On March 10, 1986, A 28 year male presented with dry stools like sheep’s feces, evacuating once every 2-3 days, which had been  going on for for nearly 1 year.  He also had abdominal distension, fullness, and pain, and cold hands. His tongue was red with a  thin and yellow coat. His pulse was wiry and rapid.  The pattern belonged to qi constipation.   
Treatment was to regulate the qi,  unlock the yang, moisten the intestines, and unblock the bowels. Frigid Extremities Powder (sì nì…

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…

Translated by: Sharon Weizenbaum
(thanks Sharon for the translation of this piece plus that following cases)
Gui Zhi Ma Huang Ge Ban Tang
Gui Zhi (1 liang + 16 zhu) 4 grams
Sheng Jiang (1 liang) 3 grams
Bai Shao (1 liang) 3 grams
Zhi Gan Cao (1 liang) 3 grams
Ma Huang (1 liang) 3 grams
Da Zao 4 dates
Xing Ren (24 pieces) 3 grams
Gui Zhi Er Ma Huang Yi Tang
Gui Zhi (2 liang + 17…

1. A light presentation with stasis on the exterior.
This is a case from Dr. Yu Zhangrong[1], April 10, 1963
Mr. Li, age 49: Chills and fever.  After sweating from the fever his body would become cold.  This happened once a day and had continued for three days.  He also had headache, leg pain, and back pain, cough with slight amount of phlegm, poor appetite and normal excretions.  His pulse was floating and tight and his tongue moss was thick…

By: Steven Clavey
(Thanks Steve for this case and the one’s that follow. Please check out his journal, The Lantern)
Insomnia: Case number 12, by Xu Shu-Wei
A local notable named Chen, when he first became sick, had fever, floating pulse and spontaneous perspiration. The doctor used Ma Huang Tang to cause sweating, but the fever became severe, Chen could not get to sleep, his head was heavy, there were palpitations and he complained of a restless cooped-up feeling. The…

Translated by: Steven Clavey
Needling Yang Ming channel to relieve shang han fever, Xu Shu-Wei’s Case (number 55)
One year in the month of May, a Mr. Li was ill with shang han (injury by cold), having fever, headache, no sweat and generalised aching all over the body. The pulse was floating, big and tight. I gave him Ma Huang Tang, but after several doses there still was no sweating; again we tried Zhang Miao’s roasting steaming method, and this…

Xu Shu-Wei : Discourses on the Shang Han Lun
By Steven Clavey
(Thanks Steve for this introduction and the case studies that follow. Please visit his Chinese medicine journal, The Lantern.)
Xu Shu-Wei (许叔微) was a well-known physician who lived during the Southern Song Dynasty (1075 – c. 1156). Having attained a certain level in the imperial examinations, he was known as Xu Xue-Shi — `Xu the Scholar’. He was the author of numerous works in the Shang Han Lun…

Case Study from Dr. Qin Bo-Wei (秦伯未）
A 67 year old male presented with frequent common colds (感冒 gân mào), which would last for 1 to 2 months without recovery. His presentation only had symptoms of nasal congestion, cough with phlegm, copious sweat from the head and face, and a slight feeling of fatigue. In the past he took Jade Windscreen Powder (yù píng fëng sân), for a half of a month, but there was not effect.
Treatment: I gave…

Yue Mei-Zhong’s case study:
Zhang XX, a 15 year old female, had a fever for more than a half a year. It would reach up to 40c and many formulas were tried with no avail. Moreover, there was a thirst without large fluid intake and urination and bowel movements were normal. There was pale tongue with a yellow coat. There was a fever and aversion to wind, floating and moderate pulse, and occasional sweating. The diagnosis was wind-strike pattern that…

Liu du zhou’s case:
Lǐ X was a 53 year old female that suffered from paroxysmal heat effusion and sweating for over one year.  This would occur 2-3 times every day.  A previous doctor treated her for a yin deficiency fever, but after taking over 20 bags there was no result.  When questioned, her diet, urination and bowel movements were normal.  She had a pale tongue with a white coat, slack and soft pulse that lacked strength.
The differential diagnosis was a pattern of nutritive and defensive…