Gui zhi ma huang ge ban tang #2

4. Unpleasant Body Oder

From doctor Huang Dao-fu[1], September 14, 1984:
Ms. Chen was age 17. Seven days previously she had developed a cold with fever and fear of cold. The heat was more than the cold. Everyday she had fever 2-3 times. Though she had dizziness, there was no vomiting and her two excretions were normal. She did not sweat easily. She had itching and an unpleasant body odor that did not go away with bathing. The school doctor suspected malaria but blood tests were negative for the malaria organism. She was then diagnosed with an endocrine disorder and treated with oryzanol but there was no improvement. She then came to see me. I saw that her tongue was pale with thin white moss and her pulse was minute and weak. This was a case of long term wind cold damp and Ying and Wei disharmony. It was appropriate to dispel wind and scatter cold while harmonizing the Ying and the Wei. I thought to try Zhang Zhong-jing’s method and gave her two packages of Gui Zhi Ma Huang Ge Ban Tang with added flavors.

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Floating Edema (Spleen yin & qi xu)

Original case is from Qin Bo-Wei.

A 54 year old female became chilled after taking a bath, which resulted in floating edema in her lower limbs. She then became fatigued due to her household duties and the condition gradually worsened. When I saw her at a group consultation the disease had already been going on for nine months. She presented with whole body pitting floating edema, numbness and tingling in the hands, flusteredness, dry mouth with intake of fluids, a sensation of hunger in her abdomen and was eating more than normal, increased quantity of clear urination, and her bowels were normal. The pulse was wiry, large and rapid and she had a smooth bare red tongue with cracks. Her complexion was sallow yellow and lack luster.

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Zhen Wu Tang (Xu Shu-Wei)

This is the 3rd case in a series about Xu Shu-Wei.

3. Twitching of tendons and muscles:

Original case from: Xu Shu-Wei’s Case number 17

A townsperson named Jing made a living in the country village by twisting fibres into rope (“sheng”), and so was known as Jing Sheng Zi — “Roper Jing”.

Her son was almost thirty years old when he became ill, showing a slight sweat, weak pulse, and aversion to wind. The doctor mistakenly gave him Ma Huang Tang to bring on a sweat, and sweat he did — without stop! Fever, chest pain, intense palpitations, unable to sleep at night, and delirium all followed. Soon he did not recognise his mother, and began twitching convulsively, moving and shaking. The doctor then tried heavy sedators and wind extinguishing herbs as treatment.

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Li Zhong Wan (with heat signs)

Tai yin deficiency cold pattern with heat signs
Xu Shu-Wei’s Case

In the beginning, Mr. Cao had cold-damage that lasted for 6-7 days. There was abdominal fullness with vomiting, inability to get food down, a warm body, hot extremities, spontaneous diarrhea, pain in the abdomen, retching, and nausea. The first doctor said there was too much yang, because of the hot extremities. He feared there was an amassment of heat in the stomach leading to vomiting or because there was vomiting and diarrhea this was sudden turmoil disorder. At this point, I (Xu) was asked to give a diagnosis. The pulse was thin and submerged. One can say that this was a tai yin pattern.

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Gui Zhi Er Ma Huang Yi Tang – Urticaria

3. Urticaria

Dr. Liu Jingqi[1], July 20, 1982

Ms. Sun, age 45 had an aversion to cold and fever and all over her body she developed large round patches of wind rash. She had had this for over 20 days. Before the illness, she had been out sweating in the rain and after one day she developed the rash. Every day she had 5-6 episodes with itching and heart vexation. She had a calcium injection and oral chlor-trimeton and vitamin C all with no effect. Her facial complexion was sallow and the skin scratch test was positive and her whole body had round patches though it was most profuse on her chest and thorax area. Her tongue was pale with thin moss and her pulse was wiry. This was a presentation of Wind Cold tied up on the exterior though it was inappropriate to drain.The treatment principle was to use pungent warm to penetrate through to the exterior, dredge wind and stop itching.I gave her 6 packages of the following formula:

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