Ding, female, 24 years old, teacher, first consultation on March 13, 1956. Main complaint: menstruation interrupted on March 9 due to external contraction of wind-cold, two days after the onset of menstruation. Symptoms include alternating chills and fever, headache, bitter taste in the mouth, dry throat, distending pain in the lower abdomen and both flanks, and tenderness. Tongue coating is white, with purple edges, and the pulse is wiry and rapid. Diagnosis: heat entering the uterus, heat accumulation with blood stasis. Treatment aims to harmonize and resolve stasis, using Minor Bupleurum Decoction with blood-activating herbs:
Bupleurum 15g, Skullcap Root 15g, Ginseng 15g, Prepared Liquorice Root 7.5g, Chinese Angelica 15g, Red Peony Root 10g, Peach Kernel 15g, Carthamus 15g, Schizonepeta 10g, Fresh Ginger Rhizome 4 slices, Chinese Date 3 pieces, Pinellia 10g
decocted with water, divided into 3 doses, taken twice a day. Continue for 2 doses.
Second consultation, March 16: after taking the medicine, chills and fever have subsided, abdominal pain is lighter, 2 instances of black stool have been passed, menstrual blood is less, and previous symptoms have all reduced. Pulse is wiry and thin, tongue texture is red, coating is thin. Symptoms and pulse have significantly improved, but fearing residual pathogens, continue with the original formula for 2 more doses, twice a day.
Third consultation, March 20: after taking 2 doses continuously, no chills or fever, pain in the flanks and abdomen has stopped, menstrual blood continued for 3 days and then stopped, spirit and appetite are normal. Pulse is wiry and slow, tongue is pale red with little coating, take Eight Precious Ingredients Motherwort Pill 20 pills to support the body.