Zhang, female, 30 years old, first consultation on September 8, 1978. Yesterday, after bathing during menstruation at Riyue (GB24), she suddenly experienced full-body tremors, cold and numb hands and feet, with coldness extending above the knees, accompanied by palpitations, restlessness, and insomnia. The tongue is purple and swollen, with a yellow and greasy coating, and the pulse is thin, rapid, and choppy. The syndrome is attributed to cold-dampness obstructing the collaterals, leading to poor circulation of qi and blood. Treatment involves modifications of Angelica Cold-Extremities Decoction. Prescription:
Chinese Angelica 9g, Peony Root 9g, Cinnamon Twig 6g, Evodia 6g, Ricepaperplant Pith 6g, Liquorice Root 5g, Fresh Ginger Rhizome 3 slices
On September 9, after taking one dose of the above prescription, all symptoms have reduced, she is able to walk, and her sleep has improved, though she still feels fatigued. Prescription:
Tangshen 15g, Astragalus 15g, Poria 15g, White Atractylodes Rhizome 9g, Pinellia 9g, Chinese Angelica 6g, Cinnamon Twig 6g, Dried Tangerine Peel 4.5g, Liquorice Root 3g
After continuing with two more doses, she recovered completely.