Ms. Lü, female, 45 years old. The patient has fever and chills, generalized pain, nausea, and no desire to eat. The pulse is floating and rapid. The doctor prescribed releasing the exterior with pungent-cool herbs, but after taking 2 doses, there was no sweating, and the exterior pattern persisted for 5-6 days without resolution. Coinciding with her menstrual period, menstruation did not occur as expected, and there was abdominal distension and fullness, with tenderness upon pressure. The stool was dry and accumulated, while urination was normal. Occasionally, there was mental confusion, shouting, and mania, with a deep and hidden pulse. The syndrome belongs to Taiyang (EX-HN5) failing to release the exterior, coinciding with the menstrual period, leading to pathogenic heat invading inward, and menstruation being obstructed by pathogenic heat, resulting in stagnation and failure to flow, which is the syndrome of cold-damage disease heat entering the uterus. The treatment should be Resistant and Withstanding Decoction with modifications (referring to the ideas in clauses 124 and 125 of the "Cold-Damage Disease Treatise"). Prescription:
Tail of Chinese Angelica 15g, gadfly, Peach Kernel, Achyranthes Root, each 12g, leech, Moutan Bark, each 9g, Rhubarb, Rhizoma Liquorice Root, each 6g, Bupleurum 3g
. After taking the medicine, the abdominal distension and fullness immediately decreased, mental clarity improved, and the pulse became floating and wiry, indicating that the stagnation was being relieved. The original formula was supplemented with stomach-harmonizing agents, and after taking 4 doses, menstruation resumed, with a dark brown color. The abdominal distension disappeared, and the mental state returned to normal.