Ma Moumou, female, 68 years old. Initial diagnosis: 2025.3.3Ten days ago, she experienced runny nose, sneezing, and coughing. Currently, the cough is not prominent, but there is phlegm in the throat, yellow phlegm, excessive sweating, fatigue, dry mouth, and bitter taste. The tongue coating is thick and greasy. The pulse is slippery and rapid.Analysis: Thick and greasy tongue coating, slippery and rapid pulse—indicating damp-heat, which is the basic condition, treated with San Ren Decoction (三仁汤).Bitter mouth: Shao Yang (少阳), treated with Xiao Chai Hu Decoction (小柴胡汤).Ingredients: Chai Hu (Bupleurum) 24g, Huang Qin (Scutellaria) 10g, Qing Ban Xia (Pinellia) 10g, Dang Shen (Codonopsis) 10g, Sheng Jiang (Fresh Ginger) 10g, Da Zao (Jujube) 10g, Zhi Gan Cao (Honey-fried Licorice) 10g, Xing Ren (Apricot Kernel) 10g, Dou Kou (Cardamom) 10g, Fu Chao Yi Yi Ren (Fried Job’s Tears) 20g, Hou Po (Magnolia Bark) 20g, Tong Cao (Rice Paper Plant) 6g, Dan Zhu Ye (Lophatherum) 10g, Hua Shi (Talc) 25g. Decoction for seven doses.3.14: Today’s follow-up, the patient spoke a lot, but it was unclear whether she felt better or worse, just mentioning discomfort. Upon careful inquiry, symptoms such as sweating and fatigue have significantly improved, but still present. The back feels empty, much better than before, but still has some discomfort. Bitter mouth persists. The tongue coating is thin and greasy, with blood stasis in the sublingual veins. The pulse remains slippery and rapid.Analysis: The patient’s thick and greasy tongue coating has changed to thin and greasy, and symptoms have improved, indicating effective treatment. The pulse remains slippery and rapid, suggesting persistent damp-heat. Continue with the above formula for seven more doses.
