Yang, female, 26 years old, was admitted to our hospital for surgical treatment on April 26, 1986, after taking medication in the outpatient department for "hyperthyroidism." The surgery was successful. Approximately 24 hours post-operation, the patient suddenly experienced dysphoria, delirium, and several episodes of watery diarrhea. Additionally, she had a high fever, thirst with a desire to drink, and profuse sweating. Her tongue was red with little moisture, a yellow coating, and her pulse was rapid, large, and weak. The diagnosis was postoperative thyroid crisis following "hyperthyroidism." In Chinese medicine, it was identified as yangming heat excess with injury to both qi and fluids. The treatment principle was to resolve depression and discharge heat, and to tonify qi and promote fluid production. The prescribed formula was:
Raw Gypsum 100g, Anemarrhena 10g, Prepared Liquorice Root 6g, Rice 15g, Ginseng 10g
. One dose was quickly decocted and taken orally, leading to rapid alleviation of symptoms. Three more doses were administered for follow-up, and all symptoms disappeared. The patient was cured and discharged.