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Whenever there is a prickling pain in the ears, it indicates that Wind pathogen has invaded the Kidney Meridian (Jingmai). After a long time, it may transform into aversion to cold and fever, with stiffness of the spine and straightness of the back resembling spasms; this is called Huang Er Shang Han (Yellow Ear Cold Damage). It is appropriate to use Xiao Xuming Tang (Minor Continuation Life Decoction) added with Jiang Can (Bombyx Batryticatus, processed by soaking and roasting), Tian Ma (Gastrodiae Rhizoma, roasted with wine), Qiang Huo (Notopterygii Rhizoma et Radix), and Du Huo (Angelicae Pubescentis Radix); subsequently, use Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Powder to Overcome Toxin) added with Xi Xin (Asari Radix et Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Chan Tui (Cicadae Periostracum, feet and wings removed), Huang Qin (Scutellariae Radix), Chi Shao (Paeoniae Radix Rubra), and Zi Jin Pi.

Xiao Xuming Tang (Minor Continuation Life Decoction)
Fang Feng (Saposhnikoviae Radix) Gui Zhi (Cinnamomi Ramulus) Ma Huang (Ephedrae Herba) Xing Ren (Armeniacae Semen Amarum, soaked, skin and tips removed, ground) Chuan Xiong (Ligustici Chuanxiong Rhizoma, washed with wine) Bai Shao (Paeoniae Radix Alba, stir-fried with wine) Ren Shen (Ginseng Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma)
Huang Qin (Scutellariae Radix, stir-fried with wine) Fang Ji (Stephaniae Tetrandrae Radix) Fu Zi (Aconiti Lateralis Radix Praeparata. Fang Ji and Fu Zi should be used in small amounts.)

(Note: According to *Su Wen* (Basic Questions), slow and choppy pulse at the Cun position refers to Jie Xie (jiě xiè), pronounced "yi", which differs from what is discussed here.)
Jie Xie refers to the loosening and relaxation of muscles. Xie refers to tendons failing to bind the bones. The symptoms resemble cold but are not cold, resemble heat but are not heat; the four limbs and joints feel loose and sagging, accompanied by fatigue, weakness, and pain. Appetite is poor, and food lacks flavor. This is commonly known as Sha Bing (Sha Disease). *Nei Jing* (Inner Canon) calls it Jie Xie. Causes include dampness retained from alcohol consumption, contraction of Wind-Cold, excessive sexual activity, or in women, irregular menstruation leading to disharmony of Qi and Blood. All these can cause this condition. Although it resembles Sha Disease, it is not Sha Disease. Treatment should first involve slapping the inner arms with hot water-soaked cloth, or scraping with a hemp cloth dipped in water. Slapping and scraping must continue until the skin turns red and purple. Additionally, pricking Shi Xuan (Ten Extremities) and Wei Zhong (Bladder 40) acupoints to bleed is advisable. One should take Su He Xiang Wan (Styrax Pills).

Su He Xiang Wan (Styrax Pills)
She Xiang (Moschus) Chen Xiang (Aquilariae Lignum Resinatum) Ding Xiang (Syzygii Flos) Tan Xiang (Santalum Album Lignum, white variety) Xiang Fu (Cyperi Rhizoma) Bi Bo (Long Pepper Fruit) Bai Zhu (Atractylodis Macrocephalae Rhizoma) He Zi (Terminalia Chebulae Fructus, roasted, skin removed) Zhu Sha (Cinnabaris) Qing Mu Xiang (Vladimiriae Root)
Wu Xi Jiao (Rhinocerotis Cornu, each 2 qian) Xun Lu Xiang (Olibanum) Long Nao (Borneolum Syntheticum, each 1 qian) An Xi Xiang (Styrax, 2 qian, powdered, boiled into paste with pure strong wine) Su He You (Styrax Oil)
(Added to Xun Lu Xiang, total 2 qian)
Grind all into fine powder. Use An Xi Xiang paste and refined honey to make pills the size of bullet seeds, wrapped in wax. When using, dissolve one pill in warm water and take orally. (It is ideal for the pills to be wrapped in wax to prevent leakage of aroma.)