Fu XX, female, 51 years old, outpatient Initial diagnosis (April 15, 2009): 2 years ago, she developed a cough with no obvious cause, coughing white foamy sputum in small amount, which was obvious at night, accompanied by vomiting and vomiting of stomach contents when severe, and did not attract attention. In addition to the above symptoms, he also had swollen eyelids at night and could not lie down with his cough until the next morning, which was very painful. He was diagnosed as “bronchial asthma” after several visits to a western hospital, where pulmonary function and bronchodilator tests were performed, and he was treated with Sulforaphane, Ventolin and anti-inflammatory drugs, but the effect was not significant. A week ago, due to exertion, his symptoms worsened again and he had difficulty sleeping at night. Today, he visited our department. His symptoms are: cough, white foamy sputum, vomiting and stomach contents when severe, especially at night, and even swelling of the face, unable to sleep at night. The tongue is pale and fat, the coating is white and greasy, and the pulse is sunken and smooth. Physical examination: T36.8℃ p 100 times M min R22 times M min BP130M80 mmHg, mild puffiness on the face, coarse breath sounds in both lungs, no dry or wet stalls heard 100 times M min, no murmurs heard, remaining (-). Previous history of reflux esophagitis, diabetes mellitus. Western medicine diagnosis: 1, variant asthma, 2, reflux esophagitis; Chinese medicine diagnosis: the cough is due to phlegm and dampness congestion in the lung, the treatment is to remove phlegm and dampness, lower the rebellion and stop the cough, the formula is Er Chen Tang combined with Xuan Fu Dai Ochre Tang plus and minus: Prescription: Chen Pi 12g Semen 10g Hou Pu 15g Raw Job’s Tear 20g Xuan Fu Hua Bao Decoction 10g Dai Ochre (first decoction) 20g Daphne Scabra 10g Citrus Aurantium 10g Platycodon 12g Qian Hu 12g Dang Dong Hua 12g Atractylodes Macrocephala 10g Poria 12g Yam 12g Ginger 10g Decoction: First decoction, 600ml of water, 30 minutes of decoction, 200ml of juice; Second decoction, 500ml of water, 30 minutes of decoction, 200ml of juice, blend the two decoctions, take one dose in the morning and one dose in the evening, 7 doses in total. Advice: Avoid having dinner too full and too late, eat lightly and be calm. Second consultation (April 23, 2009): Complains of significant reduction of cough at night, puffiness of eyelids reduced, can sleep flat on his back for 4 hours, but sputum is still abundant, easy to cough, white foamy and thin, back is cold, stool is regulated, tongue is light, watery coating, pulse is slippery. Considering that the spleen and stomach are weak, phlegm and dampness are abundant, and the Wei-Yang is insufficient, therefore, on the basis of the above, we added products to strengthen the spleen and remove dampness, warm the lung and dissolve drinks, on the basis of the above, we added 15g of Radix et Rhizoma Ginseng, 10g of Radix et Rhizoma Sinensis, and 15g of Radix Cinnamomum Cassia. The third diagnosis (May 2, 2009): cough, cough sputum basically disappeared, sputum volume significantly reduced, recently felt a burning sensation behind the sternum, belching, especially after lying down, the back is still afraid of cold, easily agitated, poor sleep, two bowel movements, evidence of spleen deficiency, liver depression, liver qi transverse offense stomach, the formula to prodigal wan combined with spinosa ochre soup plus or minus: Prescription: Chai Hu 12g Bai Shao 15g Angelica sinensis 10g Poria 12g made of Semen 10g g fried Atractylodes macrocephala 10g mucuna pruriens 10g xiaoxiang 10g xianfuhua 12g dai ochre 30g dang ginseng 12g roasted licorice 10g chenpi 12g peppermint 10g ginger 10g gui zhi 15g fried malt 10g raw malt 10g hehuanpi 12g take 10 doses. The decoction was taken as above and was cured. Note: “Nei Jing Su Wen Cough Theory”: “stomach cough, cough and vomiting, vomiting even then long worms out, …… this are gathered in the stomach, on the lungs, so that people more snot and spittle and face puffy gas rebellion. The spleen is the source of phlegm, and the lungs are the reservoir of phlegm. The treatment of this disease focuses on the spleen and stomach, with the elimination of the source of phlegm as its priority. The spleen likes dryness and hates dampness; the stomach likes dampness and hates dryness; the spleen is healthy by ascending and the stomach is smooth by descending. Therefore, only when the spleen and stomach are properly transported and harmonized, there is no way for phlegm to arise, then the lung qi will be normal and the cough will stop. This disease has enlightened medical practitioners not to treat the head when they see the head and the feet when they see the feet, but to give full play to the theory of discriminatory thinking in Chinese medicine to guide clinical practice.