(Chronic tonsil enlargement) Xie Xinyang Medical Record: Wang, male, 14 years old, first diagnosed on May 3, 1987. He complained of bilateral tonsil enlargement, which worsened after a cold for 5 years. After multiple treatments, the results were poor. The current symptoms include red and swollen tonsils on both sides that look like spheres, severe throat pain on the right side, a red tongue without coating, and a thready and rapid pulse. This is caused by exogenous epidemic poison, which accumulates in the blood collaterals. It is suitable to detoxify, dissipate blood stasis, nourish yin and activate blood circulation. Use Cimicifuga and Turtle Armor Decoction to add and subtract: 9g of Cimicifuga, 12g of Angelicae Sinensis, 6g each of Sichuan peppercorns and licorice, 15g each of Turtle Armor, Forsythia, and Fritillaria, and 30g each of raw oyster and Scrophulariaceae. 1 dose per day, decoction in water. After taking 4 doses of the medicine, nearly half of the redness and swelling subsided, and the pain disappeared. Continue to take 5 doses of the original prescription, add an appropriate amount of white vinegar, and the condition will heal after half a month. (Traditional Chinese Medical Forum 1991; <5): 15)

Note: This syndrome is caused by an exogenous epidemic poison that invades the blood. "Jingui Yaolue Xin Dian" says: "Poison is caused by the accumulation of evil spirits that cannot be solved." Therefore, Cimicifuga Biejia Decoction, which is pungent and warm, can be used to release the accumulated evil spirits; when combined with the sweet, salty and cold flavor, it can Keep the Yin disturbed by evil spirits at peace. Such a combination can detoxify evil spirits and heal clumps and illnesses. (Scarlet Fever) Tan Riqiang's Medical Case: The second daughter, Sai Nan, suffered from scarlet fever. She initially experienced aversion to cold and fever, headache, sore throat, swollen mandibular lymph nodes, thin white tongue coating, and floating pulse. After taking 2 doses of Yinqiao Powder, the aversion to cold was gone, but she still had fever and sore throat. After taking 3 doses of Puji Disinfection Drink to remove Cimicifuga and Bupleurum, and blowing the throat with Bingbo Powder, the sore throat was relieved, but the fever still persisted. Red rashes appeared on the neck and face, but the surrounding lips were pale, and the tongue was dark and uncoated. The impression is scarlet fever. In order to avoid infecting other children, he was rushed to Changsha Infectious Disease Hospital. After laboratory examination, the white blood cell count was increased and the neutral level was increased, which was consistent with the diagnosis of scarlet fever. Inject penicillin intramuscularly on one side, and use Cimicifuga and Turtle Shell Decoction on the other: 3 grams of Cimicifuga, 10 grams of Turtle Shell, 3 grams of Angelicae Sinensis, remove the realgar and Sichuan pepper, add 10 grams of Yinghua, 10 grams of Forsythia, 10 grams of oxenia, and 12 grams of raw rehmannia. , 10 grams of paeonol bark, 6 grams of red peony root, 3 grams of Platycodon grandiflorum, and 3 grams of licorice. After taking 3 doses, the rash spread all over the limbs, and the color faded temporarily when pressed. Continue to use the original prescription to remove Cimicifuga, Angelicae Sinensis, Platycodon grandiflorum, Canadian Radix Ginseng, Ophiopogon japonicus, and Daqingye. After 3 doses, the rash subsided, the body temperature returned to normal, and the patient was discharged from the hospital after recovery. ("A Brief Introduction to the Essentials of the Golden Chamber" 1981: 62)

Note: This case shows "yang poison" syndrome, so it can be treated with Cimicifuga Biejia Decoction with heat-clearing, detoxifying, cooling and activating blood circulation. As for the location of yin and yang poisons, doctors in the past dynasties have not yet made it clear. They only debated on the prescriptions and the two words yin and yang. Wang Tingfu believes that this disease is an acute laryngeal disease. According to the "Medical Level" of Dong Xiyuan quoted by Danbo Yuanjian, the centenarian Yuan Yunlong believes that it is a symptom of strangulation, throat wind, and moth entanglement in later generations. It manifests as acute throat pain and swelling, which is not a common sore throat disease. It occurs at any time and is not contagious. The patient's throat is swollen and painful, it is difficult to drink water or rice, and he or she even has trouble breathing. This is indeed a critical condition and is not a serious poison, so it should not be treated. (See "The Essential Guide to the Golden Chamber")