人参（一钱） 当归（二钱） 茺蔚子（二钱） 香附（醋炒一钱） 茯苓（三钱） 小茴（一钱） 生杜仲（二
钱）
又 照方去茺蔚杜仲白芍官桂。
某（氏）久有痛经。气血不甚流畅。骤加暴怒伤肝。少腹冲气上犯。逆行于肺为咳。寒热声嗄。胁中
拘急。不饥不纳。乃左升右降不司转旋。致失胃气下行为顺之旨。故肝用宜泄。胃腑宜通。为定例矣。
钩藤 丹皮 桑叶 半夏曲 茯苓 广皮白
又 威喜丸。
唐 积劳内伤。脘闷胁胀。呕吐格拒。眩晕不得卧。阳挟内风暴张。恐其忽然 厥。议通胃平肝法。
小川连 姜汁 半夏 牡蛎 川楝子 生白芍
江 拒按为实。患目病来属肝。痛必多呕。大便秘涩。肝病及胃。当苦辛泄降。少佐酸味。
小川连 生淡干姜 半夏 枳实 黄芩 生白芍
顾（五十）阳明脉衰。形寒。痞。饥不食。心痛。洞泄兼呕。
人参 吴萸 茯苓 半夏 生姜 炒黄粳米
某 劳怒伤阳。气逆血郁致痛。痞胀便溏。风木侮土。前方既效。与通补阳明厥阴。大半夏汤
去蜜加桃仁柏子仁当归姜枣汤法丸。
某 脉微小弱。是阳气已衰。今年太阴司天。长夏热泄气分。不食不运。味变酸苦。脾胃先受
困也。稍涉嗔怒。木乘土中。益加不安。从东垣培土制木法。
人参 广皮 茯苓 益智 木瓜 淡姜渣
夏 通补阳明。开泄厥阴。
人参 半夏 茯苓 橘红 吴萸 白芍
汪（氏）气滞脾弱。（肝脾）
逍遥散加郁金砂仁末。
席 大便未结。腹中犹痛。食入有欲便之意。胃阳未复。肝木因时令尚横。用泄木安土法。（肝脾胃）
人参 木瓜 浓朴 茯苓 益智仁 青皮
江 镇冲任。温养下焦颇效。所议治嗽肺药。寒凉清火。背谬显然。
炒黑杞子 淡苁蓉 小茴香拌炒当归 沙苑 石壳建莲 茯神
紫石英煎汤。煎药。
又 动怒。脘下痛。不饮食。是肝厥犯脾胃。病外生枝。最非善调之理。理气皆破泄难用。议进制
肝木益胃土一法。
人参（一钱） 炒焦白芍（一钱半） 真枷南香（汁冲五小匙） 炒焦乌梅（三分酸泄肝阳） 茯苓（五钱切小块
甘淡益胃） 化橘红（五分宣通缓痛）
又 人参 嫩钩藤 明天麻 化橘红 炒乌梅肉 茯苓 伽南香
朱 胃弱痰多。补虚宜通。肝阳易升。左颊赤。佐泄少阳。（肝胆胃）
人参 炒半夏 茯苓 钩藤 经霜桑叶 煨姜 南枣
范（五七）脾窍开舌。舌出流涎为脾病。克脾者少阳胆木。以养脾泄胆治。（胆脾）
人参 于术 天麻 姜黄 桑叶 丹皮
某 补太阴。泄少阳。
人参 茯苓 焦术 炙草 广皮 白芍 炒丹皮 桑叶
又 照方去甘草桑叶加木瓜。
李（五十）少阳木火。犯太阴之土。持斋淡薄。中虚热灼。以补脾和肝。为久长调理。四君子加芩芍桑叶丹皮。
金 能食运迟。香纹裂。左颐肉肿。不喜饮水。太阴脾阳郁。法当补土泄木。
于术 茯苓 新会皮 炙草 煨益智 柴胡 丹皮 白芍
张（二九）脉小弱。是阳虚体质。由郁勃内动少阳木火。木犯太阴脾土。遂致寝食不适。法当补土泄木。
人参（一钱半） 白术（一钱半） 半夏（一钱） 茯苓（二钱） 甘草（五分） 广皮（一钱） 丹皮（三钱） 桑
叶（一钱） 姜（一钱） 枣（二钱）
肝为风木之脏。又为将军之官。其性急而动。故肝脏之病。较之他脏为多。而于妇女尤甚。
肝病必犯土。是侮其所胜也。本脏现症。仲景云。厥阴之为病。消渴。气上撞心。心中疼热。饥
而不欲食。食则吐蛔。下之利不止。又内经所载肝病。难以尽述。大凡其脉必弦。胁或胀或
疼。偏寒偏热。先厥后热。若一犯胃。则恶心干呕。脘痞不食。吐酸水涎沫。克脾则腹胀。便或
溏。或不爽。肢冷肌麻。案中治法。有阴阳虚实之殊。略举而叙述之。若肝阴胃阴未亏。肝阳
亢逆犯胃。先生立法。用药则远柔用刚。泄肝如吴萸椒桂。通胃如半夏姜汁姜附。加益智
枳朴等。则兼运脾阳。中虚必用人参。故大半夏汤。附子粳米汤。进退黄连汤。泻心法。治中
法。温胆等汤是也。若肝阴胃汁已虚。木火炽盛。风阳扰胃。用药忌刚用柔。养肝则阿胶生
地白芍麻仁木瓜。养胃则人参麦冬知母粳米秫米等是也。至于平治之法。则刚柔寒热
兼用。乌梅丸。安胃丸。逍遥散。若四君六君异功戊己。则必加泄肝之品。用桑叶丹皮者。先
生云。桑叶轻清。清泄少阳之气热。丹皮苦辛。清泄肝胆之血热。用金铃子散者。川楝苦寒。
直泄肝阳。延胡专理气滞血涩之痛。此皆案中之纲领也。余另分此一门者。因呕吐不食。
胁胀脘痞等恙。恐医者但认为脾胃之病。不知实由肝邪所致。故特为揭出。以醒后人之
目耳。且世人但知风劳臌膈为四大重症。不知土败木贼。肝气日横。脾胃日败。延至不救
者多矣。可不究心于此哉。（华岫云）
徐评 诸案大抵皆胸痹痞满。及痰饮内蓄之症。治痞痹之方。最忌人参。而此欲其壮土以制
木。用者甚多。必有遗病。至于蓄痰症。全不齿及。尤属辨症不清。其中精思巧意。中病处颇多。亦
得失参半也。
Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Dang Gui (Angelicae Sinensis Radix, 2 qian) Chong Wei Zi (Leonuri Fructus, 2 qian) Xiang Fu (Cyperi Rhizoma, stir-fried with vinegar, 1 qian) Fu Ling (Poria, 3 qian) Xiao Hui (Foeniculi Fructum, 1 qian) Sheng Du Zhong (Eucommiae Cortex, raw, 2 qian)
Again: Follow the original prescription, remove Chong Wei Zi, Du Zhong, Bai Shao, and Guan Gui.
A certain female patient has suffered from dysmenorrhea for a long time. The Qi and Blood are not flowing smoothly. Sudden severe anger injured the Liver. The rushing Qi in the lower abdomen rebels upward and invades the Lung, causing cough. Accompanied by alternating chills and fever, hoarseness of voice, and tension in the hypochondrium. No appetite and inability to eat. This indicates that the ascending on the left and descending on the right cannot rotate properly, leading to a violation of the principle that Stomach Qi should descend smoothly. Therefore, the function of the Liver should be vented/discharged, and the Stomach organ should be unblocked and descending; this is a fixed rule.
Gou Teng (Uncariae Ramulus cum Uncis) Dan Pi (Moutan Cortex) Sang Ye (Mori Folium) Ban Xia Qu (Pinelliae Fermentatum) Fu Ling (Poria) Guang Pi Bai (Citri Reticulatae Pericarpium)
Again: Take Weixi Wan.
Patient Tang suffered internal injury due to overexertion. Epigastric stuffiness and distension, hypochondriac fullness. Vomiting with rejection (food immediately vomited after intake). Vertigo, unable to lie down. Yang Qi carries internal wind, raging like a storm. Fear of sudden Jue syndrome. Propose method to unblock the Stomach and calm the Liver.
Xiao Chuan Lian (Coptidis Rhizoma) Jiang Zhi (Ginger Juice) Ban Xia (Pinelliae Tuber) Mu Li (Ostreae Concha) Chuan Lian Zi (Toosendan Fructus) Sheng Bai Shao (Paeoniae Radix Alba, raw)
Patient Jiang: Pain worsened by pressure indicates excess. Eye disease belongs to the Liver. Pain must be accompanied by vomiting. Constipation with dryness. Liver disease affecting the Stomach. Should use bitter and pungent methods to vent and descend. Add a little sour flavor.
Xiao Chuan Lian (Coptidis Rhizoma) Sheng Dan Gan Jiang (Zingiberis Rhizoma, raw and pale) Ban Xia (Pinelliae Tuber) Zhi Shi (Aurantii Fructus Immaturus) Huang Qin (Scutellariae Radix) Sheng Bai Shao (Paeoniae Radix Alba, raw)
Patient Gu (50 years old): Yangming pulse is declining. Body feels cold. Fullness/stuffiness. Hunger but no desire to eat. Heart pain. Profuse diarrhea accompanied by vomiting.
Ren Shen (Ginseng Radix et Rhizoma) Wu Zhu Yu (Evodiae Fructus) Fu Ling (Poria) Ban Xia (Pinelliae Tuber) Sheng Jiang (Zingiberis Rhizoma Recens) Chao Huang Jing Mi (Rice, stir-fried yellow)
A certain patient: Labor and anger damaged Yang Qi. Rebellious Qi and stagnant Blood cause pain. Fullness, distension, loose stools. Wind-Wood insulting Earth. Since the previous formula was effective, provide a method to unblock and tonify Yangming and Jueyin. Dabansha Tang, remove honey, add Tao Ren, Bai Zi Ren, Dang Gui, Sheng Jiang, Da Zao, decoct as soup or make into pills.
A certain patient: Pulse is minute, small, and weak. This indicates Yang Qi is already declining. This year, Taiyin governs the sky. In midsummer, heat leaks into the Qi level. Cannot eat, transportation fails. Taste changes to sour and bitter. Spleen and Stomach are first constrained. Slight anger causes Wood to overcome Earth, adding to unease. Follow Li Dongyuan's method of cultivating Earth to control Wood.
Ren Shen (Ginseng Radix et Rhizoma) Guang Pi (Citri Reticulatae Pericarpium) Fu Ling (Poria) Yi Zhi (Alpiniae Oxyphyllae Fructus) Mu Gua (Chaenomelis Fructus) Dan Jiang Zha (Ginger Residue, light)
Patient Xia: Unblock and tonify Yangming, open and vent Jueyin.
Ren Shen (Ginseng Radix et Rhizoma) Ban Xia (Pinelliae Tuber) Fu Ling (Poria) Ju Hong (Citri Reticulatae Pericarpium) Wu Zhu Yu (Evodiae Fructus) Bai Shao (Paeoniae Radix Alba)
Wang Shi: Qi stagnation, Spleen weakness. (Liver-Spleen disharmony)
Xiaoyao San plus Yu Jin and Sha Ren powder.
Patient Xi: Stool is not formed. Abdominal pain persists. After eating, there is an urge to defecate. Stomach Yang has not recovered. Liver Wood is still rampant due to the season. Use method to vent Wood and pacify Earth. (Liver, Spleen, Stomach)
Ren Shen (Ginseng Radix et Rhizoma) Mu Gua (Chaenomelis Fructus) Nong Po (Magnoliae Officinalis Cortex) Fu Ling (Poria) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) Qing Pi (Citri Reticulatae Pericarpium Viride)
Patient Jiang: Calming Chong and Ren meridians, warming and nourishing Lower Jiao was quite effective. The discussed lung medicines for treating cough, if they are cold and cooling fire, are obviously erroneous.
Chao Hei Qi Zi (Lycii Fructus, stir-fried black) Dan Cong Rong (Cynomorii Herba) Xiao Hui Xiang Ban Chao Dang Gui (Foeniculi Fructum stir-fried with Angelicae Sinensis Radix) Sha Yuan (Astragali Complanati Semen) Shi Ke Jian Lian (Nelumbinis Semen) Fu Shen (Poria cum Radice)
Zi Shi Ying decoct water to decoct other medicines.
Again: Anger caused pain below the epigastrium, inability to eat. This is Liver Jue invading Spleen and Stomach. Disease generating branches externally. This is certainly not good management. Qi-regulating drugs are mostly breaking and draining, difficult to use. Propose method to gradually restrain Liver Wood and benefit Stomach Earth.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Chao Jiao Bai Shao (Paeoniae Radix Alba, stir-fried scorched, 1.5 qian) Zhen Jia Nan Xiang (Aquilariae Resina, juice mixed, 5 small spoons) Chao Jiao Wu Mei (Mume Fructus, stir-fried scorched, 3 fen, sour to vent Liver Yang) Fu Ling (Poria, 5 qian cut into small pieces, sweet and bland to benefit Stomach) Hua Ju Hong (Exocarpium Citri Grandis, 5 fen, diffuse and unblock to relieve pain)
Again: Ren Shen (Ginseng Radix et Rhizoma) Nen Gou Teng (Uncariae Ramulus cum Uncis, tender) Ming Tian Ma (Gastrodiae Rhizoma) Hua Ju Hong (Exocarpium Citri Grandis) Chao Wu Mei Rou (Mume Fructus, stir-fried flesh) Fu Ling (Poria) Ga Nan Xiang (Aquilariae Resina)
Patient Zhu: Weak Stomach, much phlegm. Tonifying deficiency should use unblocking method. Liver Yang easily ascends. Left cheek is red. Assist by venting Shaoyang. (Liver, Gallbladder, Stomach)
Ren Shen (Ginseng Radix et Rhizoma) Chao Ban Xia (Pinelliae Tuber, stir-fried) Fu Ling (Poria) Gou Teng (Uncariae Ramulus cum Uncis) Jing Shuang Sang Ye (Mori Folium, frosted) Wei Jiang (Zingiberis Rhizoma, baked) Nan Zao (Jujubae Fructus)
Fan Shi (57 years old): Orifice of Spleen opens to tongue. Tongue protruding and drooling indicates Spleen disease. Overcoming Spleen is Shaoyang Gallbladder Wood. Treat by nourishing Spleen and venting Gallbladder. (Gallbladder, Spleen)
Ren Shen (Ginseng Radix et Rhizoma) Yu Zhu (Atractylodis Macrocephalae Rhizoma) Tian Ma (Gastrodiae Rhizoma) Jiang Huang (Curcumae Longae Rhizoma) Sang Ye (Mori Folium) Dan Pi (Moutan Cortex)
A certain patient: Tonify Taiyin, vent Shaoyang.
Ren Shen (Ginseng Radix et Rhizoma) Fu Ling (Poria) Jiao Zhu (Atractylodis Macrocephalae Rhizoma, charred) Zhi Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Guang Pi (Citri Reticulatae Pericarpium) Bai Shao (Paeoniae Radix Alba) Chao Dan Pi (Moutan Cortex, stir-fried) Sang Ye (Mori Folium)
Again: Follow the original prescription, remove Gan Cao and Sang Ye, add Mu Gua.
Li Shi (50 years old): Shaoyang Wood-Fire invades Taiyin Earth. Fasting and bland diet, Middle Jiao deficiency with heat scorching. Use tonifying Spleen and harmonizing Liver as long-term regulation. Sijunzi Tang plus Huang Qin, Bai Shao, Sang Ye, Dan Pi.
Jin Shi: Can eat but transportation is slow. Cracks in skin texture. Swelling of left cheek muscles. Dislikes drinking water. Taiyin Spleen Yang is depressed. Method should be tonifying Earth and venting Wood.
Yu Zhu (Atractylodis Macrocephalae Rhizoma) Fu Ling (Poria) Xin Hui Pi (Citri Reticulatae Pericarpium) Zhi Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Wei Yi Zhi (Alpiniae Oxyphyllae Fructum, baked) Chai Hu (Bupleuri Radix) Dan Pi (Moutan Cortex) Bai Shao (Paeoniae Radix Alba)
Zhang Shi (29 years old): Pulse is small and weak, indicating Yang-deficient constitution. Due to depression moving internally triggering Shaoyang Wood-Fire. Wood invades Taiyin Spleen Earth. Thus causing discomfort in sleep and diet. Method should be tonifying Earth and venting Wood.
Ren Shen (Ginseng Radix et Rhizoma, 1.5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian) Ban Xia (Pinelliae Tuber, 1 qian) Fu Ling (Poria, 2 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 qian) Guang Pi (Citri Reticulatae Pericarpium, 1 qian) Dan Pi (Moutan Cortex, 3 qian) Sang Ye (Mori Folium, 1 qian) Jiang (Zingiberis Rhizoma Recens, 1 qian) Zao (Jujubae Fructus, 2 qian)
The Liver is the organ of Wind-Wood, and also the General Officer. Its nature is urgent and active. Therefore, diseases of the Liver are more numerous than those of other organs, especially in women.
Liver disease must invade Earth, which is insulting what it overcomes (reverse restriction). The symptoms of the primary organ, Zhang Zhongjing said: The disease of Jueyin involves thirst, Qi rushing up to strike the heart, pain and heat in the heart, hunger but no desire to eat, vomiting roundworms after eating, and if purged, diarrhea will not stop. Also, the liver diseases recorded in Neijing cannot be fully described. Generally, the pulse must be wiry. Hypochondrium may be distended or painful, biased towards cold or heat, first Jue (cold extremities) then heat. If it once invades the Stomach, then nausea, dry heaving, epigastric fullness, no desire to eat, vomiting sour water and saliva. Insulting the Spleen causes abdominal distension, stool may be loose, or不爽 (not smooth), cold limbs, numb skin. The treatment methods in the cases differ in Yin/Yang and Deficiency/Excess. Briefly listed and narrated as follows. If Liver Yin and Stomach Yin are not deficient, but Liver Yang is hyperactive and invading the Stomach, Mr. Ye's legislation uses medicine that avoids softness and uses rigidity. To vent the Liver, use Wu Zhu Yu, Jiao (Sichuan Pepper), Gui (Cinnamon); to unblock the Stomach, use Ban Xia, Ginger Juice, Jiang Fu (Ginger and Aconite). Adding Yi Zhi, Zhi (Immature Bitter Orange), Po (Magnolia Bark) simultaneously transports Spleen Yang. For Middle Jiao deficiency, Ren Shen must be used. Thus Dabansha Tang, Fuzi Jingmi Tang, Tuijin Huanglian Tang, Xiexin Fa, Zhizhong Fa, Wendan Tang, etc., are these types. If Liver Yin and Stomach fluid are already deficient, Wood-Fire is blazing, Wind-Yang disturbs the Stomach, medication should avoid rigidity and use softness. To nourish the Liver, use E Jiao, Sheng Di, Bai Shao, Ma Ren, Mu Gua; to nourish the Stomach, use Ren Shen, Mai Dong, Zhi Mu, Jing Mi, Shu Mi, etc., are these types. As for the method of peaceful treatment, rigidity and softness, cold and heat are used together. Wumei Wan, Anwei Wan, Xiaoyao San. If Sijunzi, Liu Junzi, Yigong, Jiufang Tang, etc., must add products that vent the Liver. Those using Sang Ye and Dan Pi, Mr. Ye said: Sang Ye is light and clear, clearing and venting Shaoyang Qi-heat; Dan Pi is bitter and pungent, clearing and venting Liver-Gallbladder Blood-heat. Using Jinlingzi San, Chuan Lian Zi is bitter and cold, directly venting Liver Yang; Yan Hu Suo specializes in regulating Qi stagnation and Blood sluggishness pain. These are all the outlines in the cases. I separated this category separately because symptoms such as vomiting, inability to eat, hypochondriac distension, and epigastric fullness, doctors might only consider them Spleen-Stomach diseases, not knowing they are actually caused by Liver pathogenic factors. So I specially reveal them to awaken the eyes of later generations. Moreover, people only know Feng, Lao, Gu, Ge as the four major serious illnesses, not knowing that when Earth fails and Wood attacks, Liver Qi becomes rampant day by day, Spleen and Stomach decline day by day, delaying until incurable cases are many. Can one not study this? (Hua Xiuyun)
Xu Ping: Most cases are basically Chest Bi (obstruction) and fullness, as well as symptoms of internal accumulation of Phlegm-Fluid. Formulas for treating Bi and fullness strictly forbid Ren Shen. But here, the intention is to strengthen Earth to control Wood, so Ren Shen is used very often. There must be residual diseases. Regarding Phlegm accumulation, it is not mentioned at all, which particularly belongs to unclear syndrome differentiation. Among them, there are many places of profound thought and clever intent that hit the target, but it is also half gain and half loss.