Practical Internal Medicine of Integrated Chinese and Western Medicine 2nd Edition

Task output rules:

Chapter 63

Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

From Practical Internal Medicine of Integrated Chinese and Western Medicine 2nd Edition · Read time 3 min · Updated March 22, 2026

Keywords专著资料, 全文在线浏览, 中西医结合, 第63部分

<!-- translated-chunk:24/261 -->

Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

Input: Xuan Shen 25g, An Dong 20g, Bo He 6g, Ye Zu (for decoction) Dan Pi 12g, Sheng Gan Cao 12g, Jin Yin Hua 12g, Lian Qiao 10g, Xian Wei Jing 60g, Yuan Shao 12g. For external use, blow ice boron powder into the throat; six each dose contains 19. Each dose is to be dissolved in water and taken as a decoction. The patient reported that throat pain had eased, fever had subsided, but he still felt dizzy, with a slightly red tip of the tongue, a thin coating on the tongue, and only a small patch of pseudomembrane remaining. The original formula was modified by removing Jin Yin Hua and Lian Qiao, adding Gypsum and Niuxi, and continuing to use Ice Boron Powder and Liu Shen Wan. Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He See the end of the formula: 12 (for decoction), Dan Pi 12g, Sheng Gan Cao 6g, Gypsum 30g, Niuxi 25g, Xian Wei Jing 60g, Chi Shao 12g. On the 20th, the patient visited for the third time. He reported that his throat still had some soreness, and his urine turned yellow. Examination revealed a floating, slow pulse; the tip of the tongue was largely normal, the pharynx was almost completely free of redness and swelling, though a small patch of pseudomembrane remained, about the size of a grain of rice. Prescription: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was discontinued. Six Shen Wan and Ice Boron Powder were not used. On the 21st, the patient’s throat pain had disappeared, though he still felt a sensation of something stuck in his throat when eating, and his urine was slightly yellow. Examination showed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. The patient was prescribed Liu Shen Wan and Ice Boron Powder. By the 21st, the throat pain had disappeared, though he still felt a sense of obstruction in his throat when eating, and his urine was slightly yellow. Examination revealed that the pseudomembrane had completely resolved, and the pulse was also slow. As the residual heat had not yet been fully eliminated, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g,......Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

Input: Xuan Shen 25g, An Dong 20g, Bo He 6g, Ye Zu (for decoction) Dan Pi 12g, Sheng Gan Cao 12g, Jin Yin Hua 12g, Lian Qiao 10g, Xian Wei Jing 60g, Yuan Shao 12g. For external use, blow with Bing Borong powder on the throat, six each dose contains 19th-day follow-up visit. The patient reported that throat pain had eased, fever had subsided, but still felt dizzy, with a slightly red tip of the tongue, a thin coating on the tongue, and only a small amount of pseudomembrane remaining. The original formula was modified by removing Jin Yin Hua and Lian Qiao, adding Gypsum and Niuxi, and continuing to use Bing Borong powder and Liu Shen Wan. Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He See the end 12 (for decoction), Dan Pi 12g, Sheng Gan Cao 6g, Gypsum 30g, Niuxi 25g, Xian Wei Jing 60g, Chi Shao 12g. On the 20th day, the patient visited for the third time. The patient reported that throat pain was still present, but the sore throat was somewhat relieved, and urine turned yellow during urination. Examination: pulse was floating and slow, the tip of the tongue was largely normal, the pharynx was basically free of redness and swelling, though a small area of pseudomembrane remained, about the size of a grain of rice. Prescription: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was discontinued. Six Shen Wan and Bing Borong powder were used. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sheng Di 30g, Xuan Shen 25g, Mai Dong 20g, Bo He 6g, Chi Shao 12g, Dan Pi 12g, Sheng Gan Cao 12g, Gypsum 25g, Tuo Niu Xi 25g, Xian Wei Jing 60g. The treatment was continued. Using Liu Shen Wan and Bing Borong powder. On the 21st day, the fourth visit, the throat pain had disappeared; however, the patient still felt a sensation of something stuck in the throat when eating, and urine was slightly yellow. Examination: the pseudomembrane had completely resolved, and the pulse was also slow. As residual heat remained, the prescription was as follows: Da Sh......

<!-- translated-chunk:23/261 -->

Task output rules: Translate this markdown block from Chinese to English. Preserve markdown markers, links, and formatting. Keep headings and list structure unchanged. Return only the translated block.

Input: Not affected by rain), the evil enters through the mouth and nose, directly affecting the lungs and stomach, leading to the formation of Yin-Hu Yang-Exerted Small

P Mouth Heat and Disease. "Chong Lou Yu Mo" still lists " and to the bamboo food diet only lung field L text I clearly can city to Y plain to exert

Ten Things. Feeling Fatigue III Area People Recognize R Inner O" Furo for Foot's Pathway Outside Salted Oven Heart One

2 Feeling the poison of disease, directly affecting the lungs and stomach, flowing through the meridians to the end When the throat becomes inflamed and develops false connections I To L Channel Factory Up LP Month, Muscle I Three Work. CopyE Blood As a result, redness and swelling occur, causing the throat to become congested, and the airways are blocked. The toxin enters the inner organs, the heart is firm, and the body's essence is depleted, leading to the development of Yin Deficiency and Yang Weakness (roughly equivalent to diphtheria-induced myocarditis). As heat toxins flow and Yin is damaged, blood vessels are injured, resulting in paralysis. The evil toxins and phlegm accumulate in the throat and trachea, causing the ascending and descending functions of lung qi to be impaired. In mild cases, patients experience fever, wheezing, cough, dry cough like barking, hoarseness, and other symptoms of phlegm accumulation; in severe cases, patients may develop pale complexion, rattling phlegm in the lips and tongue, difficulty breathing, and other signs of throat obstruction. Some scholars believe that diphtheria often occurs in late autumn and early spring, and should be categorized as a latent temperature illness or a latent temperature condition triggered by new infections. The root cause of diphtheria lies in the Hand Taiyin Lung Meridian, while the manifestations are related to the Hand Shaoyin Heart and Foot Shaoyang Gallbladder Meridians; those who suffer from these conditions experience the spread of fire toxins, which can affect all five internal organs and six viscera. If the dry fire in the lungs persists without being resolved, and the three meridians remain unbalanced, it can lead to overall deficiency of the five internal organs. Therefore, the entire course of diphtheria can be divided into two stages: the stage of excess evil and the stage of deficiency of vital energy. The first two stages are characterized by excess evil, while the latter two stages are marked by deficiency of vital energy. However, in recent years, diphtheria has tended to become milder, and severe cases are becoming less common.

(3) Traditional Chinese Medicine Differentiation and Classification, and Herbal Formulas

  1. Epidemic Poison Entering the Lung The main symptoms include fever with chills, headache and sore throat, pseudomembranes appearing in the throat, a red tongue with a thin, white, slightly dry coating, and a floating, rapid pulse. Treatment focuses on dispersing wind, clearing heat, detoxifying, and relieving throat discomfort. The formula chosen is “Shu Feng Qing Re, Jie Du Li Yan,” with modifications: 10g of Rou Ye, 30g of Ge Gen, 20g of Sheng Di, 15g of Shan Dou Gen, 12g of Huang Qin, 12g of Bei Mu, 12g of Niu Xi, 12g of Sha Shen. Brew with water and take once daily.

  2. Epidemic Poison Transforming into Fire The main symptoms include intense heart palpitations and restlessness, dry and painful throat, rapid spread of pseudomembranes, dark-colored lesions, significant neck swelling (“ox neck”), a red tongue with a yellow coating, and a slippery, rapid pulse. Treatment should focus on detoxifying, clearing heat, reducing fire, and restoring yin. The formula chosen is “Bai Hu, Xi Di He Pu Ji Xiao Du Yin,” with modifications: 20g of Sheng Shi Gao, 12g of Zhi Mu, 20g of Sheng Di, 10g of Shui Niu Jiao, 12g of Chi Shu, 12g of Ban Lan Gen, 15g of Xuan Shen, 15g of Jin Yin Hua, 15g of Shan Dou Gen, 12g of Niu Bang Zi, 10g of Gan Cao. Brew with water and take once daily.

  3. Lung Qi Obstruction The main symptoms include rapid growth of pseudomembranes, dry throat and tight voice, barking-like cough, phlegm in the throat, rapid breathing, a red tongue with a yellowish, greasy coating, and a slippery, rapid pulse. Treatment focuses on eliminating phlegm, opening up the obstructed passages, detoxifying, relieving throat discomfort, and clearing heat from the lungs. The formula used is “Ma Xing Shi Gan Tang Jia Wei,” with modifications: 6g of Ma Xing, 12g of Xing Ren, 15g of Shi Gao, 9g of Gan Cao, 12g of Zhe Bei Mu, 15g of Shan Dou Gen, 10g of Ling Zi, 10g of Sheng Da Huang (added later), 15g of Tuo Niu Xi. Brew with water and take once daily. It can also be combined with Zhu Li Gao or fresh bamboo juice.

  4. Yin Deficiency and Lung Dryness The main symptoms include dry throat and dry mouth, dry, yellow pseudomembranes, constipation, a red tongue with a thin yellow coating, and a fine, rapid pulse. Treatment focuses on nourishing yin and clearing the lungs, with modifications: 20g of Sheng Di, 15g of Xuan Shen, 12g of Mai Dong, 12g of Chi Shu, 12g of Dan Pi, 12g of Zhe Bei Mu, 12g of Huang Qin, 15g of Shan Dou Gen, 15g of Niu Xi, 15g of Ban Lan Gen. Brew with water and take once daily.

This chapter is prepared for online research and reading; for external materials, please align with original publications and the review process.