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Hot stagnation and Shaoyang syndrome can be treated with Huangqin decoction plus tempeh and Scrophulariaceae prescription. The significance of adding tempeh is

Release depression and heat.

1. The nature, flavor and efficacy of tempeh: Tempeh is bitter and cold in nature and has the effect of releasing heat evil. The bitter taste can clear away heat and dampness, while the cold nature can reduce fire and detoxify. In the theory of traditional Chinese medicine, bitterness has the effect of catharsis, dredging Qi and releasing stagnation and heat. The bitter and cold properties of tempeh can help release stagnation of heat.

2. Characteristics of Heat-Stagnation Shaoyang Syndrome: Heat-Stagnation Shaoyang Syndrome is a pathological syndrome, which manifests as symptoms such as chest discomfort, arrogance, and alternation of cold and heat. The syndrome is caused by heat evil invading Yangming meridians or Yangming stroke. In this case, the stagnant heat in the chest cannot be vented and must be relieved by slight sweating.