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[Treatment Methods for Complicated Symptoms]

If the whole body develops nodules that, when scratched, ooze pus and fluid, accompanied by alternating chills and fever, it is due to deficiency of Qi and Blood in the Liver Meridian with empty fire. Use Bazhen San (Eight-Treasures Powder) added with Mudanpi (Cortex Moutan Radicis) and Chaihu (Radix Bupleuri), or Quandaibu Tang (Complete Great Tonifying Decoction). If the skin itches as if rubbed against silk gauze, it is because Qi and Blood cannot nourish the exterior; use Renshen Yangrong Tang (Ginseng Nourishing Younger Decoction). If the face itches and feels numb, it is due to deficiency of Qi and Blood; use [Missing Text] Huang Wan (Yellow Pill).

If sores appear on the tongue and mouth, or the throat hurts, and the patient prefers cold drinks with constipation, it is Excess Heat; use Sishun Qingliang Yin (Four-Obedience Cooling Clearing Drink). If there is muscle heat and aversion to heat, starting from the lower body or feet, it is Kidney Deficiency Heat; use Jiaban Bawei Wan (Modified Eight-Ingredient Pill). If food is difficult to digest and the four limbs are cold, it is Decline of Fire of the Gate of Vitality (Mingmen); use Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill).

If teeth ache or gums ulcerate, and the patient prefers cold and dislikes heat, it belongs to Stomach Fire; use Jiawei Qingwei San (Modified Stomach-Clearing Powder) as the main treatment. If the patient dislikes cold and prefers heat, it belongs to Stomach Deficiency; use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) as the main treatment.

Spontaneous sweating and night sweating. Spontaneous sweating belongs to Qi Deficiency; night sweating belongs to Blood Deficiency. For spontaneous sweating, use Buzhong Yiqi Tang, taken with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). For night sweating, use Danggui (Radix Angelicae Sinensis) and Zaoren (Semen Ziziphi Spinosae).

Expectoration of phlegm or wheezing: If the Right Cun pulse is floating and slow, it is Lung Qi Deficiency; use Liujunzi Tang (Six-Gentlemen Decoction) added with Jiegeng (Radix Platycodonis). If the Right Cun pulse is surging and slippery, it is Heat in the Lung Meridian; [Text missing]. If the pulse is surging, slippery, and slow, it is Spleen Heat transmitting to the Lung; use Xiebai San (Drain White Powder) combined with Xiehuang San (Drain Yellow Powder). If the Right Chi pulse is weak and faint, it is Decline of Fire of the Gate of Vitality with Spleen and Lung Deficiency; use Renshen Lizhong Wan (Ginseng Regulate the Middle Pill). If ineffective, use Bawei Dihuang Wan. If the Right Cun pulse is surging and rapid, it is Heart Fire overcoming Lung Metal; use Renshen Pingfei San (Ginseng Calming the Lung Powder). If ineffective, use Liuwei Dihuang Wan. If the Left Cun and Guan pulses are surging, wiry, and rapid, it is Heat in the Heart and Liver Meridians; use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder). If ineffective, assist with Niuhuang Qingxin Wan (Calving Horn Calming the Heart Pill) to clear Wind-Heat, and continue using Liuwei Dihuang Wan to anchor the Yang. If the Left Chi pulse is rapid but forceless, it is Kidney Deficiency with Water flooding upward; use Liuwei Dihuang Wan added with Wuweizi (Fructus Schisandrae) to nourish Yin. If the pulse is micro and fine, or hands and feet are cold, or accompanied by wheezing and shortness of breath, urgently use Bawei Dihuang Wan to tonify Yang.

If the tongue is red and cracked or has prickles, accompanied by thirst and desire to drink, frequent urination, intermittent fever, fever without fixed location, or heat rising from the soles of the feet, this is a critical condition leading to death.

If sores appear on the tongue and mouth with incessant thirst, intermittent fever, fever stopping at night but present during the day, or fever present at night but calm during the day, frequent urination, and heat rising from the soles of the feet, use Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction). If one mistakenly uses cold and cooling agents to treat fire, damaging the Spleen and Stomach further, resulting in empty fullness in the chest and abdomen, loss of appetite, loose stools, difficult urination, abdominal distension, limb edema, or cold hands and feet, this is a Deficient-Cold syndrome of the Three Yin Meridians of the Foot; urgently use Jiaban Jin Gui Shenqi Wan (Modified Golden Cabinet Kidney Qi Pill). There are cases of recovery.

Abdominal swelling: If looser in the morning and tighter in the evening, it belongs to Yin Deficiency; if looser in the evening and tighter in the morning, it belongs to Yang Deficiency. If tight both morning and evening, it is Dual Deficiency of Yin and Yang. For Yang Deficiency, use Bawei Dihuang Wan in the morning and Buzhong Yiqi Tang in the evening. If there is abdominal fullness, limb swelling, cold hands and feet, difficulty digesting food, diarrhea, or cold air exhaled from the mouth, this is the collapse of True Yang, with Deficient-Cold of the Spleen, Lung, and Kidney failing to control and retain, causing water flooding; urgently use Jiaban Shenqi Wan (Modified Kidney Qi Pill), otherwise it is incurable.

Fever with chills: If the Cun Kou pulse is micro, it is named Insufficiency of Yang Qi, where Yin Qi enters the Yang region, causing chills; use Buzhong Yiqi Tang. If the Chi portion of the pulse indicates invasion by Damp-Heat, belonging to Deficiency of Form and Qi but Excess of Pathogenic Qi, one should specifically tonify Yang Qi; use Buzhong Yiqi Tang. If there is fever, great thirst with desire to drink, red eyes and face, this is Fever due to Blood Deficiency, belonging to dual deficiency of form and disease; one should specifically tonify Yin and Blood; use Danggui Buxue Tang (Angelica Tonifying Blood Decoction).

Fever with thirst: If the Right Cun and Guan pulses are floating, large, and forceless, it is Deficiency of Spleen and Lung Qi; use Buzhong Yiqi Tang. If rapid and forceful, it is [Spleen and Lung] Heat; [Formula missing]. If rapid and forceless, it is Decline of Fire of the Gate of Vitality; use Bawei Dihuang Wan. If the Left Cun and Guan pulses are rapid and forceful, it is Heat of Heart and Liver Qi; use Chaihu Zhizi San (Bupleurum and Gardenia Powder). If rapid and forceless, it is Deficiency of Heart and Liver Qi; use Liuwei Dihuang Wan. If the Chi pulse is rapid and forceless, it is Empty Fire of the Kidney Meridian; use Jiaban Bawei Wan. Generally, after healing from sores, if there is thirst, or sores appeared after thirst, or sores on tongue/mouth, swollen/painful throat, cracked lips, yellow tongue, red eyes, and surging phlegm-saliva, these are all defeat syndromes; only this pill can save them.

Dim and weak vision, or internal cataracts with black spots, belong to Blood Deficiency and Divine Fatigue; use Ziyin Shenqi Wan (Nourish Yin Kidney Qi Pill). If vision is weak or seeing abnormal shapes, it belongs to Yin [Deficiency/Fatigue]. If tired or skin numbness, it belongs to Spleen and Lung Qi Deficiency; use Shenxiao Huangqi Tang (Miraculous Astragalus Decoction). If eyes are dark at night, even dim under lamplight, it belongs to Yang Deficiency sinking; use Jueming Yeling San (Clear Bright Night Spirit Powder). If eyes are dark with body fatigue, internal cataracts, and tinnitus, it belongs to Spleen and Stomach Qi Deficiency; use Yizhi Congming Tang (Benefit Intelligence Brightening Decoction). The essence and Qi of the Five Zang and Six Fu organs are all derived from Spleen Earth, ascending to the eyes. The Spleen is the head of all Yin meridians, and the eyes are the congregation of blood vessels; it is best to tonify Spleen Earth.

Epistaxis and hematemesis: If the Left Cun and Guan pulses are rapid and forceless, it is Blood Deficiency; use Siwu Tang (Four-Materials Decoction) added with Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae). If floating and forceless, it is Qi Deficiency; use Buzhong Yiqi Tang. If [pulse description missing], it is Deficient-Heat of Lung and Stomach; first use Jisheng Xijiao Dihuang Tang (Jisheng Rhinoceros Horn Rehmannia Decoction), then Siwu Tang added with Renshen, Fuling (Poria), and Baizhu. If Chi pulse is rapid and forceless, it is Yin Deficiency; use Liuwei Dihuang Wan. If yellow face, dry eyes, excessive eye discharge, and numb hands, it is Spleen and Lung Deficiency; use Huangqi Shaoyao Tang (Astragalus and Peony Decoction).

Loss of appetite: If due to Stomach Qi Deficiency preventing eating, use Sijunzi Tang (Four-Gentlemen Decoction). If due to Spleen Qi Deficiency preventing transformation, use Liujunzi Tang (Six-Gentlemen Decoction). If [stool issue missing] and Stomach Qi Deficient-Heat, use Wuwei Yigong San (Five-Agent Meritorious Powder). If preferring cold drinks/food, it is Stomach Qi Excess Heat; use Xiehuang San (Drain Yellow Powder).

Leukorrhea: Caused by external pathogens entering the uterus during menstruation or postpartum, transmitting to the Five Zang. Green color belongs to Liver; use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Fangfeng (Radix Saposhnikoviae) etc. Red color belongs to Heart; use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Huanglian (Rhizoma Coptidis), Shanzhi (Fructus Gardeniae), and Danggui. Damage from overthinking; use Miaoxiang San (Wonderful Incense Powder) and Liuwei Wan. White color belongs to Lung; use Liuwei Wan and Buzhong Yiqi Tang added with Shanzhi. Yellow color belongs to Spleen; use Liuwei Wan, Liujunzi Tang added with Shanzhi and Chaihu. If ineffective, use Guipi Tang (Restore the Spleen Decoction). Black color belongs to Kidney; use Liuwei Wan. Dual Deficiency of Qi and Blood; use Bazhen Tang (Eight-Treasures Decoction). Yang Qi sinking; use Buzhong Yiqi Tang. Damp-Phlegm pouring down; add Fuling, Banxia (Rhizoma Pinelliae), Cangzhu (Rhizoma Atractylodis), and Huangbai (Cortex Phellodendri) to the previous decoction. Qi Deficiency with Phlegm-Fluid; use Siqui Tang sent with Liuwei Wan. If chronic illness leads to sinking of Yuan Qi, or damage from purgatives, it is best to strengthen Spleen/Stomach and raise Yang Qi. If one rigidly applies drying-dampness and fire-draining drugs based on fat/thin body types, it damages Spleen/Stomach, causing great harm.

Hematochezia and Hematuria: If Right Guan pulse is floating and rapid, it is Qi Deficiency with Heat; use Sijunzi Tang added with Shengma (Rhizoma Cimicifugae) and Danggui. If Chi pulse is floating/large or weak/faint, it is Yuan Qi [Deficiency]; use Sijunzi Tang added with Shengma and Paojiang (Prepared Ginger). If Chi pulse is surging/rapid or forceless, it is Kidney Deficiency; use Liuwei Dihuang Wan. If due to sexual exhaustion damaging Essence/Qi, with Yin Deficiency and moving Fire causing hematuria, for all blood diseases, regardless of pulse/symptoms, it is best to decoct and take the aforementioned pills.

Diarrhea at dawn or early morning is Spleen/Kidney Deficiency; take Sishen Wan (Four-Spirit Pill) at dawn, Baizhu San (Atractylodes Powder) during the day. If ineffective, or recurring after cure, urgently use Bawei Wan to tonify Mingmen Fire to generate Spleen Earth, stopping diarrhea.

Constipation belongs to Spleen/Lung depletion, dryness of Large Intestine fluids, or Blood Deficiency with Fire scorching. Do not count days; if diet is heavy, wait until abdominal [distension/pain] occurs, then stool passes but does not stop, or forms middle-fullness syndrome. If Qi/Blood Deficient, use Bazhen Tang added with Huomaren (Semen Cannabis). If Intestines/Stomach Deficient, use Buzhong Yiqi Tang added with Huomaren. If Kidney Fluid fails to moisten, use Liuwei Dihuang Wan added with Huomaren. If rich flavors accumulate and block, with dribbling urinary retention, it is Liver/Kidney Deficiency; use Liuwei Dihuang Wan to nourish Kidney Water, and Buzhong Yiqi Tang to tonify Spleen/Stomach. If fever or afternoon fever, use Liujunzi Tang and Jiawei Xiaoyao San to nourish Yin/Blood and clear Wind-Heat. If accompanied by bone/joint pain, first use Toujing Jielsuan Tang (Penetrate Meridians Relieve Spasm Decoction) and Qinjiao Dihuang Tang (Gentian and Rehmannia Decoction), then Bazhen San added with Mudanpi and Chaihu. If Wind medicines were mistakenly taken damaging Yin/Blood, use Yilao Qufeng Wan (Yilao Expelling Wind Pill). If thighs, scrotum, or feet are affected, use Sisheng San (Four Generations Powder) and Dihuang Wan. If mistakenly taking Caowu/Chuanwu (Aconite roots) or applying Badou (Croton seed)/Pishi (Arsenic), causing muscle rot and becoming Leprosy-like, practitioners must be cautious.

Red face with itching or eyebrow loss belongs to Lung Meridian Wind-Heat; use Renshen Xiaofeng San (Ginseng Expelling Wind Powder) and Huapi San (Birch Bark Powder). If Qi Deficient, use Buzhong Yiqi Tang added with Tianma (Rhizoma Gastrodiae)... [Text garbled], or Xiao Chaihu Tang added with Shanzhi, Mudanpi, Gouteng (Uncaria Rhynchophylla), followed by Jiawei Xiaoyao San. For symptoms belonging to Liver Meridian, where Blood Dryness generates Wind, one should only nourish Kidney Water to generate Liver Blood, so Fire extinguishes, Wind settles, and itching stops.

Whole-body nodules or hives with itching are Wind-Heat injuring Blood; use Qianghuo Danggui San (Notopterygium and Angelica Powder). If Qi Deficient, assist with Buzhong Yiqi Tang added with Shanzhi and Gouteng. If constipation, it is Wind-Heat with dryness; use Qingwei San added with Shaoyao (Radix Paeoniae Alba). Kidney opens into the two orifices; insufficient Essence/Blood causes constipation; use Liuwei Dihuang Wan and Buzhong Yiqi Tang to nourish the source of transformation.

Difficult urination: If no thirst but difficult urination, Heat is in Lower Jiao Blood level; use Zishen Wan (Nourish Kidney Pill). If thirsty but difficult urination, Heat is in Upper Jiao Qi level; use Qingfei San (Lung-Clearing Powder). If due to Kidney Yin Deficiency, use Liuwei Dihuang Wan. If Heat binds Bladder, use Wulin San (Five-Dampness Powder). If Yuan Qi Deficiency fails to transport, use Buzhong Yiqi Tang. If Spleen/Lung Qi is dry and fails to generate, use Huangqin Qingfei Yin (Scutellaria Lung-Clearing Drink). If tetany, constipation, and asthma occur, regardless of gender or pregnancy, urgently use Bawei Wan; delay means incurable.

White turbidity is governed by the Three Yin Meridians of the Foot. If caused by rich flavors and Damp-Heat, use Jiawei Qingwei San. If Liver/Kidney Deficient-Heat, use Liuwei Dihuang Wan as main. If Spleen Qi Deficient, assist Liuwei Wan with Buzhong Yiqi Tang. If Damp-Phlegm pours down, assist Buzhong Yiqi Tang with Liuwei Wan.