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Treats high fever caused by severe wind obstruction, dizziness and pain in the head and eyes, stiffness and urgency in the shoulders and back, vexatious pain in the limbs and joints, rising heat, bitter taste in the mouth, cracked lips, swelling and pain in the throat, stagnation of phlegm and saliva, thick and sticky snot and spit, mental restlessness, dry and painful eyes, as well as constipation and difficult urination.

Da Huang (Rhubarb Root and Rhizome, steamed), Gan Cao (Licorice Root, honey-fried), Dang Gui (Angelica Sinensis Root), Shao Yao (White Peony Root), Ma Huang (Ephedra Herb, nodes removed), Jing Jie (Schizonepeta Spike, six liang each), Bai Zhu (Atractylodes Macrocephala Rhizome, one and a half liang).
Grind the above ingredients into powder. Take one qian per dose, with one cup of water, adding a small amount of fresh ginger and mint. Decoct until reduced to seven-tenths, strain, and take warm. For children whose smallpox is about to erupt, presenting first with delirium and excessive thirst, or convulsions due to accumulated heat, take one qian before bedtime; for adults with excess stagnation in the five zang organs who wish to induce loose stools, increase the dose to four or five qian and take it while hot.

The "Five Accumulations" refer to accumulations formed in the five zang organs. They arise from disharmony of zang qi and are triggered by adverse seasonal influences. For example, sorrow injures the Lung; the Lung transmits the pathogenic influence to the Liver (according to the controlling cycle). When the Spleen is prosperous in late summer, this transmission is blocked, resulting in a Liver accumulation named Fei Qi (Fat Qi); Fei Qi implies that the accumulated qi hides beneath the Liver wood, akin to seclusion in the mountains and forests. Loss of will injures the Kidney; the Kidney transmits to the Heart. In autumn, when the Lung is prosperous, transmission is blocked, resulting in a Heart accumulation named Fu Liang (Hidden Beam); Fu Liang indicates that the accumulated qi lies horizontally across the huangyuan (diaphragmatic area). Anger injures the Liver; the Liver transmits to the Spleen. In winter, when the Kidney is prosperous, transmission is blocked, resulting in a Spleen accumulation named Pi Qi (Stagnant Qi); Pi Qi signifies that the accumulated qi obstructs the middle jiao. Joy injures the Heart; the Heart transmits to the Lung. In spring, when the Liver is prosperous, transmission is blocked, resulting in a Lung accumulation named Xi Ben (Galloping Breath); Xi Ben denotes that the accumulated qi causes panting and overflowing breath. Overthinking injures the Spleen; the Spleen transmits to the Kidney. In summer, when the Heart is prosperous, transmission is blocked, resulting in a Kidney accumulation named Ben Tun (Running Piglet); Ben Tun resembles water accumulating and rushing toward the Heart fire. The *Nan Jing* states that Fei Qi forms on Wu-Ji days, Fu Liang on Geng-Xin days, and Ben Tun on Bing-Ding days, which aligns with the major principles of yin-yang transformation and the interaction of prosperity and decline in controlling cycles. Furthermore, it is stated: Diseases include accumulations (Ji), gatherings (Ju), and KT Qi. Ji refers to zang organ diseases, which remain fixed in location throughout their course; Ju refers to fu organ diseases, which have no fixed location and involve shifting pain, making them treatable. KT Qi refers to retained food, entering the body through the mouth via dietary pathogens. There is also Xiji disease, where qi becomes stagnant in the hypochondrium, requiring daoyin (guiding and pulling) therapy for resolution.