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Zhang, female, 24 years old, unmarried, first consultation on September 13, 1972. Generally healthy, but about ten days ago, after labor, she sweated and was exposed to wind. At night, she felt aching pain all over her body, a fear of cold, and her menstruation, which was ongoing, suddenly stopped. She drank a bowl of ginger sugar water and covered herself to induce sweating. After sweating, the body pain decreased, but the fever remained high, with an underarm temperature of 39.8°C. A local health center diagnosed her with a common cold and administered an injection of antondine and oral antipyretic analgesics. Although her temperature dropped afterward, she still experienced intermittent chills and fever in the afternoon, with an underarm temperature of 37.4°C. She also felt irritable, had hallucinations and auditory hallucinations, often hearing teasing and abusive language, leading to outbursts of anger or uncontrollable laughter, worse at night, and restless sleep. A hospital diagnosed her with "neurasthenia" and prescribed chlorpromazine and other sedatives, which were ineffective.
Upon inquiry, she had abdominal distension and fullness, pain that she did not want to press, a bitter taste in the mouth, nausea, and no appetite. Her tongue was red with thin yellow coating, and her pulse was wiry, thin, and rapid. The diagnosis was heat entering the uterus. The treatment plan was to clear heat and outthrust pathogenic factors, harmonize the liver and gallbladder, cool blood and resolve stasis, and tranquilize the spirit. Prescription:
Soft Bupleurum 6g, Tender Sweet Wormwood 9g, Skullcap Root 9g, Pinellia 9g, Bamboo Shavings 9g, Moutan Bark 9g, Unprocessed Rehmannia Root 9g, Red Paeony Root 9g, Dragon's Teeth 24g, Silktree Albizia Bark 12g, Akebia Stem 4.5g, Chinese Wolfberry Root-bark 12g

Second consultation on September 17: After taking two doses of the above prescription, the episodes of chills and fever decreased, her consciousness cleared, auditory hallucinations disappeared, and her sleep improved. She then took two more doses on her own, and a small amount of dark purple vaginal bleeding occurred. The pain in her abdomen and flanks disappeared, her temperature normalized, and all symptoms resolved. However, she felt weak, had a dry throat, and poor appetite. Her pulse was wiry and thin, and her tongue coating was thin, white, and lacking moisture. The prescription was adjusted as follows:
Soft Bupleurum 6g, Skullcap Root 9g, Bamboo Shavings 9g, Heterophylly Falsestarwort Root 12g, Polyghace Seche 9g, Scrophularia Root 9g, Fried Rice-Grain Sprout 15g, Dried Finger Citron 9g, Liquorice Root 3g
After taking three doses of the above prescription, her illness was completely cured. She was advised to rest and eat well for a few days before resuming work.