Yes, line 87 talks of sweating a blood collapse patient leading to cold shivers and shaking, but there are wet and dry types of shaking, with the wet types shown in lines 67 and 82 for LGZGT and ZWT respectively, and JG Ch.12 speaking of shaking and intense twitching of eyes and body. The short explanation is that the twitching is like pulsations transmitted by the water; the slightly longer explanation is that as you sweat someone you pull heat out of the blood layer and into the qi layer, leaving the blood and water layers colder and qi layer hotter, this heat (and pressure) differential causes wind to arise resulting in air bubbles rising through the water layer causing irregular sudden movements, which of course relate to wind (and this is one of the many explanations of why BS is in ZWT).Now in this patient I’d agree SQW+TXS sounds like the way to go, but with that amount of heart weakness and cardiac symptoms I’d bump GZ up to 60. If there was just the cardiac symptoms without the wiry R 3rd and the water symptoms of frequent urination and pronounced twitching then ZGCT could be considered.I’d avoid GZJLGMLT as you don’t want to use BS when there is a skipping heart, but with a faint pulse, cardiac symptoms, cold hands and feet and a superficial weak/faint L cun then that structure without the BS could also be considered in GZJNT, and with the wiry R 3rd GZJNT+GZFLW (CS) with GZ also at 60 could be an alternative option if SQW+TXS doesn’t cut the mustard.
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