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Yibian
 Shen Yaozi 
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titleYe Tian-shi's Medical Cases
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From summer when the eyes turn yellow and the spirit is weary, gradually reaching the middle jiao distension and fullness. Extending to Frost's Descent (18th solar term), vomiting static blood above and passing turbid below. The pulse is weak, thin, and irregular, the complexion lacks vitality, accompanied by wheezing breath, and a long-standing cold disease with qi counterflow. The accumulation of old fluids has not been for a single day. During the three months of summer, the spleen and stomach dominate, the weather is hot, the earth's qi rises, and the body's qi disperses. Added to this are hunger, fullness, and overwork, leading to reduced food intake and distension, all of which are diseases within, extending up and down. The six fu-organs unobstructed in function, not only do the organs not function, but within the meridian collateral vessels, both qi and blood are impeded. Qi stagnation and blood stasis, the distension worsens. The ancients treated distension diseases specifically with the method of promoting circulation, with distinctions of yin-yang. Later methods of attacking and promoting circulation, such as Shen You, Zhou Che, Yu Gong, etc., in the face of such a long-standing and lingering illness, how dare one lightly attempt them? It is proposed to specifically promote the yang qi of the triple energizer, to drive out the stagnant turbid yin, warming and tonifying simultaneously, if the yang qi does not gradually revive, it is difficult to consider administration. Citing Zhang Zhongjing's White Unblocking Decoction, removing the Fistular Onion Stalk, Dried Ginger, pig gall fel, and light Aconite Lateral Root.

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