A case of rhinorrhea Zheng, female, 47 years old, was first diagnosed on June 21, 2005. She has been suffering from allergic rhinitis for more than 10 years. Every winter and spring, she wakes up in the morning with sneezing and clear nasal discharge. The pores of the whole body stand out. The allergic rhinitis can be relieved by taking Xithmin and Karetan. In the past two years, the symptoms have been recurring without seasonal distinction. Regardless of rising and lying down, the slightest change in temperature will cause sneezing and a large amount of snot and tears will come out. About a year ago, he developed a reduced sense of smell, and has been unable to recognize odors for more than 3 months. The patient has a plump body, a dull complexion, mental fatigue, a heavy head like a wrap, accompanied by head swelling and stuffy pain, and a dry mouth and tongue. The tongue is fat and tender, with teeth marks on the sides, purple and dark, white and slippery coating, and sunken and smooth pulse. He complains that this disease both affects his personal image and disturbs others. When the sense of smell is completely lost and the taste of food is not known, he is even more frightened and distressed. This is a case of nasal abscess caused by repeated exposure to cold, prolonged illness into the lung, phlegm stasis blocking the lung, resulting in failure to promote lung qi. To warm the yang and tonify the kidney, promote the lung and disperse cold, remove phlegm and eliminate stasis. Gui Zhi, Radix et Rhizoma Pinelliae, Pericarpium Citri Reticulatae, Scorpion, 10g each, Radix et Rhizoma Acanthopogonis, Fructus Anemarrhenae, Cang Yi, Radix et Rhizoma Ginger, Acorus Calamus, Rhizoma Sclerotium, 12g each, Radix Angelicae Sinensis, Rhizoma Chuanxiong, 15g each. Sneezing and runny nose were obviously reduced, head distension and stuffiness were alleviated, dry mouth and tongue were improved, but the sense of smell was still not restored. The tongue is purple and dark with thin white fur and smooth pulse. The above formula was continued for one month, the spirit improved, appetite increased, most of the symptoms disappeared, the sensation of strong odor began to appear, and the tongue texture became normal. The above formula removed cinnamon branch and Radix et Rhizoma, added 15g of Radix Codonopsis and 12g of Radix Paeoniae, and the sense of smell was completely restored to normal after another month. At the follow-up visit for three months, the allergic symptoms did not recur despite the winter season. Note: The patient has a plump body, fat and tender tongue, purple and dark tongue, white slippery moss and sunken slippery pulse. He is a person with weak yang energy and prone to internal phlegm and dampness. Qi deficiency of the guard table is not solid, repeatedly attacked by cold, external bundle of muscle surface, the couples are closed, so it is vicious cold, pores shrugging. Cold and persistent phlegm conjugation, fluid transmission is blocked, the lung orifices are not conducive, so tears and tears, dry mouth and tongue, do not recognize the odor. Long-term disease into the complex, phlegm and stagnation of each other, clear Yang does not rise, so the head is as heavy as a wrap, accompanied by swelling and pain. If the patient has been restless and depressed for years and months, the face is dull and the spirit is exhausted. Ling Shu? All diseases begin to be born”: “is the reason that the deficiency of evil in the people also, began in the skin, stay and not go, it is transmitted into the luo and veins, stay and not go, transmitted in the sutra …… stay and not go, rest and become accumulation, or with the sun luo, or with the luo and veins. This patient’s pathological process is to follow this law and the transmission of change. From the Qi deficiency cold evil into the inside, resulting in phlegm and stagnation of each other, the ligaments weeping. Since the luo-vessel is diseased, it is not possible to dispel the evil by general warming and dispersing cold. Long-term disease into the ligament will lead to deficiency, more phlegm, more stasis, phlegm and stasis intertwined, cohesion of the ligament. The treatment should be to unblock the ligaments, remove phlegm and eliminate stasis, and at the same time, warm the spleen and kidney yang energy. In this formula, Gui Zhi and Radix et Rhizoma Polygonatum warm the kidney and promote Yang, and reconcile the Ying and Wei; Thornbush, Fang Feng, Catkin, and Cang Er are pungent and warm to disperse cold, and open the nasal passages; Calamus proclaims the lung and regulates Qi, cleanses phlegm and clears the ligaments; Angelica sinensis and Chuan Xiong nourish the blood and regulate it, activates blood circulation and resolves blood stasis; Scorpion and Silkworm take their insects’ spiritual nature to search for phlegm and stasis in the ligaments, so that “blood is not clotted, and Qi can be proclaimed. Party ginseng and red peony benefit qi and nourish blood, so as to improve the latter. The whole formula embodies the treatment principle of pungent aroma and promotion, cleansing phlegm and clearing ligaments, searching ligaments and removing stasis, and is effective. Yang, male, 76 years old, was first diagnosed on November 17, 2005. A year ago, he had a large amount of protein and red blood cells in his urine without any obvious cause. The effect of antibiotics, hormones and angiotensin-converting enzyme inhibitors was not obvious. Diagnosis: obscure complexion, mental impotence, puffy eyes, cold form and limbs, sore waist and knees, weakness to sit for a long time. Chest tightness and abdominal distension, poor appetite, nausea and erratic, swelling of the lower limbs, and cloudy urine. The tongue is fat, purple and dark, white and greasy tongue coating, and sunken pulse. Urinalysis: protein ++++, occult blood ++++. This is a case of deficiency of spleen and kidney yang, dampness and turbidity, and stagnation and turbidity. The treatment is to warm the kidney and strengthen the spleen, invigorate blood circulation and dispel blood stasis, and promote water circulation and eliminate turbidity. After 7 doses, the patient’s spirit improved slightly, the swelling of the face and limbs was reduced, and the abdominal distension and eructation were also recovered. The tongue is thinly coated with white fur and the pulse is slow. Urine protein ++, red blood cells ++. The above formula is based on the addition of 3g of scorpion, 15g of dilong, 15g of deer horn gum and gum, 30g of Xianhecao, 12g of root charcoal, and 35 more doses. During this period, the face gradually turned rosy, edema and abdominal distension disappeared, the appetite was tasty, urine protein ±, red blood cells ±. Take Tonic Zhong Yi Qi Tang and Seven Flavors Du Qi Wan for a long time to cultivate the earth and strengthen the root. According to: “Ling Shu All Diseases Begin to Grow”: “Yang luo injury is blood overflow …… Yin luo injury is blood overflow ……” Ye Tianshi “clinical evidence guide medical case”: “Its initial In the qi in the meridian, its long in the luo in the blood.” The luo and veins are the channels through which the essence of qi, blood, fluids and other substances run, with differences in depth and shallowness, in addition to the blood luo in the disease location, also includes the deep hidden parts of the body where the disease evil has been detained for a long time. For example, the liver luo, kidney luo and spleen luo mentioned by Ye Tianshi in his “Clinical Guide to Medical Cases”. This patient is suffering from stagnation of the spleen and kidney channels and ligaments due to a long-standing disease. Because urine protein and red blood cells are the essence of the body, they are most closely related to the spleen and kidney. If the spleen is deficient, the spleen will lose its power of control and control, and the spleen will not be able to separate the spleen from the spleen, and the essence will be lost and leaked out; if the kidney is deficient, the spleen will not have the power of gasification, and the essence will not be fixed and leaked. Due to the small and narrow ligaments, qi, blood and semen run slowly in them. When invaded by disease and evil, the spleen and kidney functions are impaired, the ligaments are stagnant, qi, blood, semen and other seminal substances overflow outside the ligaments and become ligament disease, showing characteristics of deficiency, stasis, dampness and turbidity. The prescription is based on the rule of warming the kidney and strengthening the spleen, activating blood circulation and resolving blood stasis, and relieving water and eliminating turbidity. In the formula, Radix et Rhizoma Pseudostellariae retracts Yang, warms the kidney and helps Yang, dispels cold and relieves pain; Cinnamomum cassiae, Atractylodes macrocephala, warms Yang and promotes water circulation, strengthens the spleen and stomach; Xianmao and Xianling spleen warm the Yang of the spleen and kidney, dispels cold and dampness; Angelicae Sinensis and Chuanxiong Ligustici activate blood circulation and dispel stasis, nourish blood and regulate blood; Dioscorea, Zea mays, Zedoariae and Plantago lanceolata differentiate turbidity, diuretic and draining. After the medicine, the general symptoms improved, but the elimination of urine protein and red blood cells was not obvious. The blood stasis does not go, it is difficult for the new blood to circulate in the veins, so a small amount of whole scorpion and dragon to pass the pain, activate the blood and diuresis; Xianhecao, lotus root charcoal astringent to stop bleeding; and deer horn gum, Agaricus and other flesh and blood sentient products to cultivate the qi and blood, so that the spleen and kidney ligaments are full, running smoothly and dampness and turbidity can be cleared. Finally, we use the tonifying and strengthening of the kidneys and spleen to consolidate the root by combining the Seven Flavors Du Qi Pill to cultivate the earth and generate water. Cheng, a 30-year-old female, was first diagnosed on February 15, 2004. The patient was surgically removed two years ago due to a malignant tumor of the left kidney and underwent chemotherapy eight times after surgery. During this period, she was often frightened and had sleepless nights. After taking Sulezapine and Clonidine, although they were effective at the beginning, the amount increased and the effect decreased, and he was concerned about the side effects of the drugs, so he turned to a traditional Chinese medicine doctor. The patient was thin, tired and short of breath, with deep sunken eyes, dizziness, trepidation and palpitations, and sleeplessness and dreaminess. Recently, his memory has deteriorated and he is forgetful when encountering things. The tongue is pale with petechiae on the sides and the pulse is astringent. This is an evidence of insomnia due to deficiency of Qi and Blood and deficiency of both heart and spleen. The treatment is to tonify Qi and invigorate Blood, nourish Blood and calm the mind. Ginseng and Astragalus membranaceus 15g each, Sour Date Palm 30g, Fu Shen, Atractylodes macrocephala, Atractylodes macrocephala, Angelica sinensis, Chuan Xiong, Peach kernel, Yuan Zhi 12g each, Safflower 6g, Roasted Licorice 6g. 14 doses were taken. Sleep was improved, dizziness and dizziness were reduced, and memory was improved. Because only the right kidney is left, the patient is particularly concerned about urine, and occasionally a small amount of red blood cells makes him very nervous and sleepless. The above formula was supplemented with 12g each of Chai Hu and Yu Jin, 30g of Xian He Cao and 10g of root charcoal, and he was instructed to take part in physical exercise and drink a glass of milk before bedtime. After one month, her spirit improved, her weight increased and her sleep returned to normal. Note: There are many causes of sleeplessness. The thought of labor and weariness, internal injury to the heart and spleen; yin deficiency and fire, disturbance of liver and yang; deficiency of heart and gallbladder qi, disharmony in the stomach, etc. can all affect the heart and mind and cause sleeplessness. Jing Yue Quan Shu? Sleeplessness” said: “Although the disease of sleeplessness has a different, but only know the two words of evil is complete. The sleep is based on Yin, and God is the master of it. The God is safe to sleep, the God is not sleepy; its so restless, one by the disturbance of evil, one by the lack of Ying Qi ear.” The main cause of the patient’s sleeplessness during the years is the deficiency of qi and blood, the deficiency of the heart and spleen, and the loss of the master of the gods. However, the causes of deficiency of Qi and Blood and deficiency of both Heart and Spleen include malignant tumor consuming Qi and losing Yin, surgery and chemotherapy injuring the Blood channels, and worrying and frightening emotions disturbing the mind. If the spleen is deficient in blood, the blood vessels and veins are not full, and if the qi is deficient, the veins and veins are blocked. As Wang Qingren said, “If the vital energy is deficient, it will not reach the blood vessels; if the blood is deficient, it will stay and stasis”. The treatment is based on Ye Tianshi’s “tonifying and energizing” method. Ginseng, Radix Astragali, Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Atractylodes Macrocephalae, Rhizoma Polygonati, Rhizoma Chuanxiong, and Rhizoma Ligustici are used to invigorate blood circulation and nourish the heart and mind; sour date palm, Fructus Sanguisorba, Fu Shen, and Yuan Zhi are used to nourish the heart and spleen and calm the mind. At the same time, to seize the root cause of the patient’s emotional changes, pay attention to physical exercise, mental regulation and dietary maintenance, and achieve good treatment results. Guo Moumou, female, 36 years old, was first diagnosed on April 12, 2005. The patient came to Ningbo from Guizhou five years ago and worked as a sewer in a garment factory, often working overtime day and night. Two years ago, she developed painful stuffiness and fullness in the stomach and epigastric region, which was worse with cold and slightly reduced with warmth, belching and swallowing acid, vomiting clear sputum and saliva, but she has not sought medical treatment. In the past six months, the pain in the stomach and epigastric region has increased, with prolonged duration, and the pain is like pins and needles and refuses to be pressed. He is also mentally fatigued, thin, with a yellowish complexion. The tongue is purple and dull with petechial dots, and the pulse is stringent and astringent. Gastroscopy suggests: chronic atrophic gastritis with intestinal epithelial metaplasia. This is a case of gastroparesis caused by cold evil offending the stomach and stagnation of the stomach ligament. The treatment is to activate blood circulation, remove blood stasis, warm the stomach and relieve pain. Gao Liang Jiang Tang combined with Diaphragmatic Expulsion of Blood Stasis Soup plus reduction. Gao Liang Jiang, Gui Zhi, Tao Ren 10g each, Hou Pu, Angelica Sinensis 12g each, Ginger, Safflower 6g each, Yuan Hu Suo 15g each, Ginger and Sempervisia, Cuttlebone 12g each. After taking the medicine for two months, the pain was significantly reduced to disappeared, the complexion turned rosy and the weight increased by 3 kg. He continued to take Xiang Sha Liu Jun Zi Tang with additional flavor for more than two months. Gastroscopy showed that the gastric mucosa was normal and intestinal epithelial metaplasia disappeared. The main symptom of gastroparesis is the frequent occurrence of pain in the upper abdomen near the heart fossa. It is caused by the invasion of external evil, irritation and overwork, poor diet and irregularity of living and sleeping, which leads to the blockage of qi and loss of harmony and descent of the stomach. The patient’s chronic overwork, disorderly diet, hunger and satiety, and inappropriate heat and cold have damaged the function of the spleen and stomach, resulting in cold attacking the stomach and stomach, suppressing Yang energy, stagnating the qi of the spleen and stomach, and causing pain. The “Su Wen Jiao Pain Theory” says: “The meridians are not only popular, but also have an endless circumference. Cold into the meridian and late, weeping and not working, guest outside the pulse is less blood, guest in the pulse is not pass gas, so the pain …… cold guest in the gastrointestinal, syncope out, so pain and vomiting also.” Cold is the main attraction, qi and blood will condense when it meets cold, so the stomach and epigastric cold pain, when it meets warmth, it decreases. The cold is strong, the Yang is suppressed, the spleen and stomach are deficient, the transportation is not healthy, and the descending is out of order, so the vomiting is clear water and phlegm. Stasis of blood and congestion of the stomach ligaments, which causes pain and refusal to press on the painful area. Blood stasis results in less nourishment of the tongue, so the tongue is purple and dull with stasis points. Modern medicine believes that intestinal epithelial metaplasia is a pre-symptom of gastric cancer, and the patient’s disease has been prolonged for a long time and may deteriorate if not treated effectively. The treatment is to expel cold from the spleen and stomach with the effect of warming the middle of the body and relieving pain; to warm the Yang and dispel cold with cinnamon stick and ginger, and to warm the middle of the body and relieve pain with cinnamon stick and ginger; to nourish blood and invigorate blood with peach kernel, angelica, safflower and thick park, and to relax the middle of the body and regulate qi to relieve pain; to move qi and relieve pain with Yuanhuosuo and Citrus aurantium; to lower rebelliousness and control acidity with ginger and half asia and cuttlebone, and to harmonize the stomach and stop vomiting. The combination of all these medicines can disperse the cold evil, remove blood stasis, clear the veins and channels, and restore the function of the spleen and stomach. The final result was achieved by strengthening the spleen and stomach with the addition of Xiang Sha Liu Jun Zi Tang.