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There are peculiar syndromes in the world that exist within common diseases, making them elusive and difficult to grasp. A younger male cousin of my clan married too early, first experiencing hemoptysis (coughing up blood), followed by coughing; it took two years before he could be diagnosed. His pulse was rapid and choppy. Treatment with warming and tonifying Spleen and Kidney, combined with regulating Lung Qi, resulted in immediate recovery. Half a year later, upon returning home and taking imperial examinations, the illness relapsed. It took another half year before he could be diagnosed again. At this time, he had a fever, intermittent sweating, coughing, and shortness of breath. He reported that Qi surged upward from his lower abdomen; when this surge occurred, it was insufficient to exit through the nose, so it rushed out through the mouth. The momentum was surging and unstoppable, occurring several times a day, causing unbearable distress. His pulse was floating, wiry, and rapid, indicating Wind-Dampness pathogenic factors at the Exterior. Initially, aromatic herbs were used to diffuse and regulate the Spleen and Lung, assisted by kidney-astringent herbs. After one dose, continuous cold sweat lasted for half a day, and all symptoms suddenly alleviated. Subsequently, decoctions warming and consolidating the Liver and Kidney were used for regulation. However, the Qi-reversal condition still recurred intermittently. During attacks, coughing was sometimes present, sometimes absent, but the pulse was invariably rapid and hurried, though not forceful and large. Upon recovery, the pulse returned to normal like that of a healthy person. Yet, his body became increasingly flaccid and weak. At one point, I suspected the Wind pathogen entered via the umbilicus, or Cold entered via the sole of the foot. Medications warming and tonifying the Lower Yuan, combined with external therapies, provided only temporary relief before recurrence; repeated use proved ineffective. More remarkably, instructing him to sit quietly, breathe deeply, and concentrate on drawing Qi downward immediately triggered severe chills and fever resembling Malaria (Chuanre). Initially, I thought the medicinal power stimulated Yang Qi, transforming into Malaria. By the next day, the chills and fever subsided, and his body felt exceptionally light and refreshed, which brought great joy. However, within half a month, the Qi surge recurred as before. Instructing him to draw Qi again triggered chills and fever as before. It was incomprehensible why deep inhalation would lead to such chills and fever. Urine was red and scanty/difficult to pass; stool was dry and constipated. Taste initially strong then gradually weakened. From autumn to winter, under my treatment, warm, moistening, sedating, and consolidating methods were consistently used. Occasionally, other physicians were consulted, diagnosing Yin Deficiency (Yinxu) and prescribing slightly cooling and moistening herbs, which immediately caused watery diarrhea and sinking Qi unable to continue. Parasites were suspected, so Stemona Root (Baibu, 百部) and Polyporus Umbellatus (Leiwang, 雷丸) were added. It was also considered that Cold pathogen lay deeply hidden in the Lower Jiao, requiring a warming purgative approach; Rhubarb (Dahuang, 大黄) and Morning Glory Seed (Qianniu, 牵牛) were added to warming tonics. Although bowel movements occurred, there was no improvement or worsening of the disease. Later, he gradually felt throat pain as if ruptured or swollen and blocked, unable to swallow food. Examination revealed no significant redness or swelling, but the uvula hung low. The pulse became increasingly fine, choppy, and lacking spirit. This indicated that Kidney Qi could no longer ascend to the upper burner, and the Du Mai (Governing Vessel) was depleted, rendering treatment futile. Returning home in the twelfth lunar month, after three months of delay, his body became emaciated and he could no longer rise from bed. Ultimately, no method of rescue was found. Although Qi reversal is a common syndrome in consumptive diseases, none have been as surging and uncontrollable as this case. Detailed description is provided here, awaiting guidance from experts.