Zhen, female, 28 years old. High fever without aversion to cold, 40.5℃, spontaneous sweating, dry mouth and tongue, sometimes delirious speech, pulse manifestation is slippery and rapid with strength, indicating that the pathogenic factor has turned to yangming. Therefore, a large dose of White Tiger Decoction was administered, with the addition of Lonicera and Forsythia. After three doses, the fever completely subsided. However, there was a lack of appetite, mental fatigue, sweating, heart vexation, sometimes restlessness, especially at noon, while the spirit was calm at night, reversal cold of hands and feet, loose stools, pulse manifestation was deep and faint. Due to the patient's usually weak constitution and deficiency of qi and blood, during the period of resisting the disease, the yang of the heart and kidney and spleen yang were damaged due to the influence of fever and bitter cold medicine, resulting in a syndrome of yang qi decline, and the modified Dried Ginger and Aconite Decoction was prescribed. Prescription:
Dried Ginger 12g, stir-fried White Atractylodes Rhizome 10g, processed Aconite Lateral Root 12g, wild Tangshen 15g, Hangzhou Peony Root 12g, Poria 12g, raw dragon's teeth 12g, Liquorice Root 10g
. After one dose, the hands and feet gradually warmed, the heart vexation slightly calmed, the sweating reduced and the qi became smooth. After taking three doses in a row, all symptoms were reduced, appetite increased, and later, the patient was cured by regulating with tonifying qi and invigorating spleen formulas.