Wang, male, 59 years old. Epigastric pain, tenderness, hiccup, no bowel movement for five to six days, reddish urine, onset for more than ten days. Had this disease before, cured but relapsed, treated by both Chinese and Western medicine with little effect. Pulse deep, wiry, and rapid. Diagnosed as heat accumulation yangming, pain due to obstruction. Treatment aimed at purging to clear heat and stop pain, prescribed Major Purgative Decoction:
Magnolia Bark 100g, Immature Orange Fruit 100g, Rhubarb 50g, Mirabilite 50g
. Boil Magnolia Bark and Immature Orange Fruit in 800ml of water until reduced to 500ml, strain and add Rhubarb, boil until reduced to 350ml, remove residue and add Mirabilite, divide into two doses, take until bowel movement occurs, stop if diarrhea occurs.

After taking the medicine, bowel movement occurred, initially hard then loose, pain and distension reduced, then prescribed Gallbladder-Warming Decoction with Reed Rhizome, Sanxian, Radish Seed, Chicken's Gizzard-Skin, Magnolia Bark, Submature Bitter Orange, Aucklandia Root, Areca Peel, Frankincense, Myrrh, Gardenia, Mongolian Snakegourd Root, etc., for more than ten doses, and the condition improved. Later, treated by producing fluid to moisten dryness, descending qi to suppress rebellion, relieving distension and fullness, supporting spleen and promoting appetite, with modifications, and the disease was cured.