Bai, female, 55 years old, first consultation on July 19, 1972. Body temperature 39.3°C, physical weakness after gastrointestinal bleeding, and then affected by wind evil, disharmony between nutrient and defensive qi, fever for 4 days without subsiding, aversion to cold, sweating without relief, no thirst, thin white tongue coating, floating and rapid pulse. Although it is the hot summer season, Cinnamon Twig Decoction with modifications should still be used:
Cinnamon Twig 4.5g, stir-fried Peony Root 9g, raw Liquorice Root 4.5g, fresh Agastache and Patchouli 3g each, Poria 9g, white cardamom shell 3g, fresh lotus petiole 1 piece, 2 doses
Second consultation: aversion to cold with fever, subsided after 1 dose, but still excessive sweating, fatigue, thin and weak pulse, pale red tongue. Wind evil has been resolved, nutrient-defense not yet harmonized, healthy qi not yet restored, propose Cinnamon Twig Decoction with Ginseng to support the body and stop sweating:
Cinnamon Twig 4.5g, stir-fried Peony Root 9g, raw Liquorice Root 4.5g, Ginseng 3g, catechu 12g, light wheat 30g, stir-fried Saposhnikovia Root 6g, Dried Tangerine Peel 4.5g
Third consultation: sweating has stopped, appetite has returned, but complexion is shallow yellow, difficulty sleeping, thin and weak pulse, pale red tongue. After the intruding pathogen has retreated, both qi and blood are deficient, heart and lung are both affected, failure of mind to keep to its abode. Temporarily regulate and nourish the heart and spleen while tonifying qi and blood.
After the patient's loss of blood, it is known that nutrient-blood has been damaged, and the exterior qi is also weak. Now affected again by wind evil, symptoms include aversion to cold with fever, sweating without relief, etc., signs of exterior deficiency disharmony between nutrient and defensive qi. Although it is a blood condition and the hot summer season, Cinnamon Twig Decoction with Ginseng is still used to continue regulating nutrient-defense and supplementing deficiency. This shows that the formulas of the "Cold-Damage Disease Treatise" are not limited to treating cold-damage disease, and Cinnamon Twig Decoction, although a warming formula, is not contraindicated for blood conditions or limited to summer use. As long as the pulse and symptoms match, the formula can be used accordingly.