Yesterday on duty, after dinner, two students invited me to determine their physique, see their sincerity, coupled with the recent study of the “endangered lake pulse science”, glad to try. The former female, about 21 years old, thin in shape, several acne on the face, the pulse shows: double inch floating smooth, double ruler weak, double guan no obvious features. Seeing that she has no symptoms of bad cold, nasal congestion, runny nose, the basic exclusion is no external malady. Through the pulse analysis, I think it is the upper hot and lower cold, the upper real and lower deficient physique. The upper heat and lower cold, mostly seen in the heart and kidneys do not cross, the middle earth does not transport, the phase fire does not descend, the heart fire is hyperactive in the upper, and the uterus cold in the lower. If the heart fire is hyperactive, insomnia, boredom, bitterness and sores on the mouth and tongue are the main symptoms, while the uterus is cold with dysmenorrhea. After the consultation, the woman told me that she often has mouth ulcers, sleeps well, and usually has severe menstrual pain. When she saw that I could tell her about dysmenorrhea and mouth ulcers, she asked for a prescription for treatment. Seeing that her tongue was lightly coated and the tip of her tongue was red, she reluctantly prepared a formula: 15 grams of Radix Codonopsis, 15 grams of Poria, 12 grams of Atractylodes Macrocephala, 5 grams of roasted licorice, 20 grams of Radix et Rhizoma Ginseng, 15 grams of Yin Chai Hu, 3 grams of cinnamon, 15 grams of cumin and 15 grams of hyssop. Si Jun Zi Tang is the base, strengthening the spleen and benefiting the qi, thickening the earth and vaporizing the fire. Xuan ginseng clears the fire of the nameless, and is complemented by Yin Chai Hu, which is sweet, slightly cold and clears heat. Cumin is pungent and warm to disperse the cold in the middle jiao, cinnamon warms the lower jiao, disperses the cold in the uterus and induces fire to return to the yuan, and niu knee resolves blood stasis and induces blood to move down. The above formula should be effective as it is clear in the midst of tonicity, and effective in the midst of dispersion. The second female, with a partial companion body, has a sunken and tight pulse with slippage. The sunken and tight pulse suggests internal cold, and slippery is mainly phlegm and dampness. There is a sunken pulse in the evidence of Ling Gui Zhu Gan Tang of the Treatise on Typhoid. Phlegm-dampness has a greater relationship with the spleen and stomach, and it is proposed to conclude that the middle jiao is deficient in cold. This evidence is mostly seen in: lack of warmth in the limbs, dizziness and shortness of breath, easy diarrhea in case of cold, and also uterine cold. The woman was surprised and told me that she had abnormal diarrhea in the past few days and that drinking water could cause diarrhea. It is recommended to take Rizhong Pill or Sishen Pill to slowly collect the power. Both have weakness of the spleen and stomach, the former woman is weak in the earth and does not subdue the fire, although there is coldness, but the upper heat and lower cold, the phase of fire does not descend the signs, the second woman is simply a weakness of the spleen and stomach cold, loss of transportation in the middle jiao, Yang loss of warmth, phlegm and internal obstruction.