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This condition belongs to Yin deficiency, where the pathology progresses from below upwards and affects the pulse. It is advisable to refer to and combine prescriptions from masters such as Danxi, Jiezhai, and Gu'an. However, treating Yin deficiency is difficult 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. If Qi is excessive, it assists Fire, making regulation and treatment truly difficult. Only by carefully examining the presence or absence of Stomach Qi to decide on treatment can this be considered a good method.

*Daquan* states: Women's Heat-Lao (consumptive fever) arises from heat congestion in the Heart and Lungs, damaging Qi and Blood, resulting in mental restlessness, flushed cheeks, headache, dry eyes, dry lips, sores in the mouth and tongue, mental fatigue and drowsiness, high fever in the four limbs, loss of taste, limb soreness, palpitations with night sweats, emaciation of the skin and muscles, or alternating chills and fever. One should investigate the cause, regulate and tonify Qi and Blood, and the disease will heal itself.

Xue Ji stated: Heat-Lao is caused by "vigorous fire consuming Qi" (vigorous fire refers to excess fire, distinct from the fire of consumptive fever which can be tonified), and the scorching of True Yin by deficient fire. Wang Bing (Wang Taipu) said: If one is extremely cold and severe, yet does not warm up with hot therapy, this indicates a lack of Fire (what Wang Taipu discussed pertains to True Water and True Fire, rooted in life generation, so one must seek its origin to subdue it). If heat comes and goes, appearing during the day and hiding at night, or erupting at night and ceasing during the day, this indicates a lack of Fire, and the Heart should be treated. If one is extremely hot and severe, yet does not cool down with cold therapy, this indicates a lack of Water. If heat fluctuates and stops, coming and going suddenly, moving and stopping intermittently, this indicates a lack of Water, and the Kidney should be assisted. Excess in the Heart generates heat; excess in the Kidney generates cold. Deficiency in the Kidney causes cold to move within; deficiency in the Heart causes heat to gather internally. I suggest (regarding the symptoms mentioned below, they involve the Liver, Spleen, or Lung more often than the Heart or Kidney; generally, treatment focuses on distinguishing between Qi and Blood levels, which differs from the intent of seeking the organ origin) regarding the aforementioned conditions (the following twenty sections determine formulas based on meridian symptoms and deficiency/excess, showing clear insight): If there is Liver and Spleen Blood deficiency, use Siwu Tang (Four Substances Decoction) with Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome); if there is Liver and Spleen depression and anger, use Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang; if there is Spleen and Stomach Qi deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if there is Liver and Spleen Blood deficiency, use Jiawei Xiaoyao San (Modified Free Wanderer Powder); if there is Wind-Heat in the Liver Meridian, use Jiawei Xiao Chaihu Tang; if there is Heart Meridian Blood deficiency, use Tianwang Buxin Dan (Emperor of Heaven's Special Pill to Tonify the Heart); if there is Lung Meridian Qi deficiency, use Renshen Bufei Tang (Ginseng Lung-Tonifying Decoction); if there is Liver Meridian Blood deficiency, use Jiawei Siwu Tang. Generally, fever before noon belongs to the Qi level, treated with Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction - see Miscellaneous Diseases section on Red and White Turbidity); fever 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 with Longdancao (Gentiana Root) and Shanzhi (Gardenia Fruit); in deficiency cases, use Siwu Tang with Renshen, Baizhu, and Huangqi (Astragalus Root); heat arising from below the navel indicates Yin Fire, treated with Siwu Tang plus 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); irregular fever, or fever without fixed location, or rising from the soles of the feet, indicates rootless deficient fire, treated with Jiawei Bawei Wan and Shiquan Dabu Tang (Complete Great Tonifying Decoction) plus Maidong and Wuweizi.

A woman with irregular menstruation and poor appetite had severe fever in the late afternoon; this was due to joint deficiency of Liver and Spleen Qi and Blood. She recovered using Shiquan Dabu Tang plus Shanzhuyu (Cornus Fruit), Shanyao (Dioscorea Rhizome), Mudanpi, Maidong, and Wuweizi. The following autumn, she experienced chills and fever resembling malaria, and recovered again using the previous prescription.

Another woman who had multiple births suffered from irregular menstruation and heat in both feet for over a year, followed by general body heat. Fatigue caused soreness and pain in the feet. After another year, her lips swelled, cracked, and became painful. Half a year later, her lips cracked and bled. Her body was emaciated and fatigued, she had no desire for food, and menstruation ceased. This was a syndrome of joint decline of Qi and Blood. She mistakenly used Tongjing Wan (Menstruation-Unblocking Pill) and other drugs, further damaging Qi and Blood, ultimately leading to her death.