛肢冷。卫阳不入于阴则发热，水湿泛滥横溢，则遍体浮肿。小孩稚阳，病情
若此，犹小舟之重载，覆沉可虑！今拟真武、理中、小柴胡复方图治，冀挽回于什一。
熟附片（八分） 炒干姜（五分） 炒白术（一钱五分） 连皮苓（三钱） 陈皮（一钱） 炒潞党（一钱）
软柴胡（五分） 清炙草（五分） 川椒目（十粒） 砂仁（八分） 大腹皮（二钱） 六神曲（三钱）
二诊 服理中、真武、小柴胡复方以来，腹胀满肢体肿均见轻减，泄泻亦止，佳兆也。惟身热晚作，乳
食少进，口干欲饮。指纹色青紫已回气关之内，脉仍濡数无力，是阴盛格阳，真寒假热，切勿因身热而即
改弦易辙也。仍守原法，努力前进。
原方加∶嫩白薇（一钱）。
三诊 肿胀十减七八，身热亦觉渐退，惟神疲形瘦，谷食少进，水湿已化，正虚困顿，脾胃阳衰，鼓
舞无权也。仍守原方出入。
原方去柴胡，加焦谷芽（三钱）、佩兰梗（一钱五分）。
按∶此症疑似之处，最难辨别。认定三阴见象，
投以温药，故能无虑也。否则再进寒凉，必致邪陷阳越，而不起矣。
[Patient Ye, Left] Initially suffered from throat scarlet fever (an acute infectious disease characterized by sore throat and skin rash). After cure, due to re-infection with food stagnation, damp-warmth disease developed. The body is hot with sweat, but the heat does not resolve; there is aversion to cold in the evening, the heat intensity increases at night, and feels lighter at dawn. This has persisted for three *hou* (approximately 21 days). Dry mouth but little desire to drink, scanty dark red urine, prolonged urination time with powder-like sediment. Thin yellow tongue coating, soggy and rapid pulse. History of hemoptysis, constituting a Yin deficiency constitution. Successive administration of heat-clearing and damp-resolving agents resulted in no reduction of heat; instead, skin edema and foot edema appeared, umbilical and abdominal fullness, facial edema with cough. Carefully analyzing the condition: pathogenic factors in the Taiyang channel have not been resolved, dampness in the Bladder organ has not been transformed. Prolonged dampness traps the Taiyin Spleen, leading to loss of transportation power. Dampness is a Yin pathogen, prone to transforming into water. Water-dampness overflowing causes skin and foot edema; middle Yang fails to transport, turbid Yin condenses causing abdominal fullness; water-dampness rebels against the Lung causing cough and facial edema; Yang is repelled to the exterior causing persistent fever. The condition has entered a dangerous stage, how can it be disregarded? Now prescribing Wu Ling San (Five-Ingredient Powder with Poria) modified, to warm and open the Taiyang channel to transform water-dampness. Do not be constrained by the Yin deficiency constitution and fear administering warming agents, which would lead to one error after another. Is this correct? Submitted to experts!
Cassiae Ramulus (8 fen), Poria with Skin (4 qian), Stir-fried Atractylodis Macrocephalae Rhizoma (3 qian), Polyporus (3 qian), Pinellia Ternata (3 qain), Areca Peel (2 qian), Amomum Fruit (8 fen), Apricot Seed (3 qian), Alisma Rhizome (1 qian), Ginger Peel (8 fen), Tangerine Peel (1 qian), Benincasa Seed and Peel (each 3 qian).
Second Visit: After two doses of Wu Ling San, symptoms showed no movement. The Taiyang channel is the channel of Cold-Water, originally Yin but marked by Yang; Taiyang and Shaoyin are interior-exterior pairs, Shaoyin is the organ of Water-Fire, originally Heat but marked by Cold. If Taiyang Yang does not move, Shaoyin Yin is also injured. The "Lesser Fire" cannot generate Earth, the Central Spleen-Stomach lacks healthy movement, water-dampness accumulates daily, overflows, turbid Yin condenses, Yin excess repels Yang, the Lung loses regulation, water passages do not flow, danger arises continuously, most worrying. Pulse: Cun position soggy and rapid, Guan and Chi positions slow and weak. True Yang is buried, Yin-cold fills the body. If panting adds, it will be difficult to treat. Again prescribing Wu Ling San combined with Zhen Wu Tang (True Warrior Decoction) to stir Kidney Yang, warm and transform water-dampness. This is a critical moment, only this move counts. Such boldness, what do the wise think?
Prepared Aconite Root (1 qian), Cassiae Ramulus (8 fen), Tangerine Peel (1 qian), Large Amomum Fruit (8 fen), Poria with Skin (4 qian), Polyporus (2 qian), Areca Peel (2 qian), Capsicum Seeds (14 grains), Stir-fried Atractylodis Macrocephalae Rhizoma (3 qian), Alisma Rhizome (1.5 qian), Water-processed Mulberry Root Bark (1.5 qian), Light Ginger Peel (8 fen).
Third Visit: Since continuous intake of Wu Ling San and Zhen Wu Tang, skin edema, dorsal foot edema, and abdominal fullness have reduced slightly. Urine volume has increased slightly. True Yang shows signs of stirring, water-dampness shows signs of descending. Evening chills and fever, resolving with sweat at dawn. The pivot mechanism shows signs of rotation, all good omens. Dry mouth, thirst preferring hot drinks, profuse phlegm and cough, poor appetite, white coating transforms to pale. Taiyin Spleen has been trapped by dampness for long, lacking healthy movement, Lung loses descending and clearing functions. Pulse: Guan and Chi positions slow and weak, slightly rising. Although the dangerous ridge is crossed, entering a smooth road remains. Still adhering to previous method, pressing forward.
Cassiae Ramulus (6 fen), Atractylodis Macrocephalae Rhizoma (3 qian), Prepared Aconite Root (1 qian), Soft Bupleurum Root (7 fen), Areca Peel (2 qian), Poria (4 qian), Alisma Rhizome (1.5 qian), Large Amomum Fruit (8 fen), Pinellia Ternata (2 qian), Water-processed Mulberry Root Bark (1.5 qian), Honey-fried Licorice Root (5 fen), Fresh Ginger (2 slices), Jujube (4 pieces), Stir-fried Coix Seed and Malt (each 3 qian).
Fourth Visit: Warming Shaoyin, opening Taiyang, moving Middle Yang, expelling water-dampness. After two more doses, swelling receded, abdominal fullness gradually diminished, evening chills/heat lightened. Only profuse phlegm/cough, poor intake, unclear urine, thin greasy slightly yellow coating, slow slippery pulse. Spleen fails to transport, Stomach fails to circulate, damp-phlegm accumulates in Lung, Lung loses descending authority. Again following previous intent, reducing dosage.
Jilin Ginseng Radicula (8 fen), Poria with Skin (4 qian), Stir-fried Atractylodis Macrocephalae Rhizoma (1.5 qian), Apricot Seed (3 qian), Benincasa Seed and Peel (each 3 qian), Tangerine Peel (1 qian), Prepared Aconite Root (8 fen), Stir-fried Malt (each 3 qian), Soft Bupleurum Root (8 fen), Alisma Rhizome (1.5 qian), Honey-fried Licorice Root (5 fen), Large Amomum Fruit (8 fen), Pinellia Ternata (2 qian).
Fifth Visit: Swelling and distension eliminated, chills/heat retreated. Only poor intake, sweet taste in mouth, profuse phlegm/cough, unclear urine, soggy slippery pulse. Remaining dampness lingers in Middle Jiao, Spleen-Stomach transformation fails, fluids fail to distribute becoming phlegm, hence profuse phlegm and cough. Now regulating Spleen-Stomach to transform remaining dampness, controlling diet and cautioning daily routine.
Stir-fried Atractylodis Macrocephalae Rhizoma (5 qian), Chenpi Tangerine Peel (1 qian), Clear Water Soybean Sprout (4 qian), Stir-fried Coix Seed and Malt (each 3 qian), Benincasa Seed and Peel (each 3 qian), Poria with Skin (4 qian), Pinellia Ternata (2 qian), Pogostemon Herb (1.5 qian), Large Amomum Fruit (7 fen), Apricot Seed (3 qian), Fritillaria Bulb (2 qian), Talcum (8 fen), Honey-fried Loquat Leaf (de-haired, wrapped, 2 qian).
[Patient Ha, Right] Damp-warmth persisting for a month. High fever, profuse sweating, aversion to cold, chest oppression, vomiting, inability to eat, irritability and restlessness, lower abdominal distension/pain with refusal to press, painful urination, dysuria, dry mouth/lips, thirst preferring hot drinks, white greasy tongue coating, left pulse wiry-slow-tight, right pulse deep-thin-weak. Illness began after menstruation. Previous prescriptions included Gardenia and Perilla Seed Decoction, Er Chen Decoction, Xie Xin Decoction, Ba Zhen Decoction, Jin Ling Zi San. Analyzing the condition: Pathogen initially in Taiyin and Yangming. Continuous bitter-cold herbs caused pathogen to sink into Shaoyin and Jueyin. Clear Yang blocked, stasis accumulated in Lower Jiao. Bladder excretion/transformation failed. Irritability appears Yang, but is actually Yin restlessness. Yin excess below, repelling Yang above. Further bitter-cold descending herbs would deepen pathogen entrapment. Now prescribing Evodia Soup modified, to warm meridians, expel dampness, regulate Qi, remove stasis, hoping for turnaround.
Light Evodia Fruit (6 fen), Prepared Aconite Slice (8 fen), Red Poria (3 qian), Cardamom with Shell (8 fen), Charred Hawthorn Fruit (3 qian), Ginger-processed Pinellia (2 qian), Amomum Fruit (8 fen), Tangerine Peel (8 fen), Corydalis Rhizome (1 qian), Trogopterus Dung (1.5 qian), Acronychia Pedunculata Stem (wine-soaked, wrapped, 1.5 qian), Alisma Rhizome (1 qian), Fresh Ginger (2 slices).
Second Visit: Two doses of Evodia Soup. Vomiting and irritability reduced, lower abdominal pain relaxed. Instead, loose stools increased to 7-8 times. Cold-stagnation has a downward trend, Middle Yang shows signs of recovery, good omen. Fever persists, dry mouth/lips, thirst preferring hot drinks, coating slightly transformed, pulse still wiry-slow. Do not change treatment due to dry mouth/lips. Despite fever, do not worry. Once Wei-Yang enters Yin, fever will self-resolve. Stick to original method, advance further.
Original formula minus Fresh Ginger, Cardamom with Shell; add Charred Ginger (6 fen), Stir-fried Atractylodis Macrocephalae Rhizoma (1 qian).
Third Visit: Vomiting and loose stools stopped, lower abdominal pain reduced significantly. Only dysuria, painful urination, dry lips/mouth but little desire to drink. Pulse: Cun/Guan soggy-slippery, Chi choppy-slow. Stasis and dampness linger in Lower Jiao, Bladder Qi transformation powerless, Spleen cannot transport fluids for Stomach, flooding upwards. Condition turning, yet must be cautious. Reduce dosage, add herbs to unblock passage and nourish Kidney, allowing stasis/dampness to exit via lower orifice.
Evodia Fruit (4 fen), Pinellia Ternata (2 qian), Prepared Aconite Slice (8 fen), Red Poria (3 qian), Tangerine Peel (1 qian), Stir-fried Atractylodis Macrocephalae Rhizoma (2 qian), Charred Ginger (4 fen), Honey-fried Licorice Root (4 fen), Amomum Fruit (8 fen), Amber Dust (taken with medicine, 6 fen), Tongtian Grass (5 qian), Zishen Tongguan Wan (wrapped, 3 qian).
Fourth Visit: Symptoms reduced 70-80%, urination clear. Only poor intake, fatigue, dry lips/mouth little desire to drink, pale yellow coating, soggy-slow pulse. Spleen and Stomach both injured, transformation abnormal. Now awakening Spleen, harmonizing Stomax, disseminating remaining dampness. Take every other day, imitating Classic: "Great toxicity treats disease, remove 60%; small toxicity removes 80%." Do not overdo, lest damage Zheng-Qi.
Stir-fried Atractylodis Macrocephalae Rhizoma (2 qian), Cloud Poria (3 qian), Honey-fried Licorice Root (5 fen), Tangerine Peel (1 qian), Pinellia Ternata (2 qian), Large Amomum Fruit (8 fen), Charred Malt (5 qian), Pogostemon Herb (5 qian), Jiangtong Cao (8 fen), Tongtian Grass (5 qian), Fresh Ginger (2 slices), Jujube (4 pieces).
[Patient Zheng, Left] Damp-warmth 18 days. Initially fever, then no fever. Malar flush, urinary incontinence, drowsiness, gray thin greasy coating, dry mouth no desire to drink, deep thin spiritless pulse. Pathogen sunk into Shaoyin, Kidney Yang buried. Dragon-Leopard fire flies upward, Dai Yang syndrome (floating Yang on face), very worrying! Urgently prescribing warming meridians, supporting Zheng-Qi, submerging floating Yang. Wonder if rescue is possible.
Dangshen (5 qian), Dragon Bone (3 qian), Roasted Alpinia Oxyphylla Fruit (1.5 qian), Honey-fried Polygala Root (1 qian), Prepared Aconite Block (3 qian), Oyster Shell (3 qian), Honey-fried Licorice Root (5 fen), Stir-fried Atractylodis Macrocephalae Rhizoma (1.5 qian), Antler Frost (5 qian).
Follow-up Visit: Add Honey-fried Astragalus Root, Large Amomum Fruit.
[Patient Zhou, Left] Damp-warmth over a month. Fever, profuse sweat, confused consciousness, delirium and low voice, dry lips/mouth no desire to drink, unable to eat, dry greasy coating, deep thin pulse. Dampness long trapped Taiyin, sunk into Shaoyin. Damp is Yin pathogen, easily injures Yang. Wei-Yang fails external protection -> profuse sweat. Floating Yang escapes body -> fever. Shen fails to reside -> confusion. Totally different from Heat entering Heart Pericardium. Slight panting on movement -> Kidney Qi fails to grasp. No bowel movement for 10+ days -> Yin constipation. Pulse/syndrome match, Zheng-Qi scattered, Yin-Yang separation imminent. Urgently prescribing Ginseng-Aconite to return Yang, Dragon-Oyster to submerge Yang. If Yang returns and Shen settles, hope for safety.
Korean Ginseng (2 qian), Prepared Aconite Block (2 qian), Left Oyster Shell (3 qian), Large Amomum Fruit (8 fen), Pinellia Ternata (2 qian), Honey-fried Polygala Root (1 qian), Flower Dragon Bone (3 qian), Cinnabar-Poria Spirit (3 qian), Stir-fried Ziziphus Seed (3 qian), Sorghum (wrapped, 3 qian), Floating Wheat (4 qian).
Second Visit: Two doses of Ginseng-Aconite returning Yang, Dragon-Oyster submerging Yang. Sweat stopped, Shen clear, Yang returning internally. Good state. Dry mouth, thirst preferring hot drinks, poor intake, mental fatigue, no bowel movement 10+ days, slight abdominal distension, no refusal to press, dry greasy coating, deep thin pulse. Yang fails to circulate, Yin Qi condenses, intestinal waste cannot descend. Like severe cold where water freezes and earth cracks. Dangerous ridge crossed, not yet on smooth road. Again prescribing supporting Zheng-Qi, assisting Yang, warming/unblocking Fu organs.
Korean Ginseng (1.5 qian), Prepared Aconite Block (1.5 qian), Cinnabar-Poria Spirit (3 qian), Honey-fried Polygala Root (1 qian), Stir-fried Ziziphus Seed (3 qian), Pinellia Ternata (3 qian), Chenpi Tangerine Peel (1 qian), Hemp Seed (crushed, 4 qian), Prunus Seed (crushed, 3 qian), Charred Malt (4 qian), Ban Liu Wan (wrapped, 2 qian). External use: Honey suppository.
Third Visit: After two doses, Fu Qi unblocked, other symptoms remain. Original formula minus Ban Liu Wan, Prunus Seed, Hemp Seed; add Rice-roasted Atractylodis Macrocephalae Rhizoma.
[Infant Zhu] Damp-warmth extended over a month. Persistent fever, abdominal pain, diarrhea, abdominal distension, facial/body edema, gray-yellow coating, soggy rapid pulse, fingerprint blue-purple exceeding Qi Guan. Specialist prescribed Yin Qiao San, Scutellaria, Coptis, Alisma, Talcum, Hawthorn, Medicated Leaven, Chicken Gizzard Lining, Poria, Atractylodes, suspecting malnutrition accumulation. But pulse/syndrome analysis: Three Yang pathogens transmitted to Three Yin. In Taiyin -> abdominal distension/pain. In Shaoyin -> diarrhea/body edema. In Jueyin -> abdominal pain/cold limbs. Wei-Yang fails entering Yin -> fever. Water-dampness overflows -> whole body edema. Child's tender Yang, condition like overloaded boat, fear capsizing! Now prescribing Zhen Wu Tang, Li Zhong Tang, Xiao Chai Hu Tang compound, hoping for 1/10 recovery.
Prepared Aconite Slice (8 fen), Stir-fried Dried Ginger (5 fen), Stir-fried Atractylodis Macrocephalae Rhizoma (1.5 qian), Poria with Skin (3 qian), Tangerine Peel (1 qian), Stir-fried Dangshen (1 qian), Soft Bupleurum Root (5 fen), Honey-fried Licorice Root (5 fen), Capsicum Seeds (10 grains), Amomum Fruit (8 fen), Areca Peel (2 qian), Six-God Medicated Leaven (3 qian).
Second Visit: Since compound of Li Zhong, Zhen Wu, Xiao Chai Hu Tang, abdominal distension/limb edema reduced, diarrhea stopped, good sign. Only evening fever, poor milk intake, dry mouth thirst. Fingerprint blue-purple returned inside Qi Guan, pulse still soggy-rapid-weak. Yin excess repelling Yang, true cold false heat. Do not change treatment due to fever. Stick to original method, press forward.
Original formula add: Tender Anemarrhena Rhizome (1 qian).
Third Visit: Swelling reduced 70-80%, fever gradually receding. Only fatigue/emaciation, poor intake, water-dampness transformed, Zheng-Qi weak/exhausted, Spleen-Stomach Yang decline, lack of driving force. Still modifying original formula.
Original formula minus Bupleurum, add Charred Malt (3 qian), Eupatorium Stem (1.5 qian).
Note: This case is hardest to distinguish due to similarities. Identifying Three Yin manifestations, administering warming herbs, thus no worries. Otherwise, further cold-cool herbs would cause pathogen sinking and Yang escaping, leading to death.