Yu, male, 26 years old, first consultation on July 9, 1976. Generally healthy, this morning suddenly experienced severe pain in the right lumbar region, frequent and urgent urination, scanty and reddish urine, pale complexion, spontaneous sweating, cold extremities, and a deep and thin pulse. Urinalysis: red blood cells (+++), white blood cells (++). Preliminary diagnosis: urinary tract stones with infection. Western medicine was used but the pain was not relieved. This is a case of Shaoyin cold reversal syndrome. Treatment should focus on restoring yang to save from collapse, supporting the right and securing the collapse:
Poria 12g, Tangshen 12g, light Aconite Lateral Root 9g, Dried Ginger 6g, Prepared Liquorice Root 6g
. Second consultation: After taking one dose of the medicine, yang returned, sweating stopped, pain ceased, limbs warmed, appetite slightly improved, bowel movements normalized, pulse became moderate, tongue was pale red and moist. Continue with the original treatment plan:
Poria 12g, Tangshen 9g, light Aconite Lateral Root 6g, Dried Ginger 3g, Prepared Liquorice Root 6g, Cassia Bark powder 1.5g, Corn Stigma 15g, raw Germinated Barley 15g
, 3 doses decocted with water.
Third consultation: After two doses of Poria Cold-Extremities Decoction, lumbago has improved, spirit has improved, limbs are warm, appetite is normal, pulse is moderate, tongue is pale red and moist. As it is summer, to clear the upper and descend the turbid, dispel summer heat and drain dampness for further improvement:
fresh Lotus Leaf (wrapped) 1 piece, Cimicifuga Rhizome 6g, Atractylodes 15g, raw Coix Seed 30g, Rice Bean 30g
, 5 doses.