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The injury to the child's Yang Qi and the severity of Yin-Cold are also manifested as: cold limbs, listlessness, irritability, insomnia, and in severe cases, a dull demeanor and abnormal behavior. Referring to the tongue presentation, this indicates extreme Cold in the Taiyin stage, transmitting to the Shaoyin stage, with both the Heart and Kidney injured. The Shaoyin disease originally presents with symptoms of merely wanting to sleep, aversion to cold, and curling up; however, there are also variant syndromes of irritability and inability to sleep. The latter is mostly caused by delayed or incorrect treatment, failing to warm urgently; it results from the True Yang of the Kidney failing to submerge, and the depletion of Heart Qi, where Yang deficiency causes disturbance and restlessness, making the condition particularly severe. Therefore, this case also belongs to a damaged disease of the Shaoyin stage.

Thus, although this disease is peculiar, its characteristic lies in "Cold within the Zang organs." The correct method of treatment is primarily "to warm them." Predecessors once said: "The Spleen is the Post-Heaven foundation, and the Kidney is the Pre-Heaven foundation; the Fire of Shaoyin generates the Earth of Taiyin. The Spleen is the mother of the Five Zang organs, and Shaoyin is even more the mother of Taiyin. The effect of Si Ni Tang is heavier than that of Li Zhong Tang." (Shanghan Fuyi · General Discussion on Taiyin Formulas) Therefore, Si Ni Tang (Four Counterflow Decoction) is used first to restore Yang and rescue from collapse, urgently retrieving the Yuan Yang that is about to be lost, and vigorously expelling the aggregated Yin-Cold.

[Second Visit] January 29, 1975. After taking the medicine, there was no discomfort, and the various symptoms showed no significant change. The deep-seated Cold in the Middle Jiao has existed for a long time, and the vital energy of the Kan Palace (Kidney) is also severely weakened. It is appropriate to combine Si Ni Tang (Four Counterflow Decoction) with Li Zhong Tang (Regulate the Middle Decoction), adjusting and continuing to take them. Add Rou Gui (Cortex Cinnamomi) and Liao Xi Xin (Asari Radix et Rhizoma) to enhance the power of vigorously expelling Cold stagnation.

Prescription:
Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 30g (decocted for a long time) Gan Jiang (Dried Zingiberis Rhizoma) 30g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 18g Bai Zhu (Atractylodis Macrocephalae Rhizoma) 18g Fu Ling (Poria) 15g Shang Rou Gui (Superior Cortex Cinnamomi) 10g (dissolved in the decoction)
Liao Xi Xin (Asari Radix et Rhizoma) 3g
Four doses

[Third Visit] February 5. Appetite slightly increased, sleep improved slightly. Deep-seated Cold in the Middle Jiao inevitably leads to a lack of source for Qi and Blood generation, resulting in deficiency of both Yin and Yang. While warming the interior and expelling Cold, and vigorously supplementing the Mingmen Fire, it is also necessary to regulate and tonify Yin and Yang, and cultivate the Earth (Spleen) to benefit Qi. Prescribe Huang Qi Jian Zhong Tang (Astragalus Decoction to Establish the Middle) to continue taking.

Prescription:
Gui Zhi (Ramulus Cinnamomi) 10g Bai Shao (Radix Paeoniae Alba) 10g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 3g Sheng Jiang (Fresh Zingiberis Rhizoma) 30g Da Zao (Fructus Jujubae) 10 pieces Huang Qi (Astragali Radix) 15g Yi Tang (Maltose) 60g (mixed in)
Ten doses

[Fourth Visit] February 19. Food intake increased, the phenomenon of listlessness and trance improved, and the mouth no longer touches the wall. However, the everted lips, bulging eyes, and swollen upper eyelids remain unchanged. This is due to stiff and deficient Spleen Earth, declining Yang and flourishing Yin, with Cold-Dampness aggregating and accumulating deeply. Switch to a large dose of Si Ni Tang (Four Counterflow Decoction). Add Gui Zhi (Ramulus Cinnamomi) and Ma Huang (Ephedrae Herba), and heavily use Sheng Jiang (Fresh Zingiberis Rhizoma) to unblock aggregated Cold-Dampness and open the obstruction of Qi and Blood, allowing them to reach the exterior; because Gan Jiang (Dried Zingiberis Rhizoma) and Fu Pian (Prepared Aconiti Lateralis Radix) are heavily used, there is no fear of sweating damaging Yang. Add Tong Bian (Child's Urine) as an anti-directional agent to guide the medicine downward, and also to utilize its blood-stasis-resolving effect.

Prescription:
Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 120g Gan Jiang (Dried Zingiberis Rhizoma) 60g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 30g Gui Zhi (Ramulus Cinnamomi) 18g Ma Huang (Ephedrae Herba) 18g Sheng Jiang (Fresh Zingiberis Rhizoma) 240g Tong Bian (Child's Urine) as a guide

[Fifth Visit] February 28. Red rashes appeared on the skin. Eyelid swelling subsided slightly, and the dull demeanor improved, while other symptoms remained the same. Switch to self-made Bu Er Dan (Two-Uniqueness Pill) to open orifices and dissipate blood stasis. Additionally, add Sha Ren (Amomi Fructus Rotundus) 30g, Bai Kou (Cardamomi Fructus) 30g, and Cao Guo (Tsaoko Fructus) 30g, grind them into fine powder, and take a small amount mixed in water after meals to invigorate the Spleen, move Qi, warm the middle, and dry Dampness.

[Sixth Visit] March 9. Red rashes disappeared, appetite increased, and the condition stabilized. Use a large dose of Si Ni Tang (Four Counterflow Decoction) again with modifications to greatly tonify the Mingmen Fire and vigorously expel Yin-Cold.

Prescription:
Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 120g (decocted for a long time) Gan Jiang (Dried Zingiberis Rhizoma) 60g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 60g Gui Zhi (Ramulus Cinnamomi) 30g Ma Huang (Ephedrae Herba) 12g Sheng Jiang (Fresh Zingiberis Rhizoma) 60g Tong Bian (Child's Urine) as a guide
Three doses

[Seventh Visit] March 13. Loose stools and cold limbs improved. After falling asleep, the phenomena of everted lips and protruding mouth flattened slightly. Use Huang Qi Jian Zhong Tang (Astragalus Decoction to Establish the Middle) again to regulate and tonify Yin and Yang, and cultivate the Earth to benefit Qi.

Prescription:
Gui Zhi (Ramulus Cinnamomi) 10g Bai Shao (Radix Paeoniae Alba) 10g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 3g Sheng Jiang (Fresh Zingiberis Rhizoma) 30g Da Zao (Fructus Jujubae) 10 pieces Huang Qi (Astragali Radix) 30g Yi Tang (Maltose) 60g (mixed in)
Eight doses

[Eighth Visit] March 26. No significant change in the condition. To enhance the power of unblocking Yang and moving Qi, Gui Zhi (Ramulus Cinnamomi) is heavily used, and Cong Bai (Allii Macrostemonis Bulbus) is added; to vigorously tonify the Mingmen and benefit Fire to eliminate Yin, Zhi Fu Pian (Prepared Aconiti Lateralis Radix) is increased to 250g, and Shang Rou Gui (Superior Cortex Cinnamomi) is added to assist; the decoction was taken for over 30 doses. Sha Ren (Amomi Fructus Rotundus) and Bai Kou (Cardamomi Fructus) were taken intermittently to increase the effect of warming the middle and strengthening the Spleen; combined with the self-made "Kan Li Dan" (Kan-Li Pill) to regulate and tonify Yin and Yang, warm the Kidney and expel Cold, nourish the Heart and calm the Spirit.

Prescription One:
Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 250g (decocted for a long time) Gan Jiang (Dried Zingiberis Rhizoma) 120g Gan Cao (Glycyrrhizae Radix et Rhizoma) 120g Gui Zhi (Ramulus Cinnamomi) 30g Shang Rou Gui (Superior Cortex Cinnamomi) 10g Cong Bai (Allii Macrostemonis Bulbus) 250g

Prescription Two:
Sha Ren (Amomi Fructus Rotundus) 30g Bai Kou (Cardamomi Fructus) 30g Grind into fine powder, take 2g mixed in water after meals

Prescription Three:
Chuan Fu Pian (Aconiti Radix Preparata) three and a half parts Shang Rou Gui (Superior Cortex Cinnamomi) one part Zhen Hu Po (Succinum) two parts
Bai Zi Ren (Biota Semen) two parts Fei Zhu Sha (Cinnabaris) one part She Xiang (Moschus) half part
Grind into fine powder, make pills with water. Once daily, 3-4 pills each time.

[Ninth Visit] May 8. Everted lips, protruding mouth, and eyelid swelling significantly subsided, demeanor and behavior gradually normalized, and deformities basically disappeared. The tongue body shows slight redness, coating is thin and white, with slight teeth marks on the edges. Yang Qi is gradually rising, showing a good omen of recovery from chronic illness. Considering the long-standing stiffness of the Spleen and Cold of the Kidney, it is appropriate to continue taking Si Ni Tang (Four Counterflow Decoction) and Li Zhong Tang (Regulate the Middle Decoction) with modifications.

Prescription:
Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 120g (decocted for a long time) Gan Jiang (Dried Zingiberis Rhizoma) 60g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 30g Bai Zhu (Atractylodis Macrocephalae Rhizoma) 18g Fu Ling (Poria) 20g Huang Qi (Astragali Radix) 20g Hong Zao (Fructus Jujubae) 30g Shang Rou Gui (Superior Cortex Cinnamomi) 10g (dissolved in the decoction)
Take four doses, then take again after an interval of several days

[Tenth Visit] October 20. The above prescription was modified according to symptoms, and after taking over 40 doses, all symptoms healed. Then stop taking medicine, and slowly take self-made Bu Er Dan (Two-Uniqueness Pill) to nourish the Heart and calm the Spirit, resolve blood stasis and open orifices, dry Dampness and strengthen the Spleen, and pay attention to avoiding raw and cold foods to consolidate the curative effect.
In May 1979, the patient's father wrote saying: After recovering from the illness, for more than three years, the body has become increasingly robust, and intelligence has recovered well. Academic performance has caught up with the fast class in high school. Currently, height is 1.75 meters, weight is 124 jin (62 kg), and he has become a school football player.

[Commentary] This case of Taiyin-Shaoyin syndrome presenting with facial deformity is indeed rare in clinical practice. "Cold within the Zang organs," warmed with Si Ni Tang (Four Counterflow Decoction) category, and cured intermittently with the tonifying effect of Jian Zhong Tang (Decoction to Establish the Middle), follows the principles of Zhang Zhongjing.
The *Shanghan Lun* (Treatise on Cold Damage) · Taiyin Chapter states: "Those who have spontaneous diarrhea without thirst belong to Taiyin, because their Zang organs have Cold, so they should be warmed, and it is suitable to take the Si Ni Tang category." This clause certainly originally used the symptom of "no thirst" to identify Taiyin disease and differentiate between cold and hot spontaneous diarrhea, but in reality, it covers the formation and treatment methods of interior Cold in Taiyin. The "Zang organ," although mainly referring to the Taiyin proper Zang organ, some commentators have pointed out that it can also generally refer to "Cold" in all Yin meridians. Thus, it can have a dual meaning: one is interior Cold, belonging to Yin and deficiency, indicating functional decline, stagnation of Cold pathogen, leading to failure of transportation and transformation, and emergence of various symptoms; the other is delayed or incorrect treatment, where Spleen Yang is damaged, and Cold pathogen sinks into Taiyin. The previous doctor correctly proposed: "When the Spleen is stiff, the lips evert and the eyes bulge." This is of great significance for clarifying the diagnosis. But the key lies in how to further master its transmission laws and treat based on syndrome differentiation.

From the perspective of Six-Meridian transmission, can Taiyin Cold pathogen transmit along the meridian? This issue has been much debated by commentators ancient and modern. Qing Dynasty Wu Qian et al. believed: "Since the Later Han dynasty until now, for a thousand years, it has all been said that Cold pathogen of the Three Yin does not transmit... these are all errors because they have not read Zhongjing's books thoroughly" (*Corrected Complete Works of Zhang Zhongjing: Shanghan Lun · Full Chapter on Taiyin*). Verified clinically, this case was transmitted from Taiyin Wet-Earth extreme Cold, due to failure to warm urgently, thus transmitting to Shaoyin. Although symptoms such as "vexation in the heart and inability to sleep" appeared, they are different from Shaoyin Heat Transformation Syndrome. It is actually Kidney Yang failing to submerge, Heart Qi depletion, and Taiyin Cold pathogen transmitting to Shaoyin. For Zhang Zhongjing's treatment of "Cold within the Zang organs," the correct method is "to warm them," and the main formulas are none other than the Si Ni Tang category. Therefore, this case first selected Si Ni Tang (Four Counterflow Decoction), combined with Li Zhong Tang (Regulate the Middle Decoction), or intermittently taking Jian Zhong Tang (Decoction to Establish the Middle), all embody the intention of warming and tonifying. It can be seen that although diseases are bizarre, and human bodies and Zang organs vary in thickness and deficiency/excess, ultimately, they still do not depart from the transmission laws of the Three Yin and Three Yang. Indeed, if this fundamental principle is mastered clinically, "although one may not cure all diseases, one can at least see the disease and know its source." Common diseases are like this, how could rare and strange conditions be an exception!

Taiyin-Shaoyin Syndrome Deficiency Labor
(Cerebral Arteriosclerosis, Meniere's Syndrome)
Li XX, Female, 48 years old. Family member of a factory in Chengdu.
[Medical History] Suffered from headache and dizziness for about ten years. In March 1971, the condition gradually worsened, frequent fainting, dizziness feeling like the sky and earth rotating, developing into stiffness of the head, neck, and limbs, difficulty in bending and extending, numbness of the body, bedridden for half a year in a year. In June 1974, specially went to a military hospital in Xi'an, diagnosed as "Cerebral Arteriosclerosis" and "Meniere's Syndrome" after internal medicine, orthopedics, neurology, and neurosurgery examinations. Transferred back to Chengdu, the condition did not improve. Came for consultation in November of the same year.

[First Visit] Bedridden, unconscious, palpitations and panting, dyspnea, frequent severe headaches, feeling as if tightly bound by an iron hoop, severe dizziness feeling like heaven and earth spinning. Stiffness of head and neck, cold hands and feet, generalized edema, loss of appetite, only ingested a little liquid food in the past three days. Numbness in both hands, dull sensation, scanty urine, stool initially constipated then loose. Irregular menstruation, three or four times a month, dark color, many blood clots. Pale complexion, swollen eye bags and cheekbones, dark circles around eyes, dark and dull tongue body, slippery and turbid greasy white coating, minute and fine pulse. This syndrome belongs to the Two Yin of Taiyin and Shaoyin, with Spleen and Kidney Yang deficiency worsening day by day, becoming Deficiency Labor. The method should regulate Yin and Yang, facilitate Qi transformation, and expel fluid retention, primarily using Gui Zhi Qu Shao Yao Jia Ma Huang Xi Xin Fu Zi Tang (Cinnamon Twig Decoction Removing Peony plus Ephedra, Asari, and Prepared Aconite Decoction).

Prescription:
Gui Zhi (Ramulus Cinnamomi) 10g Sheng Jiang (Fresh Zingiberis Rhizoma) 60g Gan Cao (Glycyrrhizae Radix et Rhizoma) 30g Da Zao (Fructus Jujubae) 30g Ma Huang (Ephedrae Herba) 10g Liao Xi Xin (Asari Radix et Rhizoma) 6g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 60g (decocted for a long time)
Three doses

[Second Visit] After taking the above prescription for three doses, consciousness gradually cleared, severe headache reduced, able to lie semi-recumbent in bed, take the original prescription for another eight doses.

[Third Visit] Body swelling and hand numbness slightly improved, consciousness cleared; still headache and dizziness. Limbs feel heavy, panting and fatigue upon slight movement. Coating slightly less greasy, condition turning; only Yang Qi weak, Yin-Cold stagnation deep. Although the prescription matches the syndrome, the strength is insufficient. Increase Fu Zi (Aconiti Radix) in the original prescription to 120g; additionally add Gan Jiang (Dried Zingiberis Rhizoma) and Pao Jiang (Prepared Zingiberis Rhizoma) 60g each, to enhance the effect of warming meridians and dispersing Cold, removing chronic Cold in Zang and Fu organs. Take continuously for ten doses, headache and dizziness significantly reduced, able to get up and move slightly. Reduce Fu Zi (Aconiti Radix) in the original prescription to 60g, remove Gan Jiang (Dried Zingiberis Rhizoma) and Sheng Jiang (Fresh Zingiberis Rhizoma), take another ten doses.

[Fourth Visit] Headache stopped, slight dizziness remains. After prolonged activity, slight palpitations and panting. Edema no longer obvious, stiffness of head, neck, and limbs disappeared, limbs gradually warm, food intake increased, various symptoms significantly improved. However, the chronic disease has lasted long, Spleen and Kidney Yang deficiency is severe, must further warm the middle and strengthen the Spleen, support Yang and tonify Kidney, consider both Yin and Yang, prescribe Li Zhong Tang (Regulate the Middle Decoction) with modifications to take slowly.

Prescription:
Dang Shen (Codonopsis Radix) 30g Gan Jiang (Dried Zingiberis Rhizoma) 30g Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) 20g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 20g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 60g (decocted for a long time) Fu Ling (Poria) 20g Tu Si Zi (Cuscutae Semen) 30g Gou Qi (Lycii Fructus) 20g Lu Jiao Jiao (Colla Cornus Cervi) 30g (melted) Gui Ban Jiao (Colla Testudinis Carapacis et Plastrum) 30g (melted)
Shang Rou Gui (Superior Cortex Cinnamomi) 12g (dissolved in the decoction)
Took the above prescription for over a month and recovered. Follow-up on December 25, 1979: The patient talked about the treatment process, spirit excited, no recurrence for five years, undertook all housework, body normal.

[Commentary] This case dragged on for a long time, complex condition,酿致 (resulting in) chronic illness, presenting various weakness syndromes, thus belonging to Deficiency Labor. According to Six-Meridian syndrome differentiation, cold hands and feet, palpitations and listlessness, inability to eat and spontaneous diarrhea, pale tongue and white coating, is actually simultaneous disease of Taiyin and Shaoyin, a scene of pervasive Yin Qi. Further analysis, dizziness and blurred vision, pain like tight binding; generalized edema, numbness and insensitivity of upper limbs; spontaneous loose diarrhea. This is Yin Qi ascending, Yang Qi sinking, Yin and Yang separated, Qi and Blood lacking control, Fluid Retention fighting with Qi, obstructing the whole body. The *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet) Gui Zhi Qu Shao Yao Jia Ma Huang Xi Xin Fu Zi Tang (Cinnamon Twig Decoction Removing Peony plus Ephedra, Asari, and Prepared Aconite Decoction) formula originally governs "Qi division, hardness under the heart... caused by Fluid Retention." You Yi commented: "Qi division means Cold pathogen takes advantage of Yang Qi deficiency to cause disease in Qi." "Do not directly attack Qi, but use pungent-sweet-warm medicines to move Yang to transform Qi." Kudo Kyukei said: Used this decoction to treat various Qi and Blood deficiency damaged diseases, often achieving miraculous effects.... According to Jingui, when Yin and Yang are harmonious, Qi flows; when Great Qi turns, Qi scatters. Thus, this formula was prescribed (quoted from *Fang Han Kou Jue*). Now adapted for this case, using the principle that Cold pathogen takes advantage of Yang deficiency to cause disease in Qi, to nourish Ying and Wei, move Yang to transform Qi, assist Yang to transform Fluid Retention, disperse Cold pathogen, and various symptoms will naturally be resolved.

Taiyang-Shaoyin Syndrome Headache
Li XX, Male, 48 years old. Old Red Army soldier of a PLA unit.
[Medical History] In December 1957, suffered from severe headache, worse at night. During pain, felt head tightening to the size of an egg, like being tightly bound by an iron hoop, unable to sleep. Hospitalized for over eight months in Sichuan XX Hospital, cause unknown, treated as "Neurasthenia". Took sleeping pills daily to forcibly control. After discharge, when headache recurred, shoulder and back pain like binding was added. Transferred to army XX Hospital, treated with sleep therapy etc. Entered XX Hospital again, treated as "Hysteria". Condition did not improve, forced to take full leave. Severe pain occurred one to several times daily. When developing severely, stiff tongue and dull eyes, unable to lift hands, unable to move feet, unable to speak. Came for consultation in 1965.

[First Visit] Severe headache, radiating to shoulders and back, occurring several times daily. Mental fatigue and shortness of breath, limb weakness, cold hands and feet, frequent diarrhea. Sallow complexion, dark and dull tongue body, yellow coating mixed with white, thick and greasy at the root. This is Taiyang-Shaoyin syndrome, old Cold accumulated deeply for many years, exterior and interior pathogens intertwined and difficult to resolve. The method should support Yang and release the exterior, vigorously expel Yin-Cold. Primarily use Ma Huang Xi Xin Fu Zi Tang (Ephedra, Asari, and Prepared Aconite Decoction) with modifications.

Prescription:
Ma Huang (Ephedrae Herba) 10g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 60g (decocted for a long time) Liao Xi Xin (Asari Radix et Rhizoma) 6g Gui Zhi (Ramulus Cinnamomi) 12g Gan Jiang (Dried Zingiberis Rhizoma) 60g Sheng Jiang (Fresh Zingiberis Rhizoma) 120g Gan Cao (Glycyrrhizae Radix et Rhizoma) 30g

[Second Visit] Took the above prescription continuously for over ten doses, headache reduced, other symptoms same as before. Disease heavy, medicine light, cooked Fu Zi decocted for a long time, difficult to achieve effect. Ordered to double the dose of Fu Zi in the above prescription, change long decoction of Zhi Fu Pian (Prepared Aconiti Lateralis Radix) to brief decoction (add other herbs twenty minutes after boiling). Advised to take as much as possible, if body feels numb, even losing sensation, do not be alarmed, let it recover spontaneously.

Prescription:
Ma Huang (Ephedrae Herba) 10g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 120g (briefly decocted) Liao Xi Xin (Asari Radix et Rhizoma) 6g Gui Zhi (Ramulus Cinnamomi) 12g Gan Jiang (Dried Zingiberis Rhizoma) 60g Sheng Jiang (Fresh Zingiberis Rhizoma) 120g Gan Cao (Glycyrrhizae Radix et Rhizoma) 30g
Patient followed the method and took it, waiting for the medicinal effect to occur after taking. Half an hour later, walking leisurely in the courtyard, suddenly fell down. Carried into the bedroom by family, quickly regained consciousness. Except for whole-body numbness, no obvious discomfort. After getting up, fell to the ground again, flowing out a considerable amount of clear sticky mucus from the mouth. Gradually returned to normal state after several hours. Interval of several days, repeated once according to the above method. From then on, severe pain for many years significantly reduced, the suffering of tight箍 (hoop) heavy pressure on head, shoulders, and back, all released. Afterwards, continued to take the initial prescription with Fu Pian (Prepared Aconiti Lateralis Radix) long-decocted for another two months, and the disease was basically cured. For over ten years, no recurrence.

Follow-up on October 31, 1979: Patient is over sixty years old, talking cheerfully, introducing various experiences of suffering from this strange disease for twenty years, extremely emotional.

[Commentary] The severe headache in this case, like being bound by ropes, similar to wearing a "tight hoop", is due to Cold-Damp pathogen accumulating for a long time, entering the interior along the Taiyang meridian, accumulating day by day and deepening without resolving. This is what is called "Cold entering the Shaoyin meridian, and externally connecting to Taiyang." Using Ma Huang Xi Xin Fu Zi Tang (Ephedra, Asari, and Prepared Aconite Decoction) with modifications, vigorously expels the stagnation of exterior and interior Cold-Damp. Qian Huang calls this formula a "miraculous agent for warming meridians and dispersing Cold," which is indeed a statement of clinical experience.

Taiyang-Shaoyin Syndrome Chest Bi
Chen XX, Female, 32 years old. Farmer from a township in Chengdu.
[Medical History] In August 1976, during pregnancy, contracted external pathogen, headache, body pain, insomnia, especially chest and back pain, chest fullness and oppression were severe. Afraid that taking medicine would disturb the fetus and cause premature birth, did not receive treatment. Seven days postpartum, just when the earthquake occurred, slept outdoors, condition worsened. Went to several hospitals in the province and city for chest fluoroscopy, electrocardiogram, ultrasound and other examinations, all normal, diagnosed as "Neurasthenia". Came for consultation in early November 1977.

[First Visit] Chest pain for over a year, fullness and discomfort, hiccupping and Qi obstruction. Aversion to cold, dizziness, tinnitus like cicadas, bone and joint soreness, poor appetite, many dreams, dysmenorrhea, many blood clots. Tongue body slightly pale, slippery yellow coating. This is contracting external pathogen before delivery, emptying of Blood Sea after delivery, invaded by Cold-Damp, Cold coagulation and Qi stagnation, blocking Chest Yang, Clear Yang not ascending, thus appearing chest fullness, dizziness, tinnitus, insomnia, body pain and other symptoms, also commonly known as "Postpartum Cold". The method should assist Yang to transform Qi, warm meridians and disperse Cold. Primarily use Gui Zhi Qu Shao Yao Jia Ma Huang Xi Xin Fu Zi Tang (Cinnamon Twig Decoction Removing Peony plus Ephedra, Asari, and Prepared Aconite Decoction).

Prescription:
Gui Zhi (Ramulus Cinnamomi) 10g Pao Jiang (Prepared Zingiberis Rhizoma) 30g Gan Cao (Glycyrrhizae Radix et Rhizoma) 15g Da Zao (Fructus Jujubae) 20g Ma Huang (Ephedrae Herba) 10g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 60g (decocted for a long time) Liao Xi Xin (Asari Radix et Rhizoma) 6g Wu Zhu Yu (Evodiae Fructus) 10g
Three doses

[Second Visit] After taking the above prescription, chest pain reduced, dizziness and tinnitus improved, still feel body pain, cold pain in lower abdomen before menstruation. Shaoyin Yang deficiency, Wind-Cold-Damp depression and closure unresolved, modify the original prescription, additionally assist with blood-invigorating and stasis-resolving products to regulate menstrual blood.

Prescription:
Gui Zhi (Ramulus Cinnamomi) 10g Pao Jiang (Prepared Zingiberis Rhizoma) 30g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 12g Ma Huang (Ephedrae Herba) 10g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 30g (decocted for a long time) Wu Zhu Yu (Evodiae Fructus) 10g Xu Yu Tan (Capillaris Carbonisata) 30g Dang Gui (Angelicae Sinensis Radix) 10g
Advised to take this prescription until menstruation starts, then stop.

[Third Visit] Took the above prescription for four doses, menstruation started. Menstrual color, volume, and pain all greatly improved, chest pain, dizziness, tinnitus, body pain, insomnia, and poor appetite also significantly reduced. Remove Pao Jiang (Prepared Zingiberis Rhizoma), Xu Yu Tan (Capillaris Carbonisata), Wu Zhu Yu (Evodiae Fructus) from the original prescription, add Fu Ling (Poria) for calming the Spirit and draining Dampness.

Prescription:
Gui Zhi (Ramulus Cinnamomi) 10g Sheng Jiang (Fresh Zingiberis Rhizoma) 30g Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 12g Da Zao (Fructus Jujubae) 20g Ma Huang (Ephedrae Herba) 10g Zhi Fu Pian (Prepared Aconiti Lateralis Radix) 30g (decocted for a long time)