(附∶不寐案 肝气肝阳案 头痛眩晕案)
朱右 产后未满百日，虚寒虚热，早轻暮重，已有匝月，纳少便溏，形瘦色萎，且有咳嗽，自汗盗汗，脉
濡滑无力，舌苔淡白，此卫虚失于外护，营虚失于内守，脾弱土不生金，虚阳逼津液而外泄也，蓐劳渐着，恐
难完璧。姑拟黄 建中汤合二加龙骨汤加味。
清炙黄 （三钱） 炒白芍（二钱） 清炙草（六分） 川桂枝（五分） 牡蛎（四钱） 花龙骨（三钱）
米炒于术（三钱） 云茯苓（三钱） 炒淮药（三钱） 炒川贝（二钱） 浮小麦（四钱） 熟附片（八分）
二诊 前投黄 建中二加龙骨，寒热较轻，自汗盗汗亦减，虽属佳境，无如昔日所服之剂，滋阴太过，中土
受戕，清气不升，大便溏薄，纳少色萎，腹痛隐隐。左脉细弱，右脉濡迟，阳陷入阴，命火式微。脉诀云∶阳陷入
阴精血弱，白头犹可少年愁。殊可虑也。再守原意加入益火生土之品，冀望中土强健，大便结实为要着。
清炙黄 （三钱） 炒白芍（一钱五分） 清炙草（六分） 熟附片（八分） 牡蛎（三钱） 花龙骨（三钱）
炒淮药（三钱） 米炒于术（三钱） 云苓（三钱） 大砂仁（研，六分） 炒补骨脂（一钱五分） 煨益智（一钱
五分） 浮小麦（四钱）
三诊 寒热轻，虚汗减，便溏亦有结意，而咳嗽痰多，纳谷衰少，形瘦色萎，舌光无苔，脉来濡细，幸无数
象。脾弱土不生金，肺虚灌溉无权，仍拟创建中气，培补脾土，能得谷食加增，不生枝节，庶可转危为安。
炒潞党参（三钱） 清炙黄 （二钱） 炒白芍（一钱五分） 清炙草（六分） 熟附片（八分） 左牡蛎（四钱）
花龙骨（三钱） 米炒于术（三钱） 炒淮药（三钱） 炒川贝（二钱） 大砂仁（研，五分） 陈广皮（一钱）
浮小麦（四钱） 红枣（五枚）
蒋左 劳役太过，脾胃两伤，营卫循序失常，寒热似疟，已有数月。形瘦色萎，食减神疲，脉象虚迟，舌光
有津，势将入于虚损一途。损者益之，虚者补之。甘温能除大热，补中益气汤加减。
潞党参（三钱） 炙黄 （三钱） 炒冬术（二钱） 清炙草（五分） 银柴胡（一钱五分） 陈广皮（一钱）
全当归（二钱） 怀牛膝（二钱） 西秦艽（一钱五分） 大砂仁（研，八分） 焦谷芽（四钱） 生姜（二片）
红枣（四枚）
匡左 诵读劳伤乎心，房帏劳伤乎肾。阴虚于下，
阳升于上，头眩耳鸣，心悸少寐，遗泄频频，神疲肢倦。脉象尺部细弱，寸关虚弦，舌质淡红。姑拟育阴潜阳，
交通心肾。
大生熟地（各三钱） 粉丹皮（一钱五分） 生石决（四钱） 左牡蛎（四钱） 抱茯神（三钱） 淮山药
（三钱） 炙远志（一钱） 炒枣仁（三钱） 潼蒺藜（三钱） 北秫米（包，三钱） 生白芍（二钱）
白莲须（一钱五分） 三才封髓丹（三钱，清晨淡盐汤送下）
宦左 入夜潮热，延今两月，纳少形瘦，神疲乏力，舌质光绛，脉象濡小而数。此三阴亏耗，脾胃生气受
戕，虑成损怯。
西洋参（一钱五分） 川石斛（三钱） 茯神（三钱） 淮山药（三钱） 青蒿梗（一钱五分） 炙鳖甲（四钱）
嫩白薇（一钱五分） 陈皮（一钱） 生熟谷芽（各三钱） 红枣（五枚）
姜左 虚寒虚热，寒多热少，口唾白沫，纳减便溏，苔薄腻，脉濡细，脾弱胃虚，卫阳不入于阴也，虚劳堪
虑。拟黄 建中合二加龙骨汤加减。
清炙黄 （一钱五分） 炒白芍（一钱五分） 清炙草（六分） 熟附片（一钱） 牡蛎（三钱） 花龙骨
（三钱） 米炒于术（三钱） 云茯苓（三钱） 炒淮药（三钱） 砂仁（研，八分） 陈皮（一钱） 焦谷芽（四钱）
煨姜（二片） 红枣（四枚）
宋右 恙由抑郁起见，情志不适，气阻血瘀，土受土克，胃乏生化，无血以下注冲任，经闭一载，纳少形
瘦，临晚寒热，咳嗽痰沫甚多，脉象左虚弦，右濡涩，经所谓二阳之病发心脾，有不得隐曲，女子不月，其传为
风消，再传为息贲，若加气促，则不治矣。姑拟逍遥合归脾、大黄 虫丸，复方图治。
全当归（三钱） 大白芍（二钱） 银柴胡（一钱） 炒潞党（二钱） 米炒于术（一钱五分） 清炙草（五分）
炙远志（一钱） 紫丹参（二钱） 茺蔚子（三钱） 川贝母（二钱） 甜光杏（三钱） 北秫米（包，三钱）
大黄 虫丸（一钱，每日吞服，以经通为度）
复诊 临晚寒热，虽则轻减，而咳嗽依然。经闭纳少，舌光无苔，脉左弦右涩，此血室干枯，木火刑金，脾
胃生化无权。还须怡情适怀，以助药力。今拟培土生金，养血通经，然亦非旦夕所能图功者也。
蛤粉炒阿胶（二钱） 茯神（三钱） 淮山药（三钱） 川贝（二钱） 甜光杏（三钱） 紫丹参（二钱）
茺蔚子（三钱） 全当归（三钱） 怀牛膝（二钱） 广艾绒（六分） 西藏红花（八分） 北秫米（包，三钱）
大黄 虫丸（吞服，一钱）
蔡左 仲秋燥邪咳嗽起见，至冬不愈，加之咽痛干燥，蒂丁下坠，妨于咽饮，内热纳少。脉象濡数，幸不洪
大，舌质红苔黄。平素阴虚，燥邪化火，上刑肺金，下耗肾水，水不上潮，浮火炎炎。颇虑吐血而入虚损一途，
急拟清燥润肺，而降浮火。
蛤粉炒阿胶（一钱五分） 天花粉（三钱） 川象贝（各一钱） 京玄参（一钱） 肥知母（一钱五分）
甜光杏（三钱） 柿霜（八分） 生甘草（八分） 冬桑叶（三钱） 冬瓜子（三钱） 枇杷叶露（后入，四两）
活芦根（去节，一两）
方左 吐血屡发，咳嗽有年，动则气逆，咽痛失音，形瘦骨立，潮热口燥，脉象弦大而数。弦则为劳，数则
病进，阴液枯涸，木火犯肺，肺叶已损，即是金破不鸣，肺痨显然。勉拟壮水之主，以柔肝木，清养肺气，而滋
化源，然亦不过尽人工而已。
南北沙参（各三钱） 天麦冬（各二钱） 蛤粉炒阿胶（二钱） 生甘草（五分） 茯神（三钱） 淮山药（三钱）
川贝（二钱） 栝蒌皮（二钱） 甜光杏（三钱） 熟女贞（二钱） 冬虫草（二钱） 北秫米（包，三钱）
凤凰衣（一钱五分） 猪肤（刮去油毛，三钱）
候左 肺虚则咳嗽寒热，脾虚则纳少便溏，心虚则脉细神疲，肾虚则遗泄，肝虚则头眩，五虚俱见，非易图
功。惟宜培土生金，益肾养肝，苟能泄泻止，谷食增，寒热除，咳嗽减，则虚者可治。
炒潞党（三钱） 云茯苓（三钱） 炒于术（二钱） 清炙草（六分） 陈皮（一钱） 炒淮药（三钱）
炒川贝（二钱） 炒御米壳（二钱） 牡蛎（三钱） 花龙骨（三钱） 水炙远志（一钱） 北秫米（包，四钱）
傅左 小溲清长，已经匝月，脉象尺部软弱，寸关虚小，气分不足，肾阳亦亏，中无砥柱之权，下失封藏之
固。补益中气，而滋肾水。
潞党参（三钱） 白归身（二钱） 熟女贞（三钱） 炙黄 （三钱） 大白芍（二钱） 广橘白（一钱）
甜冬术（二钱） 淮山药（三钱） 炙升麻（四分） 炙甘草（五分） 潼蒺藜（三钱） 红枣（二钱） 七味都
气丸（包煎，三钱）
陆左 阴虚则内热，阳虚则外寒，肺虚则咳嗽，脾虚则形瘦，脉象细弦而数，弦则为劳，数则病进，劳已入
损，恐难完璧。拟黄 建中汤创建中气，宗经旨劳者温之，损者益之之意。
炙黄 （三钱） 朱茯神（三钱） 甜杏仁（三钱） 淮山药（三钱） 川桂枝（四分） 炙甘草（五分）
广橘白（一钱） 炒白芍（三钱） 红枣（二枚） 生姜（二片） 生谷芽（三钱） 饴糖（四钱）
(Attachment: Cases of Insomnia, Liver Qi and Liver Yang, Headache and Dizziness)
Zhu You, less than one hundred days postpartum, presented with alternating deficiency-cold and deficiency-heat, milder in the morning and heavier in the evening, persisting for a month. Appetite was poor, stools were loose, body was emaciated, complexion was sallow, accompanied by cough, spontaneous sweating (daytime sweating without exertion), and night sweats (sweating during sleep). The pulse was soggy, slippery, and powerless; the tongue coating was pale white. This indicates that Wei Qi (Defensive Qi) is deficient and fails to protect the exterior, Ying Blood (Nutritive Blood) is deficient and fails to guard the interior. Spleen Earth is weak and fails to generate Lung Metal; deficient Yang forces fluids to leak outward. Postpartum exhaustion is gradually worsening, and full recovery may be difficult. Tentatively prescribe Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle) combined with Erjia Longgu Tang (Two-Added Dragon Bone Decoction) with modifications.
Qingzhi Huangqi (Prepared Astragali Radix, 3 qian) Chao Baishao (Stir-fried Paeoniae Radix Alba, 2 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 6 fen) Chuan Guizhi (Cinnamomi Ramulus, 5 fen) Muli (Ostreae Concha, 4 qian) Hua Longgu (Fossilized Mammoth Bones, 3 qian)
Michei Baizhu (Rice-stir-fried Atractylodis Macrocephalae Rhizoma, 3 qian) Yun Fuling (Poria, 3 qian) Chao Huaiyao (Stir-fried Dioscoreae Rhizoma, 3 qian) Chuan Chuanbeimu (Stir-fried Fritillariae Cirrhosae Bulbus, 2 qian) Fu Xiaomai (Floating Wheat, 4 qian) Shu Fupian (Prepared Aconiti Lateralis Radix, 8 fen)
Second visit: After administering Huangqi Jianzhong Tang and Erjia Longgu Tang previously, the chills and fever lightened, and spontaneous and night sweats decreased. Although this is a favorable sign, the previous medications were too yin-nourishing, damaging the Middle Jiao (Spleen and Stomach). Clear Qi failed to ascend, resulting in loose stools, poor appetite, sallow complexion, and dull abdominal pain. The left pulse was fine and weak; the right pulse was soggy and slow. Yang has sunk into Yin, and Mingmen Fire (Gate of Life Fire) is declining. The *Maijue* states: "When Yang sinks into Yin, essence and blood are weak; even with white hair, one worries like a youth." This is indeed concerning. Again adhering to the original intent, add herbs that benefit Fire to generate Earth, hoping to strengthen the Middle Jiao. Firming the stool is key.
Qingzhi Huangqi (Prepared Astragali Radix, 3 qian) Chao Baishao (Stir-fried Paeoniae Radix Alba, 1.5 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 6 fen) Shu Fupian (Prepared Aconiti Lateralis Radix, 8 fen) Muli (Ostreae Concha, 3 qian) Hua Longgu (Fossilized Mammoth Bones, 3 qian)
Chao Huaiyao (Stir-fried Dioscoreae Rhizoma, 3 qian) Michei Baizhu (Rice-stir-fried Atractylodis Macrocephalae Rhizoma, 3 qian) Yun Fuling (Poria, 3 qian) Da Sharen (Amomi Fructus, crushed, 6 fen) Chao Boguzhi (Stir-fried Psoraleae Fructus, 1.5 qian) Wei Yizhi (Baked Alpiniae Oxyphyllae Fructus, 1.5 qian) Fu Xiaomai (Floating Wheat, 4 qian)
Third visit: Chills and fever lightened, deficiency sweating decreased, and loose stools showed signs of forming. However, there is much cough and phlegm, reduced food intake, emaciation, sallow complexion, a bare tongue without coating, and a soggy, fine pulse. Fortunately, no critical pulse signs are present. Spleen Earth is weak and fails to generate Lung Metal; Lung Qi is deficient and lacks irrigation authority. Still plan to establish Middle Qi and nourish Spleen Earth. If food intake increases and no complications arise, crisis may turn to safety.
Chao Lushen (Stir-fried Codonopsis Radix, 3 qian) Qingzhi Huangqi (Prepared Astragali Radix, 2 qian) Chao Baishao (Stir-fried Paeoniae Radix Alba, 1.5 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 6 fen) Shu Fupian (Prepared Aconiti Lateralis Radix, 8 fen) Zuo Muli (Left-side Ostreae Concha, 4 qian)
Hua Longgu (Fossilized Mammoth Bones, 3 qian) Michei Baizhu (Rice-stir-fried Atractylodis Macrocephalae Rhizoma, 3 qian) Chao Huaiyao (Stir-fried Dioscoreae Rhizoma, 3 qian) Chuan Chuanbeimu (Stir-fried Fritillariae Cirrhosae Bulbus, 2 qian) Da Sharen (Amomi Fructus, crushed, 5 fen) Chen Guangpi (Aged Tangerine Peel, 1 qian)
Fu Xiaomai (Floating Wheat, 4 qian) Hongzao (Red Dates, 5 pieces)
Jiang Zuo, overworked, injuring both Spleen and Stomach. The orderly circulation of Ying and Wei Qi is disrupted, causing chills and fever resembling malaria for several months. Body is emaciated, complexion sallow, appetite reduced, spirit fatigued. Pulse is deficient and slow; tongue is bare but moist. The condition is heading towards deficiency consumption. According to "Tonify the damaged, supplement the deficient," sweet-warm herbs can remove great heat. Prescribe Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) with modifications.
Lushen (Codonopsis Radix, 3 qian) Zhi Huangqi (Honey-fried Astragali Radix, 3 qian) Chao Dongzhu (Stir-fried Atractylodis Rhizoma, 2 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen) Yin Chaihu (Stellariae Radix, 1.5 qian) Chen Guangpi (Aged Tangerine Peel, 1 qian)
Quan Danggui (Complete Angelicae Sinensis Radix, 2 qian) Huai Niuxi (Dioscoreae Hypoglaucae Rhizoma, 2 qian) Xi Qinjiao (Gentianae Macrophyllae Radix, 1.5 qian) Da Sharen (Amomi Fructus, crushed, 8 fen) Jiao Guya (Charred Hordei Fructus Germinatus, 4 qian) Shengjiang (Fresh Ginger, 2 slices)
Hongzao (Red Dates, 4 pieces)
Kuang Zuo, excessive reading injures the Heart; excessive sexual activity injures the Kidney. Yin is deficient below, Yang rises above. Symptoms include dizziness, tinnitus, palpitations, insomnia, frequent seminal emission, fatigue, and limb weakness. Pulse: chi position fine and weak; cun and guan positions deficient and wiry. Tongue body pale red. Tentatively prescribe nourishing Yin and subduing Yang, communicating between Heart and Kidney.
Da Shengdi (Large Fresh Rehmanniae Radix, 3 qian) Da Shudi (Large Prepared Rehmanniae Radix, 3 qian) Fen Danpi (Moutan Cortex, 1.5 qian) Sheng Jieming (Haliotidis Concha, 4 qian) Zuo Muli (Left-side Ostreae Concha, 4 qian) Bao Fushen (Poria with Hostwood, 3 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian)
Zhi Yuanzhi (Honey-fried Polygalae Radix, 1 qian) Chao Zaoren (Stir-fried Ziziphi Spinosae Semen, 3 qian) Tong Jili (Tribuli Fructus, 3 qian) Bei Shumi (Glutinous Millet, wrapped, 3 qian) Sheng Baishao (Raw Paeoniae Radix Alba, 2 qian)
Bai Lianxu (Lotus Stamen, 1.5 qian) Sancai Fengsui Dan (Sancai Sealing Marrow Pill, 3 qian, taken early morning with light salt water)
Huan Zuo, tidal fever at night, lasting two months. Poor appetite, emaciation, fatigue. Tongue body bare and crimson; pulse soggy, small, and rapid. This indicates depletion of the Three Yin channels, damaging the vital Qi of Spleen and Stomach. Fear it will develop into consumptive weakness.
Xiyangshen (American Ginseng, 1.5 qian) Chuan Shihu (Dendrobii Caulis, 3 qian) Fushen (Poria with Hostwood, 3 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian) Qinghao Geng (Artemisiae Annuae Herba Stem, 1.5 qian) Zhi Biejia (Honey-fried Testudinis Carapax et Plastrum, 4 qian)
Nen Baiwei (Young Coptidis Rhizoma substitute/Anemones root, 1.5 qian) Chenpi (Tangerine Peel, 1 qian) Sheng Shu Guya (Raw and Charred Hordei Fructus Germinatus, 3 qian each) Hongzao (Red Dates, 5 pieces)
Jiang Zuo, alternating deficiency-cold and deficiency-heat, more cold than heat. Saliva is white foam, appetite reduced, stools loose. Coating thin and greasy, pulse soggy and fine. Spleen is weak, Stomach is deficient, Wei Yang cannot enter Yin. Consumption is worrying. Prescribe Huangqi Jianzhong Tang combined with Erjia Longgu Tang with modifications.
Qingzhi Huangqi (Prepared Astragali Radix, 1.5 qian) Chao Baishao (Stir-fried Paeoniae Radix Alba, 1.5 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 6 fen) Shu Fupian (Prepared Aconiti Lateralis Radix, 1 qian) Muli (Ostreae Concha, 3 qian) Hua Longgu (Fossilized Mammoth Bones, 3 qian)
Michei Baizhu (Rice-stir-fried Atractylodis Macrocephalae Rhizoma, 3 qian) Yun Fuling (Poria, 3 qian) Chao Huaiyao (Stir-fried Dioscoreae Rhizoma, 3 qian) Sharen (Amomi Fructus, crushed, 8 fen) Chenpi (Tangerine Peel, 1 qian) Jiao Guya (Charred Hordei Fructus Germinatus, 4 qian)
Wei Jiang (Baked Ginger, 2 slices) Hongzao (Red Dates, 4 pieces)
Song You, illness originated from depression. Emotional discomfort led to Qi stagnation and Blood stasis. Wood overacts on Earth (Liver overacting on Spleen), Stomach lacks transformation and transportation, no Blood flows down to Chong and Ren meridians. Amenorrhea for one year. Poor appetite, emaciation, evening chills and fever, copious cough with frothy phlegm. Pulse: left deficient and wiry, right soggy and choppy. As stated in the classics: "Diseases of the Two Yang originate in Heart and Spleen; hidden grievances cause amenorrhea in women." Progression leads to Fengxiao (wind wasting), then Xiben (lung accumulation). If shortness of breath occurs, it is incurable. Tentatively prescribe Xiaoyao San (Free and Easy Wanderer Powder) combined with Guipi Tang (Restore the Spleen Decoction) and Dahuang Zhechong Wan (Major Rhubarb and Ground Beetle Pill), compounded treatment.
Quan Danggui (Complete Angelicae Sinensis Radix, 3 qian) Da Baishao (Large Paeoniae Radix Alba, 2 qian) Yin Chaihu (Stellariae Radix, 1 qian) Chao Lushen (Stir-fried Codonopsis Radix, 2 qian) Michei Baizhu (Rice-stir-fried Atractylodis Macrocephalae Rhizoma, 1.5 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen)
Zhi Yuanzhi (Honey-fried Polygalae Radix, 1 qian) Zi Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian) Chongweizi (Leonuri Fructus, 3 qian) Chuan Beimu (Fritillariae Cirrhosae Bulbus, 2 qian) Tian Guangxing (Sweet Pruni Semen, 3 qian) Bei Shumi (Glutinous Millet, wrapped, 3 qian)
Dahuang Zhechong Wan (Major Rhubarb and Ground Beetle Pill, 1 qian, swallowed daily until menstruation resumes)
Follow-up: Evening chills and fever have lightened, but cough persists. Amenorrhea and poor appetite remain. Tongue is bare without coating. Pulse: left wiry, right choppy. This indicates dryness of the Blood Chamber, Wood-Fire attacking Metal (Liver fire invading Lung), and Spleen-Stomach lacking transformation authority. Must regulate emotions to assist medicinal power. Now plan to strengthen Earth to generate Metal, nourish Blood and unblock menstruation. However, results will not be immediate.
Ge Fen E'jiao (Donkey-hide Gelatin stir-fried with Arsenic Powder, 2 qian) Fushen (Poria with Hostwood, 3 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian) Chuan Beimu (Fritillariae Cirrhosae Bulbus, 2 qian) Tian Guangxing (Sweet Pruni Semen, 3 qian) Zi Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian)
Chongweizi (Leonuri Fructus, 3 qian) Quan Danggui (Complete Angelicae Sinensis Radix, 3 qian) Huai Niuxi (Dioscoreae Hypoglaucae Rhizoma, 2 qian) Guang Airon (Artemisiae Argyi Folium, 6 fen) Xizang Honghua (Carthami Flos, 8 fen) Bei Shumi (Glutinous Millet, wrapped, 3 qian)
Dahuang Zhechong Wan (Swallowed, 1 qian)
Cai Zuo, cough caused by dryness pathogen in mid-autumn, unresolved into winter. Added sore throat, dryness, tonsillar swelling hindering swallowing, internal heat, poor appetite. Pulse soggy and rapid, fortunately not surging and large. Tongue red with yellow coating. Constitutionally Yin deficient. Dryness transformed into fire, attacking Lung Metal above, consuming Kidney Water below. Water fails to rise, floating fire blazes. Fear hemoptysis leading to consumption. Urgently prescribe clearing dryness and moistening Lung, descending floating fire.
Ge Fen E'jiao (Donkey-hide Gelatin stir-fried with Arsenic Powder, 1.5 qian) Tianhuafen (Trichosanthis Radix, 3 qian) Chuan Xiangbei (Fritillariae Thunbergii Bulbus, 1 qian each) Jing Xuanshen (Scrophulariae Radix, 1 qian) Fei Zhimu (Anemarrhenae Rhizoma, 1.5 qian)
Tian Guangxing (Sweet Pruni Semen, 3 qian) Shishuang (Persimmo Frost, 8 fen) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 8 fen) Dong Sangye (Mori Folium, 3 qian) Dongguazi (Benincasae Semen, 3 qian) Pipaye Lu (Loquat Leaf Infusion, added later, 4 liang)
Huo Lugen (Fresh Phragmitis Rhizoma, nodes removed, 1 liang)
Fang Zuo, recurrent hemoptysis, chronic cough. Exertion causes Qi rebellion, sore throat, loss of voice, emaciation, tidal fever, dry mouth. Pulse wiry, large, and rapid. Wiry indicates consumption; rapid indicates disease progression. Yin fluids exhausted, Wood-Fire invades Lung. Lung lobes damaged, "broken metal does not ring" (metaphor for lung damage). Pulmonary tuberculosis is evident. Tentatively strengthen the source of Water (Kidney) to soften Liver Wood, clear and nourish Lung Qi, and tonify the source of transformation. This is merely doing one's best.
Nan Shaoshen (Adenophorae Radix) and Beisha Shen (Glehniae Radix) (3 qian each) Tian Maidong (Asparagi Radix) and Maidong (Ophiopogonis Radix) (2 qian each) Ge Fen E'jiao (Donkey-hide Gelatin stir-fried with Arsenic Powder, 2 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 5 fen) Fushen (Poria with Hostwood, 3 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian)
Chuan Beimu (Fritillariae Cirrhosae Bulbus, 2 qian) Gualou Pi (Trichosanthis Pericarpium, 2 qian) Tian Guangxing (Sweet Pruni Semen, 3 qian) Shu Nvzhen (Ligustri Lucidi Fructus, 2 qian) Dongchongxiacao (Cordyceps, 2 qian) Bei Shumi (Glutinous Millet, wrapped, 3 qian)
Fenghuangyi (Eggshell Membrane, 1.5 qian) Zhufu (Porcine Skin, scraped clean, 3 qian)
Hou Zuo, Lung deficiency causes cough and chills/fever; Spleen deficiency causes poor appetite and loose stools; Heart deficiency causes fine pulse and fatigue; Kidney deficiency causes seminal emission; Liver deficiency causes dizziness. All five deficiencies are present, making treatment difficult. Only suitable to strengthen Earth to generate Metal, benefit Kidney and nourish Liver. If diarrhea stops, food intake increases, chills/fever cease, and cough reduces, deficiency can be treated.
Chao Lushen (Stir-fried Codonopsis Radix, 3 qian) Yun Fuling (Poria, 3 qian) Chao Baizhu (Stir-fried Atractylodis Macrocephalae Rhizoma, 2 qian) Qingzhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 6 fen) Chenpi (Tangerine Peel, 1 qian) Chao Huaiyao (Stir-fried Dioscoreae Rhizoma, 3 qian)
Chuan Chuanbeimu (Stir-fried Fritillariae Cirrhosae Bulbus, 2 qian) Chao Yumiqiao (Stir-fried Papaveris Pericarpium, 2 qian) Muli (Ostreae Concha, 3 qian) Hua Longgu (Fossilized Mammoth Bones, 3 qian) Shuizhi Yuanzhi (Water-processed Polygalae Radix, 1 qian) Bei Shumi (Glutinous Millet, wrapped, 4 qian)
Fu Zuo, clear and profuse urination for a month. Pulse chi position weak and soft, cun and guan positions deficient and small. Qi deficiency, Kidney Yang also depleted. Middle Jiao lacks pillar-like support, Lower Jiao loses sealing and storing solidity. Tonify Middle Qi and nourish Kidney Water.
Lushen (Codonopsis Radix, 3 qian) Baiguishen (Angelicae Sinensis Radix Root End, 2 qian) Shu Nvzhen (Ligustri Lucidi Fructus, 3 qian) Zhi Huangqi (Honey-fried Astragali Radix, 3 qian) Da Baishao (Large Paeoniae Radix Alba, 2 qian) Guang Ju Bai (Citrus reticulata 'Chachi' peel, 1 qian)
Tian Dongzhu (Sweet Atractylodis Rhizoma, 2 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian) Zhi Shengma (Honey-fried Cimicifugae Rhizoma, 4 fen) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 5 fen) Tong Jili (Tribuli Fructus, 3 qian) Hongzao (Red Dates, 2 qian) Qiwei Duqi Wan (Qiwei Duqi Pill, wrapped decoction, 3 qian)
Lu Zuo, Yin deficiency causes internal heat; Yang deficiency causes external cold; Lung deficiency causes cough; Spleen deficiency causes emaciation. Pulse fine, wiry, and rapid. Wiry indicates consumption; rapid indicates disease progression. Consumption has entered deficiency stage, full recovery may be difficult. Prescribe Huangqi Jianzhong Tang to establish Middle Qi, following the classic principle "Warm those who are consumed, tonify those who are deficient."
Zhi Huangqi (Honey-fried Astragali Radix, 3 qian) Zhu Fushen (Vermilion-coated Poria with Hostwood, 3 qian) Tian Xingren (Sweet Pruni Semen, 3 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian) Chuan Guizhi (Cinnamomi Ramulus, 4 fen) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 5 fen)
Guang Ju Bai (Citrus reticulata 'Chachi' peel, 1 qian) Chao Baishao (Stir-fried Paeoniae Radix Alba, 3 qian) Hongzao (Red Dates, 2 pieces) Shengjiang (Fresh Ginger, 2 slices) Sheng Guya (Raw Hordei Fructus Germinatus, 3 qian) Yitang (Maltose, 4 qian)