The patient's emotional reactions are generally quite stressful; the most common issue is a poor mood, followed by emotional fragility, emotional instability, irritability, and susceptibility to negative language cues and suggestions.

Worrying about having some incurable disease is perhaps a thought that every patient might have.

Long-term suffering from illness often leads to changes in personality traits.

The image of being cheerful and energetic is replaced by slow movements, emotional fragility, cautiousness, passive dependence, sensitivity and suspicion, and self-centeredness.

Excessively focusing on bodily sensations and being overly concerned about changes in the condition, once negatively suggested, can quickly result in a depressed mood, but seeing patients who have recovered well can instantly restore confidence.

Therefore, it's important to find one, at most two, trustworthy doctors and strictly follow their guidance for rehabilitation treatment.

Avoid seeking varied medical advice from a wide range of sources, leading to diverse and conflicting opinions, leaving you at a crossroads, bewildered and at a loss.

Encouragement among patients is fine, but it's best not to inquire about others' experiences, as their experiences may not apply to yourself, and their illnesses are different from yours.

Pan Yuqian is currently in such a state of mind; months of fever have caused her great suffering while also rapidly destroying her emotions.

Especially after numerous treatments and seeing no improvement, this destruction is exponentially intensified within her.

"Dr. Lu, even you can't find the reason for my unexplained fever?"

Before coming through a friend's introduction, Pan Yuqian had learned about Lu Xuan, having heard about many cases where Lu Xuan cured difficult and complex diseases. To date, there hadn't been any condition that left Lu Xuan helpless.

Upon learning this, Pan Yuqian's confidence soared, and she spent several days at home trying to book an appointment until she finally secured one with Lu Xuan for this afternoon.

But at this moment, after explaining her situation, Dr. Lu's prolonged silence made her feel that her heart, which had just been relieved, shot back up to her throat.

Pan Yuqian looked at Lu Xuan with a worried expression, fearing that the next moment she would hear bad news from Lu Xuan's mouth.

Unable to find the cause of her fever, or perhaps it's an incurable disease.

Seeing no reaction from Lu Xuan, Ji Xiuwen anxiously touched Lu Xuan's arm and softly reminded, "Dr. Lu."

A shadow of doubt quickly spread in his heart; could it be that his old classmate would have his first major setback today?

Ji Xiuwen was incredibly worried, but upon careful thought, he felt his expectations for his old classmate were too high.

Doctors are not omnipotent; they can't diagnose every illness or understand every situation.

Even some legendary doctors in ancient times had their moments of helplessness.

What's more, considering that Lu Xuan graduated not long ago, being able to achieve this level, with the medical skills he has now, has already surpassed countless peers, and he's in no way inferior to any renowned traditional Chinese medicine doctor.

Aiming for a flawless record is extremely challenging.

Thinking of this, Ji Xiuwen couldn't help but sigh.

At this time, upon Ji Xiuwen's reminder, Lu Xuan quickly snapped back to his senses, seeing Pan Yuqian staring at him with a gloomy expression, and hurriedly reassured her: "Don't worry, I roughly thought about your situation, it should have some relation to Lesser Yang Disease."

"Lesser Yang Disease?"

Pan Yuqian, not being familiar with traditional Chinese medicine, furrowed her brow when Lu Xuan mentioned this term, while Ji Xiuwen looked at Lu Xuan with curiosity and doubt.

Lu Xuan explained, "The alternating cold and heat is a typical symptom of Lesser Yang Disease, specifically characterized by intermittent occurrences of fever and chills, alternating back and forth, several times a day with no regular time pattern, caused by obstructed Qi, imbalance between the Ying and Wei Qi, and the battle between positive and negative forces."

Ji Xiuwen nodded, understanding this, though he hadn't considered it from that angle.

Now, with Lu Xuan mentioning Lesser Yang Disease, comparing it to Pan Yuqian's situation, it indeed seemed about seventy to eighty percent similar.

With this in mind, Ji Xiuwen spoke up: "Ms. Pan's condition, while seventy to eighty percent similar to Lesser Yang Disease, also has its differences upon closer inspection."

"You're right,"

Lu Xuan wasn't surprised at all that Ji Xiuwen noticed this.

He continued explaining, "Ms. Pan's symptoms include chills, fever, cough, and other external symptoms. Despite using antibiotics and other Western medicine treatments, her fever persisted, and extensive hospital testing couldn't pinpoint the cause.

She's undergone numerous treatments including antibiotics, antivirals, antimalarials, tuberculosis treatments, and steroids without controlling the fever, further harming her essential Qi.

Her insufficient Qi cannot expel the evils outward. Observing her persistent fever for several months, with relatively stable appetite and spirit, we can conclude that Ms. Pan is suffering from fever due to Qi deficiency from internal injury. The insufficiency of essential Qi gives rise to internal Yin fire, transitioning from Qi deficiency Yang to Yin, leading to unregulated Wei Qi and resultant fever treatment.

Therefore, Ms. Pan's condition is most similar to Lesser Yang Qi Stagnation Syndrome, though with distinct differences within.

According to Mr. Li Dongyuan's "Discussion on Spleen and Stomach · Beginning with Injury from Food, Drinks, and Labor Causing Heat," where insufficient primordial Qi leads to internal Yin fire, "the treatment should be reinforcing with sweet, pungent, warm herbs to support the center and elevate Yang, while using sweet, cold ingredients to relieve excess fire."

Considering the patient's clinical characteristics, we use a modified Qi Replenishing Soup to remove major heat with a blend of Part Qi Replenishing Soup and Half Cinnamon Soup to harmonize Lesser and Greater Yang.

Using Codonopsis, Astragalus, and White Atractylodes to greatly boost central Qi, strengthen the spleen and benefit the stomach. With abundant spleen and stomach primordial Qi, blood will naturally generate, and internal Yin fire will diminish;

Using Cimicifuga and Chaihu to elevate Yang and disperse heat, Dried Tangerine Peel to awaken the spleen and stomach, dissolve stagnation, transform dampness and remove fullness, and Danggui to nourish and generate blood, assisting Codonopsis, Astragalus, and White Atractylodes to elevate Yang Qi and invigorate the primordial Qi, thus naturally regulating the blood and eliminating the heat;

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