translated by Dr. Lim Siow Jin@all rights reserved.
104. Exo illness, after thirteen days is not relieved, chest feel full, dull and vomit, high fever after the noon, after that suffering from minor loose motion, by right it is Da Chaihu syndrome, should apply Da Chaihu Tang to purge the stool, but the doctor has wrongly using warm purging pills. This is wrong purging and resulted in weakening the metabolism but do not remove the heat congestion, causing high fever, diarrhea and etc. High fever is the syndrom for internal solid congestion, to treat the symptom, first apply Xiao Chaihu Tang to relieve the pathogenic factor in intero-yang, later purge the solid congestion using Chaihu jia Mangxiao Tang.
Note: High fever after the noon time is an indication that heat is congested in the stomach system, an important syndrome for us to decide apply purging or not. Da Chaihu or Chengqi series are cold purging, so only with high fever then only the cold purging is advisable. Purging is a strong detox process, if wrongly using the warm purging, the toxin is not removed and the body remain heaty with high fever, so the cold purging has to be applied again, even before that the stool has been purged out by the warm purging pills. Loose motion is an indication that the toxin still remain in the body and need to be purged. Do not confused the diarrhea here with the cold diarrhea due to stomach weakness and coldness, which is indicated with weak pulse and stomach pain. Here the pulse is strong and the stomach does not suffer from cramp and pains.
Chaihu jia Mangxiao tang --------------------------- Chaihu 6g, Huangqin 3g, Renshen 3g, Zhi Gancao 3g, Shengjiang 3g, Banxia 3g, Dazao 4 pcs, Mangxiao 6g. Add 600 ml to the first seven herbs, boils to 200 ml, add in the Mangxiao and slightly boil and stir it, serve it warm. If after consumption purging of stool does not happen, continue to prepare and drink the soup again.