Wang Shou? , female, 73 years old. Sleepy limbs, cold and trembling legs for four years, aggravated for six months, normal stools, vomiting acid after taking Chinese medicine (any medicine). His face is blue, pulse is astringent, and tongue is red and vivid. Post gallbladder surgery and thyroid surgery. First diagnosed on November 15, 2012. Prescription: Radix Angelicae Sinensis 15g Gui Zhi 10g Dou Shu 10g Sang Sang Sang 10g Chuan Xiong 6g Huang Qi 20g Radix Rehmanniae 10g Radix Paeoniae 10g Radix Bacopa Monnieri 10g Safflower 10g Sha Ren 10g Posteriorly Radix Rehmanniae 15g Huai Niu Kne 15g Black Shun Tablet 9g First Decoction White Peony 10g Papaya 15g Semen Cuscutae 15g Five doses, decoction with water. After taking the medicine, he took five doses of the original formula, and stopped taking the medicine when his condition improved. On April 30 this year, he visited the clinic due to relapse. Symptoms: fatigue, less energy, dizziness, coldness, soreness and twitching of both lower limbs, poor appetite. Dry stools, nausea, morning generalized acidity, and Chenopodium fever. The tongue is red and vivid, the coating is white and thick, and the pulse is sluggish. The comprehensive four diagnoses indicate Yang deficiency and blood stasis. The patient’s yang energy is weakened in old age, and the two surgeries damaged the body’s positive energy, resulting in the deficiency of both yin and yang. The deficiency of yang in warming up the body is reflected in dizziness and weakness, coldness of both lower extremities, soreness, and convulsions; the deficiency of middle qi in transporting and transforming the body is reflected in poor appetite, nausea, dry stools, and acidity in the morning; and the fever of Changshi indicates that the deficiency of yin cannot be guarded internally, resulting in the deficiency of yang outside. The red and vivid tongue, thick white fur and sluggish pulse are signs of Yang deficiency and blood stasis. According to this prescription: Radix Angelicae Sinensis 15g, Qiang Huang 10g, Sang Sang Sang 10g, Rhizoma Ligustici Chuanxiong 6g, Radix Astragali 20g, Radix Rehmanniae 10g, Radix Paeoniae 10g, Rhizoma Saffron 10g, Radix Sanguisorba 10g (later), Radix Chrysanthemum 15g, Radix Achyranthes Bidentatae 15g, Radix Paeoniae Alba 10g, Radix Papaya 15g, Semen Cuscutae 15g, Radix Eugeniae 10g, Radix Bupleurum 6g, Radix Cistanches 15g, Radix Oyster 20g, Decoction, Radix Rehmanniae 12g, Radix Patchouli 10g. g Seven doses. This formula is based on the formula of Tonic Yang and Returning Five Soup, with Black Shun Tablet, Baji Tian, Cistanches and Xian Mao to strengthen the power of warming Yang, Sha Ren Huo Xiang to resolve dampness and harmonize the stomach, Safflower, Red Peony and Chicken Blood Vine to activate blood circulation and remove blood stasis, Raw Oyster to astringent Yin and submerge Yang, White Peony and Cow Knee to enter the liver meridian to stop convulsions. At the follow-up examination on May 5, the tongue was red and vivid, the coating was reduced, and the pulse was sluggish and weak. The symptoms were all relieved. The previous prescription was supplemented with Gui Zhi 10g and Hong Shen 10g for two doses. On May 7, the third consultation was held, with weakness, bitterness in the mouth, distension and pain in the stomach, bowel movement, convulsions stopped, palpitation and panic. Tongue red, coating yellow and thick, pulse slow. The previous prescription was supplemented with 10g of bamboo rhizome and 10g of sour date palm. On May 12, the fourth consultation, the tongue was red and purple, the moss was white and thick, the lower limbs and knees were sleepy and weak, and the upper limbs were numb. On May 19, the fifth consultation, the tongue was red and purple with white coating. Feet are sleepy and weak, palpitations. Increase the dosage of Astragalus to 30g Bacopa monniera 10g Sequoia 10g. 7 more doses were taken and the condition was cured.