Mr. He, male, 36 years old, first consultation on June 3, 1983. The patient experienced generalized body pain for one day, without sweating, occasional nosebleeds, thin white tongue coating, and floating tight pulse. Diagnosed as epistaxis (wind-cold exterior excess). Treatment plan: inducing sweating to release the exterior, with Ephedra Decoction as the main prescription. Prescription:
Ephedra 15g (boiled first to remove foam), Cinnamon Twig 12g, Bitter Apricot Seed 9g, Liquorice Root 3g
One dose, to be taken warm in two servings, avoid wind. Indeed, after finishing the medicine, the nosebleed stopped, and the remaining symptoms significantly reduced. Continued with several cups of ginger and scallion soup, and the condition was completely cured.

Case record of Zeng E

Mr. Li, male, 56 years old, consultation in December 1975. The patient has been experiencing epistaxis every winter for the past two years, especially aggravated by wind-cold, and it resolves on its own by spring. Recently, the epistaxis has become severe, and despite taking medicines for clearing heat and cooling blood, and tonifying qi to control bleeding, there was no improvement, and the condition worsened. Upon detailed examination, the patient had a dull complexion, fever, dizziness, dry mouth and thirst, irritability, mental fatigue, lack of strength, poor sleep, yellow urine, and constipation, but the signs of cold-damage disease exterior excess were also evident, including aversion to cold, increased epistaxis due to wind-cold, dizziness with a tight and painful sensation, mild cough, joint discomfort, without sweating, pale tongue with thin white coating, and floating tight pulse. Prescribed Ephedra Decoction with lalang grass rhizome, only one dose stopped the epistaxis, and the remaining symptoms alleviated. Switched to Eight Precious Ingredients Decoction with modifications, and after three doses, the condition was completely resolved.