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Tang, female, 37 years old. In 1964, she began to feel frequent dizziness, lack of strength, and pain in all joints. On the evening of October 30, 1965, she suddenly felt heavy and painful limbs, unable to turn over, hands unable to grasp objects, feet unable to move, and daily activities such as eating, dressing, and moving required assistance from others. The next day, she was urgently sent to a hospital and diagnosed with "wind-dampness." After more than ten days of acupuncture and moxibustion treatment with little effect, she came for consultation.
Initial consultation: She was assisted by two people to come for the visit. Severe pain in all joints like chicken pecking, wandering and unfixed. Dizziness, tinnitus, cold limbs, fear of cold, aversion to wind, dry mouth with little saliva, no desire to drink. Tongue texture slightly pale, tongue body large and swollen, with tooth marks on the edges, thin white coating, floating and weak pulse at the cun and guan positions, slightly deep at the chi position. This is a taiyang pattern, wind-cold dampness evil stagnating for a long time forming impediment, the method should be to warm the meridians and expel cold, eliminating dampness to relieve pain, with Liquorice and Aconite Decoction with modifications as the main treatment. Prescription:
Prepared Liquorice Root 30g, Prepared Aconite Lateral Root 60g (long decoction), White Atractylodes Rhizome 12g, Cinnamon Twig 18g, Fresh Ginger Rhizome 30g
2 doses. Aconite Lateral Root to be decocted first for one and a half hours, then add other herbs and decoct for half an hour, take three times a day, avoid raw and cold foods. Pattern identification: This syndrome has both wind-cold and dampness evils, accumulated for a long time, stagnating and forming impediment. Although there is fear of cold, aversion to wind, and floating pulse indicating exterior pattern, it is not appropriate to use only exterior-releasing methods; although there is dizziness, tinnitus, cold limbs, dry mouth with no desire to drink, slightly pale tongue texture, and deep chi pulse indicating interior pattern, it is not suitable to directly use warming and reversing methods. Considering the tongue, pulse, and various symptoms, it is a contention of wind-cold and dampness. The "Cold-Damage Disease Treatise" says: "Mutual contention of wind and dampness, joint pain and irritation, pulling pain preventing flexion and extension, pain worsens when approached, ... Liquorice and Aconite Decoction is the main treatment." This formula is quite suitable for treating this case of wind-cold-dampness impediment. Liquorice Root tonifies qi and harmonizes the middle, Aconite Lateral Root warms the meridians and dissipates cold to relieve pain, White Atractylodes Rhizome dries dampness and invigorates the spleen, Cinnamon Twig dispels wind and secures the defensive qi, unblocks yang and transforms qi, with Fresh Ginger Rhizome added to enhance the warming and dispersing effect.

Follow-up consultation: After taking two doses of the above formula, joint pain decreased, slightly able to turn over and move. Added Ephedra and Asarum to enhance the effect of dispelling wind and dispersing cold, opening and relieving pain, continued with 5 doses.
Second follow-up: Came for consultation with a cane. Joint pain and overall scurrying pain significantly reduced. Dizziness, tinnitus, fear of cold, aversion to wind also significantly improved. Added Poria to eliminate dampness, continued with 5 doses.
Third follow-up: Overall movement is more free, spirit improved, but still feels pain and heaviness in the waist and legs. Although initial effects are seen, it is difficult to achieve complete success at once. Need to nourish the spleen and kidney, relieve stuffy orifices and eliminate dampness, to clear remaining evils, planned to continue with Middle-Regulating Pill with modifications. Prescription:
Tangshen 60g, Dried Ginger slices 120g, Stir-fried White Atractylodes Rhizome 60g, Prepared Liquorice Root 60g, Prepared Aconite Lateral Root 120g, Indian Buead Tuckahoe 60g, Superior Cassia Bark 30g, Sichuan Cinnamon Twig 15g, Ningxia Barbary Wolfberry Fruit 60g, True Amber 60g
5 doses, ground into fine powder, made into pills with water, the size of soybeans. Take twice a day, 3g each time. Continued for 3 months, basically cured, returned to work. Follow-up in 1979, over 10 years, although joints occasionally have slight pain, movement is free, everything is relatively good.