庞 血大去。则络脉皆空。其伤损已非一腑一脏之间矣。秋分寒露。天气令降。身中气反升越。
明明里不肯收摄。虚象何疑。今诊脉弱濡涩。肢节微冷。气伤上逆。若烟雾迷离。熏灼喉底。故
作呛逆。大旨以上焦宜降宜通。下焦宜封宜固。得安谷崇土。再商后法。
人参 炒黑杞子 炒黑牛膝 茯神 生苡仁 炒山药
又 血止。纳谷甚少。不饥泄泻。此脾胃大困。阴火上触。面赤忽嘈。先理中宫。必得加餐为主。大
忌寒凉治嗽。再伐脾胃生气。
人参 茯神 新会皮 山药 炙草 炒白芍
又 脉右濡。左未敛。
人参 茯神 熟术 广皮 南枣
又 左脉静而虚。右如数。初进谷食。宜培中宫。霜降后五日。以丸剂摄下。
人参 茯神 熟术 广皮 南枣 炒白芍 炙草
陈 脉如数。痰嗽失血。百日来反复不已。每咳呕而汗出。此属气伤失统。络血上泛。凡寒凉止
血理嗽。不但败胃妨食。决无一效。从仲景元气受损。当进甘药。冀胃土日旺。柔金自宁。
黄 生白芍 五味 炙草 南枣 饴糖
某 劳伤嗽血。
生黄 皮（三钱） 茯苓（三钱） 炙黑甘草（五分） 黄精（三钱） 南枣（三钱）
钱（四一）形神积劳。气泄失血。食减喘促。由气分阳分之伤。非酒色成劳之比。黄 建中汤去姜桂。
陆 脉细形瘦。血后久咳不已。复加喘促。缘内损不肯充复。所投药饵。肺药理嗽居多。当此天
令收肃。根蒂力怯。无以摄纳。阴乏恋阳。多升少降。静坐勉可支撑。身动勃勃气泛。所纳食物。
仅得其悍气。未能充养精神矣。是本身精气暗损为病。非草木攻涤可却。山林寂静。兼用元
功。经年按法。使阴阳渐交。而生生自振。徒求诸医药。恐未必有当。建中汤去姜加茯苓。
董（三六）此内损症。久嗽不已。大便不实。夏三月。大气主泄。血吐后。肌肉麻木。骨痿酸疼。阳明脉络
不用。治当益气。大忌肺药清润寒凉。
黄 炙草 苡仁 白芨 南枣 米糖
李（三一）饮酒少谷。中气先虚。酒力温散助热。络血随热气以上沸。血止之后。顿然食减脘痞。显是
中气已困败。静坐稍舒。烦言咳急。当以调中为急。若见血见咳。即投寒凉。清阳愈伤。日就败
坏矣。虽酒客忌甘。然救其苦寒药伤。勿拘此例。戊己去术加南枣。
王（二八）脉 。形劳失血。小建中加玉竹。
顾（二八）劳心。神耗营损。上下见血。经年日衰。今勉纳谷不饥。中焦因不至运。滋阴清肺。更令伤中。
无却病好药。欲冀其安。须山居静养。寒暑无害。方得坚固。异功散。
钱（二七）形瘦脉左数。是阴分精夺。自述谈笑或多。或胃中饥虚。必冲气咳逆。前年已失血盈碗。此
下损精血。有形难复。以略精饮食。气返不趋。急以甘药益胃。中流砥柱。病至中不可缓矣。
人参 茯神 炙草 山药
许（四八）劳倦伤阳。形寒。失血咳逆。中年不比少壮火亢之嗽血。黄 建中汤。
徐（二九）奔走五日。即是劳力动伤阳气。血从右起。夜有冷汗。乃阳络空隙而泄越矣。凡治吐血之
初。多投凉血降气。以冀其止。孰知阳愈渗泄。益增病剧屡矣。
黄精 黄 炙草 苡仁 茯神
汪 肝风鸱张。胃气必虚。酒客不喜柔腻。肌柔色嫩。质体气弱。清明春木大旺。理必犯土。急宜
培养中宫。中有砥柱。风阳不得上越。而血可止矣。
人参 炒黄 炒山药 茯苓 炒白芍 炙草
朱（二二）秋暑失血。初春再发。诊脉右大。颇能纳食。金匮云。男子脉大为劳。极虚者亦为劳。要之大
者之劳。是烦劳伤气。脉虚之劳。为情欲致损。大旨要病根驱尽。安静一年可愈。
生黄 北沙参 苡仁 炙草 白芨 南枣
某 劳力烦心失血。早食则运。暮食饱胀。疏补调中方。
人参 茯苓 炙草 生谷芽 广皮 白芍
冯（四五）脉弦劲。按之空豁。久嗽先有泻血。大便不实。近又嗽血。是积劳久损。阴阳两亏。今食不欲
餐。先宜甘温益气。但贫窘患此。参苓未能常继。斯为难调。
人参 黄 茯苓 炙草 苡仁 白芨
许（四四）频频伤风。卫阳已疏。而劳怒亦令阳伤。此失血症。当独理阳明。胃壮则肝犯自少。脉右空
大可证。若三阴之热蒸。脉必参于左部。（胃阳虚卫疏）
人参（一钱） 黄 （三钱） 炙草（五分） 煨姜（一钱） 南枣（二钱）
又 甘温益胃。血止五日。食腥嗔怒。血咳复来。不独卫阳疏豁。络脉空动若谷。岂沉寒堵塞。冀
获片时之效。倘胃口拒纳。无法可投。按脉微涩。议治心营肺卫。
人参 黄 炙草 南枣 白芨 茯神 枣仁
汤（二三）脉细促。右空大。爪甲灰枯。久嗽入春夏见红。食减身痛。形容日瘁。是内损难复。与养营法。（营虚）
人参 炒白芍 归身 炙草 桂枝木 广皮 煨姜 南枣
丁（二七）夏季痰嗽。入冬失血。自述昼卧安逸。微寒热不来。则知二气已损伤。身动操持。皆与病相
背。脉大无神。面无膏泽。劳怯不复元大着。温养甘补。使寝食两安。若以痰嗽为热。日饵滋阴润肺。胃伤变症。调之
无益。归 异功散。
陈（二八）失血。前后心痛。 归建中去姜。
某 形瘦色枯。脉濡寒热。失血心悸。是营伤。归 建中去姜。
某 脉芤。汗出。失血背痛。此为络虚。
人参 炒归身 炒白芍 炙草 枣仁 茯神
某（氏）失血半年。心悸忡胁下动。络脉空隙。营液损伤。议甘缓辛补。
枸杞 柏子仁 枣仁 茯神 炙草 桂圆
又 生地 阿胶 小麦 广三七 乌贼骨 菟丝子 茯神 扁豆 夜服三钱。
徐（四九）馆课之劳。心脾营伤。食酸助木。中土更亏。春阳主升。血乃大吐。况茹素既久。当培土。营阴
损极。热自内炽。非实火也。归脾汤去参。
陈（二三）先患失血。复遭惊骇。平素有遗泄。独处呓语。是有形精血。无形神气交伤。漫言治痰治血。
真粗工卑陋矣。补精宜填。安神宜静。然无形真气为要。与心脾二经主治。
人参（一钱半） 当归（一钱半） 茯神（三钱） 枣仁（三钱） 远志（七分） 炙草（三分）
桂圆（二钱） 龙齿（二钱） 金箔（五张冲入）
宓 遇节血症反复。脉弱废食。胁痛胃 。无治咳止血之理。扶得胃口受纳。可商调理。
人参 炙黄 当归炭 枣仁 茯神 炙草 桂圆肉
又 归脾去木香远志加枸杞子。
关（三二）思郁伤于心脾。二脏主乎营血。营出中焦。脏阴受损。阴虚生热。熏蒸络脉。致血不宁静。食
少痰多。色泽少华。皆虚象也。不宜久进凉润嗽药。当以钱氏异功散。间进归脾汤减木香。
马（六七）上秋下血。今年涌血。饮橘饼汤甘辛。心中如针刺。营枯液耗。不受辛药。但以甘药柔剂。与
心脾有益。
人参 黄精 茯神 柏子仁 炙草 南枣
某 老弱虚咳。失血。
生黄 皮 归身 煨姜 大枣
冯 诊脉左手平和。尺中微动。右手三部。关前动数。尺脉带数。夜卧不寐。咳呛有血。昼日咳呛
无血。但行走微微喘促。夫阴阳互为枢纽。隆冬天气藏纳。缘烦心劳神。五志皆动。阳不潜伏。
当欲寐之时。气机下潜。触其阳气之升。冲脉升动。络中之血。未得宁静。随咳呛溢于上窍。至
于步趋言谈。亦助其动搏气火。此咳呛喘息失血。同是一原之恙。当静以制动。投药益水生
金。以制君相之火。然食味宜远辛辣热燥。凡上实者必下虚。薄味清肃上焦。正谓安下。令其
藏纳也。愚见约方。参末俟裁（劳心过度阳升）
生扁豆（一两勿碎） 麦冬（二钱） 川斛（一钱半） 上阿胶（二钱） 小根生地（二钱） 真北沙参（一钱半）
又 诊脉同前述。心中怯冷。交四更咽中干。咳呛连声。必血已盈口。论心营肺卫。皆在上焦。更
拟敛心液滋肺津一法。
炒枣仁（五钱勿研） 鲜生地（三钱） 天冬（一钱） 炒麦冬（一钱） 茯神（一钱半） 黑牛膝（一钱半） 茜
草（一钱） 参三七（一钱磨冲）
又 熟地（四钱） 生地（二钱） 天冬（一钱） 麦冬（一钱） 北沙参（三钱） 茯神（一钱）
卧时服天王补心丹。
查（二十）舌辣。失血易饥。（心营热）
生地 玄参 连翘心 竹叶心 丹参 郁金汁
陈 血止。脉两寸未和。仍议心营肺卫方。
生地 生扁豆 麦冬 北沙参 丹参 茯苓
陈 夜热。邪迫血妄行。议清营热。
犀角 鲜生地 丹皮 白芍
邵 营热失血。
生地 竹叶心 玄参 丹参 川斛 茯神
王（二十）脉右大。失血知饥。胃阳上逆。咽干喉痒。（胃阴虚）
生地 扁豆 玄参 麦冬 川斛 新荷叶汁
某（四九）脉右涩。初气冲失血。咳逆。能食。无味。血来潮涌。乃阳明胃络空虚。血随阳升而然。法当填
中为要着。莫见血治咳。而用肺药。斯症可图。正在此欤。
大淡菜（一两） 生扁豆（五钱） 麦冬（三钱） 川斛（三钱） 茯神（三钱） 牛膝炭（一钱半）
陶（十六）色黄。脉小数。右空大。咳呕血溢。饮食渐减。用建中旬日颇安。沐浴气动。血咳复至。当以静
药养胃阴方。 金匮麦门冬汤去半夏。
郭 脉右部不鼓击应指。惟左寸数疾。昨晚失血之因。因于伛偻拾物。 致阳明脉络血升。今
视面色微黄。为血去之象。不宜凉解妨胃。仿古血脱必先益气。 理胃又宜远肝。
人参（秋石水拌烘） 黄 阿胶 茯神 炙草 生白芍
王（三六）肠红愈后。吐血一两月必发。此阳明胃络气血皆多。故吐后寝食如昔。久发阴亏。仍有内
损之忧。宜养肺胃之阴以和阳。
生黄 北沙参 麦冬 生甘草 茯神 元米汤煎
程（二七）吐血数发。肢震。面热汗出。寐中惊惕。盖阳明脉络已虚。厥阴风阳上炽。饮食不为肌肤。皆
消烁之征也。
生黄 北沙参 生牡蛎 麦冬 小麦 南枣
程（二一）脉左小数。右弦。食减不肌。易于伤风。大便结燥。冬春已见血症。夫胃阳外应卫气。九窍不
和。都属胃病。由冬失藏聚。发生气少。遇长夏热蒸。真气渐困故也。急宜绝欲静养。至秋分再
议。
参须 黄 皮 鲜莲子 茯神 炒麦冬 生甘草
某 着右卧眠。喘咳更甚。遇劳动阳。痰必带血。经年久嗽。三焦皆病。 麦门冬汤。
华（三八）劳怒用力。伤气动肝。当春夏天地气机皆动。病最易发。食减过半。热升冲咽。血去后。风阳
皆炽。镇养胃阴。勿用清寒理嗽。
生扁豆 沙参 天冬 麦冬 川斛 茯神
又 冲气攻腹绕喉。乃肝胆厥阳肆横。久久虚损。而呕痰减食。皆犯胃之象。若不静养。经年必甚。
甜北沙参 生白扁豆 生黄 皮 茯神 炙草
白糯米半升。泡清汤煎药。
徐 阴脏失守。阳乃腾越。咳甚血来。皆属动象。静药颇合。屡施不应。乃上下交征。阳明络空。随
阳气升降自由。先以柔剂填其胃阴。所谓执中近之。 金匮麦门冬汤去半夏加黄 。
某（五九）失血后。咳嗽不饥。此属胃虚。宜治阳明。
甜北参 生扁豆 麦冬 茯神 川斛
陆 食酸助木。胃土受侮。脘中阳逆。络血上溢。内经辛酸太过。都从甘缓立法。谷少气衰。沉苦勿进。
生扁豆 北沙参 炒麦冬 茯苓 川斛 甘蔗浆
又 甘凉养胃中之阴。痰少血止。两寸脉大。心烦脊热。汗出。营热气泄之征。议用竹叶地黄汤。
鲜生地 竹叶心 炒麦冬 建莲肉 川斛 茯神
陶（四一）两年前吐血咳嗽。夏四月起。大凡春尽入夏。气机升泄。而阳气弛张极矣。阳既多动。阴乏
内守之职司。络血由是外溢。今正交土旺发泄。欲病气候。急养阳明胃阴。夏至后。兼进生脉
之属。勿步趋于炎 烈日之中。可望其渐次日安。 金匮麦门冬汤去半夏。
王（二八）见红两年。冬月加嗽。入春声音渐嘶。喉舌干燥。诊脉小坚。浓味不纳。胃口有日减之虞。此
甘缓益胃阴主治。
麦冬 鸡子黄 生扁豆 北沙参 地骨皮 生甘草
卢（四四）脉大色苍。冬月嗽血。纳谷减半。迄今干咳无痰。春夏间有吐血。夫冬少藏聚。阳升少制。安
闲静养。五志气火自平。可望病愈。形瘦谷减。当养胃土之津以生金。
甜北参 麦冬 玉竹 木瓜 生扁豆 生甘草
某（二二）脉右大左虚。夏四月。阳气正升。烦劳过动其阳。络中血溢上窍。血去必阴伤生热。宜养胃
阴。大忌苦寒清火。
北沙参 生扁豆 麦冬 生甘草 茯神 川斛
某（二九）脉搏。血涌。饥易纳食。风阳过动而为消烁。若不自保摄。饵药无益。
生地 天冬 丹参 茯苓 生扁豆 川斛
倪（三一） 阳明脉弦空。失血后。咽痹即呛。是纳食虽强。未得水谷精华之游溢。当益胃阴。
北沙参 生扁豆 麦冬 杏仁 生甘草 糯米汤煎。
徐（三一）失血能食。痰嗽。色苍脉数。可与甘凉养胃中之阴。胃和金生。痔血便躁。柔药最宜。
生扁豆 生地 天冬 麦冬 银花 柿饼灰 侧柏叶
某 失血咽干。
Pang. Massive blood loss leads to emptiness in the collaterals (Luo Mai). The damage is no longer confined to a single Zang or Fu organ. During the Autumn Equinox and Cold Dew solar terms, the weather commands descent, yet the body's Qi rebels by ascending. Clearly, the interior fails to consolidate and secure; how can there be doubt about this deficiency pattern? Current pulse diagnosis reveals weak, soggy, and choppy qualities, with slightly cold limbs and joints. Qi injury causes upward rebellion, resembling misty smoke scorching the throat base, thus inducing choking coughs and rebellious Qi. The general principle is that the Upper Jiao should be descended and unblocked, while the Lower Jiao should be sealed and secured. If food intake can be stabilized to support the Earth element (Spleen/Stomach), subsequent methods can be discussed.
Ren Shen (Ginseng Radix et Rhizoma), Hei Qi Zi (Charred Lycii Fructus), Hei Niu Xi (Charred Achyranthis Bidentatae Radix), Fu Shen (Poria with Hostwood), Sheng Yi Yi Ren (Raw Coicis Semen), Chao Shan Yao (Stir-fried Dioscoreae Rhizoma).
Second visit. Bleeding has stopped, but food intake is scant, with no appetite and diarrhea. This indicates severe distress of the Spleen and Stomach, with Yin fire touching upwards, causing facial redness and sudden heartburn. First regulate the Middle Jiao (Spleen/Stomach); increasing meal intake is paramount. Strictly avoid cold-natured herbs for treating coughs, lest they further attack the vital Qi of the Spleen and Stomach.
Ren Shen (Ginseng Radix et Rhizoma), Fu Shen (Poria with Hostwood), Xin Hui Pi (Xinhui Tangerine Peel), Shan Yao (Dioscoreae Rhizoma), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Chao Bai Shao (Stir-fried Paeoniae Radix Alba).
Third visit. Right pulse is soggy; left pulse has not converged.
Ren Shen (Ginseng Radix et Rhizoma), Fu Shen (Poria with Hostwood), Shu Zhu (Prepared Atractylodis Rhizoma), Guang Pi (Tangerine Peel), Nan Zao (Chinese Date).
Fourth visit. Left pulse is calm but deficient; right pulse resembles a rapid pulse. When initially introducing grain food, it is appropriate to cultivate the Middle Jiao. Five days after the Frost Descent solar term, use pill preparations to secure the lower aspect.
Ren Shen (Ginseng Radix et Rhizoma), Fu Shen (Poria with Hostwood), Shu Zhu (Prepared Atractylodis Rhizoma), Guang Pi (Tangerine Peel), Nan Zao (Chinese Date), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma).
Chen. Pulse resembles rapid; phlegm-cough and blood loss have persisted for over a hundred days without cessation. Each episode of coughing and vomiting is accompanied by sweating. This belongs to Qi injury failing to exercise control, causing collateral blood to flood upwards. Any use of cold-natured herbs to stop bleeding or treat coughs will not only ruin the Stomach and hinder food intake but will also be completely ineffective. Following Zhang Zhongjing’s principle that when Yuan Qi (Original Qi) is damaged, sweet-tonifying herbs should be advanced, hoping that the Stomach and Earth elements become prosperous, allowing the Metal element (Lung) to naturally tranquilize.
Huang Jing (Polygonati Rhizoma), Sheng Bai Shao (Raw Paeoniae Radix Alba), Wu Wei Zi (Schisandrae Fructus), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Nan Zao (Chinese Date), Yi Tang (Maltose).
Anonymous patient. Blood loss due to labor-induced cough.
Sheng Huang Qi (Raw Astragali Radix), Pi (Tangerine Peel, 3 qian), Fu Ling (Poria, 3 qian), Zhei Gan Cao (Charred Honey-fried Glycyrrhizae Radix et Rhizoma, 5 fen), Huang Jing (Polygonati Rhizoma, 3 qian), Nan Zao (Chinese Date, 3 qian).
Qian (41 years old). Accumulated labor of form and spirit, Qi leakage causing blood loss, reduced food intake, and panting. This results from injury to the Qi and Yang aspects, distinct from labor caused by wine and sexual indulgence. Use Jian Zhong Tang (Cinnamon Twig Decoction for Building the Middle) removing Ginger and Cinnamon Twig.
Lu. Pulse is fine, body is emaciated. After blood loss, chronic cough persists, now compounded by panting. Due to internal damage refusing to replenish, prescribed medications mostly targeted the Lung to treat coughs. At this time of seasonal contraction and肃 (descent), the root is weak and unable to grasp and receive. Yin lacks the ability to retain Yang, resulting in more ascending and less descending. Sitting quietly barely sustains him; any movement causes vigorous Qi flooding. Food ingested only provides its "fierce" Qi, failing to nourish spirit and essence. This disease stems from dark depletion of one's own essence and Qi, not something herbal purgatives can remove. One should reside in quiet mountains, combining with Qigong practices. Adhering to these methods for years allows Yin and Yang to gradually interact, revitalizing life force. Relying solely on medicine may not be adequate. Use Jian Zhong Tang (Cinnamon Twig Decoction for Building the Middle) removing Ginger, adding Poria.
Dong (36 years old). This is an internal damage syndrome: chronic cough, loose stools. In the summer months, the Great Qi governs leakage. After blood vomiting, muscles feel numb, bones are flaccid and ache, and the Yangming meridians are inactive. Treatment must tonify Qi. Strictly avoid Lung-targeted clearing, moistening, and cold-natured herbs.
Huang Qi (Astragali Radix), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Yi Yi Ren (Coicis Semen), Bai Ji (Bletillae Rhizoma), Nan Zao (Chinese Date), Mi Tang (Rice Syrup).
Li (31 years old). Drinking wine with insufficient grain intake leads to prior deficiency of Middle Qi. Wine’s warming and dispersing nature aids heat, causing collateral blood to boil upwards with the heat. After bleeding stops, appetite suddenly drops and epigastric fullness occurs, clearly indicating Middle Qi is distressed and failing. Sitting quietly brings slight relief; irritability and urgent cough follow. Regulating the Middle is urgent. If one sees blood and cough and immediately administers cold-natured herbs, Clear Yang will be further injured, leading to daily deterioration. Although wine drinkers usually avoid sweet flavors, to rescue the damage from bitter-cold herbs, do not adhere to this rule. Use Wu Ji Wan (Wuji Pill) removing Atractylodes, adding Chinese Dates.
Wang (28 years old). Pulse [description missing/implied]. Emaciation and blood loss due to labor. Use Xiao Jian Zhong Tang (Minor Cinnamon Twig Decoction for Building the Middle) adding Yu Zhu (Polygonati Odorati Rhizoma).
Gu (28 years old). Mental labor depletes Spirit and damages Ying (Nutritive) Blood. Blood appears above and below, declining year by year. Now, forcing food intake without hunger indicates Middle Jiao failure to transport. Nourishing Yin and clearing the Lung further injures the Middle. There is no good medicine to cure this disease. To hope for peace, one must reside in the mountains and rest quietly, unaffected by cold and heat, to achieve stability. Use Yi Gong San (Extraordinary Efficacy Powder).
Qian (27 years old). Emaciated body, left pulse rapid, indicating depletion of Essence in the Yin aspect. Self-reported excessive talking/laughing, or stomach hunger-deficiency, inevitably leads to Rebellious Qi and cough. Last year, blood loss filled a bowl. This is lower-level depletion of Essence and Blood; tangible substances are hard to restore. With refined diet, Qi returns and does not rush. Urgently use sweet herbs to benefit the Stomach, acting as a pillar in midstream. When disease reaches the Middle, delay is impossible.
Ren Shen (Ginseng Radix et Rhizoma), Fu Shen (Poria with Hostwood), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Shan Yao (Dioscoreae Rhizoma).
Xu (48 years old). Labor and fatigue injure Yang, causing coldness of form, blood loss, and cough/rebellious Qi. Middle age differs from youth where hyperactive Fire causes cough-blood. Use Huang Qi Jian Zhong Tang (Astragalus Cinnamon Twig Decoction for Building the Middle).
Xu (29 years old). Running for five days constitutes labor exertion injuring Yang Qi. Blood originates from the right side; night sweats occur. This is leakage through gaps in Yang collaterals. Initially treating hematemesis often involves cooling blood and descending Qi to hope for cessation. Who knows that Yang leaks further, worsening the illness repeatedly?
Huang Jing (Polygonati Rhizoma), Huang Qi (Astragali Radix), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Yi Yi Ren (Coicis Semen), Fu Shen (Poria with Hostwood).
Wang. Liver Wind rises violently; Stomach Qi must be deficient. Wine drinkers dislike soft/greasy textures. Skin is soft, complexion tender, constitution Qi is weak. In Qingming spring, Wood Qi is vigorous, inevitably offending Earth. Urgently cultivate the Middle Jiao; having a pillar within prevents Wind-Yang from ascending, allowing blood to stop.
Ren Shen (Ginseng Radix et Rhizoma), Chao Huang Qi (Stir-fried Astragali Radix), Chao Shan Yao (Stir-fried Dioscoreae Rhizoma), Fu Ling (Poria), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma).
Zhu (22 years old). Autumn-heat blood loss, recurring in early spring. Right pulse is large. *Jin Gui Yao Lue* states: "In men, a large pulse indicates Lao (exhaustion/labor); an extremely deficient pulse also indicates Lao." Generally, a large pulse Lao is due to mental labor injuring Qi; a deficient pulse Lao is due to emotional/sexual depletion. The main principle is to drive out the disease root completely; resting quietly for one year can lead to recovery.
Sheng Huang Qi (Raw Astragali Radix), Bei Sha Shen (Glehniae Radix), Yi Yi Ren (Coicis Semen), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Bai Ji (Bletillae Rhizoma), Nan Zao (Chinese Date).
Anonymous patient. Blood loss from labor and mental worry. Morning food digests well; evening food causes fullness. Prescribe a formula to disperse deficiency and regulate the Middle.
Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Sheng Gu Ya (Raw Sprouted Grain), Guang Pi (Tangerine Peel), Bai Shao (Paeoniae Radix Alba).
Feng (45 years old). Pulse is wiry and stiff, empty upon pressing. Chronic cough preceded by bloody stool, loose stools. Recently coughing blood. This is accumulated labor and long-term damage, with both Yin and Yang deficient. Currently lacking appetite; first use sweet-warm herbs to tonify Qi. However, poverty makes continuous use of Ginseng and Poria difficult, making regulation hard.
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Fu Ling (Poria), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Yi Yi Ren (Coicis Semen), Bai Ji (Bletillae Rhizoma).
Xu (44 years old). Frequent wind invasion, Wei (Defensive) Yang is already loose, and labor/anger also injure Yang. For this blood-loss syndrome, focus solely on regulating Yangming. If Stomach is strong, Liver offense decreases. Right pulse being empty and large confirms this. If Heat steams from the Three Yin, the pulse would involve the left side. (Stomach Yang deficiency, Defensive looseness).
Ren Shen (1 qian), Huang Qi (3 qian), Zhi Cao (5 fen), Wei Jiang (Roasted Ginger, 1 qian), Nan Zao (2 qian).
Second visit. Sweet-warm herbs benefited the Stomach; bleeding stopped for five days. Eating fish/shrimp and anger caused blood/cough to return. Not only is Wei Yang loose, but collaterals are empty and moving like a valley. How can deep-cold obstructing herbs hope for momentary effect? If the Stomach mouth rejects intake, no method applies. Pulse is faint and choppy; discuss treating Heart Ying (Nutritive) and Lung Wei (Defensive).
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Nan Zao (Chinese Date), Bai Ji (Bletillae Rhizoma), Fu Shen (Poria with Hostwood), Zao Ren (Ziziphi Spinosae Semen).
Tang (23 years old). Pulse is fine and hurried, right side empty and large. Finger nails are gray and dry. Chronic cough shows blood in spring/summer. Reduced food intake, body pain, appearance deteriorates daily. Internal damage is hard to recover; prescribe Ying-nourishing method. (Ying deficiency).
Ren Shen (Ginseng Radix et Rhizoma), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Gui Shen (Angelicae Sinensis Radix tip), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Gui Zhi Mu (Cinnamomi Ramulus wood), Guang Pi (Tangerine Peel), Wei Jiang (Roasted Ginger), Nan Zao (Chinese Date).
Ding (27 years old). Summer phlegm-cough, winter blood loss. Self-reported daytime rest brings no mild chills/fever, indicating Two Qi (Yin/Yang) are already damaged. Physical activity opposes the disease. Pulse is large without spirit, face lacks luster. Labor-induced consumptive disease fails to recover original vitality. Warm-nourish and sweet-tonify to ensure peace in sleep and eating. If treating phlegm-cough as Heat and daily administering Yin-nourishing/Lung-moistening herbs, Stomach damage and transformation symptoms will occur, making regulation useless. Gui Pi Tang (Restore the Spleen Decoction), Yi Gong San (Extraordinary Efficacy Powder).
Chen (28 years old). Blood loss, chest pain before and after. Gui Pi Jian Zhong Tang removing Ginger.
Anonymous patient. Emaciated, sallow complexion, soggy pulse with chills/fever, blood loss with palpitations. This is Ying injury. Gui Pi Jian Zhong Tang removing Ginger.
Anonymous patient. Pulse is Kou (Hollow), sweating, blood loss with back pain. This is Collateral deficiency.
Ren Shen (Ginseng Radix et Rhizoma), Chao Gui Shen (Stir-fried Angelicae Sinensis Radix tip), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Zao Ren (Ziziphi Spinosae Semen), Fu Shen (Poria with Hostwood).
Anonymous patient (Female?). Six months of blood loss, palpitations, hypochondriac pulsation. Collateral gaps, Ying fluid damage. Discuss sweet-slowing and pungent-tonifying.
Gou Qi (Lycii Fructus), Bai Zi Ren (Platycladi Semen), Zao Ren (Ziziphi Spinosae Semen), Fu Shen (Poria with Hostwood), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Gui Yuan (Longan Aril).
Second visit. Sheng Di (Rehmanniae Radix), E Jiao (Donkey-hide Gelatin), Xiao Mai (Triticum Granum), Guang San Qi (Notoginseng Radix et Rhizoma), Ou Hai Gu (Sepiae Endoconcha), Tu Si Zi (Cuscutae Semen), Fu Shen (Poria with Hostwood), Bian Dou (Vigna Semen). Take 3 qian at night.
Xu (49 years old). School teaching labor injures Heart and Spleen Ying. Sour food aids Wood, further depleting Middle Earth. Spring Yang governs ascent, causing massive vomiting of blood. Moreover, long-term vegetarianism requires cultivating Earth. Ying Yin is extremely depleted, heat blazes internally, not Excess Fire. Gui Pi Tang (Restore the Spleen Decoction) removing Ren Shen.
Chen (23 years old). Previously suffered blood loss, then experienced fright. Usually has nocturnal emission, mutters alone in solitude. Tangible Essence-Blood and intangible Spirit-Qi are mutually injured. Merely discussing Phlegm and Blood treatment is truly crude and lowly skill. Tonifying Essence requires filling; calming Spirit requires stillness. However, intangible True Qi is key. Treat according to Heart and Spleen meridians.
Ren Shen (1.5 qian), Dang Gui (Angelicae Sinensis Radix, 1.5 qian), Fu Shen (Poria with Hostwood, 3 qian), Zao Ren (Ziziphi Spinosae Semen, 3 qian), Yuan Zhi (Polygalae Radix, 0.7 qian), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 0.3 qian).
Gui Yuan (Longan Aril, 2 qian), Long Chi (Dragon Bone, 2 qian), Jin Bo (Gold Leaf, 5 sheets, mixed in).
Mi. Recurrent blood syndrome during festivals, weak pulse, loss of appetite, hypochondriac pain, Stomach [symptom missing]. No logic in treating cough and stopping blood. Support the Stomach mouth to accept intake, then discuss regulation.
Ren Shen (Ginseng Radix et Rhizoma), Zhi Huang Qi (Honey-fried Astragali Radix), Dang Gui Tan (Charred Angelicae Sinensis Radix), Zao Ren (Ziziphi Spinosae Semen), Fu Shen (Poria with Hostwood), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Gui Yuan Rou (Longan Aril).
Second visit. Gui Pi Tang removing Mu Xiang and Yuan Zhi, adding Gou Qi Zi.
Guan (32 years old). Worry and depression injure Heart and Spleen. These two organs govern Ying Blood. Ying emerges from the Middle Jiao. Visceral Yin is damaged, Yin deficiency generates Heat, steaming collaterals, causing blood unrest. Less food, more phlegm, lackluster complexion—all deficiency signs. Do not long-term administer cooling/moistening cough medicines. Use Qian Yi Gong San (Qian’s Extraordinary Efficacy Powder), occasionally using Gui Pi Tang reducing Mu Xiang.
Ma (67 years old). Lower bleeding last autumn, gushing blood this year. Drinking orange peel soup (sweet/pungent) causes heart pain like needle pricks. Ying is withered, fluids exhausted, cannot tolerate pungent herbs. Only use sweet/herb-soft agents beneficial to Heart and Spleen.
Ren Shen (Ginseng Radix et Rhizoma), Huang Jing (Polygonati Rhizoma), Fu Shen (Poria with Hostwood), Bai Zi Ren (Platycladi Semen), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Nan Zao (Chinese Date).
Anonymous patient. Elderly weakness, deficiency cough, blood loss.
Sheng Huang Qi (Raw Astragali Radix), Pi (Tangerine Peel), Gui Shen (Angelicae Sinensis Radix tip), Wei Jiang (Roasted Ginger), Da Zao (Chinese Date).
Feng. Left hand pulse is peaceful, Chi position slightly moving. Right hand three positions: Guan front is rapid, Chi pulse carries rapid quality. Insomnia at night, cough-choking with blood. Daytime cough-choking has no blood. Walking causes slight panting. Yin and Yang act as hinges. In deep winter, weather stores and gathers. Due to mental worry and spirit labor, Five Emotions move, Yang does not hide. When drowsy, Qi mechanism descends, touching rising Yang, Chong Mai ascends, blood in collaterals does not tranquilize, overflowing into upper orifices with cough-choking. Walking and talking also aid moving Qi-Fire. This cough-choking, panting, and blood loss share the same origin. Use stillness to control movement; administer herbs to benefit Water generating Metal, controlling Ministerial Fire. Diet should avoid spicy/hot/dry foods. Upper excess implies lower deficiency; light flavors clear the Upper Jiao, which is indeed settling the Lower to allow storage. My rough prescription awaits judgment (Mental labor excess, Yang rising).
Sheng Bian Dou (Raw Vigna Semen, 1 liang, do not crush), Mai Dong (Ophiopogonis Radix, 2 qian), Chuan Hu (Dendrobii Caulis, 1.5 qian), Shang E Jiao (Top-grade Donkey-hide Gelatin, 2 qian), Xiao Gen Sheng Di (Small-root Rehmanniae Radix, 2 qian), Zhen Bei Sha Shen (True Glehniae Radix, 1.5 qian).
Second visit. Pulse same as above. Heart feels fearful/cold, fourth watch throat dry, continuous cough-choking, likely mouth full of blood. Discussing Heart Ying and Lung Wei, all in Upper Jiao. Further propose method to collect Heart fluid and nourish Lung Jin.
Chao Zao Ren (Stir-fried Ziziphi Spinosae Semen, 5 qian, do not grind), Xian Sheng Di (Fresh Rehmanniae Radix, 3 qian), Tian Dong (Asparagi Radix, 1 qian), Chao Mai Dong (Stir-fried Ophiopogonis Radix, 1 qian), Fu Shen (Poria with Hostwood, 1.5 qian), Hei Niu Xi (Black Achyranthis Bidentatae Radix, 1.5 qian), Qian Cao (Rubiae Cordifoliae Radix et Rhizoma, 1 qian), Shen San Qi (Notoginseng Radix et Rhizoma, 1 qian, ground and mixed).
Third visit. Shu Di (Prepared Rehmanniae Radix, 4 qian), Sheng Di (Rehmanniae Radix, 2 qian), Tian Dong (Asparagi Radix, 1 qian), Mai Dong (Ophiopogonis Radix, 1 qian), Bei Sha Shen (Glehniae Radix, 3 qian), Fu Shen (Poria with Hostwood, 1 qian).
Take Tian Wang Bu Xin Dan (Emperor of Heaven’s Pill to Nourish the Heart) at bedtime.
Zha (20 years old). Tongue burns/spicy sensation, blood loss with easy hunger. (Heart Ying Heat).
Sheng Di (Rehmanniae Radix), Xuan Shen (Scrophulariae Radix), Lian Qiao Xin (forsythia Fruit Heart), Zhu Ye Xin (Bambusae Folium Heart), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Yu Jin Juice (Curcumae Radix Juice).
Chen. Bleeding stopped, two Cun pulses not harmonious. Still discuss Heart Ying Lung Wei formula.
Sheng Di (Rehmanniae Radix), Sheng Bian Dou (Raw Vigna Semen), Mai Dong (Ophiopogonis Radix), Bei Sha Shen (Glehniae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Fu Ling (Poria).
Chen. Night fever, pathogen forces blood to run recklessly. Discuss clearing Ying Heat.
Xi Jiao (Rhinocerotis Cornu - substitute with Buffalo Horn typically in modern practice, but text says Xi Jiao), Xian Sheng Di (Fresh Rehmanniae Radix), Dan Pi (Moutan Cortex), Bai Shao (Paeoniae Radix Alba).
Shao. Ying Heat blood loss.
Sheng Di (Rehmanniae Radix), Zhu Ye Xin (Bambusae Folium Heart), Xuan Shen (Scrophulariae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Chuan Hu (Dendrobii Caulis), Fu Shen (Poria with Hostwood).
Wang (20 years old). Right pulse large, blood loss with hunger awareness, Stomach Yang rebels upward, dry throat/itchy throat. (Stomach Yin Deficiency).
Sheng Di (Rehmanniae Radix), Bian Dou (Vigna Semen), Xuan Shen (Scrophulariae Radix), Mai Dong (Ophiopogonis Radix), Chuan Hu (Dendrobii Caulis), Xin He Ye Zhi (Fresh Lotus Leaf Juice).
Anonymous patient (49 years old). Right pulse choppy, initially Qi surge caused blood loss, cough-rebellion, able to eat, tasteless. Blood comes surging like tide, due to Yangming Stomach collateral emptiness, blood follows Yang ascent. Method must fill the Middle as key point. Do not see blood/cough and use Lung herbs. This syndrome can be managed, precisely here lies the opportunity.
Da Dan Cai (Large Mussel, 1 liang), Sheng Bian Dou (Raw Vigna Semen, 5 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Chuan Hu (Dendrobii Caulis, 3 qian), Fu Shen (Poria with Hostwood, 3 qian), Niu Xi Tan (Charred Achyranthis Bidentatae Radix, 1.5 qian).
Tao (16 years old). Sallow color, small-rapid pulse, right side empty-large, cough/vomit blood overflow, diet gradually decreases. Using Jian Zhong Tang for many days was quite safe. Bathing moves Qi, blood/cough returns. Must use quiet herbs to nourish Stomach Yin. *Jin Gui* Mai Men Dong Tang (Ophiopogon Decoction) removing Ban Xia.
Guo. Right pulse part does not beat against finger, only left Cun is rapid/frequent. Last night’s blood loss cause: stooping to pick up objects caused Yangming collateral blood to rise. Now viewing sallow complexion, sign of blood loss. Do not use cooling/resolving herbs hindering Stomach. Follow ancient saying: blood loss first must tonify Qi. Regulating Stomach should also distance from Liver.
Ren Shen (Steamed with Autumn Stone Water), Huang Qi (Astragali Radix), E Jiao (Donkey-hide Gelatin), Fu Shen (Poria with Hostwood), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Sheng Bai Shao (Raw Paeoniae Radix Alba).
Wang (36 years old). After intestinal redness heals, hematemesis recurs every 1-2 months. This is because Yangming Stomach collaterals have abundant Qi and Blood, so after vomiting, sleep/eating remain normal. Long-term recurrence depletes Yin, still worrying about internal damage. Should nourish Lung/Stomach Yin to harmonize Yang.
Sheng Huang Qi (Raw Astragali Radix), Bei Sha Shen (Glehniae Radix), Mai Dong (Ophiopogonis Radix), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Fu Shen (Poria with Hostwood), Decoct with Yuan Mi Tang (Rice Soup).
Cheng (27 years old). Multiple episodes of hematemesis, limb tremors, facial heat/sweating, startled sleep. Yangming collaterals are already deficient, Jueyin Wind-Yang blazes upward. Food does not become flesh/muscle, all signs of consumption.
Sheng Huang Qi (Raw Astragali Radix), Bei Sha Shen (Glehniae Radix), Sheng Mu Li (Ostreae Concha), Mai Dong (Ophiopogonis Radix), Xiao Mai (Triticum Granum), Nan Zao (Chinese Date).
Cheng (21 years old). Left pulse small-rapid, right wiry. Reduced food, emaciation, prone to wind invasion, constipation. Blood syndromes seen in winter/spring. Stomach Yang externally corresponds to Wei Qi; nine orifices disharmony all belong to Stomach disease. Due to winter failure to store, Spring generation Qi is scarce, encountering Long Summer heat steaming, True Qi gradually distressed. Urgently abstain from desires and rest quietly, re-discuss at Autumn Equinox.
Shen Xu (Ginseng Root Hair), Huang Qi (Astragali Radix), Pi (Tangerine Peel), Xian Lian Zi (Fresh Nelumbinis Semen), Fu Shen (Poria with Hostwood), Chao Mai Dong (Stir-fried Ophiopogonis Radix), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma).
Anonymous patient. Sleeping on right side makes panting/cough worse. Encountering labor moving Yang, phlegm carries blood. Years of chronic cough, Triple Burner all diseased. Mai Men Dong Tang (Ophiopogon Decoction).
Hua (38 years old). Labor, anger, exertion injure Qi and move Liver. In Spring/Summer, Heaven-Earth Qi mechanisms move, disease easily erupts. Food intake halved, heat rises rushing to throat, after blood loss Wind-Yang blaze. Suppress and nourish Stomach Yin, do not use clearing-cold cough treatments.
Sheng Bian Dou (Raw Vigna Semen), Sha Shen (Glehniae Radix/Astragali Complanatus Radix context dependent, likely Glehniae here), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Chuan Hu (Dendrobii Caulis), Fu Shen (Poria with Hostwood).
Second visit. Rebellious Qi attacks abdomen/wraps throat, Jueyang of Liver/Gallbladder runs rampant. Long-term deficiency, vomiting phlegm/reduced food all offend Stomach. Without quiet rest, condition worsens yearly.
Tian Bei Sha Shen (Sweet Northern Glehniae Radix), Sheng Bai Bian Dou (Raw White Vigna Semen), Sheng Huang Qi (Raw Astragali Radix), Pi (Tangerine Peel), Fu Shen (Poria with Hostwood), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma).
Half sheng of white glutinous rice, soak in clear soup to decoct medicine.
Xu. Yin viscera lose control, Yang soars, severe cough brings blood, all movement signs. Quiet herbs fit well, but repeated application fails. Upper and lower mutually exploit, Yangming collaterals empty, following Yang Qi ascent/descent freely. First use soft agents to fill Stomach Yin, so-called holding the center to approach correctness. *Jin Gui* Mai Men Dong Tang (Ophiopogon Decoction) removing Ban Xia, adding Huang Qi.
Anonymous patient (59 years old). Post-blood loss, cough without hunger. This belongs to Stomach deficiency, should treat Yangming.
Tian Bei Shen (Sweet Northern Ginseng), Sheng Bian Dou (Raw Vigna Semen), Mai Dong (Ophiopogonis Radix), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis).
Lu. Sour food aids Wood, Stomach Earth suffers insult, Epigastric Yang rebels, collateral blood floods upwards. *Nei Jing* states excessive sour/pungent all follow sweet-slow legislation. Less grain, Qi decline, heavy-bitter should not enter.
Sheng Bian Dou (Raw Vigna Semen), Bei Sha Shen (Glehniae Radix), Chao Mai Dong (Stir-fried Ophiopogonis Radix), Fu Ling (Poria), Chuan Hu (Dendrobii Caulis), Zhe Gan Jiang Jiang (Sugarcane Juice).
Second visit. Sweet-cool nourishes Middle Stomach Yin, phlegm reduces, bleeding stops. Two Cun pulses large, heart vexation, spine heat, sweating. Signs of Ying/Qi heat leakage. Discuss using Zhu Ye Di Huang Tang (Bamboo Leaf Rehmannia Decoction).
Xian Sheng Di (Fresh Rehmanniae Radix), Zhu Ye Xin (Bambusae Folium Heart), Chao Mai Dong (Stir-fried Ophiopogonis Radix), Jian Lian Rou (Nelumbinis Plumula), Chuan Hu (Dendrobii Caulis), Fu Shen (Poria with Hostwood).
Tao (41 years old). Hematemesis/cough two years ago, starting April summer. Generally late spring to summer, Qi mechanism ascends/leaks, Yang Qi stretches maximally. Yang moves much, Yin lacks internal guarding duty, collateral blood spills outward. Now intersecting with Earth prosperity leaking, desiring disease climate, urgently nourish Yangming Stomach Yin. After Summer Solstice, additionally advance Sheng Mai type. Do not walk in blazing sun, hope for gradual daily peace. *Jin Gui* Mai Men Dong Tang (Ophiopogon Decoction) removing Ban Xia.
Wang (28 years old). Seeing red for two years, winter adds cough, spring voice hoarse, throat/tongue dry. Pulse small/firm, thick flavors not accepted, Stomach mouth fears daily reduction. This is sweet-slow benefiting Stomach Yin main treatment.
Mai Dong (Ophiopogonis Radix), Ji Zi Huang (Chicken Egg Yolk), Sheng Bian Dou (Raw Vigna Semen), Bei Sha Shen (Glehniae Radix), Di Gu Pi (Lycii Cortex), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma).
Lu (44 years old). Pulse large, sallow complexion, winter cough-blood, food intake halved. Until now dry cough no phlegm, spring/summer hematemesis. Winter lacks storage gathering, Yang ascent less controlled. Peaceful quiet rest, Five Emotions Qi-Fire naturally level, hope for recovery. Emaciated, reduced grain, should nourish Stomach Earth Jin to generate Metal.
Tian Bei Shen (Sweet Northern Glehniae Radix), Mai Dong (Ophiopogonis Radix), Yu Zhu (Polygonati Odorati Rhizoma), Mu Gua (Chaenomelis Fructus), Sheng Bian Dou (Raw Vigna Semen), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma).
Anonymous patient (22 years old). Right pulse large, left deficient. April, Yang Qi ascending, mental labor excessively moves Yang, collateral blood spills to upper orifices. Blood loss必然 Yin injury generating heat, should nourish Stomach Yin. Strictly avoid bitter-cold clearing fire.
Bei Sha Shen (Glehniae Radix), Sheng Bian Dou (Raw Vigna Semen), Mai Dong (Ophiopogonis Radix), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis).
Anonymous patient (29 years old). Pulse [rapid]... Blood surges, hungry easily eats, Wind-Yang excessively moves causing consumption. If not self-guarding, herb intake is useless.
Sheng Di (Rehmanniae Radix), Tian Dong (Asparagi Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Fu Ling (Poria), Sheng Bian Dou (Raw Vigna Semen), Chuan Hu (Dendrobii Caulis).
Ni (31 years old). Yangming pulse wiry/empty, post-blood loss, throat obstruction/choking. Though food intake strong, hasn't received essence/fluid overflow from grain/water. Should benefit Stomach Yin.
Bei Sha Shen (Glehniae Radix), Sheng Bian Dou (Raw Vigna Semen), Mai Dong (Ophiopogonis Radix), Xing Ren (Armeniacae Semen Amarum), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Decoct with Nuomi Tang (Glutinous Rice Soup).
Xu (31 years old). Blood loss but able to eat, phlegm-cough, sallow complexion, rapid pulse. Can use sweet-cool to nourish Middle Stomach Yin. Stomach harmonizes, Metal generates. Hemorrhoids/blood dry stool, soft herbs most suitable.
Sheng Bian Dou (Raw Vigna Semen), Sheng Di (Rehmanniae Radix), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Yin Hua (Lonicerae Flos), Shi Bing Hui (Persimmon Cake Ash), Ce Bai Ye (Biota Tops Leaf).
Anonymous patient. Blood loss, dry throat.