1、Question: Why does the head and face fear cold?Answer: The head is the apex of all Yang, where Yang Qi is abundant, thus it can withstand cold. If one cannot endure cold, it indicates Yang deficiency.It is advisable to use Jianzhong Decoction (Jian Zhong Tang) with Fuzi (Aconite) to warm and tonify Yang for self-recovery.Jianzhong Decoction: This formula is the primary prescription for Yang deficiency by Zhang Zhongjing.Gui Zhi (Cinnamon Twig) 27g, Bai Shao (White Peony) 18g, Gan Cao (Licorice) 18g, Zhi Sheng Jiang (Ginger) 27g, Da Zao (Jujube) 12g, Yi Tang (Maltose) 15g, Fu Zi (Aconite) 9g.For those with physical weakness, abdominal pain, palpitations, night sweats, epistaxis, nocturnal emissions, hot hands and feet, fatigue, pain in the limbs, frequent urination with large volume, this formula can be applied. In modern times, it is used to treat weak children with colds, nocturia, diabetes, tuberculosis, anemia, and gastritis. Adding Yin Yang Huo (Epimedium) treats impotence, adding Yin Chen Hao (Virgate Wormwood) treats jaundice, and adding Long Chi (Dragon’s Teeth) treats hypertension, all with significant effects. If adding Dang Gui (Angelica) and Huang Qi (Astragalus), it enhances nourishing and strengthening effects.The author has used Jianzhong Decoction with Ding Xiang (Clove) to treat various types of stomach pain with repeated success, as Ding Xiang is warm and can warm the middle and descend rebellious Qi, thus warming the stomach and assisting Yang. Adding Po Guo Zhi (Poria) and Yi Zhi Ren (Alpinia) treats frequent urination in the elderly and nocturnal enuresis in children, with a success rate of 90%, as all three herbs can tonify the kidney and strengthen the Mingmen (Gate of Life), benefiting essence and Qi while consolidating the kidneys and reducing urination.
2、Question: Is there a difference between fear of cold and aversion to wind?Answer: Aversion to wind means one feels discomfort upon encountering wind, unlike fear of cold, which persists even without wind. The symptom of aversion to wind, accompanied by fever, stiff neck, and spontaneous sweating, indicates the use of Gui Zhi Decoction. The symptom of fear of cold, accompanied by fever, stiff neck, and no sweating, indicates the use of Ma Huang Decoction. For those with chronic illness, without fever or headache, but with aversion to wind, it indicates external deficiency, and Huang Qi Jianzhong Decoction can be used. For those with fear of cold, indicating internal Qi deficiency, Fuzi Gan Cao Decoction can be used.Fuzi Gan Cao Decoction is a marvelous formula that combines both pre- and post-natal tonification. Fuzi is warm and spicy, capable of tonifying true Yang of pre-natal essence, while Gan Cao is sweet and can tonify post-natal Spleen and Earth. If a person with a long-term illness fears cold, it is clear that the true Yang of pre-natal essence is insufficient, unable to resist the cold Yin Qi, hence the fear of cold. With Fuzi, the true fire of pre-natal essence is revived, and with Gan Cao, the post-natal Spleen and Earth become strong, thus there is no worry that the fear of cold will not disappear.Yun Tieqiao said: “In Tai Yang disease, if there is fever, cold limbs, headache, stiff neck, and a harmonious mouth, spontaneous sweating can begin to use Gui Zhi Decoction. A harmonious mouth means the tongue surface is moist, the tongue body is not crimson, and the lips are not dry or crimson, and there is no thirst. If there is thirst, dry tongue, and crimson lips, it indicates a warm disease, and Gui Zhi is a forbidden medicine. The standard for using Ma Huang Decoction is to eliminate aversion to cold, fever, headache, and body pain, and two points must be noted: first, there is no sweating; second, the mouth is harmonious. If there is sweating, Ma Huang is a forbidden medicine; if there is thirst, dry tongue, and crimson lips, Gui Zhi is also a forbidden medicine.”For those with chronic aversion to wind, often without fever or headache, it is due to insufficient middle Qi and weak Wei Qi, thus Huang Qi Jianzhong Decoction is indicated. This formula is composed of Gui Zhi Decoction with Huang Qi and Yi Tang, where Gui Zhi harmonizes Yin and Yang, and Huang Qi and Yi Tang protect the exterior while supporting the interior, thus both middle and Wei Qi are solid, naturally one will not fear wind. As for chronic fear of cold, it is clearly due to insufficient Yuan Yang, different from the exterior symptom of fear of cold due to heavy covering and lack of warmth, and can be relieved with warmth, the two are easily distinguished. Zheng’s method uses Fuzi Gan Cao Decoction, which consists of only two ingredients, demonstrating its essence. Fuzi is warm and spicy, tonifying pre-natal true Yang, while Gan Cao is sweet, tonifying post-natal Spleen and Earth, thus fire generates Earth and middle Qi can be restored, Earth covers fire and fire can be sustained, hence chronic fear of cold can be cured.3、Question: Why does the head and face suddenly swell, appearing bluish-white, feeling heavy and drowsy, and when closing the eyes, one feels floating and unanchored?Answer: This is due to the weakness of the sovereign fire, causing Yin Qi to rise, resulting in swelling. Excessive Yin Qi forces out the true Yang, hence the feeling of floating and unanchored when closing the eyes. At this time, a small amount of true Yang is obstructed by numerous Yin, unable to return to its root; to return to its root, one must eliminate the numerous Yin and revive the true Yang. Moreover, feeling heavy and drowsy indicates the true aspect of Shaoyin is fully revealed, thus it is advisable to subdue Yang, using Qian Yang Dan (Subduing Yang Pill).Qian Yang Dan: Xisha 30g, Jiang Zhi Chao Fuzi 24g, Gui Ban (Tortoise Shell) 6g, Gan Cao 15g.【Explanation】 I have used this formula to cure many patients with headaches like splitting (commonly referred to as concussion), as it has no external pathogens to rely on, and has symptoms of Yang deficiency, thus diagnosed as Yin Qi forcing Yang to float. A single dose of Qian Yang Dan is effective, and several doses lead to recovery.4、Question: Why does a patient experience swelling all over the body and face after the external pathogens have retreated and the illness is about to heal?Answer: This is due to insufficient middle Qi and scattered Yuan Qi. This symptom can be treated with Li Zhong Decoction (Li Zhong Tang) plus Sha, Ban, and Fu Ling to warm and tonify the Earth for self-recovery.Li Zhong Decoction: Ren Shen (Ginseng) 12g, Bai Zhu (White Atractylodes) 30g, Gan Jiang (Dried Ginger) 30g, Gan Cao (Licorice) 9g (roasted), Xisha 12g, Ban Xia (Pinellia) 12g, Fu Ling (Poria) 9g.【Explanation】 I often use Li Zhong Decoction with Ding Xiang to treat chronic gastric diseases, most patients experience gastric distension or dull pain, reduced appetite, and fatigue, and it can be said to be effective repeatedly.5、Question: Why does one see colorful lights in the eyes and experience shortness of breath?Answer: This is the essence of the five organs manifesting externally, and the true Yang desires to escape from the eyes, which is indeed a dangerous sign. It is advisable to gather the Yang light and return it to its residence, thus using San Cai Feng Sui Dan (Three Talents Sealing Marrow Pill).Feng Sui Dan: Harmonizes water and fire, gathers Qi back to the kidneys. It can treat all symptoms of virtual fire surging upwards, toothache, cough, shortness of breath, facial swelling, throat obstruction, ear swelling, red eyes, nasal congestion, nocturnal emissions, spermatorrhea, and various symptoms of dampness, turbidity, and leukorrhea.Huang Bai (Phellodendron) 30g, Sha Ren (Amomum) 21g, Gan Cao (Licorice) 9g (roasted). 6、Question: Why do both eyes suddenly swell like peaches, with splitting headache, shortness of breath, and a face and lips that are bluish-black?Answer: This is due to the pre-natal true fire rising from the liver wood, violently wanting to escape from the eyes. It is advisable to use Si Ni Decoction (Four Reversal Decoction) to revive Yang and dispel Yin, which can cure.Si Ni Decoction: Symptoms include bluish-black nails, abdominal pain with diarrhea, profuse sweating, heavy body with fear of cold, and weak pulse, indicating a tendency towards collapse.Fu Zi (Aconite) 20-30g, Sheng Gan Jiang (Fresh Ginger) 45g, Gan Cao (Licorice) 60g (roasted).【Explanation】 Therefore, for all Yang deficiency and Yin excess diseases, one can boldly use it; if used early and properly, it will not lead to dangerous situations. According to modern research, Si Ni Decoction can raise blood pressure, improve microcirculation, and has cardiotonic and sedative effects, regarded as a specific formula for treating shock, and also effective for treating pediatric diarrhea. Practical experience has shown that when Fu Zi is decocted with Gan Jiang and Gan Cao, it can reduce the toxicity of Fu Zi while enhancing its cardiotonic effect. In my decades of clinical experience, whenever encountering Yang deficiency symptoms, regardless of what is commonly referred to as nephritis, hepatitis, pneumonia, myocarditis, gastritis, etc., as long as there are clinical symptoms indicating Yang deficiency, I do not consider inflammation and directly use Si Ni Decoction with modifications to achieve satisfactory results.7、Question: Why do both ears suddenly swell, with slightly red skin, containing a bluish color, slightly painful, with a high fever, and bright red cheeks, no thirst, and a tongue with a bluish-white coating, with a pulse that is floating and large?Answer: This is due to the pre-natal Yuan Yang overflowing, and the Qi mechanism attaching to Shaoyang and rising. If it is Shaoyang wind-fire, there will be bitter mouth, dry throat, alternating chills and fever, and severe redness and swelling. If there is high fever, bluish-white coating, without headache or body pain, it indicates the condition of Yuan Yang overflowing. The formula should be Bai Tong Decoction (White Passage Decoction) or Qian Yang Dan can also be used.Bai Tong Decoction (a key medicine for treating Yang obstruction above): Fu Zi 20-30g, Sheng Gan Jiang 60g, four stalks of green onion.【Explanation】 I have used Bai Tong Decoction to treat high fever that does not subside, achieving satisfactory results. A 9-year-old child had a high fever above 39 degrees Celsius, and after four days of injection, the fever did not subside. The night before the visit, the child was crying and restless, about to have convulsions. I rubbed the child’s head and upper body, which felt hot to the touch, but the legs below were gradually cold, to the point of icy feet. This indicates Yin and Yang are at odds, and the upper and lower are not communicating; although there is a high fever, it cannot be treated with cooling medicine. Since Bai Tong Decoction can promote the Yang above and below, it must be combined with pig bile or children’s urine to enter Yin, thus the prescription is as follows: Fu Zi 30g, Sheng Gan Jiang 20g, green onion 30g, and children’s urine as a guide. The patient improved after one dose and recovered after two doses. In the future, whenever treating similar patients with high fever that does not subside, I will use this formula with careful adjustments and achieve recovery, with numerous examples.8、Question: Why does a patient suddenly have both eyes sunken, in a state of confusion, and when getting up feels like collapsing, with a weak and empty pulse?Answer: This indicates that the true Qi of the five organs is about to collapse, unable to rise and is sinking, wanting to escape from below. The current state of confusion, feeling like collapsing when getting up, and a weak pulse clearly indicate the decline of true Qi, unable to support. It is advisable to strongly tonify Yang, thus using Si Ni Decoction to restore Yang.9、Question:Why does a patient have a continuous runny nose with clear mucus, sneezing incessantly, and after taking all kinds of external pathogen dispersing medicines, it worsens?Answer: This is due to insufficient pre-natal true Yang, unable to control the fluids. The external pathogen’s clear mucus and sneezing must present with fever, headache, body pain, fear of cold, and nasal congestion. It is advisable to greatly tonify pre-natal Yang. The formula should be a large dose of Si Ni Decoction or Feng Sui Dan, or Jiang Gui Decoction can also be used.Jiang Gui Decoction: Sheng Jiang (Fresh Ginger) 45g, Gui Zhi (Cinnamon Twig) 30g.【Explanation】 In clinical practice, I often see patients with continuous runny nose or thick mucus, persisting for years, commonly referred to in TCM as brain leakage. The brain marrow is vital for life, how can it leak out? Modern medical examinations show it to be sinusitis, and those who do not recover after prolonged treatment often have insufficient Yang in the upper burner, unable to control the fluids, and I have treated it with Jiang Gui Decoction with effective results. For example, a patient named Lin ×× had this condition for five years, and after taking two doses of Jiang Gui Decoction, it was effective. Since the Yang in the lower burner is also clearly insufficient, I continued with Fuzi Li Zhong Decoction with kidney tonifying herbs, and after taking eight doses, it was completely cured.10、Question:Why does a patient experience extreme itching in both ears, feeling like they want to die?Answer: This is due to the Yang in the kidneys violently floating. It is advisable to gather the true Qi as a priority. The formula should be Feng Sui Dan. If there is fire in the liver and gallbladder, it will often present with dizziness, red eyes, ear swelling and pain, bitter mouth, distension and pain in both sides, short and red urination, and painful urination, and should be treated by clearing and draining the liver and gallbladder fire, such as Long Dan Decoction.11、Question:Why does a patient have swollen, thick lips, red-purple color, high fever, thirst with a preference for hot drinks, fear of cold in the afternoon, clear long urination, and loose stools, with a weak pulse?Answer: This indicates that the Yang of the Spleen and Stomach is exhausted above. The manifestation of excess fire shows a yellow tongue and dryness, thirst with a preference for cold drinks, short urination, and hard stools, high fever, and no fear of cold in the afternoon. It is advisable to support the Yang of the middle palace, focusing on gathering and retaining Yang Qi, thus using Fuzi Li Zhong Decoction.Fuzi Li Zhong Decoction: Fuzi 20-30g, Bai Zhu 15g, Gan Jiang 15g, Ren Shen 6g, Zhi Gan Cao 9g.【Explanation】 Li Zhong Decoction is originally a formula for treating cold in the middle, and adding Fuzi enhances its warming and moving power, allowing the Yang of the Spleen and Stomach to recover, and all symptoms can be resolved. If it is determined to be excess fire, or a mix of cold and heat, it is all misdiagnosis. According to discussions with Zheng’s direct descendant and my own experience, his grandfather had a son late in life, and his father was weak and sickly, so the family always kept Fuzi Li Zhong Wan and took it, and his health gradually improved. I also often use this formula to treat patients with Spleen and Kidney Yang deficiency, who are weak and have recurrent colds, achieving satisfactory results.
12：Question: Why does the mouth suddenly have a foul odor, with a slightly yellow and moist tongue, no desire for water, and feeling heavy and drowsy?Answer: This is due to the essence of pre-natal true fire being released. No desire for water, feeling heavy and drowsy, clearly indicates that excessive Yin is forcing out the essence of true fire, indicating a sense of detachment. This is a critical condition, with a 90% mortality rate, and it is advisable to gather the true Yang; if the foul odor can be stopped, there is a chance of survival. The formula should be Qian Yang Dan.【Explanation】 In clinical practice, if there is foul odor without Yin symptoms, it is often due to excessive stomach fire, treated with Bai Hu Decoction plus Ren Shen. If there is excessive Yin forcing Yang outward and causing foul odor, a large dose of Fuzi Li Zhong Decoction with modifications can be used.13、Question: Why does a patient suddenly lose the ability to move the tongue, limbs become unable to lift, and during sleep, saliva flows out unconsciously?Answer: This is due to excessive Yin and the inability of Yuan Yang to stabilize and operate. The entire body’s joints and orifices rely on true Qi for protection and movement. This condition can be treated with Fuzi Li Zhong Decoction with added Sha and Ban.When Yang is deficient, the strength of the middle palace is weak, and the dampness from food and fluids, along with internal Yin Qi, accumulates, leading to phlegm and saliva. Over time, if Yang is weak, cold phlegm rises, blocking the clear orifices, leading to sudden collapse and confusion, referred to as phlegm obstructing the middle. For phlegm obstructing the middle, Jiang Fu Ban Decoction can be used.Jiang Fu Ban Decoction (revives Yang, descends rebellious Qi, transforms water and phlegm): Sheng Jiang 60g (juice), Fuzi 30g, Fu Ling 24g, Ban Xia 21g.14、Question: Why does a patient experience severe throat pain, with high fever in the upper body, and cold in the lower body, feeling faint?Answer: This is due to excessive Yin and the true Qi escaping upwards, having already departed from its root, indicating a very dangerous condition. The formula should be Qian Yang Dan.Throat pain is caused by various external fire evils, which must not be both hot above and cold below; if it comes, it does not come suddenly.15、Coughing, shortness of breath, spontaneous sweating, restlessness, urgency to defecate, inability to control urination, and fear of cold, why?Answer: This indicates that true Yang is about to escape, and Yin Qi is obstructing the clear orifices. It is advisable to revive Yang, descend rebellious Qi, and warm the middle to gather Qi back to the root. The formulas should be Si Ni Decoction, Feng Sui Dan, or Qian Yang Dan.16、Question: Why does the chest and abdomen hurt severely, with a face red as vermilion, no desire for tea or water, and a need for heavy objects to press down to feel slightly better, otherwise feeling like dying?Answer: This indicates that Yuan Qi is violently escaping and contending with Yin. This condition cannot be treated without gathering Qi back to the root and reviving Yang, thus using modified Fuzi Li Zhong Decoction or Qian Yang Dan.【Explanation】 Chest and abdominal pain can originate from nine types, namely: “1. Worm pain, treated with Wu Mei Wan; 2. Zhi pain, treated with Su He Yan; 3. Qi pain, treated with Xiang Su Zhi; 4. Blood pain, treated with Shi Xiao San; 5. Palpitations pain, treated with Miao Xiang Quan; 6. Food pain, treated with Ping Wei San; 7. Drink pain, treated with Er Chen Tang; 8. Cold pain, treated with Li Zhong Tang; 9. Heat pain, treated with Jin Ling San.”17、Question: Why does a patient vomit clear water continuously, with reduced appetite, and after taking all kinds of warming and tonifying medicines, it does not work?Answer: This is due to the kidney Qi not being stored, and kidney water overflowing. The pulse in both feet must be floating and slippery, the lips and mouth must be black and red, with no desire for any food, and often a salty taste in the mouth. It can be treated with Zhi Shen Wan (Nourishing Kidney Pill) or Gui Ling Zhu Gan Decoction. If there is cold in the stomach, the pulse must be slow, the lips and mouth must be pale, and the patient prefers spicy and hot foods, it can be treated with Li Zhong Decoction.Zhi Shen Wan: Nourishes water, gathers Qi back to the kidneys.Huang Bai 30g, Chao Zhi Mu 24g, An Gui 9g.Gui Ling Zhu Gan Decoction: Transforms Qi, moves water. It also treats Spleen deficiency with edema, phlegm cough.Gui Zhi 24g, Fu Ling 60g, Bai Zhu 30g, Gan Cao 15g.【Explanation】 Vomiting clear water and reduced appetite are due to cold in the stomach, treated with Li Zhong Decoction to warm and strengthen the Spleen and Stomach, thus achieving recovery. If it is due to kidney water overflowing, treat with Zhi Shen Wan or Gui Ling Zhu Gan Decoction. Zhi Shen Wan can treat all symptoms of Yang not transforming Yin, and Yin Qi surging upwards. As for Gui Ling Zhu Gan Decoction, it is a key formula for treating phlegm, water, and dampness.18、Question: Why does a patient suddenly have both breasts swell like plates, with normal skin color, slight pain, feeling heavy and preferring to lie down, with no desire for any food?Answer: This indicates that excessive Yin is causing the Yuan Qi to rise in the liver and stomach. This condition should be treated with Fuzi Li Zhong Decoction plus Wu Zhu Yu (Evodia). If the nipples are not swollen, the disease is focused on the stomach; if the nipples are swollen, the disease is focused on the liver. Understanding the release of one Yuan, the treatment methods will not deviate from reviving Yang, gathering Qi, sealing marrow, and subduing Yang. If it is thought to be caused by wind-cold or Qi stagnation, there must be alternating cold and heat, headache, body pain, severe redness and swelling, thirst, and various symptoms, then it can be treated with Qi-regulating, blood-activating, and dispersing formulas.19、Question: Why do both sides of the abdomen suddenly swell, appearing red like vermilion, with slight pain, feeling heavy, and bluish-black nails?Answer: This indicates that excessive cold in the Jueyin is forcing out the Yuan Yang. It is advisable to revive Yang and dispel Yin, thus using Si Ni Decoction with added Wu Zhu Yu. If it is liver channel wind-fire, there will be severe pain, and the body will not feel heavy, and the nails will not be bluish-black. Now, only the signs of excessive cold in the Jueyin are seen, thus it is known that the Yuan Yang is being forced out by cold.20、Question: Why does a patient experience severe emaciation in the head, face, and limbs, with a lower abdomen as large as a gourd, bluish lips, no desire for food, and shortness of breath?Answer: This indicates that Yang deficiency is obscured by Yin. It is advisable to strongly tonify Yang, thus using Si Ni Decoction or Fuzi Li Zhong Decoction with added Sha and Ban.What are the external causes? It may be due to wind, cold, heat, dampness, dryness, or heat entering the interior, blocking the Qi mechanism, prolonged over time, leading to stagnation of essence and blood. If the invasion is shallow, it flows to the skin; if deep, it flows to the abdomen. If it is in the joints of the hands and feet, it leads to sores, ulcers, and toxic boils. If it is blocked in the upper burner, it leads to chest obstruction; if in the middle burner, it leads to fullness; if in the lower burner, it leads to abdominal fullness.What are the internal causes? Generally, those entering from the outside cause Qi blockage, while those exiting from the inside cause Qi dispersion. For blockage, it is advisable to open, regulate Qi, and move blood; for dispersion, it is advisable to gather, revive Yang, and warm and tonify first. However, there is a difference between distension and swelling; distension is from Qi, and pressing it feels solid but empty inside; swelling is from blood, and pressing it feels solid inside and out. To treat distension, it is advisable to nourish Qi, tonify Qi, and gather Qi, avoiding breaking Qi, exhausting Qi, and moving Qi, especially emphasizing nourishing blood. To treat swelling, it is advisable to activate blood, move blood, and break blood, avoiding cooling blood, stopping blood, and restraining blood, especially needing to move Qi. If learners want to understand the key to treating distension, it lies in discerning the Qi aspect to determine deficiency or excess.21、Question: Why are the bowel movements not smooth, and for three to five days there is no feeling of fullness, with abdominal pain, a bluish tongue, and no desire for food?Answer: This indicates that the Yang in the lower burner is deficient, unable to transform the Yin in the lower burner. It is advisable to warm and tonify the Yang in the lower burner, thus using Si Ni Decoction with added An Gui. If there is heat accumulation causing difficulty in bowel movements, the person will be unusually irritable, and there will be yellow or white tongue coating, preferring cold water, and foul breath. For difficulty in bowel movements, it is advisable to nourish blood, clear heat, and moisten dryness, using Ma Ren Wan; for difficulty in urination, it is advisable to nourish Yin and clear heat, using Dao Chi San.
22、Question: Why does a patient experience chills and fever, with abdominal pain that feels like dying, and cannot clearly describe the condition, but improves by midnight?Answer: This indicates Yang deficiency and Yin excess, obstructing the Qi mechanism. It is advisable to support Yang and suppress Yin, thus using Fuzi Li Zhong Decoction with added Sha and Ban.23、Question: Why does a healthy person feel no illness, but after urination, there is a continuous drop of semen like threads, and in severe cases, it does not stop?Answer: This indicates that the pre-natal Yang is declining, unable to restrain the essence. It is advisable to greatly tonify Yuan Yang, focusing on the interaction between heart and kidneys. The formula should be Bai Tong Decoction.24、Question: Why does a patient experience swelling in both legs up to the knees, feeling as cold as ice?Answer: This indicates that the Yuan Yang in the lower burner has not been stored, and the Yin Qi has not been restrained. It is advisable to strongly tonify Yuan Yang, facilitating the interaction between upper and lower, allowing water and fire to mutually support, thus the swelling will naturally subside. The formula should be Bai Tong Decoction.25、Question: In Shaoyin disease, with vomiting and diarrhea, cold hands and feet, and restlessness, why is Wu Zhu Yu Decoction indicated?Answer: Vomiting leads to the loss of Stomach Yang, and diarrhea leads to the loss of Spleen Yin, resulting in the loss of both Yin and Yang in the middle palace, causing Yang Qi to fail to reach the extremities, hence the coldness. The two Earths reside in the middle, one transporting essence upwards to the heart and the other transporting essence downwards to the kidneys. Now, due to excessive vomiting and diarrhea, both Earths are suddenly deficient, unable to transport essence and facilitate interaction between upper and lower, hence the restlessness and desire to die. Wu Zhu Yu Decoction is indicated. In Li Zhong Decoction, although the patient may vomit and have diarrhea, they do not reach the point of restlessness, thus the emphasis is on Taiyin; this formula is deeper, as the patient becomes restless and desires to die due to vomiting and diarrhea, with restlessness belonging to the heart and restlessness belonging to the kidneys, thus it is known to be a Shaoyin disease.Wu Zhu Yu Decoction (warms the middle, descends rebellious Qi, tonifies the liver): Wu Zhu Yu 1 sheng, Ren Shen 3 liang, Sheng Jiang 6 liang, Da Zao 12 pieces.26、Question: Why does a patient experience toothache for two to three days, suddenly with hot skin, but internally feels cold, wanting to be covered with thick blankets, and when the external heat subsides, they no longer fear the cold?Answer: This indicates that Yuan Qi is escaping externally and not being stored. This symptom is similar to having heat above and cold below, but the upper, lower, internal, and external aspects are slightly different. It is advisable to revive Yang and facilitate interaction between upper and lower. The formula should be Bai Tong Decoction or Si Ni Decoction. If there is also pain in the head, neck, waist, and back, with aversion to cold, adding Ma Huang, Gui Zhi, and Xi Xin to Si Ni Decoction can also be considered.27、Question: Why does a patient with a serious illness suddenly experience hiccups that do not stop, feeling faint?Answer: This indicates that the Yuan Qi is extremely deficient, and the turbid Yin Qi is rising, indicating signs of the Spleen and Kidney wanting to collapse. It is advisable to revive Yang and descend rebellious Qi as a priority, thus using Wu Zhu Yu Si Ni Decoction or Li Zhong Decoction with added Wu Zhu Yu.28、Question: Why does a patient experience lower back pain, feeling heavy, and difficulty turning over, as if struck, and it worsens in rainy weather?Answer: This indicates that Kidney Yang is insufficient, and Kidney Yin is excessive. This can be due to excessive sexual activity, where the pulse in both feet must be floating and empty, and the complexion must be dark and withered. If it is due to cold invasion, the pulse in both feet must be floating and tight, often accompanied by fever, headache, and body pain. For those who feel heavy and have difficulty turning over, as if struck, and worsen in rainy weather, it is mostly due to insufficient Kidney Yang, and the same applies to cold dampness. It is all determined by the pulse and complexion. If it is due to Yin deficiency, there will be tidal fever, dry mouth, fine pulse, and internal heat, worsening with excessive Yang. For Qi deficiency, it can be treated with Qian Yang Dan; for dampness stagnation, it can be treated with Shen Zhuang Decoction; for cold invasion, it can be treated with Ma Huang Fuzi Xi Xin Decoction; for Kidney deficiency, it can be treated with Zhi Shen Wan, Feng Sui Dan, or Qian Yang Dan.Shen Zhuang Decoction (warms the middle and eliminates dampness): Bai Zhu 30g, Fu Ling 18g, Gan Jiang 18g, Zhi Gan Cao 9g.Ma Huang Fuzi Xi Xin Decoction (interacts Yin and Yang, warms the meridians and disperses cold): Ma Huang 24g, Fu Zi 18g, Xi Xin 9g.29、Question: Why does a patient with a serious illness suddenly experience vomiting that does not stop, feeling faint?Answer: This indicates that the Yuan Qi is extremely deficient, and the turbid Yin Qi is rising, indicating signs of the Spleen and Kidney wanting to collapse. It is advisable to revive Yang and descend rebellious Qi as a priority, thus using Wu Zhu Yu Si Ni Decoction or Li Zhong Decoction with added Wu Zhu Yu.30、Question: Why does a patient experience chills and fever, with abdominal pain that feels like dying, and cannot clearly describe the condition, but improves by midnight?Answer: This indicates Yang deficiency and Yin excess, obstructing the Qi mechanism. It is advisable to support Yang and suppress Yin, thus using Fuzi Li Zhong Decoction with added Sha and Ban.31、Question: Why does a patient experience toothache for two to three days, suddenly with hot skin, but internally feels cold, wanting to be covered with thick blankets, and when the external heat subsides, they no longer fear the cold?Answer: This indicates that Yuan Qi is escaping externally and not being stored. This symptom is similar to having heat above and cold below, but the upper, lower, internal, and external aspects are slightly different. It is advisable to revive Yang and facilitate interaction between upper and lower. The formula should be Bai Tong Decoction or Si Ni Decoction. If there is also pain in the head, neck, waist, and back, with aversion to cold, adding Ma Huang, Gui Zhi, and Xi Xin to Si Ni Decoction can also be considered.【Previous Articles】
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