Ms. Shi, female, 17 years old. Admitted to a hospital for treatment due to persistent fever that did not subside. During consultation, symptoms included high fever, continuous cold sweating all over the body, low voice and short breath, reversal cold of limbs, a face as red as cinnabar, heavy body making it difficult to turn, normal bowel movements. The right pulse was deep and thin, the left pulse was floating and large without root, the tongue was blue and smooth, no desire to drink. Upon inquiring about medication, it was learned that Pueraria, Skullcap and Coptis Decoction, Lonicera and Forsythia Powder, White Tiger Decoction, etc., had been used, but the fever increased daily. Upon careful examination, the fever was actually due to the external overflow of primordial yang, the face as red as cinnabar was due to excessive pudendal coldness, a false heat pattern of virtual yang rising. This was due to the misuse of cold and cool medicines, hence the tendency of the disease increasingly worsened. It was urgent to harmonize yin-yang and gather original qi, thus the White Unblocking Decoction from the "Cold-Damage Disease Treatise" was used. Prescription:
Aconite Lateral Root 60g Dried Ginger 12g Fistular Onion Stalk 3 pieces
Follow-up, after taking one dose of the above prescription, the condition remained the same. The medicine was correct for the syndrome, but the effect was not significant. Due to excessive pudendal coldness blocking, the medicine could not reach the affected area directly. It was necessary to treat yin for yang, following the principle of "treating severe cases in compliance with pseudo-symptoms" and "using heat for cold," a few drops of pig gall fel and a cup of child's urine were added to the original prescription. After taking it, the fever completely subsided, cold sweating also stopped, the redness of the face and body heat greatly reduced, only the limbs were still cold. Subsequently, the Dried Ginger and Aconite Decoction from the "Cold-Damage Disease Treatise" was used to strongly support primordial yang and harmonize the upper and lower. Prescription: