Shang Han Case

There was external cold assaulting the tai yang with damp stagnation internally blocking the middle burner. This pattern presented with sweat and chills that failed to resolve the condition. There was also full body aching pain, stifling sensation in the chest, upflow nausea, and abdominal distention. It was suitable to disperse the pathogen, release the muscle layer, transform stagnation, and open the middle burner.

Prescription:

Cinnamomi Ramulus (guì zhï) 8 fen
Pinelliae Rhizoma preparatum (zhì bàn xià) 2 qian
dry-fried Aurantii Fructus (châo zhî ké) 1 qian
Amomi Fructus rotundus (bái dòu kòu) 8 fen
dry-fried Paeoniae Radix rubra (châo chì sháo) 1 qian 5 fen
Citri reticulatae Pericarpium (chén pí) 1 qian
Arecae Pericarpium (dà fù pí) 2 qian
Massa medicata fermentata (shén qü) 3 qian
Perillae Caulis (zî sü gêng) 1 qian 5 fen
Zingiberis Rhizoma recens (shëng jiäng) 2 slices.

Commentary: This is a case that uses Cinnamon Twig Decoction (guì zhï täng) to resolve the exterior of the tai yang, Two-Aged [Herb] Decoction (èr chén täng) to harmonize the stomach, descend counterflow, and transform damp in the middle burner.  Magnoliae officinalis Cortex (hòu pò) and Arecae Pericarpium (dà fù pí) was used in order to eliminate distention. Aurantii Fructus (zhî ké) and Massa medicata fermentata (shén qü) was used in order to guide out stagnation.

Translated by: Jason Blalack

Mr. Bai presented with a pathogen in the tai yang that had not yet resolved. There was a loss of normal order of the nutritive and protective aspects. There was physical cold, fear of cold, cough, stifling sensation in the chest, full body aching pain, reduced food intake, and a greasy tongue coat. It was proper to use a Cinnamon Twig Decoction (guì zhï täng) method.

Cinnamomi Ramulus (guì zhï) 8 fen
Fritillariae thunbergii Bulbus (zhè bèi mû) 3 qian
Pinelliae Rhizoma preparatum (zhì bàn xià) 2 qian
dry-fried Setariae (Oryzae)Fructus germinatus (gû yá) 4 qian
Benincasae Semen (döng guä zî) 3 qian
dry-fried Paeoniae Radix rubra (châo chì sháo) 1.5 qian
Poria (fú líng) 3 qian
Perillae Caulis (zî sü gêng) 1.5 qian
Eupatorii Herba stalk (pèi lán gêng)1.5 qian
stripped apricot kernel (guäng xìng rén) 3 qian
dry-fried Aurantii Fructus (châo zhî ké) 1 qian
Citri reticulatae Pericarpium (chén pí) 1 qian
Gentianae macrophyllae Radix (qín jiäo) 1.5 qian

Translated by: Jason Blalack