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The syndrome of asthma (Chuan, panting/asthma) has been stabilized after receiving substantial tonification, indicating that the deficiency in the Liver, Spleen, and Kidney meridians has reached an extreme degree; this shall be set aside for now. The current pulse is hollow (Kou) and taut (Xian), named "Ge" (Leather pulse), which signifies emptiness in the blood collaterals and the difficulty of Yuan Qi (Original Qi) to hold fast. Precisely because Yuan Qi is difficult to retain, warm pathogenic factors sinking downward cause loose stools, spreading outward causes edema, and reversing upward causes cough with phlegm; furthermore, below, injury to Yin collaterals leads to internal hemorrhage, and above, injury to Yang collaterals leads to external hemorrhage. For a patient with such middle Jiao deficiency and poor appetite, encountering this condition, I fear their body may not endure the strain, potentially leading to recurrence and deterioration; it must not be neglected.

Prepared Chuan Fuzi (Aconiti Lateralis Radix Praeparata) 7 fen (decocted last with Qingyan/Salt); Da Shengdi (Rehmanniae Radix Recens) 2 qian; Bai Shao (Paeoniae Radix Alba) 1 qian; E'jiao (Colla Corii Asini) 1.5 qian; Zhi Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 4 fen; Ren Shen (Ginseng Radix et Rhizoma) 7 fen; Wu Wei Zi (Schisandrae Chinensis Fructus) 7 fen; Mai Dong (Ophiopogonis Radix) 1.5 qian; Mu Li (Concha Ostreae) 1 liang; Fulonggan (Cauda Termitarii) 1 liang; Wu Mei (Mume Fructus) 1 qian.

Dampness is categorized into five types; human dampness mostly originates from the Spleen. The Spleen governs dampness, and dampness corresponds to the Earth element. If Earth Qi is not vigorous, dampness has no outlet; when expelled, it transforms into Phlegm, and further transforms into Heat. This is what is meant by "Dampness generates Phlegm, Phlegm generates Heat." Since the constitution of Damp-Heat and Phlegm has existed for years, let us set that aside for now and discuss the onset of abdominal pain and diarrhea after two periods (Hou), followed by alternating chills and fever, occurring three times a day, accompanied by frequent hiccup (E Te), lasting seven days until cessation. This clearly indicates cold wind external contraction entering internally via the Shaoyang meridian, where interior Qi fails to receive, causing upward reversal and agitation, resulting in irregular entry and exit. At that time, sweating was excessive; although symptoms such as dry mouth and tongue, vomiting, and nausea were present, Xiao Chai Hu Tang (Minor Bupleurum Decoction) could hardly be used for harmonization. Currently, sweating is profuse, vomiting persists, and bowel movements are unobstructed; the methods of sweating, vomiting, and purging have all been exhausted, yet malaria (Nue Ji) still occurs, with chest fullness and oppression, and the right pulse is greatly deficient while pathogenic factors remain strong. Since the methods of sweating, vomiting, and purging cannot be applied, only the method of harmonizing Cold and Warmth can be employed. It is commonly seen that there is heat in the Dantian and cold in the chest, with a white, slippery tongue coating; Zhang Zhongjing once prescribed a formula, which Master Yu (Yu Jia Yan) adopted as a method to harmonize the upper and lower. Furthermore, after the methods of sweating, vomiting, and purging, if chest fullness and discomfort with belching occur, Xuan Fu Dai Zhe Shi Tang (Inula and Hematite Decoction) is used to unblock Yang and suppress rebellion, so that hiccups do not recur, which I believe is also appropriate. However, this treatment method is designed not only for new diseases but also addresses the old Damp-Heat generating Phlegm. The preparation of the Harmonizing Formula aims to harmonize disharmony, specifically after the body has become deficient. I privately fear that waves of deficiency may rise secretly; it must not be neglected. Awaiting correction from distinguished gentlemen.

Huang Lian (Coptidis Rhizoma); Gan Jiang (Zingiberis Rhizoma); Zhi Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle); Xuan Fu Hua (Inulae Flos); Zhe Shi (Haematitum); Ren Shen (Ginseng Radix et Rhizoma); Ban Xia (Pinelliae Tuber); Gui Zhi (Ramulus Cinnamomi); Fu Ling (Poria); Chen Pi (Citri Reticulatae Pericarpium); Bai Shao (Paeoniae Radix Alba); Cao Guo Ren (Tsaoko Fructus); Sheng Jiang (Zingiberis Rhizoma Recens); Hong Zao (Jujubae Fructus); Fu Zi (Aconiti Lateralis Radix Praeparata, stir-fried with Salt); Sheng Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with Ginger Water until scorched).