Mr. Bai, male, 42 years old. Suffers from recurrent upper abdominal pain, often occurring late at night, with severe pain causing restlessness, silence, and continuous moaning, accompanied by nausea. Each episode lasts 1-2 days, during which he cannot eat. The condition has persisted for 7-8 years, with increasing frequency, now occurring about 3-4 times a month. Multiple examinations of the gastrointestinal tract, liver, gallbladder, and pancreas showed no abnormalities. Diagnosed with "intestinal neurosis," but treatments have been ineffective. Observation shows a thin physique, depressed mood, preference for warmth in the abdomen, cold limbs, a slightly dark tongue texture with grayish, slightly greasy coating, and a deep, thin, and wiry pulse. Initially treated with Cold-Limbs Powder combined with Sudden Smile Powder without effect. Considering the long-standing illness with a complex pattern of cold and heat, deficiency and excess, the treatment was changed to Smoked Plum Decoction:
Smoked Plum 9g, Pricklyash Peel 4.5g, meadowrue root and rhizome 9g, Dried Ginger 6g, Asarum 4.5g, Phelloendron Bark 6g, Tangshen 9g, Chinese Angelica 6g, Cassia Bark 4.5g, prepared Aconite 6g
. After one dose, the pain stopped, and he was able to eat. Continued for 10 doses and was cured. Follow-up after one year showed no recurrence.