（附∶毒症案）
史左 溲浊淋沥赤白，溺时管痛，湿胜于热则为白，热胜于湿则为赤。经云∶诸转反戾，水液混浊，皆属
于热。一则热迫血分，一则湿郁下焦，瘀精留滞中途，膀胱宣化失司，赤浊白浊所由来也。拟清肝火，渗湿
热，佐去瘀精。
龙胆草（一钱五分） 粉萆 （三钱） 细木通（八分） 黑山栀（一钱五分） 远志肉（一钱） 滑石（三钱）
生草梢（八分） 粉丹皮（一钱五分） 琥珀屑（冲，三分） 淡黄芩（一钱五分） 川雅连（三分） 通草（八分）
谢左 淋浊积年不愈，阴分已亏，而湿热未楚。肾与膀胱为表里，肾阴不足，不能潜伏元阳，致浮阳溢入
膀胱，蕴成湿热。拟育阴清化，缓图功效。
大生地（四钱） 云茯苓（三钱） 潼蒺藜（三钱） 山萸肉（一钱五分） 熟女贞（二钱） 粉丹皮（一钱五分）
黄柏炭（八分） 威灵仙（二钱） 福泽泻（一钱五分） 淮山药（三钱） 剪芡实（二钱） 猪脊髓（酒洗，二条）
朱左 阴虚毒火上攻，喉疳腐烂，头痛鼻塞，肢节酸楚，此为余毒湿热留恋经络所致。症势缠绵，非易速
痊。拟结毒紫金丹加减，育阴解毒，化湿通络。
玄武版（四钱） 甘中黄（八分） 连翘壳（三钱） 丝瓜络（二钱） 生石决明（八钱） 胡黄连（六分）
寒水石（三钱） 仙遗粮（四钱） 朱茯神（三钱） 忍冬藤（三钱） 飞滑石（三钱） 五宝丹（五分，分五次，开
水送下）
王左 脊背腰髀疼痛，牵及两胁，屡进益气去风、化湿通络之剂，未见效机，今拟土茯苓散合金蟾脱壳煎
加味。
土茯苓（五钱） 忍冬藤（四钱） 晚蚕沙（三钱） 西秦艽（二钱） 紫丹参（二钱） 五宝丹（开水送
下，二分） 独活（一钱） 土贝母（五钱） 连翘壳（三钱） 钻地风（一钱五分）
另∶干蟾皮半张，陈酒半斤，浸酒内一周时，将酒炖温服，服后睡一、二小时。
(Attachment: Case of Toxic Disease)
Shi, Left [Honorific] Experiences turbid urine with dribbling and incomplete emptying, containing both red and white components; pain in the urethra during urination. When dampness exceeds heat, the discharge is white; when heat exceeds dampness, it is red. The *Classic* states: "All cases of torsion, spasms, and convulsions, as well as turbid body fluids, belong to Heat." The mechanism here is twofold: on one hand, Heat forces its way into the Blood level; on the other hand, Dampness stagnates in the Lower Jiao, causing stasis of essence to remain midway. This leads to a dysfunction in the diffusion and transformation (Qi Hua) of the Bladder, resulting in red and white turbidity. The proposed treatment plan is to clear Liver Fire, leach out Damp-Heat, and assist in removing stasis of essence.
Longdan Cao (Gentianae Radix et Rhizoma, 1.5 qian) Fen Bixie (Dioscoreae Hypoglaucae Rhizoma, 3 qian) Xi Mutong (Akebiae Caulis, 0.8 qian) Hei Shanzhi (Gardeniae Fructus, 1.5 qian) Yuanzhi Rou (Polygalae Radix, 1 qian) Huashi (Talcum, 3 qian) Sheng Caoshao (Glycyrrhizae Radix et Rhizoma tip, 0.8 qian) Fen Danpi (Moutan Cortex, 1.5 qian) Hupo Xie (Electrodepositum Succini, taken with decoction, 0.3 qian) Dan Huangqin (Scutellariae Radix, 1.5 qian) Chuan Yalian (Coptidis Rhizoma, 0.3 qian) Tongcao (Tetrapanacis Medulla, 0.8 qian)
Xie, Left Suffers from Lin Turbidity for years without cure; Yin deficiency has set in, yet Damp-Heat remains unresolved. Kidney and Bladder are exterior-interior partners. Insufficiency of Kidney Yin fails to anchor Primordial Yang, causing floating Yang to overflow into the Bladder, where it condenses into Damp-Heat. The proposed treatment is to nourish Yin and clear/dissolve turbidity, aiming for gradual efficacy.
Da Shengdi (Rehmanniae Radix, 4 qian) Yun Fuling (Poria, 3 qian) Tong Jili (Tribuli Fructus, 3 qian) Shan Yurou (Corni Fructus, 1.5 qian) Shu Nvzhen (Ligustri Lucidi Fructus, 2 qian) Fen Danpi (Moutan Cortex, 1.5 qian) Huangbai Tan (Phellodendri Cortex carbonized, 0.8 qian) Weilingxian (Syneilesis Herba, 2 qian) Fu Zexie (Alismatis Rhizoma, 1.5 qian) Huai Shanyao (Dioscoreae Rhizoma, 3 qian) Jian Qianshi (Euryales Semen, 2 qian) Zhu Jingsui (Porcine Spinal Cord, washed with wine, 2 strips)
Zhu, Left Yin deficiency allows Toxic Fire to attack upward, causing Hou Gan (throat ulceration/necrosis) with rotting tissue, headache, nasal congestion, and soreness/heaviness in limbs and joints. This is caused by residual toxic Damp-Heat lingering in the meridians. The condition is lingering and not easily cured quickly. The proposed formula is modified Jiedu Zijindan, to nourish Yin, detoxify, resolve Dampness, and unblock collaterals.
Xuanwu Ban (Testudinis Carapax et Plastrum, 4 qian) Ganzhonghuang (Bombyx Batryticatus processed with honey, 0.8 qian) Lianqiao Qiao (Forsythiae Fructus, 3 qian) Sigualuo (Luffae Fructus Retinervus, 2 qian) Sheng Shijueming (Haliotidis Concha, 8 qian) Hu Huanglian (Coptidis Rhizoma alternative/Huanglian substitute, 0.6 qian) Hanshui Shi (Calcitum, 3 qian) Xian Yiliang (Smilacis Glabrae Rhizoma/Tufuling synonym contextually, 4 qian) Zhu Fushen (Poria with hostwood dyed red, 3 qian) Rendongteng (Lonicerae Japonicae Caulis, 3 qian) Fei Huashi (Talcum, 3 qian) Wubao Dan (Five-Treasure Pill, 0.5 fen, divided into five doses, taken with boiling water)
Wang, Left Experiences pain in the spine, back, waist, and thighs, radiating to both hypochondria. Repeated administration of formulas for tonifying Qi, dispelling Wind, resolving Dampness, and unblocking collaterals has shown no effect. Now, Tufuling San combined with Jinchan Tuoke Decoction with modifications is proposed.
Tufuling (Smilacis Glabrae Rhizoma, 5 qian) Rendongteng (Lonicerae Japonicae Caulis, 4 qian) Wancansha (Bombyx Batryticatus, 3 qian) Xi Qinjiao (Gentianae Macrophyllae Radix, 2 qian) Zi Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian) Wubao Dan (Five-Treasure Pill, taken with boiling water, 0.2 fen) Duhuo (Angelicae Pubescentis Radix, 1 qian) Tu Beimu (Fritillariae Thunbergii Bulbus, 5 qian) Lianqiao Qiao (Forsythiae Fructus, 3 qian) Zuandifeng (Sargentodoxae Caulis, 1.5 qian)
Separately: Half a piece of Gan Chan Pi (Bufo Skin), half jin of aged wine. Soak for one week. Warm the wine before drinking. Sleep for one to two hours after ingestion.