An? Cui female 19 years old. on May 12, 2013 at the time of the initial consultation, see the human body is eliminated C, the face can be seen large white spots, flower peeling face, complaints are anorexia for a week, intestinal rumbling diarrhea. On physical examination, she had a red tongue with thick yellow coating, thin pulse, cold hands and feet, no pain in the stomach and epigastrium but fullness, and left hypochondriac pain. The diagnosis is subcardiac gangrene. The deficiency of cold in the middle Jiao, cold and heat, stagnation of qi, abnormal lifting and lowering, resulting in intestinal disharmony, so see fullness and anorexia, intestinal tinnitus and diarrhea; liver qi stagnation, then see the left hypochondriac pain, pulse string thin. Cold hands and feet, red tongue with yellow, thick and greasy coating is the reason for the deficiency in the middle can not be transported. Accordingly, the prescription is as follows: Ginger Panax 10 g Huang Lian 6 g Scutellaria 10 g Dried ginger 9 g Radix Codonopsis 10 g Jujube 10 g Roasted licorice 6 g Fried wheat germ 15 g Jian Qu 10 g Baisi Hu 6 g 7 payments, boiled water. This formula is based on the addition of Han Xia Di Xuan Xin Tang, in which both cold and heat are used to harmonize its yin and yang, hard work is used to restore its elevation, and both tonics and diarrhea are used to regulate its deficiency cold, with a small amount of Chai Hu to regulate liver qi, and malt Jian Qu to appease the stomach and eliminate food. On May 19, the anorexia was improved. The tongue is tender, too thin and drowsy. Strengthen the power of strengthening the spleen and dispelling dampness. The previous prescription removed Scutellaria Baicalensis and added Radix Astragali, Radix Paeoniae Alba, Rhizoma Atractylodis Macrocephalae, 10g each of Cinnamomum Cassiae, 6g. 7 puffs. On May 26, the third consultation, after taking the medicine, the right lower extremity had linear pain on the outside, which was a reaction to the action of the medicine on the foot Yangming Stomach meridian. Still intestinal tinnitus and diarrhea, with a cold diet during the period of taking the medicine and a light greenish tongue. The middle cold is heavier, the front added Huang Lian 6g Huang Bai 10g Hua Jiao 6g Hesperidin 3g Epiphyllum 10g to warm the spleen and kidney, invigorate the middle yang, Huang Lian and Huang Bai clear the intestines to resolve dampness, thicken the intestines to stop diarrhea. On the fourth consultation on June 2, the face was flushed, the white plaques had disappeared, and there were no more obvious symptoms. Tongue light fat coating thin, pulse string thin. He was advised to continue to take the first 6 payments and was cured.