Li, male, 50 years old, carpenter, diagnosed in 1928. The illness has persisted for more than 10 days, initially presenting with headache and fever, followed by high fever and delirious speech, restlessness and agitation; dry and bitter mouth, foul odor in the middle qi; abdominal distension and fullness with hardness, no bowel movement for three days; yellow, dry tongue coating with prickles. Belongs to the yangming fu-organ pattern, treated with Major Purgative Decoction for purgation. Prescription:
Rhubarb Rhizoma 12g (added later) Mirabilite 10g (dissolved) Magnolia Bark 10g Immature Orange Fruit 10g
The medicine was taken in the evening, and by midnight, bowel movements occurred, passing dry stool with black feces twice. The next day, the fever reduced, and the patient became clear-headed. Upon re-examination, the patient was no longer agitated. Continued with clearing residual heat. The patient, who was usually strong and healthy, recovered within a few days.