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Huang, a woman around 30 years old, was beaten by someone and treated by a surgeon, but the pain from the injury in her lower abdomen did not stop. She later developed afternoon tidal fever and delirious speech, becoming increasingly emaciated, lying on her back unable to move, and unconscious. The doctor said she had "dead blood falling into the orifice," and with no further treatment options, left her fate to heaven. Her father-in-law prepared for her funeral arrangements and asked me to decide on the timing for changing her bedding.
At that time, the patient's complexion was bluish-yellow, her eyes were closed, her lips were slightly red, and she was breathing heavily. Although her voice was weak, she cursed incessantly, and although her strength was weak, her hands were restless. It was clear that there was something pent up inside her that manifested externally. There was stuffiness and fullness below her navel, and the swelling from the bruise had not subsided; pressing on it caused her to frown. According to her relatives, she had not menstruated for over a month since the incident, had little urine, and had not defecated for several days. She could drink water but sometimes seemed to shrink back in fear or would scold. Her pulse was small and tight. I diagnosed her as having a deficiency-type pathogen mixed with excess, a complex and confused bad syndrome, but fortunately, it was not yet fatal. Her shortness of breath was not panting, her scant urine was not incontinence, and her small, tight pulse was not chaotic.
The "Cold-Damage Disease Treatise" states: "Chest fullness, irritability, fright, difficulty urinating, delirious speech, and heaviness throughout the body, making it impossible to turn over" describes this condition. I immediately prescribed Bupleurum Decoction Plus Dragon Bone and Oyster Shell, adding 9g of Peach Kernel, removing the pungent warmth of Pinellia, and replacing Minium with cinnabar. Ginseng and jujube were used to nourish healthy qi, and Bupleurum to promote the elimination of the old and the generation of the new.

After taking the medicine, there was a gurgling sound in her abdomen, and she passed a bowlful of black, foul-smelling loose stool. She moaned loudly, her abdominal distension and fullness disappeared, and her delirious speech stopped. After taking the medicine again without Peach Kernel and Rhubarb Rhizoma, her fever subsided, and her spirit cleared. I then switched to Peony Root Liquorice Root Decoction added with Moutan Bark, Luffa Vegetable Sponge, and Bupleurum, and she was able to get out of bed. After taking Korean ginseng several times, she recovered.