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(This syndrome belongs to Yin deficiency, a pathological process where the disease progresses from below upwards to the pulse level. It is appropriate to refer to and use formulas from masters such as Danxi, Jiezhai, and Gu'an. However, Yin deficiency is difficult to treat because Blood is generated by Qi; formless Qi precedes formed Blood. Moreover, Yin-nourishing agents may harm the Spleen and Stomach; if the Spleen is injured, Qi is damaged, and if Qi is damaged, there is no source for Blood generation. Conversely, if Qi is excessive, Fire receives assistance, making regulation truly difficult. The only sound method is to carefully examine the presence or absence of Stomach Qi to determine the treatment principle.)

The *Daquan* (Complete Works) states: Women's "Heat Lao" (consumptive fever) arises from congestion and heat in the Heart and Lung, damaging Qi and Blood, resulting in mental restlessness, red eyes with headache, dry and gritty eyes, dry lips, sores in the mouth and tongue, mental fatigue and drowsiness, robust heat in the four limbs, loss of taste in food, soreness and pain in the limbs, palpitations with night sweats, daily emaciation of the skin and flesh, or alternating chills and fever. One should investigate the cause, regulate and tonify Qi and Blood, and the disease will heal itself (This refers to Excess Fire, which differs from the Fire of consumptive fever that can be treated with tonification). Xue Ji stated: Heat Lao is caused by vigorous Fire consuming Qi and deficient Fire simmering True Yin. Wang Bing (Wang Taipu) stated: If there is severe cold that does not respond to warming treatments, it indicates a lack of Fire (Mingmen Fire deficiency). If heat comes and goes, appearing during the day and hiding at night, or manifesting at night and subsiding during the day, this also indicates a lack of Fire. One should treat the Heart. If there is severe heat that does not respond to cooling treatments, it indicates a lack of Water (Kidney Yin deficiency). If heat fluctuates and stops, coming and going suddenly, starting and stopping intermittently, this also indicates a lack of Water (Wang Bing discussed True Water and True Fire, which originate from congenital endowment, thus one should seek the affected organ to subdue the pathogen. I opine that among the following symptoms, those involving the Liver, Spleen, or Lung are common, while those involving the Heart and Kidney are rare. Generally, treatment should distinguish between Qi and Blood levels, which differs from the intent of seeking the specific organ affiliation). One should assist the Kidney. Excess in the Heart generates heat; excess in the Kidney generates cold. Kidney deficiency causes cold to move within; Heart deficiency causes heat to be retained internally (The following twelve sections determine formulas based on meridian-specific symptoms and their excess/deficiency nature, demonstrating profound insight). In my opinion, for the aforementioned symptoms: if due to Liver and Spleen Blood deficiency, use Siwu Tang (Four Substances Decoction) with Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome); if due to Liver and Spleen depression and anger, use Xiaochaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang; if due to Spleen and Stomach Qi deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if due to Liver and Spleen Blood heat, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if due to Liver Meridian Wind-heat, use Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction); if due to Heart Meridian Blood deficiency, use Tianwang Buxin Dan (Emperor of Heaven's Special Pill to Tonify the Heart); if due to Lung Meridian Qi deficiency, use Renshen Bufei Tang (Ginseng Lung-Tonifying Decoction); if due to Liver Meridian Blood deficiency, use Jiawei Siwu Tang (Modified Four Substances Decoction). Generally, heat occurring before noon belongs to the Qi level, treated with Qingxin Lianzi Yin (Clear the Heart and Lotus Seed Decoction); heat occurring after noon belongs to the Blood level, treated with Siwu Tang plus Renshen, Baizhu, and Mudanpi (Moutan Cortex). Heat arising from the left side indicates Liver Fire: in Excess cases, use Siwu Tang, Longdancao (Gentiana Root), and Zhizi (Gardenia Fruit); in Deficiency cases, use Siwu Tang, Renshen, Baizhu, and Huangqi (Astragalus Root). Heat arising from below the navel indicates Yin Fire, treated with Siwu Tang, Renshen, Baizhu, Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizome - stir-fried black with rice wine), Wuweizi (Schisandra Berry), Maidong (Ophiopogon Tuber), and Rougui (Cinnamon Bark). If ineffective, urgently use Jiawei Bawei Wan (Modified Eight-Ingredient Pill). Intermittent heat without fixed location, or arising from the soles of the feet, indicates rootless Heart deficiency, treated primarily with Jiawei Bawei Wan and Shiquan Dabu Tang (Perfect Golden Great Tonifying Decoction) plus Maidong and Wuweizi.