2. Unresolved stasis on the exterior

This is a case from Dr. Wang Zhan[1], January 5, 1976

Ms. Liu, age 26, had a cold for 4-5 days.  She still had a fever, fear of cold and a temperature of 38°C.  She was sweating slightly.  Although she had taken an instant tea for colds and anti-inflammatory analgesics, these had had no effect.  She had body pain, her excretions were normal, her tongue moss was thin and white and her pulse was floating and tight.  I gave her Gui Zhi Ma Huang Ge Ban Tang with added flavors.

Gui Zhi 8 gm
Bai Shao 5 gm
Xing Ren 5 gm
Gan Cao 5 gm
Sheng Jiang 5 gm
Ma Huang 8 gm
Da Zao 4 gm
Fu Ping 9gm

After the herbs, she had a slight sweat and after two more packages the illness was completely resolved.

Discussion: When someone has a cold for several days and it is not a Shao Yang and or Yang Ming presentation and yet there is a fever with an aversion to cold, sweating, a floating tight pulse, it is appropriate to lightly induce sweat using Gui Zhi Ma Huang Ge Ban Tang.

Translated by: Sharon Weizenbaum

[1] 伤寒论临床应用 The Clinical Application of the Shang Han Lun, 1990, pg 24

Original Chinese:

二、表部不解

王占玺医案：刘某，女，26岁，1976年1月5日初诊。感冒已四五日，仍发热恶寒，体温38℃，微汗出，虽经服感冒冲剂及解热镇痛剂不效，身酸 痛，二便正常，苔薄白，脉浮紧。随予桂枝麻黄各半汤加味：桂枝8克，白芍5克，生姜5克 甘草5克，大枣4枚，麻黄8克 杏仁5克,浮萍9克。
药后取微汗，2剂诸证悉平。(《伤寒论临床应用》1990：24)
按语：外感数日，无少阳、阳明见证，仍发热恶寒，汗出，脉浮紧，宜小发汗，与桂麻各半汤愈之。

NOTE: For further reading on this case and formula, please see Sharon’s introduction, Guizhi mahuang ge ban tang & guizhi er mahuang yi tang

Tags: Classical formulas, External Attack, Gui zhi ma huang ge ban tang, Shang Han Lun, Tai Yang Pattern