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The *Suwen* (Basic Questions), chapter "Mai Yao Jing Wei Lun" (Essential Discussions on Pulse Diagnosis), states: When the pulse is affected by wind pathogen, it forms a condition called Li Feng (Leprosy/Malodorous Wind). The discussion elaborates: When cold and wind pathogens invade the vessels and do not depart, this condition is named Li Feng. In patients with Li Feng, the Ying (Nutrient) and Wei (Defensive) Qi become hot, and the internal Qi becomes turbid and unclear, thus causing the nasal bridge to collapse, the complexion to deteriorate, and the skin to ulcerate and suppurate. It is also stated that wind pathogen enters together with the Foot-Taiyang Bladder channel, travels through the Shu points of various vessels, and scatters between the muscles. It interferes with the Wei Qi, obstructing its pathways, thereby causing muscle ulcers. Since the Wei Qi coagulates and fails to circulate, the flesh becomes numb and insensible. The *Lingshu*, chapter "Chang Ci Jie Lun" (Long-Needle Section), states: Severe wind disease causes heaviness in the bones and joints, and loss of eyebrows and beard; this is called Da Feng (Great Wind). Treatment involves needling the muscles until sweating occurs for one hundred days. Wang Bing's commentary notes: This is to vent the stagnation-heat of the Wei Qi. Needling the bone marrow until sweating occurs for another one hundred days. Wang Bing's commentary notes: This is to vent the stagnation-heat of the Ying Qi. After two hundred days, the eyebrows and beard will regrow, and treatment should cease. The *Lingshu* states: For Li Feng, repeatedly needle the swollen areas. After needling, use a sharp needle to puncture the site, press to expel the foul Qi, and stop when the swelling subsides. Consume only regular foods and avoid other miscellaneous foods. Examining the classic discussions on treatment, the distinction between Ying and Wei Qi is as follows. Although ancient formulas are numerous, they merely mixedly purged wind-heat from Ying and Wei without distinguishing sequence. It was not until Li Dongyuan and Zhu Danxi that this distinction began. *Huo Fa Ji Yao* (Key to Living Methods) records: First, administer Hua Pi San (Birch Bark Powder), starting from a small dose and increasing gradually, taken for five to seven days. Then moxa the Chengjiang (CV24) acupoint seven moxibustion cones. Once the moxibustion wound heals, repeat the moxibustion and healing process. After the third moxibustion, administer Er Sheng San (Two Sages Powder) to clear heat and expel wind pathogen from the blood. Abstinence from sexual activity is required, and the disease will heal after three years. This represents treating the Wei level first, then the Ying level. *Shi Xiao Fang* (Formulas for Trial Effectiveness) treats Duan Ku using Bu Qi Xie Rong Tang (Tonify Qi and Purge Ying Decoction), which treats Ying more than Wei. Zhu Danxi said: One must distinguish whether the pathology is above or below. For pathology above, use Zui Xian San (Intoxicating Immortal Powder) to induce the discharge of foul blood from the gum margins. For pathology below, use Tong Tian Zai Zao San (Heaven-Reaching Regeneration Powder) to induce the discharge of foul matter and roundworms from the anus. Although the routes of discharge differ above and below, all fall within the Yangming channel. Observe the nodules: if they appear first on the upper body and are more prevalent there, the disease is above; if they appear first on the lower body and are more prevalent there, the disease is below; if both are present, the disease is both above and below. The Yangming channel governs the Stomach and Large Intestine, accepting everything. When wind pathogen invades, Qi is predominantly affected above, Blood below, and both above and below if both are affected. Unless the physician is skilled and the patient resolute, few escape death. Qi is Yang and Wei; Blood is Yin and Ying. Above the midpoint of the body, Yang is affected first; below the midpoint, Yin is affected first. Thus, Zai Zao San treats pathology in the Yin level by using Gao Jiao Ci (Gleditsia Spine) to draw out wind-toxin from the Ying-Blood. The Liver governs Blood; stagnant foul blood belongs to the Liver. Worms also arise in the Jueyin channel, transformed by Wind-Wood Qi. Treatment must focus on regulating the Zang-Qi and killing worms, assisted by Da Huang (Rhubarb Root) to guide the action into the intestines and stomach Ying-Blood levels, promoting the expulsion of stasis and worms. Zui Xian San treats pathology in the Yang level. It uses Niu Bang Zi (Arctii Fructus) to expel wind-toxin from widespread sores, Hu Ma (Sesamum Seed) to dispel wind, tonify Lung, and moisten skin, Ji Li (Tribulus Fruit) to treat foul blood and pruritus, open nasal passages, Fang Feng (Saposhnikoviae Radix) to treat various winds, Gua Lou Gen (Trichosanthis Radix) to resolve stasis and reduce heat-swelling, Gou Qi Zi (Lycium Fruit) to dissipate wind-heat and detoxify sores, Man Jing Zi (Vitalis Fruit) to treat thief-wind, and Ku Shen (Sophorae Flavescentis Radix) to treat heat-toxic wind causing skin irritation and sores, red leprosy, and eyebrow loss. These eight herbs have solid efficacy, but Yin Fen (Calomel) is used as an assistant drug. Yin Fen is a crucial agent for descending through the diaphragm and unblocking the Large Intestine. It drives the other herbs into the Yangming channel, opens wind-heat stagnation and obstruction, expels foul wind and toxic filth, kills worms, and ascends along the channel to the thin gums to expel foul saliva. If this medication damages the teeth, wipe them with Huang Lian (Coptidis Rhizoma) powder, or protect them beforehand to neutralize Yin Fen toxicity. Yin Fen plays a decisive role in Zui Xian San, creating its unique efficacy, unmatched by other formulas. Hence, Danxi selected these two formulas for separate use, like vanguard troops in battle. For residual pathogens not yet cleared, simply add mild expelling agents to formulas harmonizing Ying and Wei.

Xue Xinpu said: Generally, this syndrome arises from labor injuring Qi and Blood, leading to loose interstices, or from sexual activity and bathing after drunkenness, or from climbing mountains and wading through water, allowing external pathogens to invade and contend with Wei Qi. Damp-heat and Ministerial Fire interact, transforming blood, leading to the disease. Thus, it is common in Huaiyang, Fujian, and Guangdong. Loss of eyebrows first indicates toxin in the Lung. Purple blisters on the face indicate toxin in the Liver. Pain or perforation in the soles of the feet indicates toxin in the Kidney. Body-wide lesions resembling tinea indicate toxin in the Spleen. Damage to the eyes first indicates toxin in the Heart. These are severe cases of Zang involvement. Five types of death are described: Skin death presents as numbness and insensibility; Flesh death presents as insensitivity to needle prick; Blood death presents as rotting and ulceration; Tendon death presents as finger detachment; Bone death presents as nasal collapse. These represent incurable damage to the five Zang organs. Hoarseness and blindness are particularly difficult to treat. Treatment must differentiate primary syndrome, accompanying syndromes, transformed syndromes, and similar syndromes, adjusting according to Yin-Yang and deficiency-excess. Misusing drying-hot agents leads to dripping pus, further drying Liver Blood, intensifying wind-heat, depleting Kidney Water, and flaring Ministerial Fire, resulting in complicated conditions.

Treatment of Primary Syndromes: Li Yang (Leprous Ulcers) affects not just one Zang, but Qi and Blood are invariably injured, and accompanying syndromes are invariably complex. Accumulating over years before manifesting externally, one must distinguish the upper and lower meridians and the deficiency-excess of the pathological trend. Do not indiscriminately apply toxic-purgative drugs. First, support Stomach Qi and strengthen Yuan Qi to solidify the root, then treat the sores. Li Yang has variations and similarities, requiring methods such as sweating, purging, bloodletting (Bian), and tonification/purging. Accompanying syndromes require assessing severity; transformed syndromes require observing sequence; similar syndromes require distinguishing truth from falsehood. Sweating, purging, Bian, needling, tonifying, and purging methods must be applied based on the patient's deficiency-excess and the disease's origin. Deficiency refers to weak form and Qi; Excess refers to strong pathogenic Qi but weak form and Qi. Zhang Hezi stated that one sweating session equals a thousand needles, as bloodletting is less comprehensive than sweating. However, sweating is equivalent to bleeding, and bleeding is equivalent to sweating. For foul blood stagnating in muscles and meridians, needling or sweating is appropriate; bleeding at Weizhong (BL40) is effective. For toxins accumulating internally in Zang organs, internal purging is necessary for cure. For external toxins, Bian needling of affected areas, wrists, ankles, and finger webs is required to disperse the toxin. For simultaneous exterior and interior toxin, external Bian and internal purging are essential. For predominant upper body involvement, use Zui Xian San to discharge internal foul blood via gums and needle finger webs and arms to remove superficial toxin blood. For predominant lower body involvement, use Zai Zao San to discharge foul blood and old worms via the anus, and needle toe webs and legs. Repeat every one to two days until blood turns red. If chills, fever, or headache occur, heavily tonify Qi and Blood. If taking Qing Fen (Calomel) preparations causes abdominal pain with purulent diarrhea, do not use antidiarrheals. Mouth and tongue swelling, foul saliva flow, thirst, fever, and preference for cold drinks indicate Upper Jiao Heat-Toxin; use Xie Huang San. Chills and alternating fever indicate Shaoyang disorder; use Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Zhi Mu (Anemarrhenae Rhizoma). Bleeding from gum margins, fever, and constipation indicate internal invasion of Heat-Toxin; use Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxins). If stool is normal, use Xi Jiao Di Huang Tang (Rhino Horn and Rehmannia Decoction) from *Jisheng Fang*. If foul drainage ceases but mouth/tongue does not heal, or fever/thirst occurs without preference for cold drinks, this is Deficient Heat; use Qi Wei Bai Zhu San (Seven-Ingredient Atractylodes Macrocephala Powder). Contracture of hands, feet, legs, arms, or fingers due to Li Yang results from flourishing Yin Fire injuring Qi and Blood; use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) plus Sheng Di Huang (Rehmanniae Radix) and Huan Ji San (Skin-Renewing Powder). Worms in Li Yang result from the convergence of wind pathogens from five directions, Ministerial Fire suppressing Metal, and excessive Wood transformation, consuming the five Zang internally and manifesting externally. Use Sheng Ma Tang (Cimicifugae Decoction) with Xie Qing Wan (Draining Green Pill) or Hua Pi San to clear Lung and Liver pathogens. External moxibustion at Chengjiang (CV24) unblocks Yangming and Renmai channels, extinguishing wind-heat and preventing worm growth. For Liver Channel Deficient Heat, assist with Jia Wei Xiao Yao San and Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia).

Treatment of Accompanying Syndromes:
[Dizziness and Vertigo] If Right Cun-Guan pulse is floating and forceless, it is Spleen-Lung Qi Deficiency; use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If Left Guan-Chi pulse is rapid and forceless, it is Liver-Kidney Qi Deficiency; use Liu Wei Di Huang Wan. If Right Cun-Chi pulse is floating-large or micro-fine, it is Yang Qi Deficiency; use Ba Wei Di Huang Wan (Eight-Ingredient Pill with Rehmannia). For Blood Deficiency, use Si Wu Tang (Four Substance Decoction) plus Ren Shen (Ginseng Radix), Fu Ling (Poria), and Bai Zhu (Atractylodis Macrocephalae Rhizoma). For Qi Deficiency, use Si Jun Zi Tang (Four Gentlemen Decoction) plus Dang Gui (Angelicae Sinensis Radix) and Huang Qi (Astragali Radix). For Liver Channel Excess Heat, use Chai Hu Qing Gan San (Bupleurum Liver-Clearing Powder). For Liver Channel Deficient Heat, use Liu Wei Di Huang Wan. For Spleen Qi Weakness, use Bu Zhong Yi Qi Tang. For Spleen Deficiency with Phlegm, use Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes, and Gastrodia Decoction). For excessive bloodletting, use Xiong Gui Tang (Ligusticum and Angelica Decoction). For fever and aversion to cold, use Sheng Yu Tang (Sage Renewal Decoction). Fever injures True Qi; avoid bitter-cold herbs to prevent further Spleen-Stomach injury.

[Facial Paralysis] If limbs twitch or brow ridge itches, it is Liver Channel Blood Deficiency with Wind-Heat; use Jia Wei Xiao Yao San and Liu Wei Di Huang Wan to generate Liver Blood and nourish Kidney Water. If chills and alternating fever or deafness/costal pain occur, it is Flourishing Liver Wood; initially use Xiao Chai Hu Tang combined with Si Wu Tang to clear Liver Fire and generate Liver Blood. If tendon cramps and bone pain or immobility occur, use Liu Wei Di Huang Wan and Bu Zhong Yi Qi Tang to nourish the source of transformation. If caused by drying herbs, use Si Wu Tang plus Sheng Gan Cao (Raw Licorice Root) and Jin Yin Hua (Lonicerae Japonicae Flos) to resolve heat-toxin and benefit Yin Blood. All these stem from Liver Channel Blood Dryness; prioritize Liu Wei Di Huang Wan and Bu Zhong Yi Qi Tang. If exacerbated by anger or sexual fatigue, prioritize Liu Wei Di Huang Wan and Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction). If exacerbated by physical labor, prioritize Bu Zhong Yi Qi Tang and Shi Quan Da Bu Tang.

[Summer-Autumn Damp-Heat Dominance] If appetite is poor, dizziness occurs, body feels sore/weak, legs are numb, thirst and spontaneous sweating occur, breathing is rapid, body is hot, urine is yellow/frequent, and stool is loose, damp-heat has injured Yuan Qi; use Qing Zao Tang (Clear Dryness Decoction). In summer, use Qing Shu Yi Qi Tang (Clear Summerheat and Augment Qi Decoction). If spontaneous/diaphoretic sweating, shortness of breath, body heat, and large pulse indicate internal Yuan Qi injury; use Bu Zhong Yi Qi Tang. If vomiting, low intake, abdominal fullness, and loose stool indicate Spleen-Stomach injury; use Liu Jun Zi Tang (Six Gentlemen Decoction). If chest/abdominal discomfort, low appetite, and incessant phlegm expectoration indicate Spleen-Stomach Deficient Fullness; use Si Jun Zi Tang. If fatigue, limb numbness, and low appetite indicate Heat injuring Yuan Qi; use Ren Shen Yi Qi Tang (Ginseng Qi-Augmenting Decoction).

[Heat, Thirst, Turbid Urine] If calm at night but hot during day, Heat is in Qi Level; use Qing Xin Lian Zi Yin (Lotus Seed Decoction for Clearing the Heart). If calm during day but hot at night, Heat is in Blood Level; use Si Wu Er Lian Tang (Four Substance and Two Continuous Decoction), assisted by Liu Wei Di Huang Wan. If chills and alternating fever occur, it is Liver Channel Blood Deficiency; use Jia Wei Xiao Yao San and Liu Wei Di Huang Wan.

[Difficulty Urinating] If caused by drying herbs, use Si Wu Tang plus Chao Hei Huang Bo (Stir-baked Phellodendri Cortex), Zhi Mu, and Sheng Gan Cao to nourish Yin Blood. If frequent and yellow, use Si Wu Tang plus Ren Shen, Bai Zhu, Mai Men Dong (Ophiopogonis Tuber), and Wu Wei Zi (Schisandrae Fructus) to generate Qi and Blood. If scanty and yellow, use Bu Zhong Yi Qi Tang plus Shan Yao (Dioscoreae Rhizoma), Mai Men Dong, and Wu Wei Zi to nourish the source of transformation.

[Constipation] If涩滞 (astringent/stagnant) due to Blood Deficiency and Internal Heat, use Si Wu Tang plus Mai Men Dong and Wu Wei Zi to generate Blood and moisten dryness. If caused by drying-hot herbs, use Si Wu Tang plus Lian Qiao (Forsythiae Fructus) and Sheng Gan Cao to generate Blood and clear Heat. If caused by purgative herbs, use Si Jun Zi Tang plus Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui to boost Qi and generate Blood. If thirsty and preferring cold drinks, Heat invades internally; use Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) to clear Stomach Fire. If thirsty and preferring hot drinks, Intestines/Stomach Deficient Heat; use Zhu Ye Huang Qi Tang (Bamboo Leaf and Astragalus Decoction) to boost Qi and generate fluids. If internal heat, thirst, red face, and preference for hot drinks, use Si Wu Tang with Run Chang Wan (Moisten Intestines Pill) to cool Blood and moisten dryness. If abdominal distension and rectal dryness cause blockage, use Pig Gallbladder Juice for enema. If Qi Deficiency and Blood Exhaustion cause blockage, use Shi Quan Da Bu Tang. If Liver/Gallbladder Pathogen Flourishing insults Spleen Earth, impairing transport/transformation, use Xiao Chai Hu Tang plus Zhi Zi (Gardeniae Fructus), Yu Li Ren (Prunus Semen), and Zhi Ke (Aurantii Fructus Pericarpium).

[Palpitations, Insomnia, or Epistaxis/Hematochezia] If internal heat, afternoon fever, thirst preferring hot drinks, and limb fatigue occur, it is Spleen Blood Deficiency with Fire Movement; use Si Jun Zi Tang plus Chuan Xiong and Dang Gui. If caused by overthinking injuring Spleen and stirring Fire, use Gui Pi Tang (Restore the Spleen Decoction) plus Zhi Zi. If fever and afternoon fever occur, use Ba Zhen Tang (Eight Treasure Decoction) plus Suan Zao Ren (Ziziphus Seed), Fu Shen (Poria with Hostwood), and Yuan Zhi (Polygalae Radix). If due to Heart Blood Deficiency, use Bai Zi Ren San (Biota Seed Powder). Generally, these syndromes result from Heart-Spleen Blood Deficiency. Regulating Stomach Qi clears Phlegm and calms Spirit; specific heat-clearing and phlegm-resolving are unnecessary.

[Fever and Aversion to Cold] If limb fatigue, irritability, thirst, shortness of breath, headache, and spontaneous sweating occur, it is Internal Injury to Qi and Blood; use Bu Zhong Yi Qi Tang plus Wu Wei Zi and Mai Men Dong. If fatigue, low appetite, irregular stool, frequent urination, and shivering chills occur, it is Spleen-Lung Qi Deficiency; use Sheng Yang Yi Wei Tang (Raise Yang and Benefit Stomach Decoction). If irritability, thirst, fatigue, low appetite, or indigestion occur, it is Spleen Qi Deficient Heat; use Liu Jun Zi Tang.

[Fever] If pulse is rapid and forceful before noon, Heat is in Qi Level; use Qing Xin Lian Zi Yin. If pulse is rapid and forceless, Yang Qi is Deficient; use Bu Zhong Yi Qi Tang. If pulse is rapid and forceful after noon, Heat is in Blood Level; use Si Wu Tang plus Mu Dan Pi (Moutan Cortex). If pulse is rapid and forceless, Yin Blood is Deficient; use Si Wu Tang plus Ren Shen and Bai Zhu. Heat rising from hypochondrium indicates Liver Deficiency; use Si Wu Tang plus Ren Shen, Bai Zhu, and Huang Qi. Heat rising from below umbilicus indicates Kidney Deficiency; use Si Wu Tang plus Ren Shen, Bai Zhu, Huang Bo, Zhi Mu, Wu Wei Zi, Mai Men Dong, and Rou Gui (Cinnamon Bark), or Liu Wei Wan. Heat appearing by day and hiding by night, or coming/goings without fixed time/location, or rising from feet, indicates Rootless Deficient Fire; use Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill) and Shi Quan Da Bu Tang plus Mai Men Dong and Wu Wei Zi. Also apply Fu Zi (Aconiti Lateralis Radix Preparata) powder mixed with saliva to Yongquan (KI1). If aversion to cold and preference for hot drinks indicate Yang Deficiency Cold, urgently use Ba Wei Wan.

[Dry Mouth] If aversion to cold drinks, Stomach Qi is Deficient and cannot generate fluids; use Qi Wei Bai Zhu San. If preference for cold drinks/food, Stomach Fire is Flourishing and consumes fluids; use Zhu Ye Shi Gao Tang. Nighttime fever and thirst indicate Kidney Water Deficiency failing to moisten upward; use Liu Wei Di Huang Wan. If preceding symptoms occur after sweating/purging, Stomach Qi is Deficient; use Ba Zhen Tang.

[Thirst] If irritability and preference for cold drinks indicate Upper Jiao Excess Heat, use Liang Ge San (Cool the Diaphragm Powder). With constipation, Lower Jiao Excess Heat; use Qing Liang Yin (Cooling Beverage). If thirst results from purgative herbs, Qi and Blood are Deficient; urgently use Ba Zhen Tang and Liu Wei Wan.

[Deafness and Tinnitus] If Left Cun-Guan pulse is wiry-rapid, Heart-Liver Deficient Heat; use Si Wu Tang plus Zhi Zi and Chai Hu (Bupleuri Radix) to generate Yin Blood. If Right Cun-Guan pulse is floating-large, Spleen-Lung Deficient Heat; use Bu Zhong Yi Qi Tang plus Zhi Zi and Jie Geng (Platycodon Radix) to cultivate Yang Qi. If triggered by anger, use Xiao Chai Hu Tang plus Zhi Zi, Chuan Xiong, and Dang Gui to clear Liver and cool Blood. If worse before noon, use Xiao Chai Hu Tang plus Ren Shen, Huang Qi, Dang Gui, and Bai Zhu to boost Qi and clear Liver. If worse after noon, use Si Wu Tang plus Jiu Chao Hei Huang Bo, Zhi Mu, and Wu Wei Zi to tonify Yin and descend Fire. Hot solesoles indicate Kidney Deficiency; use Liu Wei Wan to strengthen the Master of Water. Cold solesoles indicate Yang Deficiency; use Ba Wei Wan to benefit the Source of Fire.

[Nuchal Rigidity, Lockjaw, Opisthotonos] Indicates Qi and Blood Deficiency leading to Spasm. Zhang Zhongjing stated: Taiyang disease with excessive sweating causes spasm; Wind disease with purging causes spasm; repeated sweating worsens stiffness; Chan Jia (wound patients) with sweating causes spasm. Wind disperses Qi, so sweating without aversion to cold is Rou Jing (Soft Spasm). Cold congeals Blood, so no sweating with aversion to cold is Gang Jing (Hard Spasm). All result from internal deficiency compounded by sweating, losing Jin-Ye and Blood, leaving tendons un-nourished. All are deficiency patterns, not Wind syndromes. Prioritize heavy tonification of Qi and Blood. Postpartum women, ulcer patients, those with labor-injured Qi/Blood, damp-heat/ministerial fire, or those misusing purgatives often suffer this, illustrating the principle.

[Women's Amenorrhea] If caused by Depressed Fire injuring Spleen, use Gui Pi Tang plus Zhi Zi and Mu Dan Pi. If Qi and Blood both Deficient, use Ba Zhen Tang plus Zhi Zi and Mu Dan Pi. If Blood injured by drying herbs, use Si Wu Tang plus Sheng Gan Cao. If menstruation arrives late, Qi and Blood are Deficient; use Ba Zhen Tang doubling Ren Shen and Bai Zhu. If arriving early, Blood Deficient Heat; use Si Wu Tang doubling Ren Shen, Bai Zhu, and Mu Dan Pi. If painful before arrival, Qi Deficiency with Blood Stasis; use Si Wu Tang plus Fu Ling, Bai Zhu, and Xiang Fu (Cyperi Rhizoma). If dark purple with clots, Blood Heat; use Si Wu Tang plus Zhi Zi and Mu Dan Pi. If painful with pale color, Qi and Blood Deficient; use Ba Zhen Tang. For Metrorrhagia due to Liver Fire failing to store Blood, use Jia Wei Xiao Yao San. For Spleen Deficiency failing to control Blood, use Bu Zhong Yi Qi Tang. All result from Six Evils and Seven Emotions injuring Yuan Qi; investigate cause and regulate Stomach Qi.

Treatment of Transformed Syndromes:
[Nodules on Body, Suppurating upon Scratching] If chills and alternating fever, Liver Channel Qi-Blood Deficiency with Fire; use Ba Zhen San plus Mu Dan Pi and Chai Hu. If internal heat with chills, Qi-Blood Weakness with Deficient Heat; use Ba Zhen San doubling Ren Shen and Bai Zhu. If aversion to cold/chills, Yang Qi Deficient Cold; use Shi Quan Da Bu Tang. If skin feels like fabric barrier upon scratching, Qi-Blood failing to nourish exterior; use Ren Shen Yang Rong Tang (Ginseng Nourishing Glory Decoction). If facial itching/numbness upon scratching, Qi-Blood failing to nourish upper body; use Bu Zhong Yi Qi Tang. If flaccidity and tendon cramps, Qi-Blood failing to nourish; use Bu Zhong Yi Qi Tang assisted by Liu Wei Di Huang Wan.

[Mouth/Tongue Ulcers or Sore Throat] If preferring cold food and constipation, Excess Heat; use Si Shun Qing Liang Yin. If muscular heat, aversion to heat, irritability, and thirst, Blood Deficiency; use Dang Gui Bu Xue Tang (Angelica Tonifying Qi Decoction). If aversion to cold food and loose stool, Deficient Heat; use Shi Quan Da Bu Tang. Heat rising from below or feet, Kidney Deficient Heat; use Jia Jian Ba Wei Wan. If difficulty digesting food and cold extremities, Mingmen Fire Decline; use Ba Wei Di Huang Wan.

[Toothache] Or gum ulceration. If preferring cold/aversion to heat, Stomach Fire; prioritize Jia Wei Qing Wei San (Modified Stomach-Clearing Powder). If aversion to cold/preference for heat, Stomach Deficiency; prioritize Bu Zhong Yi Qi Tang.

[Spontaneous Sweating] Indicates Qi Deficiency; use Bu Zhong Yi Qi Tang with Liu Wei Di Huang Wan. Night sweats indicate Blood Deficiency; use Dang Gui Liu Huang Tang (Angelica and Three Yellows Decoction - Huang Qin, Huang Lian, Huang Bo stir-baked black) with Liu Wei Di Huang Wan. If caused by mental labor, use Gui Pi Tang doubling Fu Shen and Suan Zao Ren.

[Phlegm Salivation or Wheezing] If Right Cun pulse is floating-slow, Lung Qi Deficiency; use Liu Jun Zi Tang plus Jie Geng. If Right Cun pulse is洪滑 (Surging-Slippery), Lung Channel Heat; use Xie Bai San (Drain White Powder). If Right Cun-Guan pulse is floating-slow-chi-ruo (Floating-Slow-Chi-Weak), Spleen-Lung Qi Deficiency; use Liu Jun Zi Tang plus Jie Geng and Huang Qi. If Right Cun-Guan pulse is Surging-Slippery-Slow-Chi, Spleen Heat transmitting to Lung; use Xie Bai and Xie Huang powders. Right