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Yibian
 Shen Yaozi 
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titleLi Jichang's Medical Case on Cocklebur Fruit Powder
keywordCocklebur Fruit Powder
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A 35-year-old female came for consultation on May 11, 1965. She had been ill for over a year, presenting with nasal obstruction, inability to smell, foul-smelling nasal discharge, severe headache, palpitations, sweating of hands and feet, cold extremities, and her menstruation had just ended. She usually experienced increased vaginal discharge before her period. Her pulse was thin and weak, and her tongue was pale red with a thin white coating. The syndrome was attributed to blood failing to nourish the heart, compounded by wind-heat and dampness disturbing the clear orifices, and the lung orifices being obstructed. It was appropriate to first treat the symptoms. The prescription included Cocklebur Fruit 5 qian, Magnolia 3 qian, Dahurian Angelica 3 qian, Patchouli 3 qian, Schizonepeta 2 qian, Sichuan Lovage Rhizome 3 qian, Submature Bitter Orange 2 qian, Asarum 1 qian, Chastetree Fruit 3 qian, and stir-fried Scutellaria 2 qian. On May 13, during the second consultation, after taking two doses of the above prescription, the nasal obstruction improved, and the headache gradually lessened, but the other symptoms remained the same. The original prescription was adhered to, with the addition of 2 liang of raw Rehmannia, and two more doses were taken. The headache stopped, nasal breathing became unobstructed, and the ability to smell returned. The treatment was then adjusted to address the palpitations and sweating.

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