Ms. Tang, female, 57 years old. Chief complaint: diarrhea for one day, unconsciousness for half a day, admitted to the hospital on September 5, 1959. One day prior, the patient suddenly experienced aversion to cold with fever, epigastric and abdominal pain, and loose, watery stools. She had been treated at the Red Cross Hospital with no significant improvement. Subsequently, she began vomiting clear fluid (7-8 times/day) and expelling pus and bloody stools (4-5 times/day), followed by unconsciousness, prompting her to seek further treatment. Admission diagnosis: dysentery. Current symptoms: dizziness, aversion to cold with fever, abdominal pain, tenesmus, passing white and red mucoid stools 5-6 times daily, and epigastric stuffiness. Tongue coating: white and thick. Pulse: soft and thin. Pattern differentiation: cold-dampness obstruction. Treatment: warming and resolving cold and dampness, regulating qi and harmonizing the middle. Prescription: Pinellia Heart-Draining Decoction. Formula:
Ginger Pinellia 17.5g (stir-fried until yellow), Scutellaria 10.5g, Codonopsis 10.5g, Dried Ginger 10.5g, Chinese Date 4 pieces, Coptis Rhizome 10.5g, Fresh Ginger Rhizome 10.5g, Prepared Licorice Root 10.5g, Poria 21g
Second visit: After taking 2 doses of the above formula, the patient reported that the epigastric stuffiness had disappeared, bowel movements had decreased, and her spirit had improved. She continued with 4 more doses of the same formula.
Third visit: The patient now experienced dizziness, headache, bitter taste in the mouth, thirst, shortness of breath, and erosion of the lips and gums. Tongue coating: yellow. Treatment: nourishing yin and clearing heat. Formula: Sweet Dew Decoction with modifications. Prescription:
Unprocessed Rehmannia Root 10.5g, Prepared Rehmannia Root 10.5g, Asparagus Root 10.5g, Ophiopogon Tuber 10.5g, Loquat Leaf 10.5g, Immature Orange Fruit 10.5g, Virgate Wormwood 10.5g, Skullcap Root 10.5g, Raw Licorice Root 10.5g, Dendrobium 10.5g, Lonicera 17.5g, Forsythia 17.5g
Fourth examination: After taking 3 doses of the above formula, all symptoms disappeared, stool tests returned to normal, and the patient was discharged cured.