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Yuan, female, 56 years old, diagnosed on March 15, 1980. Chief complaint: Frequent dizziness, flusteredness, nausea in recent years, with increased frequency of the above symptoms in the past year, accompanied by sore waist and weak legs, irritability, insomnia, occasional vomiting of sour and putrid matter, and unformed stools. The condition has not been controlled despite long-term treatment. In the past 20 days, there has been coughing, shortness of breath, inability to lie flat due to wheezing at night, reduced urine output, and swelling of the feet and shins. Admitted to the emergency department.
Physical examination: Thin and emaciated, listless, red tongue with little moisture, pulse manifestation is thin and rapid, body temperature 37°C, pulse rate 108 beats per minute, respiratory rate 30 breaths per minute. Blood pressure 170/100 mmHg. Small and medium bubbling sounds throughout both lungs, heart rate 108 beats per minute, regular rhythm, heart enlarged to the left. Western medical diagnosis: 1. Primary hypertension, stage III. 2. Coronary heart disease, heart failure. 3. Atelectasis of the right middle lobe, left bronchial dilation with infection. 4. Hypertrophic gastritis.
Initially treated with anti-infective and cardiac diuretic medications, with slight relief of wheezing and tightness, but symptoms of vertigo, irritability, palpitations, nausea, and anorexia did not improve. Later treated with Stomach-Tonifying Decoction and Pinellia Heart-Draining Decoction for 25 days, still no improvement. Consultation on April 9.
The patient has long-term illness and weak constitution, with deficiency of the five zang-organs. Dizziness and blurred vision, sore waist and weak legs indicate liver and kidney deficiency; palpitations and insomnia indicate heart blood deficiency; poor appetite, loose stools, fatigue, and swelling indicate spleen deficiency; coughing, wheezing, and shortness of breath indicate lung qi deficiency. Thin and rapid pulse, red tongue with little moisture indicate yin deficiency; palpitations, edema, mental fatigue, and physical exhaustion also indicate yang deficiency. The root cause is spleen deficiency leading to insufficient production of qi, blood, yin, and fluids, resulting in malnutrition of the five zang-organs, leading to symptoms such as red tongue with little moisture, thin and rapid pulse, irritability, palpitations, and vertigo. Spleen deficiency and yin-yang disharmony are the fundamental issues. Previously, without strengthening the middle, merely nourishing yin and clearing heat hindered yang, and simply warming the middle consumed yin. It is essential to harmonize yin-yang and establish middle qi, using Minor Center-Fortifying Decoction with modifications:

Cinnamon Twig 6g, Peony Root 12g, Prepared Liquorice Root 5g, Fresh Ginger Rhizome 3 slices, Chinese Date 5 pieces, maltose 45g, Cyperus 10g, White Cardamom 10g, Germinated Barley 10g
decocted with water, discontinue Western medication. After taking, the formula was adjusted with additions and subtractions of Notopterygium, Saposhnikovia Root, White Atractylodes Rhizome, Fossil Bone, oyster shell, etc., for over 50 doses, symptoms basically disappeared, mental and physical strength significantly recovered, discharged in June of the same year.