Mr. Qi, male, 42 years old, was admitted to the hospital on November 19, 1983, diagnosed with epidemic hemorrhagic fever (fever phase, moderate type). Symptoms included aversion to cold with fever, slight sweating, headache, orbital pain, lumbago, limb joint pain, nausea, vomiting, bitter taste in the mouth, dry throat, preference for cold drinks, normal urination. There was a "three red" phenomenon, skin petechiae, mild abdominal pain, red tongue with yellow coating, and floating and slippery pulse. However, at that time, only the bleeding and exudation tendencies were noted, and the aversion to cold and headache were overlooked, so Peach Kernel Purgative Decoction was prescribed in one dose.
Peach Kernel, Cinnamon Twig 20g each, Rhubarb Rhizoma 30g, Mirabilite 10g, Prepared Liquorice Root 15g
After taking the medicine, blood pressure dropped immediately (74/60mmHg), body temperature rose (39.0℃), heart rate increased (136 beats/min), mental dysphoria, general condition worsened, but limbs were still warm, tongue was pale red. This was due to the exterior pathogen not being resolved, purgation being too early, leading pathogenic heat into the interior, causing "shaoyin heat transformation". Cold-Limbs Powder was urgently prescribed in two doses, the formula being:
Immature Orange Fruit 15g, Liquorice Root, Peony Root 30g each, Bupleurum 25g
After taking the medicine, symptoms quickly alleviated. It can be seen that for Taiyang (EX-HN5) "blood accumulation" syndrome, releasing the exterior should be done first. If the exterior pattern is not resolved, one must be cautious not to purge, as purging will lead to a surge of complications. This is an important lesson, confirming the scientific nature of the classic work "Cold-Damage Disease Treatise".