Sore throat due to deficiency fire Xiao? Yi, a 35-year-old male with pale complexion and obesity, was first seen on the morning of May 12, 2013, complaining of diarrhea, chilliness, lumbar sleepiness, spontaneous sweating, swelling of the lower extremities, easy to catch a cold, redness and pain in the throat, yellow sputum, red tongue with yellow coating, and weak pulse. Analysis of the symptoms: The symptoms are spleen-kidney-yang deficiency, deficiency fire and phlegm-heat in the lung. The patient has a qi deficiency, phlegm-damp constitution, and if the qi is deficient, the yang is deficient. The symptoms include diarrhea, aversion to cold, lumbar sleepiness, spontaneous sweating, and easy to catch a cold. The sore throat is a mixture of deficiency and reality. The deficiency is due to Yang deficiency, fire does not return to its source, and deficiency fire is inflammatory; the reality is due to wind and cold, and heat is generated inside. Yellow sputum is phlegm-heat in the lung. The red tongue with yellow coating is a sign of mixed deficiency and the weak pulse is a sign of Yang deficiency. Therefore, the treatment should be based on warming the yang of the spleen and kidney, and at the same time, clearing heat and phlegm to resolve phlegm. This formula is based on the following formula: Atractylodes macrocephala 20g, Astragalus membranaceus 30g, Poria cocos 20g, Peppermint 12g, Honeysuckle 10g, Oyster 20g, Pseudostellaria pinnata 12g, Dried ginger 6g, Fang Feng 10g, Citrus aurantium bran 12g, Radix etiolatum 10g, This formula is based on Zhen Wu Tang, which warms Yang, disperses cold, and reduces water retention and swelling. Add 30g of raw Astragalus to strengthen the power of Qi to consolidate the surface and induce diuresis; oyster to calm the liver and subdue Yang, soften the firmness and disperse nodules; bran-fried Citrus aurantium shells to move Qi to prevent congestion and also induce diuresis; Peppermint, Fanfeng, Jinyinhua, and Radix et Rhizoma to disperse wind-heat, clear the throat, and clear heat and resolve phlegm. On the second consultation on May 26, 2013, he saw red throat, phlegm, chest tightness, spontaneous sweating, bowel movement, and great reduction of edema, and the remaining symptoms were all cured. During the period because of other doctors identify the wrong evidence, to clear heat to resolve phlegm soup 5 doses invalid. To sum up, we continued the method above, combining heat and cold, adding 3g of cinnamon, 3g of wood butterfly, 6g of horse chestnut, 3g of fine spice, 10g of forsythia, 10g of bamboo rhizome, 10g of xuan ginseng, 10g of perilla stalk, 6g of dried ginger, 12g of orange red to strengthen the power of clearing heat and resolving phlegm, warming the kidney and nourishing Qi. On the morning of June 4, 2013, all the symptoms were cured, except for the slightly diluted stool, which was related to his continuous staying up late for many days and eating disorders. The tongue is red, the fur is white, the pulse is stringent, and the throat is slightly red. 6g of sandy nuts and 30g of white lentils were added above, and 5 doses were given to consolidate the effect.