例一宋ｘｘ，女，29岁，初诊日期：1964年3月22日。风温热郁肺胃，身热不退，遍身红疹丛发，咽喉肿痛。脉弦滑数，舌尖红刺。拟以清宣为治。桑叶9克净连翘3克蝉退2．4克炒牛蒡4．5克前胡4.5克苦桔梗3．6克川郁金6克（生打）赤芍6克焦山栀9克黑元参9克鸡苏散9克（包）鲜芦根1尺（去节）1剂。2月23日
（二诊）：风温热郁肺胃，身热渐退，红疹未净，咽喉肿痛已瘥，大便已解。脉弦滑而数，舌边尖有红刺，喉疹症势未已，再以清宣为治。桑叶9克净连翘3克蝉退2．4克炒牛蒡4．5克前胡4石克苦桔梗3．6克马勃2．4克炒僵蚕6克忍冬藤9克川郁金6克（生打）赤芍6克焦山栀9克黑元参9克鲜芦根1尺（去节）二剂3月25日
（三诊）：风温热郁渐解，肺胃较清，喉疹症疹已退净，身热获解，咽喉红肿已瘥，两便已调，脉弦滑，舌有红刺，再以清彻肺胃可也。桑叶9克焦山栀9克金银花9克苦桔梗3．6克粉甘草1．8克杭甘菊9克川郁金6克（生打）赤芍6克鲜石斛12克黑元参12克天花粉12克鲜芦根1尺（去节）3剂。（《内科临证录》陈道隆医案）
例二严某之妻，病温，热毒颇剧，六日发疹，点粒攒簇，头面肿如大头瘟状，咽喉肿痛，凡物不得下咽，昏顿瘛疭，诊时已届十日（疹出第四日），因眼药不得下咽，仿五汁饮意，给梨汁30克，荸荠汁30克，甘蔗汁30克，青蒿露、银花露各15克，缓缓咽之，续以六神丸五粒，温水浸湿，置舌面，含化咽津。丸药咽下二次，续续频进五汁。翌日复诊：咽喉肿痛已缓，勉可通气，头面疹点虽深赤，其气有回意，拟用至宝丹一粒先化服又方：生地汁30克大黄3克犀角、羚羊各1．5克磨汁，鲜蒲公英6Q克捣汁、竹沥24克和匀烫微温，分三服，居间仍以前五汁当茶。越日复诊，喉肿渐消，神识渐清，仍用前方去至宝，生地加为45克，大黄加为4．5克，药后得大便畅行一次。又越日复诊，上半身点粒渐化，神清气平，已能进稀粥，以归地养营，竹叶石膏去参，半，复脉去姜、桂等收功全愈。（《冉雪峰医案》）
【评按】喉疹，又名疫喉疹，系指因疫毒之邪，从口鼻而入，当肺胃蕴热相搏，而致热毒上攻咽喉之病证。治宜疏散解毒，清热生津之剂。例一初诊时正值症势急剧变化，速予表散清热之剂，使邪热退却，继以清热养阴收功。例二热毒颇剧，服药不得咽下，叶天士云“热甚拒药，徒用煎剂无益”。本案始仿五汁饮，投以甘润清凉，如得上池玉液，病机乃缓。且因痧点迟出，若遽尔重剂清里，则内攻必可生变，医者不可不慎。后续用清热解毒、利咽消肿、养营等法，其病获痊。
（十六）喉痈
例一沈ｘｘ，女，30岁。门诊号：31582，初诊日期：1962年9月14日。咽痛一周，咽饮艰难，痛引左耳窍，左颔下亦有核肿，身热头痛，痰多，曾注射青霉素无效。左侧咽部红肿散漫，触之坚硬。脉左细数右滑数，苔粘腻。辨证：胃火上升，痰热内蕴。治法：泄热消肿，防其酿脓。方药：生赤芍9克粉丹皮9克炙僵蚕9克牛蒡子9克白桔梗3克生甘草2．4克嫩射干3克山豆根9克挂金灯9克杭菊花9克银花9克肥知母9克淡黄芩6克。外用珠黄青吹口散，并用明达氏漱口液漱口，嘱服药2剂。9月16日仍觉咽痛，吞咽不利，检视右咽关红肿突出，触之未软，上方续服2剂。9月18日喉痈酿脓已熟，左咽失红肿高突，光亮，顶软，予以刺破，流出脓液甚多，原方去牛蒡子，再服3剂。9月21日，咽痛好转，咽部红肿消退，左颔下核肿已无压痛，惟左耳尚有牵引之痛。前方去射干，僵蚕，嘱服4剂。前后病程共二周。
（张赞臣主治，陈之才整理：喉痈的辨证施治，《中医杂志》9：10，1964）
例二沈××，女，21岁，门诊号：32960，初诊日期：1962年10月12日。以往有咽痛史，遇劳辄发，10月4日起觉咽痛，伴有发热，继则咽喉肿胀，疼痛更甚，治疗不效。体温39℃，右咽关后红肿高突，不能咽饮，诊为扁桃体周围脓肿，用注射器抽得脓液：毫升。暂给西药服用与漱口。翌日来诊，体温38．1℃，头痛乏力，无恶寒，右颔下肿胀掀红，右乳蛾后面红肿高突，及于悬雍垂，表面有白腐，不光滑，以压舌板触之尚有坚硬之感，大便虽每日一次，但于结。脉数，苔腻带糙。辨证：痰热内蕴。治法：消肿清热解毒。方药：生赤芍6克炙僵蚕9克牛蒡子9克象贝母9克白桔梗3克生甘草2．4克山豆根9克挂金灯9克金银花9克连翘壳9克芙蓉花4．5克外吹喉科牛黄散，右颔下外敷芙蓉坎膏。服药四剂后热退而肿不消，每日抽脓，脓出不多，每次仅7毫升左右。10月16日，因局部高肿，而顶端无软，大便仍燥结，故在原方中加用丹皮4．5克、玄明粉9克（冲）。10月17日，大便解二次，肿痛见减，又抽得脓液少许，内服方仅玄明粉减为4．5克，再服2剂。11月18日至19日，咽头肿势渐退，吞咽稍利，颔下之肿块亦消，惟右耳尚有轻微胀感，情况续有好转。进清热消肿利咽之剂，右喉痈肿胀散漫不收，虽有化脓之象，但根坚不软，脉象细数，苔腻带糙，此内热不清，痰瘀凝结不化所致，再与苦降消肿而化痰热。细川连1．5克生赤芍9克粉丹皮9克牛蒡子9克挂金灯9克山豆根9克白桔梗3克生甘草2．4克金钥匙3克金银花9克连翘壳9克生姜9克生姜皮9克去外敷药。10月20日：红肿续退，脓已无。10月21日开始吃粥，续服上方5剂。至10月26日病愈出院，共住院15日，前后病程二十二日，与代茶方带回调理：山豆根4．5克白桔梗2．4克生甘草1．5克京元参4．5克金钥匙2．4克煎汤代茶连服七日。
（张赞臣主治，陈之才整理：喉痈的辨证施治《中医杂志》9：11，1964）
【怦按】喉痈系指发于喉间及其附近痈疡的总称。相当于咽部脓肿等病。例一证属胃火上升，痰热内蕴，急以泄热消肿，“以消为贵”，但如消之不应，则当促其早日成脓，刺破溃脓，毒随脓泄而愈。例二始用清热解毒消肿之剂，配合穿刺抽脓，但仍根坚不软，系因内热不清，痰瘀凝结不化之故，续用苦降消肿、清化痰热之法而愈，并与代茶饮方清解余热，以防复燃。张氏案方贴切，药用颇具特色。
（十六）白喉
例一刘××，男，21岁。高热烦渴，目赤声哑，口臭气促，咽喉红肿，白膜满布，妨于咽饮，小溲短赤，大便秘结，舌苔黄燥，脉象洪数。辨证：燥热伤阴，复感疫毒之气，肺胃同病，发为白喉。治法：清热养阴，凉血解毒。方药，养阴清肺汤加味。元参9克生地9克麦门冬9克川贝母6克丹皮6克甘草3克炒白芍6克薄荷1．5克生石膏30克元明粉9克知母9克另用锡类散外吹患处。水煎一日夜服完，热减神清，白膜未再发展，大便畅行，转方去元明粉，再进2剂，病势大减。再诊去知母，加金银花12克，又服3剂，白膜消失，续以养正汤4剂，调理而安。玉竹参15克制首乌12克当归9克熟地12克生地9克淮山药12克茯苓6克女贞子9克麦门冬6克白芍6克天花粉6克炙甘草3克水煎服隔日1剂。
（赖良蒲《蒲园医案》）
例二孙某，20岁。得白喉症，屡经医治，不外《白喉忌表抉微》诸方加减，病日增重。医者诿谓不治，始延愚为诊视。喉关纯白，粘涎甚多，须臾满口，即须吐出。脉细弱而数，舌胖嫩淡红，知系脾肾两虚，肾虚气化不摄，则阴火上逆，痰水上泛，而脾土虚损，又不能制之，故其咽喉肿疼粘涎若是之多也。投以六味地黄汤，滋补脾肾以清虚火，又加于术，少加苏子，制痰水上泛。方药：大熟地18克淮山药12克（生打），山萸肉6克云茯苓9克粉丹皮4．5克福泽泻4．5克生于术4．5克苏子2．4克连服10剂而愈。（《重印全国名医验案类编》张锡纯医案）
【评按】白喉系指能相互传染的“疫喉”。《重楼玉钥》云：“喉间起白如腐一症，其害甚速。……一经误治，遂至不救。”本病系因瘟邪疫毒侵袭，且与天时燥气流行，内则肺肾阴虚，肠胃积热所致。例一肺阴大伤，胃热甚炽，急投大剂养阴清肺汤，生津润肺，佐以清热通便，则肺胃蕴热得以下行，再加解毒以清余氛，最后培元固本而收功。另外，白喉由燥热而致者较多，而因表邪诱发者亦颇常见。例二屡经医治，已见脾肾两虚，阴火上逆之象，法用滋补脾肾，清虚火、制痰水而治愈。盖实火易清而阴火难平，虚实不辨则举棋便错。
（十八）梅核气
例一杨某，男，65岁，初诊日期：1965年10月28日。十年来，自觉咽中梗阻，胸闷，经四个月的治疗已缓解。1963年曾复发一次，近日来又觉咽间气堵，胸闷不畅。六脉沉滑，舌正苔黄腻。检查无肿瘤。辨证：痰湿阻滞，胸中气机不利，此谓梅核气。治法：开胸降逆，理气豁痰。方药：苏梗3克厚朴3克法半夏6克陈皮3克茯苓6克大腹皮3克白芥子（炒）3克薤白6克炒莱菔子3克降香1．5克竹茹3克白通草3克路路通3克10剂。11月8日
（二诊）：服上药，自觉咽间堵塞减轻，但偶而稍阻，食纳无味，晨起痰多色灰，失眠，夜间尿频量多，大便正常，有低热。脉转微滑，舌正苔秽腻。湿痰见消，仍宜降气、和胃、化痰为治。原方去薤白、陈皮，加黄连1．5克、香橼皮3克，白芥子加1．5克。10剂11月22日
（三诊）：服药后，咽间梗阻消失，低热已退，食纳、睡眠、二便均正常。不再服药，避免精神刺激，饮食调理为宜。（《蒲辅周医疗经验》）
例二储××，女，52岁。自觉咽中有异物感已三年，时轻时重，去年来症状加重，咽中介介如梗状，吞之不下，吐之不出，伴有胸闷吊痛，口腻目酸等症。平时多郁善怒，情怀不畅，肝气不舒，气滞痰凝，郁而化火，上阻于咽嗌之间，遂成此症。病属梅核气，须开展胸襟，再以理气化痰清火之药调之。昆布10克海藻10克海浮石10克旋复花6克（包）夏枯草10克瓜萎皮10克川郁金6克青陈皮各5克黛蛤散（包）12克桔梗1．5克丹皮6克5剂。二诊：胸闷及吊痛好转，咽中梗阻依然，且有悲伤欲哭，呵欠连连及大便干燥等脏躁证，再参甘缓润燥之品，原方去昆布、海藻，加炙甘草3克、小麦15克、大枣3枚，5剂。三诊：症状续有好转，但颈部尚觉吊痛，心中有火辣之感。以初诊原方加钩藤10克（后下），5剂。四诊：咽中梗阻，悲伤欲哭等症均有好转，但胸部尚感吊痛，舌苔黄腻。昆布10克海藻10克海浮石12克旋复花（包）6克夏枯草10克桔梗1．5克青陈皮各5克川郁金6克黛蛤散12克（包）丹皮6克制半夏5克5剂。五诊：诸恙皆减，舌苔黄腻渐化，但颈部尚感吊痛，引及耳中，原方加钩藤10克（后下）五月后随访病已痊愈，未再复发。《许履和外科医案医话集》
【评按】梅核气系因情志郁结，肝气夹痰所致病证。自觉咽中有如梅核异物阻塞，吐之不出，吞之不下。例一为气郁而致痰湿阻滞，以《金匮》半夏厚朴汤加减而治愈。例二不但气郁痰凝，而肝火亦旺。许氏自拟理气化痰，清肝解郁之剂，照顾全面，疗效尚好，并认为较《金匮》半夏厚朴汤功效尤佳，可供参考。
（十九）口臭
例一陈某，女，32岁。口气臭秽已数月，服药无效。症见口臭，唇口干燥，舌质润，苔薄黄腻，脉微细数。二便正常，虽思水，俱所饮不多。辨证：脾胃伏火。洽法：升清降浊，佐以清胃热之剂。方药：生石膏30克升麻10克细辛4克焦黄柏10克杭芍12克水煎服。外用方：吴萸6克黄连6克共研细末，醋炒，包两足心涌泉穴。二诊：服上方3剂后，口臭已大为减少。脉转细。仍口唇干燥，此乃胃经伏火虽除，但肺胃津液仍伤。拟方以滋津润燥调治。方药：黑豆10克绿豆IQ克桑叶10克石斛10克杭芍10克沙参15克元参IQ克麦冬15克服5剂，口臭全消，口唇转润而愈。（《戴丽三医疗经验选》）
例二孙某，女，37岁。患者诉口喷臭气，嘴唇干燥，已有20年。似属胃火。细询之，下肢冰冷，视苔色正常，切脉细弱。乃虚阳上越。正治不效，当反佐以取之。拟引火归源法。方药：制附片4．5克肉桂粉1．2克（吞服）炮姜3克姜川连0．6克阿胶珠6克炒当归9克大自芍9克川石斛12克麦门冬9克云茯苓9克服药4剂，口臭见减。原方制附片改为9克，肉桂粉改为1．5克，炮姜改为6克，再加生地9克，党参12克。又服10剂，口不臭，唇不燥，下肢转温暖，细弱之脉转为细而有力，乃以原方15倍量，再以川断90克，木瓜135克，枸杞子135克，菟丝子120克，炙黄芪120克，炙甘草24克，红枣30个，如法煎成膏滋药，每日二次，每次一匙，开水冲服，以巩固疗效。
[Background Information]
Book: Compilation of Verified Cases by Famous Doctors in Modern Times Chapter: Main Text (52/53) Category: Medical Discussion
Case 1: Song XX, female, 29 years old. First consultation date: March 22, 1964. Wind-heat pathogenic factor and heat stagnating in the Lung and Stomach channels, body fever persists, widespread red macules erupting in clusters, sore throat and swelling. Pulse is wiry, slippery, and rapid; tongue tip is red with prickles. Treatment plan: Clear and disperse. Sang Ye (Folium Mori, Mulberry Leaf) 9g, Jing Lian Qiao (Fructus Forsythiae Preparatus, Prepared Forsythia Fruit) 3g, Chan Tui (Periostracum Cicadae, Cicada Slough) 2.4g, Chao Niu Bang Zi (Semen Arctii Preparatum, Prepared Arctium Seed) 4.5g, Qian Hu (Radix Peucedani, Peucedanum Root) 4.5g, Ku Jie Geng (Radix Platycodonis, Balloon Flower Root) 3.6g, Chuan Yu Jin (Rhizoma Curcumae, Turmeric Rhizome) 6g (crushed raw), Chi Shao (Radix Paeoniae Rubra, Red Peony Root) 6g, Jiao Shan Zhi (Fructus Gardeniae Preparatus, Prepared Gardenia Fruit) 9g, Hei Yuan Shen (Radix Scrophulariae, Scrophularia Root) 9g, Ji Su San (Powder of Elsholtzia and Mentha, Elsholtzia and Mint Powder) 9g (wrapped for decoction), Xian Lu Gen (Rhizoma Phragmitis Recens, Fresh Reed Rhizome) 1 chi (approx. 33cm, nodes removed). 1 dose. February 23.
(Second Consultation): Wind-heat pathogenic factor and heat stagnating in the Lung and Stomach channels, body fever gradually subsiding, red macules not yet fully cleared, sore throat and swelling have improved, bowel movement has resumed. Pulse is wiry, slippery, and rapid; tongue edges and tip have red prickles. Throat rash condition has not yet ceased. Continue treatment with clearing and dispersing method. Sang Ye (Folium Mori, Mulberry Leaf) 9g, Jing Lian Qiao (Fructus Forsythiae Preparatus, Prepared Forsythia Fruit) 3g, Chan Tui (Periostracum Cicadae, Cicada Slough) 2.4g, Chao Niu Bang Zi (Semen Arctii Preparatum, Prepared Arctium Seed) 4.5g, Qian Hu (Radix Peucedani, Peucedanum Root) 4.5g, Ku Jie Geng (Radix Platycodonis, Balloon Flower Root) 3.6g, Ma Bo (Pulvis Malvae, Mallow Powder) 2.4g, Chao Jiang Can (Bombyx Batryticatus Preparatus, Prepared Silkworm) 6g, Ren Dong Teng (Caulis Lonicerae, Honeysuckle Stem) 9g, Chuan Yu Jin (Rhizoma Curcumae, Turmeric Rhizome) 6g (crushed raw), Chi Shao (Radix Paeoniae Rubra, Red Peony Root) 6g, Jiao Shan Zhi (Fructus Gardeniae Preparatus, Prepared Gardenia Fruit) 9g, Hei Yuan Shen (Radix Scrophulariae, Scrophularia Root) 9g, Xian Lu Gen (Rhizoma Phragmitis Recens, Fresh Reed Rhizome) 1 chi (nodes removed). 2 doses. March 25.
(Third Consultation): Wind-heat pathogenic factor gradually resolving, Lung and Stomach relatively clear, throat rash completely subsided, body fever resolved, throat redness and swelling improved, urination and defecation regulated. Pulse is wiry and slippery, tongue has red prickles. Treatment should focus on clearing the Lung and Stomach. Sang Ye (Folium Mori, Mulberry Leaf) 9g, Jiao Shan Zhi (Fructus Gardeniae Preparatus, Prepared Gardenia Fruit) 9g, Yin Chen Hua (Flos Lonicerae Japonicae, Japanese Honeysuckle Flower) 9g, Ku Jie Geng (Radix Platycodonis, Balloon Flower Root) 3.6g, Fen Gan Cao (Radix Glycyrrhizae Preparata, Prepared Licorice Root) 1.8g, Hang Gan Ju (Flos Chrysanthemi, Chrysanthemum Flower) 9g, Chuan Yu Jin (Rhizoma Curcumae, Turmeric Rhizome) 6g (crushed raw), Chi Shao (Radix Paeoniae Rubra, Red Peony Root) 6g, Xian Shi Hu (Herba Dendrobii Recens, Fresh Dendrobium Herb) 12g, Hei Yuan Shen (Radix Scrophulariae, Scrophularia Root) 12g, Tian Hua Fen (Radix Trichosanthis, Trichosanthes Root) 12g, Xian Lu Gen (Rhizoma Phragmitis Recens, Fresh Reed Rhizome) 1 chi (nodes removed). 3 doses. (From *Internal Medicine Clinical Records*, Case of Chen Daolong)
Case 2: Wife of Yan XX, suffering from a warm disease, severe heat toxin. Rash appeared after six days, spots clustered densely. Head and face swollen like "Big Head Plague" (Da Tou Wen), sore throat and swelling, unable to swallow food, unconsciousness and convulsions. At the time of diagnosis, it was the tenth day (fourth day since rash appeared). Due to inability to swallow medicine because of throat pain, imitating the intention of Wu Zhi Yin (Five Juice Drink), prescribed Pear Juice 30g, Water Chestnut Juice 30g, Sugarcane Juice 30g, Qing Hao Lu (Qinghao Dew, Artemisia Annua Dew) and Yin Hua Lu (Yinhua Dew, Honeysuckle Dew) 15g each, swallowed slowly. Subsequently administered Liu Shen Wan (Six Divine Pills) five pills, moistened with warm water, placed on the tongue surface, held until dissolved and swallowed with saliva. After swallowing the pills twice, continued frequently consuming the five juices. Next day's follow-up: Sore throat and swelling alleviated, breathing勉强 possible. Although head and face rash spots are deep red, there is a sign of recovery in vital qi. Plan to first dissolve and administer one pill of Zhi Bao Dan (Treasure of Ultimate Efficacy Pill). Another prescription: Sheng Di Zhi (Rehmanniae Radix Preparata, Prepared Rehmannia Root Juice) 30g, Da Huang (Rhei Radix et Rhizoma, Rhubarb Root) 3g, Xi Jiao (Cornu Rhinocerotis, Rhino Horn) and Ling Yang Jiao (Cornu Saigae Tataricae, Saiga Antelope Horn) 1.5g each ground into juice, Xian Pu Gong Ying (Taraxaci Herba Recens, Fresh Dandelion Herb) 60g crushed into juice, Zhu Li (Nodus Bambusae in Taedia, Bamboo Sap) 24g mixed evenly, warmed slightly, divided into three doses. In between, still use the previous five juices as tea. Two days later follow-up: Throat swelling gradually subsided, consciousness gradually cleared. Still using the previous formula minus Zhi Bao Dan, increase Sheng Di to 45g, increase Da Huang to 4.5g. After medication, had a smooth bowel movement once. Two days later follow-up: Upper body rash spots gradually resolving, spirit clear and calm, able to consume thin congee. Use Gui Di Yang Ying Tang (Tang Gui Di Yang Ying Decoction, Decoction for Nourishing Blood and Yin with Angelica and Rehmannia) combined with Zhu Ye Shi Gao Tang (Decoction of Bamboo Leaves and Gypsum) removing Ren Shen (Ginseng Root) and Ban Xia (Pinelliae Rhizoma, Pinellia Tuber), Mai Mai Gan Jiao Tang (Decoction for Restoring the Pulse) removing Sheng Jiang (Zingiberis Rhizoma Recens, Fresh Ginger) and Rou Gui (Cinnamomi Cortex, Cinnamon Bark) to conclude treatment and achieve cure. (From *Ran Xuefeng Medical Cases*)
[Commentary]: Hou Zhen (Throat Rash), also known as Yi Hou Zhen (Epidemic Throat Rash), refers to a syndrome caused by epidemic toxic pathogens entering through the mouth and nose, where heat toxin attacks the throat due to the interaction of accumulated heat in the Lung and Stomach. Treatment should employ agents that disperse, detoxify, clear heat, and generate fluids. In Case 1, at the initial consultation, the condition was changing rapidly; quickly administering exterior-dispersing and heat-clearing agents allowed the pathogenic heat to retreat, followed by clearing heat and nourishing yin to conclude treatment. In Case 2, the heat toxin was severe, and medicine could not be swallowed. Ye Tianshi said, "When heat is extreme and rejects medicine, merely using decoctions is useless." This case began by imitating Wu Zhi Yin (Five Juice Drink), administering sweet, moistening, cool, and clear agents, akin to receiving jade liquid from heaven, thereby easing the pathological mechanism. Furthermore, since the rash spots appeared late, if heavy interior-clearing agents were used abruptly, internal attack would surely cause complications; physicians must be cautious. Subsequent use of methods such as clearing heat and detoxifying, benefiting the throat and reducing swelling, and nourying yin led to recovery.
(XVI) Throat Abscess (Hou Yong)
Case 1: Shen XX, female, 30 years old. Outpatient No.: 31582, First consultation date: September 14, 1962. Sore throat for one week, difficulty swallowing, pain radiating to the left ear cavity, lump swelling under the left jaw, body fever and headache, excessive phlegm, penicillin injection ineffective. Left side of the throat is red, swollen, and diffuse, hard to touch. Pulse is fine and rapid on the left, slippery and rapid on the right; coating is sticky and greasy. Syndrome Differentiation: Stomach fire rising, phlegm-heat accumulating internally. Treatment Method: Drain heat and reduce swelling, prevent suppuration. Prescription: Sheng Chi Shao (Radix Paeoniae Rubra, Red Peony Root) 9g, Fen Dan Pi (Moutan Cortex, Tree Peony Bark) 9g, Zhi Jiang Can (Bombyx Batryticatus Preparatus, Prepared Silkworm) 9g, Niu Bang Zi (Semen Arctii, Arctium Seed) 9g, Bai Jie Geng (Radix Platycodonis, Balloon Flower Root) 3g, Sheng Gan Cao (Radix Glycyrrhizae, Licorice Root) 2.4g, Nen She Gan (Rhizoma Belamcandae, Blackberry Lily Rhizome) 3g, Shan Dou Gen (Radix Sophorae Tonkinensis, Sophora Root) 9g, Gua Jin Deng (Lampas Fructus, Physalis Fruit) 9g, Hang Ju Hua (Flos Chrysanthemi, Chrysanthemum Flower) 9g, Yin Hua (Flos Lonicerae Japonicae, Japanese Honeysuckle Flower) 9g, Fei Zhi Mu (Rhizoma Anemarrhenae, Anemarrhena Rhizome) 9g, Dan Huang Qin (Scutellariae Radix, Scutellaria Root) 6g. External use: Zhu Huang Qing Chui Kou San (Pearl and Realgar Blue Blowing Mouth Powder), rinse mouth with Ming Da Shi Mouthwash, instructed to take 2 doses. September 16: Still feels sore throat, difficulty swallowing. Inspect right tonsillar pillar, red, swollen, and prominent, still hard to touch. Continue taking the above formula for 2 doses. September 18: Throat abscess pus formation mature, left throat no longer red/swollen/prominent, shiny, top soft, punctured, large amount of pus drained. Original formula minus Niu Bang Zi, take another 3 doses. September 21: Sore throat improved, throat redness and swelling subsided, lump under left jaw no longer tender, only left ear still has radiating pain. Previous formula minus She Gan and Jiang Can, instructed to take 4 doses. Total course of illness two weeks.
(Zhang Zanchen treated, Chen Zhicai organized: Syndrome Differentiation and Treatment of Throat Abscess, *Chinese Journal of Traditional Chinese Medicine* 9:10, 1964)
Case 2: Shen XX, female, 21 years old, Outpatient No.: 32960, First consultation date: October 12, 1962. History of sore throat, recurring with fatigue. Since October 4, felt sore throat accompanied by fever, subsequently throat swelling, pain worsened, treatment ineffective. Body temperature 39°C, right tonsillar pillar posteriorly red, swollen, and prominent, unable to swallow liquids. Diagnosed as peritonsillar abscess, aspirated pus via syringe: several milliliters. Temporarily given Western medicine for oral intake and rinsing. Next day consultation: Body temperature 38.1°C, headache and fatigue, no aversion to cold, right jaw swelling red and inflamed, behind right tonsil red, swollen, and prominent, extending to uvula, surface has white decay, not smooth, hard sensation upon touch with tongue depressor. Bowel movement once daily but dry and constipated. Pulse rapid, coating greasy and rough. Syndrome Differentiation: Phlegm-heat accumulating internally. Treatment Method: Reduce swelling, clear heat and detoxify. Prescription: Sheng Chi Shao (Radix Paeoniae Rubra, Red Peony Root) 6g, Zhi Jiang Can (Bombyx Batryticatus Preparatus, Prepared Silkworm) 9g, Niu Bang Zi (Semen Arctii, Arctium Seed) 9g, Xiang Bei Mu (Fritillariae Cirrhosae Bulbus, Cirrhous Fritillary Bulb) 9g, Bai Jie Geng (Radix Platycodonis, Balloon Flower Root) 3g, Sheng Gan Cao (Radix Glycyrrhizae, Licorice Root) 2.4g, Shan Dou Gen (Radix Sophorae Tonkinensis, Sophora Root) 9g, Gua Jin Deng (Lampas Fructus, Physalis Fruit) 9g, Yin Hua (Flos Lonicerae Japonicae, Japanese Honeysuckle Flower) 9g, Lian Qiao Ke (Exocarpium Forsythiae, Forsythia Husk) 9g, Fu Rong Hua (Hibisci Mutabilis Flos, Confederate Rose Flower) 4.5g. External blow: Hou Ke Niu Huang San (Throat Department Buffalo Calves Bile Powder), external application of Fu Rong Kan Gao (Confederate Rose Patch) on right jaw. After four doses of medicine, fever subsided but swelling did not disappear. Daily aspiration of pus, small amount, only about 7ml each time. October 16: Due to local high swelling and soft top not appearing, stool still dry and constipated, added Dan Pi 4.5g and Xuan Ming Fen (Natrii Sulfas, Mirabilite) 9g (dissolved) to original formula. October 17: Defecated twice, swelling and pain reduced, slight pus aspirated. Internal medicine formula only reduced Xuan Ming Fen to 4.5g, take another 2 doses. November 18-19: Throat swelling gradually receded, swallowing slightly easier, jaw lump also subsided, only right ear has slight distension sensation, situation continues to improve. Administered heat-clearing, swelling-reducing, throat-benefiting agents. Right throat abscess swelling diffuse and not retracting, although signs of suppuration exist, root is hard and not soft, pulse fine and rapid, coating greasy and rough. This is due to unclear internal heat, phlegm-stasis condensing and not transforming. Again use bitter descending agents to reduce swelling and transform phlegm-heat. Xi Chuan Lian (Coptidis Rhizoma, Coptis Root) 1.5g, Sheng Chi Shao (Radix Paeoniae Rubra, Red Peony Root) 9g, Fen Dan Pi (Moutan Cortex, Tree Peony Bark) 9g, Niu Bang Zi (Semen Arctii, Arctium Seed) 9g, Gua Jin Deng (Lampas Fructus, Physalis Fruit) 9g, Shan Dou Gen (Radix Sophorae Tonkinensis, Sophora Root) 9g, Bai Jie Geng (Radix Platycodonis, Balloon Flower Root) 3g, Sheng Gan Cao (Radix Glycyrrhizae, Licorice Root) 2.4g, Jin Yao Shi (Radix Codonopsis, Codonopsis Root) 3g, Yin Hua (Flos Lonicerae Japonicae, Japanese Honeysuckle Flower) 9g, Lian Qiao Ke (Exocarpium Forsythiae, Forsythia Husk) 9g, Sheng Jiang (Zingiberis Rhizoma Recens, Fresh Ginger) 9g, Sheng Jiang Pi (Pericarpium Zingiberis Recens, Fresh Ginger Peel) 9g. Remove external patches. October 20: Redness and swelling continue to recede, pus gone. October 21: Started eating congee, continue taking above formula for 5 doses. Discharged cured on October 26, hospitalized for 15 days, total course 22 days. Given substitute tea formula for home conditioning: Shan Dou Gen (Radix Sophorae Tonkinensis, Sophora Root) 4.5g, Bai Jie Geng (Radix Platycodonis, Balloon Flower Root) 2.4g, Sheng Gan Cao (Radix Glycyrrhizae, Licorice Root) 1.5g, Jing Yuan Shen (Radix Scrophulariae, Scrophularia Root) 4.5g, Jin Yao Shi (Radix Codonopsis, Codonopsis Root) 2.4g. Decoct as tea, take continuously for 7 days.
(Zhang Zanchen treated, Chen Zhicai organized: Syndrome Differentiation and Treatment of Throat Abscess, *Chinese Journal of Traditional Chinese Medicine* 9:11, 1964)
[Commentary]: Hou Yong (Throat Abscess) is a general term for sores and ulcers occurring in the throat and nearby areas. Equivalent to diseases such as pharyngeal abscesses. Case 1 syndrome belongs to Stomach fire rising and phlegm-heat accumulating internally. Urgently drain heat and reduce swelling, "valuing resolution," but if resolution fails, promote early suppuration, puncture and drain pus, toxins expelled with pus leads to cure. Case 2 initially used heat-clearing, detoxifying, and swelling-reducing agents, combined with puncture and aspiration, but root remained hard and not soft, due to unclear internal heat and phlegm-stasis condensing and not transforming. Continued with bitter descending agents to reduce swelling and clear-transform phlegm-heat, leading to cure, and provided substitute tea formula to clear residual heat and prevent recurrence. Dr. Zhang's prescriptions are apt, and medicinal usage is distinctive.
(XVI) Diphtheria (Bai Hou)
Case 1: Liu XX, male, 21 years old. High fever, irritability and thirst, red eyes and hoarse voice, bad breath and shortness of breath, throat redness and swelling, white membrane covering extensively, obstructing swallowing, scanty dark urine, constipation, tongue coating yellow and dry, pulse surging and rapid. Syndrome Differentiation: Dry-heat injuring Yin, compounded by epidemic toxic qi, Lung and Stomach both diseased, developing into Diphtheria. Treatment Method: Clear heat and nourish Yin, cool blood and detoxify. Prescription: Yang Yin Qing Fei Tang (Decoction for Nourishing Yin and Clearing the Lung) modified. Yuan Shen (Radix Scrophulariae, Scrophularia Root) 9g, Sheng Di (Rehmanniae Radix, Rehmannia Root) 9g, Mai Men Dong (Radix Ophiopogonis, Ophiopogon Root) 9g, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, Cirrhous Fritillary Bulb) 6g, Dan Pi (Moutan Cortex, Tree Peony Bark) 6g, Gan Cao (Radix Glycyrrhizae, Licorice Root) 3g, Chao Bai Shao (Radix Paeoniae Alba Preparata, Prepared White Peony Root) 6g, Bo He (Menthae Haplocalycis Herba, Mentha Herb) 1.5g, Sheng Shi Gao (Gypsum Fibrosum, Gypsum) 30g, Yuan Ming Fen (Natrii Sulfas, Mirabilite) 9g, Zhi Mu (Rhizoma Anemarrhenae, Anemarrhena Rhizome) 9g. Additionally, use Xi Lei San (Tin-Type Powder) blown externally onto affected area. Decoct in water, finish within one day and night. Fever reduced, spirit clear, white membrane did not develop further, bowel movement smooth. Change formula, remove Yuan Ming Fen, take another 2 doses, condition greatly reduced. Second consultation, remove Zhi Mu, add Yin Hua (Flos Lonicerae Japonicae, Japanese Honeysuckle Flower) 12g, take another 3 doses, white membrane disappeared. Continue with Yang Zheng Tang (Decoction for Nourishing Righteousness) 4 doses, regulate and stabilize. Yu Zhu (Polygonati Odorati Rhizoma, Odorous Solomon's Seal Rhizome) 15g, Zhi Shou Wu (Polygoni Multiflori Preparata Radix, Prepared Fleeceflower Root) 12g, Dang Gui (Angelicae Sinensis Radix, Dong Quai Root) 9g, Shu Di (Rehmanniae Radix Preparata, Prepared Rehmannia Root) 12g, Sheng Di (Rehmanniae Radix, Rehmannia Root) 9g, Huai Shan Yao (Dioscoreae Rhizoma, Yam Rhizome) 12g, Fu Ling (Poria, Poria Cocos) 6g, Nu Zhen Zi (Ligustri Lucidi Fructus, Privet Fruit) 9g, Mai Men Dong (Radix Ophiopogonis, Ophiopogon Root) 6g, Bai Shao (Radix Paeoniae Alba, White Peony Root) 6g, Tian Hua Fen (Radix Trichosanthis, Trichosanthes Root) 6g, Zhi Gan Cao (Radix Glycyrrhizae Preparata, Prepared Licorice Root) 3g. Decoct in water, take every other day.
(Lai Liangpu *Pu Yuan Medical Cases*)
Case 2: Sun XX, 20 years old. Suffering from Diphtheria, repeatedly treated, mostly modifying formulas from *Bai Hou Ji Biao Jue Wei* (Selecting Subtleties on Avoiding Exterior Release in Diphtheria), condition worsening daily. Physicians claimed untreatable, then invited me for consultation. Throat gate purely white, excessive sticky saliva, filling mouth instantly, must be spat out. Pulse fine, weak, and rapid; tongue fat, tender, pale red. Know this is deficiency of both Spleen and Kidney. Kidney deficiency failing to control Qi transformation, causing Yin fire to counterflow, phlegm-water flooding up; Spleen earth deficient, unable to control it, thus throat swelling, pain, and excessive sticky saliva. Administer Liu Wei Di Huang Tang (Six-Ingredient Pill with Rehmannia Decoction) to tonify Spleen and Kidney to clear deficient fire, additionally add Bai Zhu (Atractylodis Macrocephalae Rhizoma, Atractylodes Rhizome), add a little Su Zi (Perillae Fructus, Perilla Fruit) to restrain phlegm-water flooding. Prescription: Da Shu Di (Rehmanniae Radix Preparata, Prepared Rehmannia Root) 18g, Huai Shan Yao (Dioscoreae Rhizoma, Yam Rhizome) 12g (crushed raw), Shan Yu Rou (Corni Fructus, Cornelian Cherry Fruit) 6g, Yun Fu Ling (Poria, Poria Cocos) 9g, Fen Dan Pi (Moutan Cortex, Tree Peony Bark) 4.5g, Fu Ze Xie (Alismatis Rhizoma, Alisma Rhizome) 4.5g, Sheng Yu Zhu (Atractylodis Macrocephalae Rhizoma, Atractylodes Rhizome) 4.5g, Su Zi (Perillae Fructus, Perilla Fruit) 2.4g. Take continuously for 10 doses and cured. (From *Reprinted Compilation of Verified Cases by Famous Doctors Nationwide*, Case of Zhang Xichun)
[Commentary]: Bai Hou (Diphtheria) refers to "Epidemic Throat" capable of mutual transmission. *Chong Lou Yu Yue* states: "The symptom of white rot appearing in the throat is extremely dangerous... Once mistreated, it becomes incurable." This disease is caused by invasion of pestilential evil and epidemic toxins, combined with prevailing dry air of the season, internally resulting in Lung-Kidney Yin deficiency and accumulation of heat in intestines and stomach. Case 1 Lung Yin severely injured, Stomach heat blazing. Urgently administer large dose of Yang Yin Qing Fei Tang (Decoction for Nourishing Yin and Clearing the Lung) to generate fluids and moisten lungs, assist with clearing heat and promoting bowel movement, allowing accumulated heat in Lung and Stomach to descend, then add detoxification to clear remaining pathogens, finally tonify origin and consolidate foundation to conclude treatment. Additionally, Diphtheria caused by dry-heat is common, and those triggered by exterior pathogens are also frequent. Case 2 repeatedly treated, showing signs of Spleen-Kidney deficiency and counterflow of Yin fire. Method uses tonifying Spleen and Kidney, clearing deficient fire, restraining phlegm-water to achieve cure. Indeed, excess fire is easy to clear but deficient fire is difficult to pacify; failing to distinguish deficiency and excess leads to error.
(XVIII) Plum Pit Qi (Mei He Qi)
Case 1: Yang XX, male, 65 years old, First consultation date: October 28, 1965. For ten years, felt obstruction in throat, chest tightness, relieved after four months of treatment. Relapsed once in 1963, recently felt qi blockage in throat, chest tightness and discomfort. Six pulses sinking and slippery, tongue normal, coating yellow and greasy. Examination showed no tumor. Syndrome Differentiation: Phlegm-dampness obstruction, unfavorable Qi mechanism in chest, this is called Mei He Qi (Plum Pit Qi). Treatment Method: Open chest and direct rebellion downward, regulate Qi and resolve phlegm. Prescription: Su Geng (Perillae Caulis, Perilla Stem) 3g, Hou Po (Magnoliae Officinalis Cortex, Magnolia Bark) 3g, Fa Ban Xia (Pinelliae Rhizoma Preparatum, Prepared Pinellia Tuber) 6g, Chen Pi (Citri Reticulatae Pericarpium, Tangerine Peel) 3g, Fu Ling (Poria, Poria Cocos) 6g, Da Fu Pi (Arecae Pericarpium, Areca Peel) 3g, Bai Jie Zi (Semen Mustardae, Mustard Seed) (stir-fried) 3g, Xie Bai (Allii Macrostemonis Bulbus, Garlic Bulb) 6g, Chao Lai Fu Zi (Semen Raphani Preparatum, Prepared Radish Seed) 3g, Jiang Xiang (Dalbergiae Odoriferae Lignum, Rosewood) 1.5g, Zhu Ru (Bambusae Caulis in Taedia, Bamboo Shavings) 3g, Bai Tong Cao (Tetrapanacis Medulla, Tetrapanax Pith) 3g, Lu Lu Tong (Liquidambaris Fructus, Sweetgum Fruit) 3g. 10 doses. November 8.
(Second Consultation): After taking above medicine, felt throat blockage reduced, but occasionally slightly obstructed, appetite tasteless, morning phlegm abundant and gray color, insomnia, frequent nocturia with large volume, normal bowel movement, low-grade fever. Pulse turned slightly slippery, tongue normal, coating dirty and greasy. Wet-phlegm seeing reduction, still suitable to direct Qi downward, harmonize Stomach, and resolve phlegm for treatment. Original formula minus Xie Bai and Chen Pi, add Huang Lian (Coptidis Rhizoma, Coptis Root) 1.5g, Xiang Yuan Pi (Citri Reticulatae Pericarpium Viride, Green Tangerine Peel) 3g, increase Bai Jie Zi by 1.5g. 10 doses. November 22.
(Third Consultation): After taking medicine, throat obstruction disappeared, low-grade fever subsided, appetite, sleep, urination and defecation all normal. No longer take medicine, avoid mental stimulation, dietary regulation is appropriate. (From *Pu Fuzhou Medical Experience*)
Case 2: Chu XX, female, 52 years old. Felt foreign body sensation in throat for three years, fluctuating severity, symptoms worsened last year, throat feels blocked like a plum pit, cannot swallow down, cannot spit out, accompanied by chest tightness and pulling pain, greasy mouth, sour eyes etc. Usually prone to depression and anger, emotional distress, Liver Qi stagnation, Qi stagnation and phlegm condensation, stagnation transforming into fire, blocking upwards in throat, thus forming this syndrome. Disease belongs to Mei He Qi (Plum Pit Qi), must broaden mind, then regulate with Qi-regulating, phlegm-resolving, and fire-clearing medicines. Kun Bu (Laminariae Thallus, Kelp) 10g, Hai Zao (Sargassii Thallus, Sargassum) 10g, Hai Fu Shi (Pumex, Pumice) 10g, Xuan Fu Hua (Inulae Flos, Inula Flower) 6g (wrapped), Xia Ku Cao (Prunellae Spica, Selfheal Spike) 10g, Gua Lou Pi (Exocarpium Trichosanthis, Trichosanthes Husk) 10g, Chuan Yu Jin (Rhizoma Curcumae, Turmeric Rhizome) 6g, Qing Chen Pi (Green and Tangerine Peel) 5g each, Dai Ge San (Blue Shell and Cocklebur Powder) (wrapped) 12g, Jie Geng (Radix Platycodonis, Balloon Flower Root) 1.5g, Dan Pi (Moutan Cortex, Tree Peony Bark) 6g. 5 doses. Second Consultation: Chest tightness and pulling pain improved, throat obstruction remains, also has sad desire to cry, frequent yawning, and dry stool etc., Zang Zao (Visceral Agitation) syndrome. Further refer to sweet,緩 (soothing), moistening agents. Original formula minus Kun Bu and Hai Zao, add Zhi Gan Cao (Radix Glycyrrhizae Preparata, Prepared Licorice Root) 3g, Xiao Mai (Tritici Fructus, Wheat Fruit) 15g, Da Zao (Jujubae Fructus, Jujube Fruit) 3 pieces. 5 doses. Third Consultation: Symptoms continue to improve, but neck still feels pulling pain, heart feels burning sensation. Use initial consultation original formula plus Gou Teng (Uncariae Ramulus cum Uncis, Hookwire Twig) 10g (added later), 5 doses. Fourth Consultation: Throat obstruction, sad desire to cry etc. symptoms all improved, but chest still feels pulling pain, tongue coating yellow and greasy. Kun Bu (Laminariae Thallus, Kelp) 10g, Hai Zao (Sargassii Thallus, Sargassum) 10g, Hai Fu Shi (Pumex, Pumice) 12g, Xuan Fu Hua (Inulae Flos, Inula Flower) (wrapped) 6g, Xia Ku Cao (Prunellae Spica, Selfheal Spike) 10g, Jie Geng (Radix Platycodonis, Balloon Flower Root) 1.5g, Qing Chen Pi (Green and Tangerine Peel) 5g each, Chuan Yu Jin (Rhizoma Curcumae, Turmeric Rhizome) 6g, Dai Ge San (Blue Shell and Cocklebur Powder) 12g (wrapped), Dan Pi (Moutan Cortex, Tree Peony Bark) 6g, Zhi Ban Xia (Pinelliae Rhizoma Preparatum, Prepared Pinellia Tuber) 5g. 5 doses. Fifth Consultation: All ailments reduced, tongue coating yellow and greasy gradually transformed, but neck still feels pulling pain, radiating to ears. Original formula plus Gou Teng (Uncariae Ramulus cum Uncis, Hookwire Twig) 10g (added later). Follow-up five months later: Disease cured, no recurrence. (*Xu Lühe Surgical Medical Cases and Conversations Collection*)
[Commentary]: Mei He Qi (Plum Pit Qi) is a syndrome caused by emotional depression, Liver Qi carrying phlegm. Subjectively feels foreign body obstruction in throat like a plum pit, cannot spit out, cannot swallow down. Case 1 is Qi depression causing phlegm-dampness obstruction, cured by modifying Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction) from *Jin Gui Yao Lue*. Case 2 not only Qi depression and phlegm condensation, but Liver fire is also vigorous. Mr. Xu self-formulated Qi-regulating, phlegm-resolving, Liver-clearing, and depression-relieving agents, comprehensive care, good efficacy, and believes it is superior to Ban Xia Hou Po Tang from *Jin Gui Yao Lue*, for reference.
(XIX) Bad Breath (Kou Chou)
Case 1: Chen XX, female, 32 years old. Foul breath for several months, medicine ineffective. Symptoms: Bad breath, dry lips and mouth, tongue body moist, coating thin yellow and greasy, pulse fine and slightly rapid. Urination and defecation normal, though desires water, drinks little. Syndrome Differentiation: Hidden fire in Spleen and Stomach. Treatment Method: Ascend clear and descend turbid, assist with Stomach-heat-clearing agents. Prescription: Sheng Shi Gao (Gypsum Fibrosum, Gypsum) 30g, Sheng Ma (Cimicifugae Rhizoma, Black Cohosh Root) 10g, Xi Xin (Asari Radix et Rhizoma, Asarum Root) 4g, Jiao Huang Bo (Phellodendri Cortex Preparatus, Prepared Phellodendron Bark) 10g, Hang Shao (Paeoniae Radix Alba, White Peony Root) 12g. Decoct in water. External prescription: Wu Zhu Yu (Evodiae Fructus, Evodia Fruit) 6g, Huang Lian (Coptidis Rhizoma, Coptis Root) 6g, grind into fine powder, stir-fry with vinegar, wrap on both sole acupoints Yong Quan. Second Consultation: After taking above formula for 3 doses, bad breath greatly reduced. Pulse turned fine. Still dry lips and mouth, this is because Stomach channel hidden fire although removed, Lung and Stomach fluids still injured. Prescribe formula to moisten fluids and resolve dryness for regulation. Prescription: Hei Dou (Sojae Semen Nigrum, Black Soybean) 10g, Lv Dou (Phaseoli Radiati Semen, Mung Bean) 10g, Sang Ye (Folium Mori, Mulberry Leaf) 10g, Shi Hu (Dendrobii Caulis, Dendrobium Stem) 10g, Hang Shao (Paeoniae Radix Alba, White Peony Root) 10g, Sha Shen (Glehniae Radix or Adenophorae Radix, Glehnia or Ladybell Root) 15g, Yuan Shen (Radix Scrophulariae, Scrophularia Root) 10g, Mai Dong (Ophiopogonis Radix, Ophiopogon Root) 15g. Take 5 doses, bad breath completely eliminated, lips and mouth turned moist and cured. (From *Selected Medical Experiences of Dai Lisan*)
Case 2: Sun XX, female, 37 years old. Patient reports foul breath, dry lips, for 20 years. Seems to belong to Stomach fire. Detailed inquiry: lower limbs cold, tongue coating color normal, pulse fine and weak. This is deficient Yang floating upward. Standard treatment ineffective, should use reverse assistance to obtain effect. Plan to guide fire back to source method. Prescription: Zhi Fu Pian (Aconiti Lateralis Radix Preparata, Prepared Aconite Side Root) 4.5g, Rou Gui Fen (Cinnamomi Cortex Pulvis, Cinnamon Bark Powder) 1.2g (swallowed), Pao Jiang (Zingiberis Rhizoma Preparatum, Prepared Ginger) 3g, Jiang Chuan Lian (Coptidis Rhizoma with Ginger, Ginger-Treated Coptis) 0.6g, E Jiao Zhu (Collae Corii Asini Preparata, Prepared Donkey-Hide Gelatin) 6g, Chao Dang Gui (Angelicae Sinensis Radix Preparata, Prepared Dong Quai Root) 9g, Da Bai Shao (Radix Paeoniae Alba, White Peony Root) 9g, Chuan Shi Hu (Dendrobii Caulis, Dendrobium Stem) 12g, Mai Men Dong (Radix Ophiopogonis, Ophiopogon Root) 9g, Yun Fu Ling (Poria, Poria Cocos) 9g. Take 4 doses, bad breath reduced. Original formula change Zhi Fu Pian to 9g, Rou Gui Fen to 1.5g, Pao Jiang to 6g, additionally add Sheng Di (Rehmanniae Radix, Rehmannia Root) 9g, Dang Shen (Codonopsis Radix, Codonopsis Root) 12g. Take another 10 doses, mouth not foul, lips not dry, lower limbs turn warm, fine and weak pulse turns fine and forceful. Then use original formula 15 times quantity, additionally add Chuan Duan (Dipsaci Radix, Teasel Root) 90g, Mu Gua (Chaenomelis Fructus, Papaya Fruit) 135g, Gou Qi Zi (Lycii Fructus, Goji Berry) 135g, Tu Si Zi (Cuscutae Semen, Dodder Seed) 120g, Zhi Huang Qi (Astragali Radix Preparata, Prepared Astragalus Root) 120g, Zhi Gan Cao (Radix Glycyrrhizae Preparata, Prepared Licorice Root) 24g, Hong Zao (Jujubae Fructus, Jujube Fruit) 30 pieces. Decoct into paste medicine according to method, twice daily, one spoon each time, taken with boiling water, to consolidate efficacy.
(Zou Yunxiang experience, Huang Xinwu organized: Application of Reverse Assistance Therapy in Clinical Practice, *New Medicine Magazine* 6:11, 1978)