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Chronic deficiency with vexation and heat is a condition where both Yin and Yang are deficient. When Yin Qi (Vital Energy of the Yin aspect) is relatively insufficient, Yang Qi (Vital Energy of the Yang aspect) becomes hyperactive suddenly. The heat then invades the Heart, resulting in vexation and fever.

For chronic deficiency with vexation and heat, accompanied by pain in the four limbs and loss of appetite, the Chai Hu San (Bupleurum Powder) formula is suitable.
Ingredients: Chai Hu (Radix Bupleuri, 1 liang, remove seedlings), Huang Qi (Radix Astragali, 1 liang, cut into pieces), Zhi Ke (Pericarpium Citri Reticulatae, 0.5 liang, stir-fried with bran until slightly yellow, remove pith), Mai Men Dong (Tuber Ophiopogonis, 1.5 liang, remove heart, bake).
[Note: Original text has missing/fragmented ingredients like Bie Jia and Wei Yu.]
Process these herbs by crushing them coarsely and sieving to make a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time. Avoid eating Amaranthus leaves.

For chronic deficiency with vexation and heat, characterized by emaciation, weakness, and lack of desire to eat, the Mai Men Dong San (Ophiopogon Powder) formula is suitable.
Ingredients: Mai Men Dong (Tuber Ophiopogonis, 1 liang, remove heart), Ren Shen (Radix Ginseng, 3 qian, remove rhizome), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 3 qian), Huang Qi (Radix Astragali, 1 liang, cut into pieces), He Li Le (Fructus Chebulae), Fu Ling (Poria, [missing quantity]).
Process these herbs by crushing and sieving to make a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time.

For chronic deficiency with vexation and heat, accompanied by restlessness of the mind and spirit, pain in the four limbs, and very little food intake, the Xi Jiao San (Rhinoceros Horn Powder) formula is suitable.
Ingredients: Xi Jiao Xie (Horn Rhinocerotis, 0.5 liang), Fu Shen (Sclerotium Poria cum Radix Pini, 1 liang), Chi Shao Yao (Radix Paeoniae Rubra, 3 qian), Ren Shen (Radix Ginseng, 3 qian, remove rhizome), Huang Qi (Radix Astragali, 1 liang, cut into pieces), Di Gu Pi (Cortex Lycii, [missing quantity/process]).
Process these herbs by crushing and sieving to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time.

For chronic deficiency with vexation and heat, accompanied by chest oppression and stuffiness, lack of desire to eat, and weakness in the four limbs, this formula is suitable.
Ingredients: Huang Qi (Radix Astragali, 1 liang, cut into pieces), Qian Hu (Radix Peucedani, 3 qian, remove rhizome), Chi Fu Ling (Poria with Red Wood, [missing quantity]), Zhi Ke (Pericarpium Citri Reticulatae, 3 qian, stir-fried with bran until slightly yellow, remove pith), Ren Shen (Radix Ginseng, 1 liang, remove rhizome).
[Note: Original text has fragmented ingredient descriptions.]
Process these herbs by crushing and sieving to make a powder. Take 3 qian per dose. Add one zhong of water and half a ban of fresh ginger slice (Sheng Jiang), decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time.

For chronic deficiency with vexation and heat in the chest, epigastric fullness and stagnation, and loss of appetite, the Ban Xia San (Pinellia Powder) formula is suitable.
Ingredients: Ban Xia (Rhizoma Pinelliae, 0.5 liang, washed seven times with boiling water to remove acridity), Wu Wei Zi (Fructus Schisandrae, 0.5 liang), Qian Hu (Radix Peucedani, 1 liang, remove rhizome), Mu Xiang (Radix Aucklandiae, 3 qian), Gui Xin (Cortex Cinnamomi, 0.5 liang).
[Note: Original text has missing ingredients.]
Process these herbs by crushing and sieving to make a powder. Take 3 qian per dose. Add one zhong of water and half a ban of fresh ginger slice (Sheng Jiang), decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time.

For chronic deficiency with vexation and heat, loss of appetite, and weakness in the four limbs, the Zhi Shi San (Immature Bitter Orange Powder) formula is suitable.
Ingredients: Zhi Shi (Fructus Aurantii Immaturus, 1 liang, stir-fried with bran until slightly yellow), Huang Qi (Radix Astragali, 1 liang, cut into pieces), Qing Xiang Zi (Semen Celosiae, 1 liang), Bai Qian (Rhizoma Cynanchi Stauntonii, 1 liang), Huang Qin (Radix Scutellariae, 0.5 liang), Gua Lou Gen (Radix Trichosanthis, [missing quantity]).
Process these herbs by crushing coarsely and sieving to make a powder. Take 4 qian per dose. Add one zhong of water and half a ban of fresh ginger slice (Sheng Jiang), decoct until reduced to 5 fen. Strain out the dregs. Take warm at any time.

For chronic deficiency with vexation and heat, heat in the mouth, red cheeks, and excessive thirst, the Sheng Di Huang San (Rehmannia Root Powder) formula is suitable.
Ingredients: Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang), Fu Shen (Sclerotium Poria cum Radix Pini, 3 qian), Wei Yu (Radix Polygonati Odorati, 3 qian), Zhi Mu (Rhizoma Anemarrhenae, 3 qian), Gua Lou Gen (Radix Trichosanthis, 1 liang), Huang Qi (Radix Astragali, 1 liang, cut into pieces).
[Note: Original text has missing ingredients.]
Process these herbs by crushing and sieving to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time.

For chronic deficiency with vexation and heat, poor appetite, and weakness, the Di Gu Pi San (Lycium Bark Powder) formula is suitable.
Ingredients: Di Gu Pi (Cortex Lycii, 3 qian), Xuan Shen (Radix Scrophulariae, 3 qian), Huang Qi (Radix Astragali, 2 liang, cut into pieces), Ze Xie (Rhizoma Alismatis, 1 liang), Mai Men Dong (Tuber Ophiopogonis, 3 qian, remove heart), Sheng Gan Di Huang (Radix Rehmanniae Preparata, [missing quantity]).
Process these herbs by crushing coarsely and sieving to make a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen. Strain out the dregs. Take warm at any time.