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Pulse is wiry, with abdominal pain. Stool is loose and difficult to pass smoothly. This is caused by deficient Yang in the Lower Jiao (Lower Burner), leading to the counterflow of Yin turbidity.
*Huluba* (Halenia elliptica), *Bixie* (Dioscorea septemloba), *Guixin* (Cinnamon Twig), *Bajitian* (Morinda officinalis), *Qingpi* (Aged Tangerine Peel), *Fuling* (Poria)

The pulse exhibits intermittent pauses. Yang is damaged, and Yin fluids are dried up. There is loose stool and abdominal distension. One should regulate diet and food intake.

After swallowing food, coughing and rebellious Qi inevitably occur; only then can food be accepted. This belongs to the early stage of *Yege* (Dysphagia/Regurgitation).
*Pipaye* (Loquat Leaf), *Suzi* (Perilla Seed), *Louren Shuang* (Frost of Trichosanthes Seed), *Xuanfuhua* (Inula Flower), *Fuling* (Poria), *Guangjuhong* (Tangerine Peel)

Food is rejected after ingestion. The left pulse is wiry and rapid. This belongs to *Yege* (Dysphagia/Regurgitation).
*Xuanfuhua* (Inula Flower), *Banxia* (Pinellia Tuber), *Jiangzhi* (Ginger Juice), *Daizheshi* (Ochre), *Fuling* (Poria), *Chuanlian* (Coptis Rhizome)

Warm pathogenic factors are constrained in the Lung and Wei (Defensive) levels. There is coughing, hoarseness, and a faint pulse.

The pulse is wiry and choppy. Liver Yin is significantly deficient, and Middle Qi is also weak. Treatment should address both the Liver and Stomach simultaneously.
*Heshouwu* (Polygonum Multiflorum Root), *Fushen* (Poria with Hostwood), *Zhibaijili* (Prepared Tribulus Fruit), *Sangshenzi* (Mulberry Fruit), *Chuan Shihu* (Dendrobium Stem), *Qizi* (Goji Berry), *Zhejiang Huangju* (Chrysanthemum from Zhejiang), *Jianliarou* (Lotus Seed Flesh)

The left pulse is rapid.
*Shudi* (Rehmannia Root Prepared with Wine), *Chuan Shihu* (Dendrobium Stem), *Fushen* (Poria with Hostwood), *Maidong* (Ophiopogon Tuber), *Hanliancao* (Eclipta Herb), *Nvzhen* (Ligustrum Fruit)

Abdominal borborygmus is present, gradually progressing toward distension. Urination is difficult.
*Shudi* (Rehmannia Root Prepared with Wine), *Fuling* (Poria), *Guixin* (Cinnamon Twig), *Shanyao* (Dioscorea Rhizome), *Muli* (Oyster Shell), *Zexie* (Alisma Rhizome), *Niuxi* (Achyranthes Root), *Danpi* (Moutan Bark)

Suffering from *San Nue* (Tertian Malaria). After eating, digestion is sluggish, accompanied by head distension.
*Guishen* (Angelica Sinensis Root), *Baishao* (White Peony Root), *Chenpi* (Aged Tangerine Peel), *Fuling* (Poria), *Dazao* (Jujube Fruit), *Jiaozhu* (Stir-fried Atractylodes Macrocephala Rhizome), *Zhigancao* (Honey-fried Licorice Root), *Chaihu* (Bupleurum Root), *Shengjiang* (Fresh Ginger)

The pulse is faint and cannot withstand pressure. The True Yuan (Original Qi) is exhausted. How can one attend to the pathogenic factors? The condition is critical and difficult to treat.

For Wood Qi constraint, employ the method of draining/dispersing.

This is due to labor injury damaging Ying (Nutritive) and Wei (Defensive) Qi, with alternating chills and fever, palpitations, and chest pain. There is fear of hemorrhage.
*Xiao Jianzhong Tang* (Minor Construct the Middle Decoction) added with *Shaoyao* (Peony Root) and *Muli* (Oyster Shell)

Cough caused by warm pathogenic factors.
*Bohen* (Mint), *Lianyao* (Forsythia Root), *Heizhi* (Black Gardenia Fruit), *Huafen* (Trichosanthes Root), *Jiegeng* (Platycodon Root), *Shengcao* (Raw Licorice Root)

A wine drinker suffers from dampness-complicated heat fever. The rash has not yet erupted. Damp-warmth is internally constrained, steaming and causing epigastric obstruction and bi-syndrome. The appropriate method is harmonization.
*Yinchen* (Artemisia Capillaris Herb), *Guangbai* (Broad-leaved White Tangerine Peel), *Lipi* (Poria with Skin), *Doujuan* (Soybean Sprouts), *Jiegeng* (Platycodon Root), *Shengcao* (Raw Licorice Root)

Chronic dysentery with night sweats, nausea, and body tremors/chills. Red spots on the skin resembling urticaria indicate deficiency complicated by pathogenic factors.
*Guya* (Sprouted Grain), *Mu Gua* (Chaenomeles Fruit), *Banxia Qu* (Pinellia Fermented Paste), *Fuling* (Poria), *Guangpi* (Tangerine Peel), *Heyetai* (Lotus Leaf Stalk)

Anger causes Yang to ascend and blood to erupt.
*Shengdi* (Rehmannia Root Raw), *Shanqi Zhi* (Panax Notoginseng Juice), *Chuan Shihu* (Dendrobium Stem), *Fushen* (Poria with Hostwood), *Dopi* (Fermented Soybean Skin), *Huaruishi* (Rhodochrosite)

The pulse is wiry and slippery. Phlegm-fluids obstruct internally, causing numbness in the left limbs. This resulted post-malaria, due to residual latent dampness failing to clear, disrupting the mechanism of ascending and descending, thereby brewing turbid pathogens.
*Sheng Zhuyu* (Atractylodes Macrocephala Rhizome), *Banxia* (Pinellia Tuber), *Juhong* (Tangerine Peel), *Baijili* (Tribulus Fruit), *Zhishi* (Immature Bitter Orange), *Fuling* (Poria)

The Lung and Spleen have lost their function of descending and purifying. Vomiting and rebellious Qi occur after eating, expelling stasis and turbidity. Once Qi circulates freely, Blood naturally harmonizes.
*Pipaye* (Loquat Leaf), *Suzi* (Perilla Seed), *Ziwan Xu* (Aster Rootlet), *Jiangxiang Zhi* (Dalbergia Odorifera Sap), *Zhiqiao* (Immature Bitter Orange Fruit), *Baijie* (Platycodon Root)

Preference for drinking hot wine leads to accumulated heat and blood stasis in the Stomach collaterals. Bi-pain in the epigastrium occurs, and food intake gradually decreases. The patient is nearly fifty years old. The greatest concern is withered Ying (Nutritive) blood and knotted Qi, leading to *Guan Ge* (Obstruction and Regurgitation) in the future.