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1. A gan pattern characterized by marked emaciation, bleeding gums or ulcerated gums, periodic heat effusion and aversion to cold, copious sweating, and a lack of strength in the limbs; it is attributed to deep-lying heat in the bowels and viscera that results from excessive consumption of sweet fatty foods or intemperate eating and that damages the fluids and in time causes desiccation of kidney yīn. It is commonly observed in children suffering from insufficiency of earlier heaven and poor constitution and may accompany ununited skull, crane’s-knee wind, and the five slowness.

Medicinal therapy: Enrich the kidney and supplement the spleen. Use Six-Ingredient Rehmannia Pill (六味地黄丸 liù wèi dì huáng wán).

2. Purulent ear.

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