Exterior & Interior (lurking warmth) (LBY)
Original case by: Liu Bao-Yi (Liu Baoyi) (柳宝诒)
Patient [Zhang] presented with physical cold and fever, no sweat, a wiry and thin pulse, and a yellow tongue [coat]. This was an exterior pathogen with food accumulation knotted up and not transforming. It was suitable to resolve both the exterior and interior.
dan dou chi (Sojae Semen preparatum)
da dou juan (Sojae Semen germinatum)
zi su ye (perilla leaf)
jing jie (Schizonepetae Herba)
xing ren (Armeniacae Semen)
zhi ke (Aurantii Fructus)
gua lou pi (Trichosanthis Pericarpium)
hui xiang tan (charred Foeniculi Fructus)
jiao shen qu (Scorched Massa medicata fermentata)
jiu chao huang qin (Wine-fried Scutellaria)
lian qiao (Forsythiae Fructus)
qing hao (Artemisiae annuae Herba)
bai mao gen (Imperatae Rhizoma)
sheng jiang pi (Zingiberis Rhizomatis Cortex)
Source: 柳宝诒医案 ( 伏温篇 )
Questions, comments, or thoughts?
Its best to treat the interior first, then the exterior. The above diagnosis sounds of heat. No date was given, or age. This would help define the time of illness, and natural progression of age related illness.
Hi Ian, Thanks for the comment. Sometimes one must first treat the interior, sometimes the exterior, and sometimes both at once (the lesson here). Yes, these classical case studies are often terse and lacking some of the information that we might desire. However there are gems in all of these, especially famous doctors such as Liu Baoyi. Consider reading these articles on how to read and learn from classical case studies. https://www.chinesemedicinedoc.comstagingnewunderstanding-case-records-pt-1/ & https://www.chinesemedicinedoc.comstagingnewunderstanding-case-records-pt-2/