A 3-year-old, family name Zhang.

The infant had been hospitalized with asthma and high fever for 5 days, during which time both cold and heat clearing formulas were tried and found ineffective. When Doctor Pu Fuzhou was asked to consult on the case, the child was in a deep coma, with cold limbs, coughing and wheezing.Even though the child’s temperature fell to 37.8oC, his pulse was 220 beats per minute.

Further examination showed that his lips were parched, his tongue and teeth were dry, the color of his tongue was deep red, the coating was very dry and yellow, and without fluids, the pulse was thin, rapid and weak. Dr. Pu concluded that this was a case of heat reversal(heat syncope), and that treatment should urgently clear and heat, induce resuscitation, tonify qi and nourish the fluids.

Pu Fuzhou prescribed a formula that consisted of American Ginseng Root 6g, and Calm the Palace Powder with Cattle Gallstone 3g. The method for taking the medicine was to boil the American Ginseng Root to make a soup that was divided into five doses, each dose was taken with the powder every two hours. Even before he had taken all of the medicine, the baby’s skin began to turn red and moist, and his temperature rose to 41oC.

They continued to administer the remainder of the formula, because he was not sweating, they gave him a hot water sponge bath to promote the blood circulation to his skin. This opened the infant’s pores and produced a strong sweat, after which the ever subsided.

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