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Yibian
 Shen Yaozi 
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titleJin Wenxue's Medical Cases
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Wang, female, 12 years old, diagnosed on September 20, 1958. Previously suffered from cold-damage disease fever for two periods, was treated and recovered, the fever subsided more than 10 days ago, but has not had a bowel movement for 9 days, without abdominal pain, abdominal distension and fullness discomfort, etc. In the past two days, there has been slight fever in the afternoon, slight thirst, the spirit is still vigorous, appetite is good, sleep is peaceful, tongue texture is pale red, the center of the tongue is peeled. Body temperature 37.4°C, pulse 80/min, pulse shape is weak, cannot withstand heavy pressure, abdomen is soft, no pain under pressure, lumpy objects can be felt in the right abdomen and to the left of the navel, like a string of beads, more than 20 in total. Considering the pulse and symptoms together, it is due to the daily depletion of body fluids after Rebing, which cannot moisten the large intestine, hence the stool is hard and does not pass. Initially used Wu's Fluid-Increasing Decoction, as a method of replenishing humor to promote defecation, 3 doses were ineffective; then used moistening purgation method for 3 doses, and Fried-Honey Guiding Method, etc. While taking Chinese medicinals, also consulted a Western doctor to use 50% glycerol 30ml for enema, once every other day, a total of 2 times, each time after the enema there was severe abdominal cramping, about half an hour before it subsided, after 8 days of treatment, the stool still did not pass.

Because of reading about the external guidance method of pig gall fel in "Cold-Damage Disease Theory", immediately used 2 large pig gall bladders, took the juice and placed it in a bowl, steamed through for disinfection, when used added boiling water, with 50% gall fel 40ml for enema, after the enema there was no abdominal pain, about 30 minutes later had a bowel movement once, passed more than 10 round stool lumps, after about 5 hours, passed another 10 or so and a lot of feces, the fecal lumps in the abdomen disappeared and was cured.

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