Case Study by TCM Physician Chen Qingzhen — Modified Xiao Chai Hu Tang(Minor Bupleurum Decoction) for "Recurrent Fever, Dizziness, Generalized Fatigue, and Chills"

Physician:​ Chen Qingzhen, Traditional Chinese Medicine Practitioner

Date:​ May 14, 2026

Patient Information:​

Mr. Chen XX, 33-year-old male

Tongue Diagnosis:​

Pale red tongue with white coating; fissured tongue (+); swelling along the sides of the tongue (Liver-Gallbladder region); ecchymotic spots on the tongue surface (+); significant sublingual varicosity (++).

Chief Complaint:​

Recurrent episodes of fever, dizziness, and chills accompanied by generalized fatigue persisting for over one month.

Prescription (Modified Xiao Chai Hu Tang):​

• Bupleuri Radix(Chai Hu) 15g

• Paeoniae Radix Alba(Bai Shao) 10g

• Scutellariae Radix(Huang Qin) 10g

• Codonopsis Radix(Dang Shen) 10g

• Zingiberis Rhizoma(Gan Jiang) 6g

• Jujubae Fructus(Da Zao, pitted) 5 pieces

• Glycyrrhizae Radix et Rhizoma(Gan Cao) 6g

• Astragali Radix(Huang Qi) 10g

• Cinnamomi Ramulus(Gui Zhi) 10g

• Poria(Fu Ling) 10g

• Atractylodis Macrocephalae Rhizoma(Bai Zhu) 10g

• Euryales Semen(Qian Shi) 10g

• Salviae Miltiorrhizae Radix et Rhizoma(Dan Shen) 10g

• Lablab Semen Album(Bian Dou Hua) 6g

Dosage:​ 5 doses, one dose per day.

Recommendations:​

• Avoid dairy products, sugary foods, and all raw, cold, or frozen items.

• Refrain from consuming fruits during recovery; consume sparingly even after recovery.

• Soak feet daily for 30 minutes in a decoction of 50g mugwort (Artemisia argyi) and 10g fresh ginger. Reduce mugwort to 30g after recovery.

Outcome:​

Following the five-dose herbal regimen combined with Fengyang dietary therapy and the "Centenarian Project" foot-soaking protocol, the patient achieved complete recovery.

Fengyang 3T — Following the Way of Nature, Governing through Non-Action​

(Note: "Fengyang 3T" refers to a holistic health system integrating traditional Daoist principles with natural healing practices.)