又 每下午戌亥。少阴厥阴龙相上越。络中之血。随气火上升。考五行之中。无形有声。莫如风
火。此皆情志之变动。必须阳潜阴固。方免反复也。
人参 河车胶 大熟地 五味 炒杞子 茯苓 炒牛膝
倘呛逆有声加青铅。喉痒痛。加阿胶秋石。火升用秋石汤煎药。加女贞子。便秘加咸苁蓉
柏子仁。血止几日。或涉思虑恼怒。复有胁痛减食不甘。乃少阳木火犯脾。当泄胆益土。用
四君加丹皮桑叶。
徐（二六）脉左垂右弦。阴精不足。胃纳亦少。初冬痰中见红。冬春寐有盗汗。难藏易泄。入夏当防病。
发。诸凡节劳安逸。经年可望安康。
熟地 阿胶 五味 萸肉 秋石 山药 茯神 川斛
旱莲草膏丸。
又 脉左细数。肉消肌烁气冲咳嗽呕吐失血是肝肾内损下元不主纳气厥阳上冒所致非
肺咳矣。当交夏气升血溢。姑以镇纳。望其血止。青铅六味加牛膝白芍。
又 脉两手已和。惟烦动恍惚欲晕。议静药益阴和阳。三才汤加金箔。
叶 讲诵烦心五志之阳皆燃。恰值芒种节阴未来复阳气升腾络中血不宁静随阳泄以外
溢。午后上窍烦热阴不恋阳之征致头中微痛。主以和阳镇逆。
生地 阿胶 牛膝炭 生白芍 茯神 青铅
杜（二七）脉小数。入尺泽。夏季时令发泄。失血形倦。治宜摄固下焦。
熟地 萸肉 山药 茯神 建莲 五味 芡实 线鱼胶
金樱膏丸。
苏（三九）脉左坚。冬令失血。能食而咳。脊痛腰酸。乃肾脏不固少纳。肾脉虚馁。五液不承。寐则口干
喉燥。宜固阴益气。固本丸加阿胶芡实莲肉丸。
潘（二二） 形色充伟。脉长关搏。述冬季 血痰血。交夏不病。盖夏月藏阴。冬月藏阳。阳不潜伏。升则
血溢降则遗精。乃禀阳体。而性情喜动之累耳。
生地 熟地 天冬 麦冬 龟腹甲心 秋石 龙骨 远志
梅（二九）性情过动失血。失血贵宁静。不宜疏动。疏动则有泛溢之虞。瘦人阳有余。阴不足。补阴潜
阳法。（补阴丸）
某（五十）脉数咳血。曾咯腥痰若作肺痈。体质木火。因烦劳阳升逼肺。肺热不能生水。阴愈亏而阳
愈炽。故血由阳而出也。当金水同治为主。
熟地（四两） 生地（二两） 天冬（二两） 麦冬（二两） 茯神（二两） 龟版（三两）
海参胶（二两） 淡菜胶（二两） 川斛膏（四两） 女贞（一两半） 北沙参（二两） 旱莲草（一两半）
胶膏丸。
邹（二四）向有失血。是真阴不旺。夏至阴生。伏天阳越于表。阴伏于里。理宜然矣。无如心神易动。暗
吸肾阴。络脉聚血。阳触乃溢。阴伏不固。随阳奔腾。自述下有冲突逆气。血涌如泉。盖任脉为
担任之职。失其担任。冲阳上冲莫制。皆肾精肝血不主内守。阳翔为血溢。阳坠为阴遗。腰痛
足胫畏冷。何一非精夺下损现症。经言精不足者补之以味。药味宜取质静填补。重者归下。
莫见血以投凉。勿因嗽以理肺。若此治法。元海得以立基。冲阳不来犯上。然损非旬日可复。
须寒暑更迁。凝然不动。自日逐安适。调摄未暇缕悉也。
人参（三钱） 熟地（炒松成炭四钱冷水洗一次） 鲜河车膏（一钱和服） 茯苓（一钱半） 炒黑枸杞子（一钱
半） 北五味（一钱研） 沙苑（一钱半） 紫石英（五钱生研）
血脱益气。用人参熟地两仪煎方。谓人参同阴药则补阴。茯苓入阳明。能引阴药入于至
阴之乡。河车血肉温养。同石英收镇冲脉。兼以包固大气之散越。五味酸收。领其气液。
枸杞温润。同沙苑之松灵入肝络。参方中之药。应乎取味。况肝肾之病。同一治也。
刘（二十）脉左数入尺。是真阴下亏。先有血症。毕姻后。血复来下午火升呛咳。阴中阳浮保扶胃口
以填阴。
阿胶 淡菜 生扁豆 麦冬 炙草 茯神
娄（二八）思虑太过。心阳扰动。吸伤肾阴。时时茎举。此失血皆矫阳独升。夜不得寐。归家谈笑怡情可安。
人中白 龟腹甲 知母 黄柏
钱 交夏阳气大升。阴根失涵。火升血溢。必在晡刻。冲年大忌。身心少持。必使阳和阴守为要。
生地 阿胶 淡菜 牛膝炭 茯神 川斛
某 口气腥臊。血色混浊。下元无根。恐难接续还元。事已至急。与王先生 同议摄阴阳法。
人参 川熟附 熟地 五味 炙草 青铅
某 脉动极无序。血涌如泉。汗出畏冷。少焉热躁。此无根之阳上冒。血凝成块。非凉药可止。
熟地炭 生龙骨 茯神 五味 浔桂 生白芍 盐水炒牛膝
又 人参 生龙骨 熟地炭 茯神 炒杞子 五味
华（二五）阳动失血。皆系阴亏。如心悸咽干咳嗽。都是阳浮上亢。必久进填实脏阴。斯浮越自和。面
亮油光。皆下虚少纳。都气加龟版人乳粉。蜜丸。
徐 阴根愈薄。阳越失交。初夏发泄。血涌吸短。心腹皆热。岂止涩之药可疗。益气摄阴。乃据理治法。
人参 熟地 五味子
罗 上年胁痹。已属络伤。今夏四月。阳气升发。络中血沸上溢。阴分热蒸。下午乃甚。喉痒而呛。
心中嘈杂。肝风内震显然。（阴虚肝风动）
鲜生地 阿胶 丹参 盐水炒牛膝 女贞子 川斛 童便
龚 咳嗽继以失血。经言三焦皆伤。喉痛失音。乃阴液无以上承。厥阳燔燎不已。病深难于奏
功。凭理而论。镇胃制肝。乃和阳熄风之义。
淮小麦 南枣 阿胶 茯苓 北沙参 天冬
陆 脉数。血后咳甚。痰腥。肢肿。阳升内风鼓动。最属难治。
生地 阿胶 天冬 麦冬 生白芍 茯神
沈 味进辛辣。助热之用。致肺伤嗽甚。其血震动不息。阳少潜伏。而夜分为甚。清气热而不妨
胃口。甘寒是投。与内经辛苦急。急食甘以缓之恰符。
生甘草 玉竹 麦冬 川贝 沙参 桑叶
又 肝阳易逆。内风欲沸。不得着左卧。恶辛气。喜甘润。治肝体用。润剂和阳。
生地 阿胶 天冬 茯神 牡蛎 小麦
罗（十九）血去络伤。阳气上蒸。胸胁微痛。非有形滞浊。脉得左关前动跃如浮。头中微晕。阳气化风何疑。
鲜生地 玄参心 麦冬 地骨皮 知母 川斛
又 左脉形略敛仍坚。微晕。喉燥脘痛。热蒸。阳明津衰。厥阴阳风自动。而胃气欲逆。大便不爽。
是其明征。熄风和阳。必用柔缓。少佐宣畅脘气。亦暂进之法。
鲜生地 麦冬 火麻仁 桑叶 郁金 生香附汁
又 复脉去参姜桂加白芍。
某 血后气冲。形寒。法当温纳。（血后冲气上逆）
茯苓（三钱） 粗桂枝（八分） 炙草（五分） 五味（七分）
何 早晨未进饮食。咳逆自下焦上冲。有欲呕之象。虚里左胁。呼吸牵引震动。背部四肢寒冷。
入暮心腹热灼。而舌上干辣。夫阳虚生外寒。阴虚生内热。阳属腑气。主乎外卫。阴属脏真。主
乎内营。由络血大去。新血未充。谷味精华。不得四布。知味容纳。而健运未能自然。胁右少舒。
全系胃络。下焦阴精损伤。中焦胃阳不振。夏至初。阴不主来复。交节络血再动。总是既损难
以骤复之征。大意下焦阴阳。宜潜宜固。中焦营卫。宜守宜行。用药大旨如此。至于潜心涤虑。
勿扰情志。再于子午参以静功。俾水火交。阴阳偶。是药饵已外工夫。皆培植生气之助。（阴阳血虚）
养营汤去黄 远志。
又 自服养营汤。温补足三阴脏法。半月来诸症皆减。惟午余心腹中热未罢。凡精血久损。
理必质重味浓填纳空隙。只因中焦运纳不旺。况长夏时令。热最耗气。议早进通阳守阴。晚
用益中消暑。冀其生旺。非攻病也。
午服生脉散。
（早服） 人参 熟地 杞子 当归 苁蓉 肉桂 茯神 五味
某（妪）操持怫郁。五志中阳动极。失血呛咳有年。皆缘性情内起之病。草木难以奏安。今形色与
脉。日现衰惫。系乎生气克削。虑春半以后。地气升。阳气泄。久病伤损。里真少聚。冬春天冷主
藏。总以摄补足三阴脏。扶持带病延年。就是人工克尽矣。
人参 炒白芍 熟地炭 五味 炙草 建莲
马（四五）阅病原是肾虚嗽血。年分已久。肾病延传脾胃。遂食减腹膨。病是老劳。难以速功。行走喘
促。元海无纳气之权。莫以清寒理嗽。急急收纳根蒂。久进可得其益。（阴阳并虚肾气上逆）
人参 人乳粉 坎 枸杞 沙苑 五味 茯苓 胡桃
宋 脏脉附背。督脉行身之背。足少阴真气不摄。唾中有血。吸气少入。而腰脊酸楚。寐泄魄汗。
皆真气内损。若加嗔怒。再动肝阳。木火劫烁脂液。春木日旺。调之非易。
水制熟地 蜜炙五味 女贞 茯神 川斛 炒山药 芡实 湖莲
袁（三六）下虚。当春升之令。形 无力。嗽血复来。以甘温浓味。养其阴中之阳。（阴中阳虚）
枸杞 沙苑 归身炭 牛膝 巴戟 精羊肉
钱 一阳初萌。血症即发。下焦真气久已失固。亡血后。饮食渐减。咳嗽则脘中引痛。 冲气上
逆。乃下损及中。最难痊愈。拟进摄纳方法。（下损及中）
人参 熟地 五味 茯神 川斛 紫衣胡桃
调入鲜河车胶。
王（十七）少年阴火直升直降。上则失血咳逆。下坠肛疡延漏。皆虚劳见端。食减至半。胃关最要。非
可见热投凉。以血嗽泥治。
熟地炭 建莲 霍石斛 茯神 炒山药 芡实
某（三二）诊脉数涩。咳血气逆。晨起必嗽。得食渐缓。的是阴损及阳。而非六气客邪。可通可泄。法当
养胃之阴。必得多纳谷食。乃治此损之要着。
生扁豆（五钱） 北沙参（一钱半） 麦冬（一钱半） 川斛（三钱） 生甘草（三分） 茯神（三钱）
南枣肉（一钱半） 糯稻根须（五钱）
郑（二八）虚损四五年。肛漏未愈。其咳嗽失血。正如经旨阴精不主上奉。阳气独自升降。奈何见血
投凉。治嗽理肺。病加反复。胃困减食。夫精生于谷。中土运纳。则二气常存。久病以寝食为要。不必汲汲论病。
生黄 黄精 诃子肉 白芨 苡仁 南枣
淡水熬膏。不用蜜收。略饥用五钱参汤送。
某（五五）向衰之年。夏四月时令。阳气发泄。遇烦劳身中气泄。络血外溢。脏液少涵。遂痰嗽不已。俗
医见嗽。愈投清肺滋阴。必不效验。此非少年情欲阴火之比。必当屏烦戒劳。早进都气。晚进
归脾。平补脏真。再用嗽药。必然胃减。（脾肾兼虚）
姜（十九）自上年冬失血。渐形减气弱。精血内损。不肯再复。延成劳怯。填养精血。务在有情。庶几不
夺胃气。（肾胃兼虚）
人参 鲜河车胶 水制熟地 五味 茯神 山药 芡实 黑壳建莲
顾（二六）失血。血形浓浓。必自下先伤。胃减无力。气分亦损。此阴药中。必兼扶胃。非沉滞清寒所宜。
人参 熟地 建莲 芡实 山药 茯苓
邵（六八）脉坚。形瘦久咳。失血有年。食物厌恶。夜寝不适。固以培本为要。所服七味八味汤丸。乃肝
肾从阴引阳法。服之不效。此液亏不受桂附之刚。当温养摄纳其下。兼与益胃津以供肺。
（晨服） 熟地 苁蓉 杞子 五味 胡桃肉 牛膝 柏子仁 茯苓 蜜丸。
（晚服） 人参 麦冬 五味 炙草 茯苓 鲜莲子 山药
胡（四三）冬季失藏。吐血。四月纯阳升泄。病不致发。已属万幸。其痰嗽未宜穷治。用药大旨。迎夏
至一阴来复。兼以扶培胃气为要。
人参 熟地 麦冬 五味 茯苓 山药
王（十八）冲年形瘦。腹胀食减便溏。自上秋失血以来。日加孱弱。脉左坚右涩。虽阴虚起见。而中焦
为急。此非小恙。（劳伤中气虚）
人参 茯苓 炙草 白芍 广皮 浓朴
席 半月前恰春分。阳气正升。因情志之动。厥阳上燔致咳。震动络中。遂令失血。虽得血止。诊
右脉长大透寸部。食物不欲纳。寐中呻吟呓语。由至阴损及阳明。精气神不相交合矣。议敛摄神气法。
人参 茯神 五味 枣仁 炙草 龙骨 金箔
又 服一剂。自觉直入少腹。腹中微痛。超时自安。此方敛手少阴之散失。以和四脏。不为重
坠。至于直下者。阳明胃虚也。脉缓大长。肌肤甲错。气衰血亏如绘。姑建其中。参 建中汤去姜。
又 照前方去糖加茯神。
又 诊脾胃脉。独大为病。饮食少进。不喜饮水。痰多嗽频。皆土衰不生金气。金匮谓男子脉大
为劳。极虚者亦为劳。夫脉大为气分泄越。思虑郁结。心脾营损于上中。而阳分萎顿。极虚亦
为劳。为精血下夺。肝肾阴不自立。若脉细欲寐。皆少阴见症。今寝食不安。上中为急。况厥阴
风木主令。春三月。木火司权。脾胃受戕。一定至理。建中理阳之余。继进四君子汤。大固气分。多多益善。
徐（四八）因积劳。久嗽见血。是在内损伤。先圣曰劳者温之。损者益之。温非热药。乃温养之称。甘补
药者。气温煦。味甘甜也。今医见血投凉。见嗽治肺最多。予见此治法。胃口立即败坏者不少。
归脾去木香黄 加杞子。
杜（二八）积劳思虑。内损失血。久病秋季再发。乃夏暑气泄。劳则气愈泄不收。络空动沸。此与阴虚
有别。色脉胃减。凉降非法。人参建中汤。
Furthermore: Every afternoon during the Xu and Hai hours (19:00–23:00), the Dragon Fire of Shaoyin (Heart and Kidney) and Jueyin (Liver and Pericardium) flares upward. Blood in the collaterals rises with Qi and Fire. Examining the Five Elements, nothing is more formless yet audible than Wind and Fire. These are all caused by emotional fluctuations. It is necessary to submerge Yang and consolidate Yin to prevent recurrence.
Ren Shen (Ginseng Radix), He Che Jiao (Placenta Hominis Gelatin), Da Shu Di (Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Fructus), Chao Qi Zi (Lycii Fructus Stir-fried), Fu Ling (Poria), Chao Niu Xi (Achyranthis Bidentatae Radix Stir-fried).
If there is choking cough with sound, add Qing Qian (Lead); if the throat itches and hurts, add E Jiao (Asini Corii Colla) and Qiu Shi (Nitrificatum); if Fire rises, decoct the medicine with Qiu Shi Tang, add Nu Zhen Zi (Ligustri Lucidi Fructus); if constipated, add Rou Cong Rong (Cistanches Herba) and Bai Zi Ren (Biota Seed).
After bleeding stops for a few days, if one engages in overthinking or anger, and again experiences hypochondriac pain, reduced appetite, and lack of taste, this is Shaoyang Wood-Fire invading the Spleen. One should drain the Gallbladder and benefit the Earth, using Si Jun Zi Tang (Four Gentlemen Decoction) plus Mu Dan Pi (Moutan Cortex) and Sang Ye (Mulberry Leaf).
Xu (26): The pulse is sinking on the left and wiry on the right. Essence and Yin are insufficient, and gastric reception is also poor. In early winter, blood appeared in sputum; in winter and spring, night sweats occurred during sleep. Essence is hard to store and easy to leak. When entering summer, one must prevent disease from erupting. Generally, conserving effort and resting can lead to health after a year.
Shu Di (Rehmanniae Radix Preparata), E Jiao (Asini Corii Colla), Wu Wei Zi (Schisandrae Fructus), Yu Rou (Corni Fructus), Qiu Shi (Nitrificatum), Shan Yao (Dioscoreae Rhizoma), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis).
Han Lian Cao Gao Wan (Eclipta Paste Pill).
Furthermore: The pulse is fine and rapid on the left. Muscle wasting, emaciation, Qi rushing, cough, vomiting, and hematemesis/hemoptysis are caused by internal damage to Liver and Kidney, failure of the Lower Yuan to grasp Qi, and floating of Jueyang upward. This is not a Lung cough. When summer arrives and Qi ascends, blood will overflow. Temporarily use sedation and grasping methods to hope for cessation of bleeding. Qing Qian (Lead) Liu Wei Wan (Six Ingredient Pill with Rehmannia) plus Niu Xi (Achyranthis Bidentatae Radix) and Bai Shao (Paeoniae Radix Alba).
Furthermore: Both hands' pulses have harmonized, but there is only restlessness, confusion, and dizziness. Propose using tranquilizing herbs to nourish Yin and harmonize Yang. San Cai Tang (Three Capabilities Decoction) plus Jin Bo (Gold Foil).
Ye: Lecturing tires the Heart, igniting the Yang of the Five Emotions. Coinciding with the Mangzhong solar term, Yin has not yet arrived, while Yang Qi ascends vigorously. Blood in the collaterals becomes restless and leaks outward following Yang. Afternoon heat in the upper orifices indicates Yin failing to retain Yang, causing slight headache. The main treatment is to harmonize Yang and sedate rebellion.
Sheng Di Huang (Rehmanniae Radix), E Jiao (Asini Corii Colla), Niu Xi Tan (Charred Achyranthis Bidentatae Radix), Sheng Bai Shao (Raw Paeoniae Radix Alba), Fu Shen (Poria with Hostwood), Qing Qian (Lead).
Du (27): Pulse is small and rapid, choppy at the Chi position. During the summer season of dispersal, bleeding occurred, leaving the body fatigued. Treatment should focus on securing the Lower Jiao.
Shu Di (Rehmanniae Radix Preparata), Yu Rou (Corni Fructus), Shan Yao (Dioscoreae Rhizoma), Fu Shen (Poria with Hostwood), Jian Lian (Nelumbinis Semen), Wu Wei Zi (Schisandrae Fructus), Qian Shi (Euryales Semen), Xian Yu Jiao (Fish Bladder Gelatin).
Jin Ying Gao Wan (Cherokee Rose Fruit Paste Pill).
Su (39): Pulse is firm on the left. Bleeding occurred in winter. Appetite is good but cough persists, with back pain and sore waist. This is Kidney insecurity and reduced reception, with deficient Kidney pulse and failure of the Five Fluids to sustain. Dry mouth and throat occur during sleep. Secure Yin and benefit Qi. Gu Ben Wan (Root-Securing Pill) plus E Jiao (Asini Corii Colla), Qian Shi (Euryales Semen), and Lian Rou (Lotus Seed Flesh).
Pan (22): Complexion is robust and vigorous. Pulse is long and pounding at the Guan position. Reports blood-stained sputum and bleeding disorders in winter, but no illness when summer arrives. Summer stores Yin, Winter stores Yang. Yang fails to submerge; ascending causes blood overflow, descending causes spermatorrhea. This is a constitution with excess Yang, burdened by an active disposition.
Sheng Di Huang (Rehmanniae Radix), Shu Di (Rehmanniae Radix Preparata), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Gui Fu Jia Xin (Tartaritestudinis Carapax et Plastrum Heart), Qiu Shi (Nitrificatum), Long Gu (Fossilized Mammoth Bone), Yuan Zhi (Polygalae Radix).
Mei (29): Active temperament caused bleeding. Bleeding patients require tranquility; dispersing and moving is contraindicated as it risks overflow. Thin individuals have excess Yang and insufficient Yin. Use the method of nourishing Yin and submerging Yang. (Bu Yin Wan - Nourishing Yin Pill).
Someone (50): Rapid pulse, hemoptysis. Previously expectorated foul-smelling sputum, resembling Lung Abscess. Constitution is Wood-Fire. Due to mental fatigue, Yang rises and presses on the Lung. Lung Heat fails to generate Water; Yin becomes more deficient while Yang becomes more blazing, so blood exits via Yang. Treat Metal and Water simultaneously as the primary approach.
Shu Di (4 liang), Sheng Di Huang (2 liang), Tian Dong (2 liang), Mai Dong (2 liang), Fu Shen (2 liang), Gui Ban (3 liang); Hai Shen Jiao (Sea Cucumber Gelatin, 2 liang), Dan Cai Jiao (Edible Mussel Gelatin, 2 liang), Chuan Hu Gao (Dendrobii Caulis Paste, 4 liang), Nu Zhen Zi (1.5 liang), Bei Sha Shen (Glehniae Radix, 2 liang), Han Lian Cao (Ecliptae Herba, 1.5 liang). Make into gelatinous pills.
Zou (24): Previously suffered from bleeding, indicating weak True Yin. At Summer Solstice, Yin generates; during Dog Days, Yang floats to the exterior and Yin hides in the interior, which is logical. However, the Spirit moves easily, secretly consuming Kidney Yin. Blood gathers in collaterals; when touched by Yang, it overflows. Yin hiding is unstable, surging with Yang. Self-reported conflicting rebellious Qi below, blood gushing like a spring. The Ren Mai (Conception Vessel) has the duty of bearing; losing this function allows Chongyang to rush upward uncontrollably. All stem from Kidney Essence and Liver Blood failing to guard internally. Yang soaring causes blood overflow; Yang sinking causes Yin leakage (spermatorrhea). Lower back pain and cold fear in calves/shins—none are not signs of Essence depletion and Lower Damage. The Classic states: "For deficiency of Essence, tonify with flavor." Medicinal flavors should be heavy, quiet, and filling, settling downward. Do not see blood and immediately use cooling herbs; do not see cough and immediately treat the Lung. With this method, the Source Sea establishes its foundation, and Chongyang does not attack upward. However, damage cannot be restored in ten days; it requires passing through seasons, remaining still, and naturally becoming comfortable daily. Detailed regulation instructions are omitted.
Ren Shen (3 qian), Shu Di (Stir-fried until loose and charred, 4 qian, rinsed once with cold water), Xian He Che Gao (Fresh Placenta Hominis Gelatin, 1 qian, taken mixed), Fu Ling (1.5 qian), Chao Hei Gou Qi Zi (Black Stir-fried Lycii Fructus, 1.5 qian), Bei Wu Wei (1 qian, ground), Sha Yuan (1.5 qian), Zi Shi Ying (5 qian, raw and ground).
For blood loss benefiting Qi, use Liang Yi Jian Fang (Two Principles Decoction) of Ren Shen and Shu Di. Ren Shen combined with Yin herbs benefits Yin. Fu Ling enters the Yangming channel, guiding Yin herbs to the deepest Yin realm. He Che (Placenta) is a flesh-and-blood tonic providing warmth and nourishment, combined with Shi Ying to settle the Chong Mai and secure the scattering of Great Qi. Wu Wei Zi is sour and astringent, leading Qi and fluids. Gou Qi Zi is warm and moistening, entering the Liver collaterals with Sha Yuan's lightness. The herbs in this formula correspond to taking flavor. Moreover, diseases of Liver and Kidney share the same treatment.
Liu (20): Pulse is rapid on the left, reaching the Chi position, indicating lower deficiency of True Yin. Previously had bleeding disorders. After marriage, bleeding returned, with afternoon Fire rising causing choking cough. Yang floats within Yin. Support the Stomach capacity to fill Yin.
E Jiao (Asini Corii Colla), Dan Cai (Edible Mussel), Sheng Bian Dou (Raw Vigna Angularis Seed), Mai Dong (Ophiopogonis Radix), Zhi Cao (Honey-fried Glycyrrhizae Radix), Fu Shen (Poria with Hostwood).
Lou (28): Excessive thinking disturbs Heart Yang, consuming Kidney Yin, causing frequent penile erection. This bleeding is due to rebellious Yang rising alone, preventing sleep at night. Returning home, chatting and relaxing emotions can bring peace.
Ren Zhong Bai (Human Urine Sediment), Gui Fu Jia (Tartaritestudinis Carapax et Plastrum), Zhi Mu (Anemarrhenae Rhizoma), Huang Bo (Phellodendri Cortex).
Qian: Entering summer, Yang Qi rises greatly, the root of Yin loses nourishment, Fire rises causing blood overflow, necessarily occurring in the late afternoon. Youth is highly contraindicated; physical and mental restraint is essential. Ensuring Yang harmonizes and Yin guards is key.
Sheng Di Huang (Rehmanniae Radix), E Jiao (Asini Corii Colla), Dan Cai (Edible Mussel), Niu Xi Tan (Charred Achyranthis Bidentatae Radix), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis).
Someone: Breath smells fishy and pungent, blood color is turbid, Lower Yuan lacks root. Fear it is difficult to continue recovery. The matter is urgent. Discussed with Mr. Wang the method of grasping Yin and Yang.
Ren Shen (Ginseng Radix), Chuan Shu Fu (Prepared Aconiti Lateralis Radix), Shu Di (Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Fructus), Zhi Cao (Honey-fried Glycyrrhizae Radix), Qing Qian (Lead).
Someone: Pulse movement is extremely disordered, blood gushes like a spring, sweating with fear of cold, followed quickly by heat and irritability. This is Rootless Yang rushing upward, blood coagulating into clots, not stoppable by cooling herbs.
Shu Di Tan (Charred Rehmanniae Radix Preparata), Sheng Long Gu (Raw Fossilized Mammoth Bone), Fu Shen (Poria with Hostwood), Wu Wei Zi (Schisandrae Fructus), Xun Gui (Cinnamomi Ramulus), Sheng Bai Shao (Raw Paeoniae Radix Alba), Salt-water stir-fried Niu Xi (Achyranthis Bidentatae Radix).
Furthermore: Ren Shen (Ginseng Radix), Sheng Long Gu (Raw Fossilized Mammoth Bone), Shu Di Tan (Charred Rehmanniae Radix Preparata), Fu Shen (Poria with Hostwood), Chao Qi Zi (Stir-fried Lycii Fructus), Wu Wei Zi (Schisandrae Fructus).
Hua (25): Yang agitation causing bleeding is always due to Yin deficiency. Palpitations, dry throat, and cough are all Yang floating and hyperactive upward. Must continuously administer herbs to fill solid organ Yin, so floating subsides naturally. Shiny oily face indicates lower deficiency and poor reception. Du Qi Wan (Eight-Ingredient Pill) plus Gui Ban (Tartaritestudinis Carapax et Plastrum) and Ren Ru Fen (Human Milk Powder), honey pills.
Xu: Yin root becomes thinner, Yang escapes losing intersection. Early summer dispersal, blood surges, shortness of breath, heat in heart and abdomen. How can astringent herbs alone cure this? Benefiting Qi and grasping Yin is the rational treatment method.
Ren Shen (Ginseng Radix), Shu Di (Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Fructus).
Luo: Last year's hypochondriac bi was already collateral damage. This April, Yang Qi develops, blood in collaterals boils and overflows, Yin division steams with heat, worsening in the afternoon. Throat itches and chokes, stomach feels uncomfortable, Liver Wind shakes internally clearly. (Yin Deficiency causing Liver Wind Movement).
Xian Sheng Di Huang (Raw Rehmanniae Radix), E Jiao (Asini Corii Colla), Dan Shen (Salviae Miltiorrhizae Radix), Salt-water stir-fried Niu Xi (Achyranthis Bidentatae Radix), Nu Zhen Zi (Ligustri Lucidi Fructus), Chuan Hu (Dendrobii Caulis), Tong Bian (Child's Urine).
Gong: Cough followed by bleeding. The Classic says all three Jiaos are damaged. Sore throat and loss of voice indicate Yin fluids failing to ascend, Jueyang burning endlessly. Disease is deep, difficult to achieve results. Based on principle, sedate Stomach and control Liver, meaning harmonize Yang and extinguish Wind.
Huai Xiao Mai (Tritici Vulgaris Fructus), Nan Zao (Jujubae Fructus), E Jiao (Asini Corii Colla), Fu Ling (Poria), Bei Sha Shen (Glehniae Radix), Tian Dong (Asparagi Radix).
Lu: Rapid pulse, severe cough after bleeding, fishy sputum, limb swelling, Yang rising stirring internal Wind, most difficult to treat.
Sheng Di Huang (Rehmanniae Radix), E Jiao (Asini Corii Colla), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Sheng Bai Shao (Raw Paeoniae Radix Alba), Fu Shen (Poria with Hostwood).
Shen: Consumed spicy food, aiding Heat, damaging Lung causing severe cough. Blood trembles incessantly, Yang lacks submersion, worse at night. Clear Heat without harming Stomach capacity, sweet-cold is appropriate, matching the Inner Classic: "In bitter-hot urgency, urgently eat sweet to relieve tension."
Sheng Gan Cao (Raw Glycyrrhizae Radix), Yu Zhu (Polygonati Odorati Rhizoma), Mai Dong (Ophiopogonis Radix), Chuan Bei (Fritillariae Cirrhosae Bulbus), Sha Shen (Glehniae Radix), Sang Ye (Mulberry Leaf).
Furthermore: Liver Yang easily rebels, Internal Wind wants to boil, cannot lie on the left side, dislikes pungent odor, prefers sweet-moist. Treat Liver Body and Function, moisten and harmonize Yang.
Sheng Di Huang (Rehmanniae Radix), E Jiao (Asini Corii Colla), Tian Dong (Asparagi Radix), Fu Shen (Poria with Hostwood), Mu Li (Ostreae Concha), Xiao Mai (Tritici Vulgaris Fructus).
Luo (19): Blood loss damages collaterals, Yang Qi steams upward, slight chest/hypochondriac pain, not有形 stagnation. Pulse at left Guan front jumps like floating, slight head dizziness, Yang transforming into Wind, who doubts it?
Xian Sheng Di Huang (Raw Rehmanniae Radix), Xuan Shen Xin (Scrophulariae Radix Heart), Mai Dong (Ophiopogonis Radix), Di Gu Pi (Lycii Cortex), Zhi Mu (Anemarrhenae Rhizoma), Chuan Hu (Dendrobii Caulis).
Furthermore: Left pulse shape slightly收敛 but still firm, slight dizziness, dry throat, epigastric pain, heat steaming, Yangming fluid decline, Jueyin Yang Wind auto-moving, Stomach Qi wanting to rebel, bowel movement unsatisfactory, clear evidence. Extinguish Wind and harmonize Yang, must use soft and slow methods, slightly assist unblocking epigastric Qi, also a temporary method.
Xian Sheng Di Huang (Raw Rehmanniae Radix), Mai Dong (Ophiopogonis Radix), Huo Ma Ren (Cannabis Seed), Sang Ye (Mulberry Leaf), Yu Jin (Curcumae Radix), Sheng Xiang Fu Zhi (Raw Cyperi Rhizoma Juice).
Furthermore: Fu Mai Tang (Restore Pulse Decoction) remove Ren Shen, Sheng Jiang, Gui Zhi, add Bai Shao.
Someone: Post-bleeding Qi rushes, body feels cold, method should be warming and grasping. (Post-bleeding Chong Qi Rebellion).
Fu Ling (3 qian), Cu Gui Zhi (Coarse Cinnamomi Ramulus, 8 fen), Zhi Cao (Honey-fried Glycyrrhizae Radix, 5 fen), Wu Wei Zi (1.7 qian).
He: Morning without food, cough/rebellion rises from Lower Jiao, feeling of vomiting. Xu Li (Vital Gate) left hypochondrium, breathing pulls and vibrates, back and limbs cold. Evening heart/abdomen hot burning, tongue dry and spicy. Yang deficiency generates external cold, Yin deficiency generates internal heat. Yang belongs to Fu Qi, governing external defense; Yin belongs to Zang Zhen, governing internal nutrition. Due to massive loss of collateral blood, new blood not filled, essence of grain cannot distribute four ways, knowing taste and receiving, but transportation cannot naturally occur. Right hypochondrium slightly relieved, entirely Stomach collaterals. Lower Jiao Yin essence damaged, Middle Jiao Stomach Yang not invigorated. Early Summer Solstice, Yin does not govern return, junction nodes collateral blood moves again, always signs that damage is hard to suddenly restore. General idea: Lower Jiao Yin/Yang, should submerge and secure; Middle Jiao Ying/Wei, should guard and move. Medication principles thus. As for purifying mind, not disturbing emotions, adding static meditation at Zi/Wu hours, letting Water/Fire intersect, Yin/Yang pair, these are efforts beyond medicine, all assisting cultivation of Sheng Qi. (Yin/Yang Blood Deficiency).
Yang Ying Tang (Nourishing Ying Decoction) remove Huang Qi, Yuan Zhi.
Furthermore: Since taking Yang Ying Tang, warming and supplementing Three Yin organs method. Half month later all symptoms reduced, only midday heart/abdomen heat remains. For long-damaged essence/blood, logic dictates heavy texture and rich flavor to fill gaps, only because Middle Jiao transportation is weak, moreover Long Summer season, heat consumes Qi most. Propose morning enter Tong Yang Shou Yin, evening use Yi Zhong Xiao Shu, hoping for growth, not attacking disease.
Midday take Sheng Mai San (Generate Pulse Powder).
(Morning take) Ren Shen (Ginseng Radix), Shu Di (Rehmanniae Radix Preparata), Qi Zi (Lycii Fructus), Dang Gui (Angelicae Sinensis Radix), Cong Rong (Cistanches Herba), Rou Gui (Cinnamomi Cortex), Fu Shen (Poria with Hostwood), Wu Wei Zi (Schisandrae Fructus).
Someone (Old Woman): Managing affairs with depression, Yang in Five Emotions moves extremely, bleeding/cough for years, all due to internal nature disease, herbal plants hard to achieve peace. Now complexion and pulse show daily decay, related to Sheng Qi being clipped. Worry after mid-spring, Earth Qi rises, Yang Qi leaks, long disease damages, inner Truth rarely gathers. Winter/Spring cold governs storage, total to secure/supplement Three Yin organs, support carrying disease prolonging life, is human effort fully exhausted.
Ren Shen (Ginseng Radix), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Shu Di Tan (Charred Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Fructus), Zhi Cao (Honey-fried Glycyrrhizae Radix), Jian Lian (Nelumbinis Semen).
Ma (45): Reading pathology is Kidney deficiency cough/bleeding, years long, Kidney disease spreads to Spleen/Stomach, thus reduced eating, abdominal distension, disease is old labor, hard to quick success. Walking panting, Yuan Hai lacks grasping Qi power, do not use cold-clear to manage cough, urgently grasp root, long-term intake can get benefit. (Yin/Yang both deficient, Kidney Qi rebellion).
Ren Shen (Ginseng Radix), Ren Ru Fen (Human Milk Powder), Kan Qi (Umbilical Cord), Gou Qi (Lycii Fructus), Sha Yuan (Astrogi Semen), Wu Wei Zi (Schisandrae Fructus), Fu Ling (Poria), Hu Tao (Walnut Kernel).
Song: Zang pulse attaches to back, Du Mai runs along back. Foot Shaoyin True Qi not grasping, spit contains blood, inhalation shallow, waist/spine sore. Sleep leaks Po sweat, all True Qi internal damage. If adding anger, moves Liver Yang again, Wood/Fire roasts fat/fluid, Spring Wood daily strong, regulating not easy.
Water-processed Shu Di (Rehmanniae Radix Preparata), Honey-fried Wu Wei Zi (Schisandrae Fructus), Nu Zhen Zi (Ligustri Lucidi Fructus), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis), Stir-fried Shan Yao (Dioscoreae Rhizoma), Qian Shi (Euryales Semen), Hu Lian (Nelumbinis Semen).
Yuan (36): Lower deficiency, during Spring ascending command, body powerless, cough/bleeding returns, use sweet-warm rich flavor, nourish Yang within Yin. (Yang deficiency within Yin).
Gou Qi (Lycii Fructus), Sha Yuan (Astrogi Semen), Gui Shen Tan (Charred Angelicae Sinensis Radix Root), Niu Xi (Achyranthis Bidentatae Radix), Ba Ji (Morinda Officinalis Radix), Jing Yang Rou (Lean Mutton).
Qian: One Yang initially sprouts, bleeding disorder immediately erupts, Lower Jiao True Qi long lost security. After blood loss, diet gradually reduces, cough pulls epigastric pain, Chong Qi rebels upward, is Lower damage affecting Middle, hardest to heal, propose entering grasping method. (Lower damage affecting Middle).
Ren Shen (Ginseng Radix), Shu Di (Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Fructus), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis), Zi Yi Hu Tao (Purple-skinned Walnut Kernel).
Mix in fresh He Che Jiao (Placenta Hominis Gelatin).
Wang (17): Youthful Yin Fire rises straight and descends straight, above bleeding/cough/rebellion, below prolapse anal ulcer/fistula, all deficiency labor beginnings. Eating reduces to half, Stomach gate most important, not see heat throw cool, treat blood/cough mud.
Shu Di Tan (Charred Rehmanniae Radix Preparata), Jian Lian (Nelumbinis Semen), Huo Shi Hu (Dendrobii Officinalis Caulis), Fu Shen (Poria with Hostwood), Stir-fried Shan Yao (Dioscoreae Rhizoma), Qian Shi (Euryales Semen).
Someone (32): Diagnose pulse rapid/choppy, cough/bleeding Qi rebellion, morning rise must cough, getting food gradually relieves, indeed Yin damage affecting Yang, not Six Qi guest pathogen, can pass can drain, method should nourish Stomach Yin, must get much grain food, is treating this damage key point.
Sheng Bian Dou (Raw Vigna Angularis Seed, 5 qian), Bei Sha Shen (Glehniae Radix, 1.5 qian), Mai Dong (Ophiopogonis Radix, 1.5 qian), Chuan Hu (Dendrobii Caulis, 3 qian), Sheng Gan Cao (Raw Glycyrrhizae Radix, 3 fen), Fu Shen (Poria, 3 qian); Nan Zao Rou (Jujubae Fructus Flesh, 1.5 qian), Nuo Dao Gen Xu (Oryza Sativa Rootlet, 5 qian).
Zheng (28): Deficiency damage four-five years, anal fistula not healed. Its cough/bleeding, just like Classic meaning Yin essence not governing upper offering, Yang Qi alone ascending/descending. Why see blood throw cool, treat cough manage Lung, disease adds recurrence, Stomach困 reduced eating. Essence born from grain, Middle Earth transportation, then Two Qi always exist. Long disease relies on sleep/eating as key, do not anxiously discuss disease.
Sheng Huang Qi (Raw Astragali Radix), Huang Jing (Polygonati Rhizoma), He Zi Rou (Terminalia Chebulae Fructus Flesh), Bai Ji (Bletillae Rhizoma), Yi Yi Ren (Coicis Semen), Nan Zao (Jujubae Fructus).
Boil in fresh water into paste, do not use honey to collect. Slightly hungry use 5 qian Ren Shen Tang to send down.
Someone (55): Approaching decline age, Summer April season, Yang Qi disperses, meeting mental fatigue body Qi leaks, collateral blood externally overflows, organ fluid little nourishes, thus phlegm/cough unceasing. Common doctors see cough, further throw clearing Lung nourishing Yin, definitely not effective. This is not youth desire Yin Fire comparison, must screen worry forbid labor, morning enter Du Qi, evening enter Gui Pi, flat supplement organ Truth, then use cough medicine, surely Stomach reduces. (Spleen/Kidney both deficient).
Jiang (19): Since last year winter bleeding, gradually body reduces Qi weak, essence/blood internal damage, unwilling to recover again, extends into labor/tuberculosis. Fill/nourish essence/blood, must have affectionate substances, hopefully not steal Stomach Qi. (Kidney/Stomach both deficient).
Ren Shen (Ginseng Radix), Xian He Che Jiao (Fresh Placenta Hominis Gelatin), Water-processed Shu Di (Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Fructus), Fu Shen (Poria with Hostwood), Shan Yao (Dioscoreae Rhizoma), Qian Shi (Euryales Semen), Hei Ke Jian Lian (Black-shell Nelumbinis Semen).
Gu (26): Bleeding, blood form thick, must self-Lower first damaged, Stomach reduced powerless, Qi division also damaged. This Yin medicine middle, must combine supporting Stomach, not heavy/stagnant cold-clear suitable.
Ren Shen (Ginseng Radix), Shu Di (Rehmanniae Radix Preparata), Jian Lian (Nelumbinis Semen), Qian Shi (Euryales Semen), Shan Yao (Dioscoreae Rhizoma), Fu Ling (Poria).
Shao (68): Pulse firm, body thin long cough, bleeding has years, food disgust, night sleep uncomfortable, certainly cultivate root as key. Taken Seven/Eight Flavor Pills, is Liver/Kidney from Yin drawing Yang method, taking not effective, this fluid deficit not accepting Gui/Fu hardness, should warm/nourish/grasp its Lower, combine with benefiting Stomach fluid to supply Lung.
(Morning take) Shu Di (Rehmanniae Radix Preparata), Cong Rong (Cistanches Herba), Qi Zi (Lycii Fructus), Wu Wei Zi (Schisandrae Fructus), Hu Tao Rou (Walnut Kernel Flesh), Niu Xi (Achyranthis Bidentatae Radix), Bai Zi Ren (Biota Seed), Fu Ling (Poria), Honey pill.
(Evening take) Ren Shen (Ginseng Radix), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Fructus), Zhi Cao (Honey-fried Glycyrrhizae Radix), Fu Ling (Poria), Xian Lian Zi (Fresh Nelumbinis Semen), Shan Yao (Dioscoreae Rhizoma).
Hu (43): Winter lost storage, hematemesis, April pure Yang ascending leaking, disease not erupting, already ten thousand luck. Its phlegm/cough not suitable exhaustive treatment, medication general idea, welcoming Summer Solstice One Yin returning, combine with supporting cultivating Stomach Qi as key.
Ren Shen (Ginseng Radix), Shu Di (Rehmanniae Radix Preparata), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Fructus), Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma).
Wang (18): Prime age body thin, abdominal distension eating reduced loose stool, since last autumn bleeding since, day adds frail, pulse left firm right choppy, although Yin deficiency arises, but Middle Jiao is urgent, this not minor illness. (Labor injuring Middle Qi deficiency).
Ren Shen (Ginseng Radix), Fu Ling (Poria), Zhi Cao (Honey-fried Glycyrrhizae Radix), Bai Shao (Paeoniae Radix Alba), Guang Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex).
Xi: Half month ago exactly Spring Equinox, Yang Qi just ascending, due to emotion movement, Jueyang up-burning causing cough, shaking collaterals, thus causing bleeding. Although got blood stop, diagnose Right pulse large penetrating Cun position, food not want receive, sleep groaning talking, from Extreme Yin damage affecting Yangming, Essence/Qi/Spirit not intersecting. Propose gathering grasping Spirit Qi method.
Ren Shen (Ginseng Radix), Fu Shen (Poria with Hostwood), Wu Wei Zi (Schisandrae Fructus), Zao Ren (Ziziphi Spinosae Semen), Zhi Cao (Honey-fried Glycyrrhizae Radix), Long Gu (Fossilized Mammoth Bone), Jin Bo (Gold Foil).
Furthermore: Take one dose, feel directly enter Lower Abdomen, abdomen slightly painful, overtime self-peace. This formula gathers Hand Shaoyin scattering loss, to harmonize Four Organs, not for heavy falling. As for directly going down, Yangming Stomach deficiency. Pulse slow large long, skin crusty, Qi衰 Blood亏 like painting, temporarily build Middle, Can Jian Zhong Tang remove Ginger.
Furthermore: Follow previous formula remove sugar add Fu Shen.
Furthermore: Diagnose Spleen/Stomach pulse, alone large is disease, diet little advance, not like drinking water, phlegm many cough frequent, all Earth衰 not generating Metal Qi. Jin Kui says Man pulse large is Labor, extreme deficiency also is Labor. Pulse large is Qi division leaking, thinking depression, Heart/Spleen Ying damaged Upper/Middle, while Yang division withered. Extreme deficiency also is Labor, is Essence/Blood Lower robbed, Liver/Kidney Yin not self-establishing. If pulse fine wanting sleep, all Shaoyin seeing symptom. Now sleep/eating uncomfortable, Upper/Middle is urgent. Moreover Jueyin Wind Wood governs command, Spring Three Months, Wood/Fire holds power, Spleen/Stomach suffer, certain truth. Jian Zhong Li Yang remainder, next enter Si Jun Zi Tang, greatly secure Qi division, more more beneficial.
Xu (48): Due to accumulated labor, long cough seeing blood, is internal damage. Ancient Sage says Labor者温之, Damage者益之. Warm not Hot medicine, is warm-nourishing name. Sweet-tonic medicine, Qi warm, flavor sweet. Now doctors see blood throw cool, see cough treat Lung most, I see this treatment method, Stomach gate immediately ruined many.
Gui Pi Tang remove Mu Xiang, Huang Qi, add Qi Zi.
Du (28): Accumulated labor thinking, internal damage bleeding, long disease Autumn re-emerges, is Summer Heat Qi leaks, labor then Qi more leaks not collecting, collaterals empty moving boiling, this different from Yin deficiency, Color/Pulse Stomach reduced, Cool-descending illegal. Ren Shen Jian Zhong Tang.