Systemic Flushing with Yin Deficiency and Hyperactive Fire

Translation of the Original Vernacular Version:
The 13-year-old daughter of Imperial Censor Xingcha was a talented girl who excelled in classical literature and art. One summer, she suddenly developed a high fever with reddened skin. Multiple doctors gave conflicting diagnoses:
​Doctor A: Suspected epidemic disease, prescribed Huoxiang Zhengqi San
​Doctor B: Blamed excessive cold food, prescribed Sanhuo Tang
​Doctor C: Diagnosed heatstroke, prescribed Xiangru Yin
​Doctor D: Claimed “excessive fire,” advised Chengqi Tang and Tianshui San
All treatments failed. When I arrived, I asked four key questions:
“Headache?” → No
“Abdominal pain or vomiting?” → No
“Burning skin?” → No
“Thirst or sweating?” → No
I then identified critical clues:
Worsening fever in the afternoon
Darkened vision and tinnitus
Dry throat
Without checking her pulse, I concluded: “Yin deficiency with internal heat.” Prescribed a modified Guishao Dihuang Decoction with added raw rehmannia and cicada molting. The fever resolved completely after two doses.
Her father marveled: “Other doctors take ages to decide, yet you cured her with just a few questions!”
The esteemed medical text Zui Hua Chuang Medical (Original:  Ming Dynasty Clinical Archives) has been translated by timtcm.com. We welcome your valuable comments and feedback in the section below.

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