络伤见血，幸不咳呛，乃气分病也。平肝降气主治。
元生地 北沙参 茯神 淮牛膝 湖藕 麦冬肉 炒苏子 枣仁 川郁金
温邪伤肺，咳呛失血，六脉弦数，恐延入怯门。
北沙参 麦冬肉 元武板 冬桑叶 丹皮 川贝母 地骨皮 淮牛膝 生米仁 橘红
内伤失血，咽干膈痛，虽有咳呛，六脉并不弦数。惟虚阳不潜，须省力调治。
地生地 川断 北沙参 苏子 地武板 丹皮 牛膝 大麦冬 橘红 老桑叶
素有痰喘，近兼失血，频发不已，两手脉虚软，乃中虚气分受伤也。须培阴保肺兼顾，斯为尽善。
黄 陈阿胶 茯苓 甘杞子 制香附 熟地 炒白芍 枣仁 牛膝炭 青盐
内热咳血，本元虚也。清阴润肺治。
地骨皮 玉竹 知母 生蛤壳 藕节 北沙参 麦冬 橘红 老桑叶
阳络受伤，咳血膈痛病久脉虚，愈期难决。
熟地 麦冬 北沙参 橘红 淮牛膝 阿胶 丹皮 石决明 茜草 冬桑叶
覆诊脉症，俱见平安，惟有内烧不止，阴分虚也。
元生地 麦冬 北沙参 龟板 橘红 丹皮 茯神 女珍子 牡蛎 桑叶
晨起咳痰，咽痒见血，肺胃之火，只宜清润调治。
乌犀角 天冬 知母 枇杷叶 生甘草 小元地 麦冬 橘红 冬桑叶 茅根
狂失血后脉软，气怯胃气薄弱，非补无策。
炙黄 麦冬 淮牛膝 牡蛎 广橘白 炒熟地 五味 甘杞子 茯神 胡桃肉
蓄血妄行，并不咳呛，气逆，左脉弦大，乃血去络不和也。暂用疏滞通络，接服黑归脾调理。
归须 丹参 柏子霜 川郁金 新绛屑 桃仁 苏子 牛膝炭 石决明
元气素虚，火动咯血，膈次不利，防其狂吐。
炒生地 莲须 炒苏子 茯苓 石决明 冬桑叶 丹皮 龟板 川郁金 淮牛膝
藕汁冲服。
元气素虚，火动咯血，血虽止而痰涎上泛，恐阴液内亏。兹用健中保肺法。
制于术 北沙参 山药 川贝母 橘白 陈阿胶 炒麦冬 茯神 川百合 青盐
失血后咳痰气秽，肝肺络伤也。无虞难许。
羚羊角 麦冬 杏仁 茜草 炒苏子 茅根 生米仁 知母 橘红 牛膝 冬桑叶
气喘咳血中虚，阳气易浮，固表纳喘兼治。
炙绵 牡蛎 山药 麦冬 北沙参 炒熟地 淮牛膝 茯苓 橘白 胡桃肉
质弱火炎，骨蒸不退，痰中虽有血点，幸不咳呛。当此春令，须滋肝肾调理。
银柴胡 熟首乌 茯苓 秦艽 淮山药 北沙参 川柏 泽泻 麦冬
阳明络伤，狂吐衄血，脉络空虚，气喘心悸。
炙 茯神 白芍 蕊石 藕节 大熟地 枣仁 茜草 牛膝
咳血久缠，痰多咽痛。
蛤粉炒阿胶 制洋参 橘白 生米仁 冬瓜子 北沙参 人中白 茜草 冬桑叶 燕窝（一钱五分）
骤然失血半斗，神困脉微，由去血过多，阳气无根据，颇有脱势。姑拟补气养心法，斯为要计。
炙绵 麦冬 茯神 红枣 牡蛎 西党参 五味 枣仁 白芍 炙草
蓄血妄行，络虚心悸，幸不咳呛，当以黑归脾调理。
真西党 麦冬 茯神 牛膝炭 橘红 炒熟地 远志 枣仁 炒白芍 桑叶
咳血反复，咽关不利，左脉弦数，木火刑金也。
熟地 北沙参 枇杷叶 茜草 牛膝炭 阿胶 川百合 麦冬肉 橘红 青盐
素体不足，前曾失血，现诊脉象弦数不静，此水亏火不潜根也。久防咳呛。
元生地 茯神 麦冬 龟板心 北沙参 丹皮 枣仁 丹参 石决明
咳血气秽，六脉弦数模糊，此温邪入络，肺胃受伤，以清理救肺治之。
羚羊角 地骨皮 象贝 知母 橘红 藕节 枇杷叶 冬瓜子 茜草 米仁 茅根
失血过多，木邪侮土，脉不柔软，以通为补。
川石斛（四钱） 白芍（一钱五分） 车前（二钱） 茯苓（二钱） 新会皮（一钱） 焦谷芽（三钱） 净归身
（二钱） 苏子（三钱） 泽泻（一钱五分） 半夏（一钱五分） 冬瓜子（三钱）
血症复萌，右脉弦数，当此升令，宜用泻白法。
桑白皮 栝蒌皮 麦冬 牛膝 炒米仁 地骨皮 枇杷叶 知母 茜草
咳血复萌，近兼遗泄，幸不脉数气喘，想见阴分不致大亏，乃阳络伤也，先理后补。
北沙参 川百合 茜草 阿胶 花粉 大麦冬 白莲须 丹参 茯神
失血过多，气痹阴络满也。以通为补。
川石斛 归身 炒苏子 法半夏 淮牛膝 焦谷芽 茯苓 白芍 炒车前 新会皮 冬瓜子
气伤血溢，火动咳呛，肝失所养，木火刑金，当用清上纳下法。
元生地 橘白 苏子 淮牛膝 石决明 麦冬肉 丹皮 茜草 川续断 藕节
咳血咽痛，恶寒喘逆，中虚肺液亏也。以补气保肺治。
炙绵 北沙参 山药 阿胶 橘白 熟地炭 大麦冬 牛膝 米仁 桑叶
狂失血后，络伤气怯，脉细无力。虽见咳呛，非阴火上冲，乃气不足使然。以归脾法调理。
炙绵 （二钱） 麦冬（二钱） 枣仁（三钱） 白芍（一钱） 蛤粉炒阿胶（三钱） 北沙参（二钱） 远志（一
钱，泡） 茯神（二钱） 牡蛎（四钱， ） 建莲肉（七粒）
呕泻蓄血，气虚阴络伤也。恐交春后，腹胀不易脱体。
焦术（二钱） 炒归身（一钱五分） 川楝子（一钱） 白芍（一钱五分） 赤苓（三钱） 木香（四分，煨） 炒
青皮（一钱） 延胡索（一钱） 泽泻（一钱五分） 谷芽（三钱）
阳络受伤，血症频发，虽不咳呛，六脉甚是弦数，非佳境也。立春在迩，预为调治。
元生地 麦冬 桃仁 花蕊石 紫丹参 藕节 丹皮 牛膝 茜草 冬桑叶 草郁金
呕泻蓄血，明阳络俱伤，气滞脾困，不克输津生新，下焦真气不充，清浊艰于升降，运谷无权，腹膨便溺，六脉软
弱无力。理当温补佐安神法，再视消息，附方呈政。
土炒制于术（二钱） 炙白芍（二钱） 炒枣仁（三钱） 菟丝（二钱） 橘叶（三张） 土炒归身（一钱五分） 云
茯神（二钱） 川郁金（一钱，切后入） 泽泻（一钱五分） 焦谷芽（四钱）
十九日晚复诊，左脉弦动，略有烦躁。此肝阴亏而脾未输上供也。再拟醒脾化气，参用柔肝法。
土炒制于术（一钱） 归身（一钱五分，酒炒） 枣仁（三钱） 川郁金（一钱） 泽泻（一钱五分） 焦谷芽（四
分） 蛤粉 炒阿胶（二钱） 白芍（二钱） 茯神（二钱） 炙升麻（四钱） 橘叶（三张）
汁一日脉象两手均称条达，惟重按少力，可见中焦气机稍舒，命门真火未能摄水，脾阳不克运动，所以下体浮肿重
滞，饮食能纳难化也。仍拟和肝胃佐助元阳法。
炒黄西党（三钱） 茯神（三钱） 巴戟（一钱五分，盐水炒） 川郁金（一钱，切，后入） 泽泻（一钱五分） 焦
谷芽（四钱） 土炒于术（二钱） 枣仁（三钱） 肉桂（三分，去皮磨） 炙升麻（四分） 橘叶（三张）
二十三日诊，腹胀不寐，脉反弦数，无疑木旺土衰，肝阴内亏所致。就证参脉，未敢骤补，此方暂服。
米饮炒制于术 归身 茯苓 川郁金 元米炒麦冬 赤豆（三十粒） 姜汁制半夏 白芍 藿香 淮牛膝 磨冲肉
桂
二十五日诊，中不胜湿，湿化为热，其气不得快利，以致腐谷少权，二便不畅，脉象动静，以扶本为主，疏理为佐。
拙方候政。
土炒制于术 归身 大腹绒 茯神 益智 煨木香 白芍 泡炮姜 车前 肉桂
深思抑郁，内滞蓄血，狂吐之后，肝失所养，气机呆钝，侮土作胀，诊得脉象右弦左软，可见下焦无火，津不上供
也。当用金匮法。
炒西党 炒熟地 川附 牛膝 丹皮 焦于术 块茯苓 肉桂 泽泻 赤豆
狂失血后，脉络空虚，其气无根据，喘逆日甚，脉数无力，脾胃不甚强健，大虚候也。当用甘温纳补法。
西党参 炒熟地 茯神 紫石英 牛膝 制于术 炒杞子 枣仁 川附子 胡桃
复诊，前拟温补，病情脉象，未见进退，但元气久虚，惟宜温补，舍此无策。
西党 熟地 麦冬 杞子 附子 于术 五味 茯神 磁石 坎气
服参方
人参 于术 麦冬 五味 茯神 杞子 炙草
又复方，同前去坎气，加胡桃肉。
狂吐蓄血，肋痞侮中，乃肝脾络伤，惟恐腹满。
川石斛 茯苓 鳖甲 郁金 焦谷芽 炒苏子 白芍 新会 浓朴 藕节
肝胃不和，并曾失血，显系营卫受伤，只宜清理。
生白芍 川郁金 茯苓 钩钩 姜皮 炒苏子 石决明 新会 泽泻
内蕴暑邪，咳痰带血，六脉洪大不柔，补阴剂，不宜早服。
地骨皮 生米仁 丹皮 橘红 冬瓜子 桑白皮 生蛤壳 知母 甘草 茅柴根
Collateral vessels are damaged causing bleeding; fortunately, there is no coughing or choking, indicating this is a disease of the Qi level. The main treatment should be to calm the Liver and descend Qi.
Prescription: Sheng Di Huang (Rehmanniae Radix), Bei Sha Shen (Glehniae Radix), Fu Shen (Poria with Hostwood), Huai Niu Xi (Achyranthis Bidentatae Radix), Hu Ou (Nelumbinis Rhizoma), Mai Dong Rou (Ophiopogonis Tuber), Chao Su Zi (Perillae Fructus), Zao Ren (Ziziphi Spinosae Semen), Chuan Yu Jin (Curcumae Longae Radix).
Warm pathogenic factors damage the Lung, causing coughing, choking, and blood loss; the six pulses are wiry and rapid. There is fear that it will progress into the door of consumption (Xiao Ke/Fei Ji).
Prescription: Bei Sha Shen (Glehniae Radix), Mai Dong Rou (Ophiopogonis Tuber), Yuan Wu Ban (Testudinis Carapax et Plastrum), Dong Sang Ye (Mori Folium), Dan Pi (Moutan Cortex), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Huai Niu Xi (Achyranthis Bidentatae Radix), Sheng Mi Ren (Coicis Semen), Ju Hong (Citri Reticulatae Pericarpium Rubrum).
Internal injury causes blood loss, accompanied by dry throat and chest pain. Although there is coughing and choking, the six pulses are not wiry and rapid. It is merely that deficient Yang fails to submerge; treatment requires conserving effort.
Prescription: Di Sheng Di (Rehmanniae Radix Preparata), Chuan Duan (Dipsaci Radix), Bei Sha Shen (Glehniae Radix), Su Zi (Perillae Fructus), Di Wu Ban (Testudinis Carapax et Plastrum), Dan Pi (Moutan Cortex), Niu Xi (Achyranthis Bidentatae Radix), Da Mai Dong (Ophiopogonis Tuber), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Lao Sang Ye (Mori Folium).
Suffering from phlegm-wheezing for years, recently complicated by blood loss, frequent attacks without cessation. Both hands' pulses are deficient and soft, indicating deficiency in the Middle Jiao and injury to the Qi level. One must nourish Yin and protect the Lung simultaneously for the best outcome.
Prescription: Huang Qi (Astragali Radix), Chen E Jiao (Asini Corii Colla), Fu Ling (Poria), Gan Qi Zi (Lycii Fructus), Zhi Xiang Fu (Cyperi Rhizoma), Shu Di (Rehmanniae Radix Preparata), Chao Bai Shao (Paeoniae Radix Alba), Zao Ren (Ziziphi Spinosae Semen), Niu Xi Tan (Achyranthis Bidentatae Radix Carbonized), Qing Yan (Natrii Chloridum).
Internal heat causes hemoptysis; the root cause is deficiency of the original essence. Treatment should clear Yin and moisten the Lung.
Prescription: Di Gu Pi (Lycii Cortex), Yu Zhu (Polygonati Odorati Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Sheng Ge Qiao (Tridacnis Concha), Ou Jie (Nelumbinis Node), Bei Sha Shen (Glehniae Radix), Mai Dong (Ophiopogonis Tuber), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Lao Sang Ye (Mori Folium).
Yang collaterals are damaged; hemoptysis with chest pain has persisted for a long time, and the pulse is deficient. The date of recovery is difficult to determine.
Prescription: Shu Di (Rehmanniae Radix Preparata), Mai Dong (Ophiopogonis Tuber), Bei Sha Shen (Glehniae Radix), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Huai Niu Xi (Achyranthis Bidentatae Radix), E Jiao (Asini Corii Colla), Dan Pi (Moutan Cortex), Shi Jue Ming (Haliotidis Concha), Qian Cao (Rubiae Cordifoliae Radix), Dong Sang Ye (Mori Folium).
Follow-up visit: Pulse and symptoms are generally safe, but internal burning sensation persists, indicating deficiency of the Yin level.
Prescription: Yuan Sheng Di (Rehmanniae Radix), Mai Dong (Ophiopogonis Tuber), Bei Sha Shen (Glehniae Radix), Gui Ban (Testudinis Carapax et Plastrum), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Dan Pi (Moutan Cortex), Fu Shen (Poria with Hostwood), Nu Zhen Zi (Ligustri Lucidi Fructus), Mu Li (Ostrea Concha), Sang Ye (Mori Folium).
Coughing up phlegm in the morning, itchy throat with blood, indicating Fire of the Lung and Stomach. Only clearing and moistening treatment is suitable.
Prescription: Wu Xi Jiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn in modern practice*), Tian Dong (Asparagi Radix), Zhi Mu (Anemarrhenae Rhizoma), Pi Pa Ye (Eriobotryae Folium), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Xiao Yuan Di (Rehmanniae Radix), Mai Dong (Ophiopogonis Tuber), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Dong Sang Ye (Mori Folium), Mao Gen (Imperatae Rhizoma).
After massive blood loss, the pulse is soft; Qi is timid and Stomach Qi is weak. Tonification is the only strategy.
Prescription: Zhi Huang Qi (Astragali Radix), Mai Dong (Ophiopogonis Tuber), Huai Niu Xi (Achyranthis Bidentatae Radix), Mu Li (Ostrea Concha), Guang Ju Bai (Citri Reticulatae Pericarpium), Chao Shu Di (Rehmanniae Radix Preparata), Wu Wei Zi (Schisandrae Chinensis Fructus), Gan Qi Zi (Lycii Fructus), Fu Shen (Poria with Hostwood), Hu Tao Rou (Juglandis Semen).
Accumulated blood flows recklessly, without coughing or choking. Qi rebels upward; the left pulse is wiry and large. This is disharmony of collaterals after blood loss. Temporarily use methods to soothe stagnation and unblock collaterals, followed by Hei Gui Pi Tang for regulation.
Prescription: Gui Xu (Rosae Chinensis Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Bai Zi Shuang (Platycladi Semen), Chuan Yu Jin (Curcumae Longae Radix), Xin Jiang Xie (Saetia Sericae Rubra), Tao Ren (Persicae Semen), Su Zi (Perillae Fructus), Niu Xi Tan (Achyranthis Bidentatae Radix Carbonized), Shi Jue Ming (Haliotidis Concha).
Original Qi has always been deficient; Fire agitation causes hemoptysis. Chest discomfort prevents smooth flow; fear of violent vomiting.
Prescription: Chao Sheng Di (Rehmanniae Radix), Lian Xu (Nelumbinis Plumula), Chao Su Zi (Perillae Fructus), Fu Ling (Poria), Shi Jue Ming (Haliotidis Concha), Dong Sang Ye (Mori Folium), Dan Pi (Moutan Cortex), Gui Ban (Testudinis Carapax et Plastrum), Chuan Yu Jin (Curcumae Longae Radix), Huai Niu Xi (Achyranthis Bidentatae Radix).
Administration: Take with Lotus Root Juice.
Original Qi has always been deficient; Fire agitation causes hemoptysis. Although bleeding has stopped, phlegm-saliva rises upward, fearing internal depletion of Yin fluids. Now using the method of strengthening the Middle and protecting the Lung.
Prescription: Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma), Bei Sha Shen (Glehniae Radix), Shan Yao (Dioscoreae Rhizoma), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Ju Bai (Citri Reticulatae Pericarpium), Chen E Jiao (Asini Corii Colla), Chao Mai Dong (Ophiopogonis Tuber), Fu Shen (Poria with Hostwood), Chuan Bai He (Lilii Bulbus), Qing Yan (Natrii Chloridum).
After blood loss, coughing up phlegm with foul odor indicates damage to Liver and Lung collaterals. No major worry, but recurrence is hard to guarantee against.
Prescription: Ling Yang Jiao (Capricornis Cornu - *Note: Substitute with Water Buffalo Horn in modern practice*), Mai Dong (Ophiopogonis Tuber), Xing Ren (Armeniacae Semen Amarum), Qian Cao (Rubiae Cordifoliae Radix), Chao Su Zi (Perillae Fructus), Mao Gen (Imperatae Rhizoma), Sheng Mi Ren (Coicis Semen), Zhi Mu (Anemarrhenae Rhizoma), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Niu Xi (Achyranthis Bidentatae Radix), Dong Sang Ye (Mori Folium).
Wheezing and hemoptysis due to Middle deficiency; Yang Qi floats easily. Treat by consolidating the exterior and grasping the wheezing.
Prescription: Zhi Mian Qi (Astragali Radix), Mu Li (Ostrea Concha), Shan Yao (Dioscoreae Rhizoma), Mai Dong (Ophiopogonis Tuber), Bei Sha Shen (Glehniae Radix), Chao Shu Di (Rehmanniae Radix Preparata), Huai Niu Xi (Achyranthis Bidentatae Radix), Fu Ling (Poria), Ju Bai (Citri Reticulatae Pericarpium), Hu Tao Rou (Juglandis Semen).
Constitution is weak with flaming Fire; bone-steaming fever does not recede. Although there are blood spots in phlegm, fortunately no coughing or choking. During this Spring season, must nourish Liver and Kidney for regulation.
Prescription: Yin Chai Hu (Stellariae Radix), Shou Wu (Polygoni Multiflori Radix), Fu Ling (Poria), Qin Jiao (Gentianosae Macrophyllae Radix), Huai Shan Yao (Dioscoreae Rhizoma), Bei Sha Shen (Glehniae Radix), Chuan Bai (Phellodendri Chinensis Cortex), Ze Xie (Alismatis Rhizoma), Mai Dong (Ophiopogonis Tuber).
Yangming collaterals are damaged; violent vomiting of blood and epistaxis. Collaterals are empty; wheezing and palpitations occur.
Prescription: Zhi Huang Qi (Astragali Radix), Fu Shen (Poria with Hostwood), Bai Shao (Paeoniae Radix Alba), Rui Shi (Pyritum), Ou Jie (Nelumbinis Node), Da Shu Di (Rehmanniae Radix Preparata), Zao Ren (Ziziphi Spinosae Semen), Qian Cao (Rubiae Cordifoliae Radix), Niu Xi (Achyranthis Bidentatae Radix).
Hemoptysis has lingered for a long time; excessive phlegm and sore throat.
Prescription: Ge Fen Chao E Jiao (Asini Corii Colla fried with Arsenicum Album powder), Zhi Yang Shen (Panacis Quinquefolii Radix), Ju Bai (Citri Reticulatae Pericarpium), Sheng Mi Ren (Coicis Semen), Dong Gua Zi (Benincasae Semen), Bei Sha Shen (Glehniae Radix), Ren Zhong Bai (Urinae Humanis Depuratum), Qian Cao (Rubiae Cordifoliae Radix), Dong Sang Ye (Mori Folium), Yan Wo (Hirundinis Nidus) (1.5 qian).
Sudden blood loss of half a dou; spirit is exhausted, pulse is faint. Due to excessive blood loss, Yang Qi has no foundation, showing signs of collapse. Tentatively prescribe Bu Qi Yang Xin method as the key strategy.
Prescription: Zhi Mian Qi (Astragali Radix), Mai Dong (Ophiopogonis Tuber), Fu Shen (Poria with Hostwood), Hong Zao (Jujubae Fructus), Mu Li (Ostrea Concha), Xi Dang Shen (Codonopsis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Zao Ren (Ziziphi Spinosae Semen), Bai Shao (Paeoniae Radix Alba), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata).
Accumulated blood flows recklessly; collaterals are empty with palpitations. Fortunately, no coughing or choking. Should regulate with Hei Gui Pi Tang.
Prescription: Zhen Xi Dang (Codonopsis Radix), Mai Dong (Ophiopogonis Tuber), Fu Shen (Poria with Hostwood), Niu Xi Tan (Achyranthis Bidentatae Radix Carbonized), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Chao Shu Di (Rehmanniae Radix Preparata), Yuan Zhi (Polygalae Radix), Zao Ren (Ziziphi Spinosae Semen), Chao Bai Shao (Paeoniae Radix Alba), Sang Ye (Mori Folium).
Hemoptysis recurs repeatedly; throat obstruction is unfavorable; left pulse is wiry and rapid. Wood Fire insults Metal (Liver Fire insulting Lung). Use the method of clearing the Upper and grasping the Lower.
Prescription: Shu Di (Rehmanniae Radix Preparata), Bei Sha Shen (Glehniae Radix), Pi Pa Ye (Eriobotryae Folium), Qian Cao (Rubiae Cordifoliae Radix), Niu Xi Tan (Achyranthis Bidentatae Radix Carbonized), E Jiao (Asini Corii Colla), Chuan Bai He (Lilii Bulbus), Mai Dong Rou (Ophiopogonis Tuber), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Qing Yan (Natrii Chloridum).
Constitution is insufficient; previously suffered blood loss. Current pulse is wiry, rapid, and restless. This is Water deficiency with Fire failing to root. Long-term prevention of coughing and choking is needed.
Prescription: Yuan Sheng Di (Rehmanniae Radix), Fu Shen (Poria with Hostwood), Mai Dong (Ophiopogonis Tuber), Gui Ban Xin (Testudinis Carapax et Plastrum Core), Bei Sha Shen (Glehniae Radix), Dan Pi (Moutan Cortex), Zao Ren (Ziziphi Spinosae Semen), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Shi Jue Ming (Haliotidis Concha).
Hemoptysis with foul-smelling sputum; six pulses are wiry, rapid, and blurred. Warm pathogen has entered collaterals, damaging Lung and Stomach. Treat with clearing and rescuing the Lung.
Prescription: Ling Yang Jiao (Capricornis Cornu), Di Gu Pi (Lycii Cortex), Xiang Bei (Fritillariae Thunbergii Bulbus), Zhi Mu (Anemarrhenae Rhizoma), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Ou Jie (Nelumbinis Node), Pi Pa Ye (Eriobotryae Folium), Dong Gua Zi (Benincasae Semen), Qian Cao (Rubiae Cordifoliae Radix), Mi Ren (Coicis Semen), Mao Gen (Imperatae Rhizoma).
Excessive blood loss; Wood Evil insults Earth (Liver overacting on Spleen). Pulse is not soft. Use "Unblocking as Tonification".
Prescription: Chuan Shi Hu (Dendrobii Caulis) (4 qian), Bai Shao (Paeoniae Radix Alba) (1.5 qian), Che Qian (Plantaginis Semen) (2 qian), Fu Ling (Poria) (2 qian), Xin Hui Pi (Citri Reticulatae Pericarpium) (1 qian), Jiao Gu Ya (Hordei Fructus Germinatus) (3 qian), Jing Gui Shen (Radix Notoginseng - *Note: Text says Gui Shen, likely Dang Gui Shen*) (2 qian), Su Zi (Perillae Fructus) (3 qian), Ze Xie (Alismatis Rhizoma) (1.5 qian), Ban Xia (Pinelliae Rhizoma) (1.5 qian), Dong Gua Zi (Benincasae Semen) (3 qian).
Blood disease recurs; right pulse is wiry and rapid. During the ascending season, use Xie Bai San method.
Prescription: Sang Bai Pi (Mori Cortex), Gua Lou Pi (Trichosanthis Pericarpium), Mai Dong (Ophiopogonis Tuber), Niu Xi (Achyranthis Bidentatae Radix), Chao Mi Ren (Coicis Semen), Di Gu Pi (Lycii Cortex), Pi Pa Ye (Eriobotryae Folium), Zhi Mu (Anemarrhenae Rhizoma), Qian Cao (Rubiae Cordifoliae Radix).
Hemoptysis recurs; recently complicated by seminal emission. Fortunately, pulse is not rapid and no wheezing. Yin level is likely not severely depleted; this is damage to Yang collaterals. First regulate, then tonify.
Prescription: Bei Sha Shen (Glehniae Radix), Chuan Bai He (Lilii Bulbus), Qian Cao (Rubiae Cordifoliae Radix), E Jiao (Asini Corii Colla), Hua Fen (Trichosanthis Radix), Da Mai Dong (Ophiopogonis Tuber), Bai Lian Xu (Nelumbinis Plumula), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Fu Shen (Poria with Hostwood).
Excessive blood loss; Qi obstruction fills Yin collaterals. Use "Unblocking as Tonification".
Prescription: Chuan Shi Hu (Dendrobii Caulis), Gui Shen (Angelicae Sinensis Radix), Chao Su Zi (Perillae Fructus), Fa Ban Xia (Pinelliae Rhizoma Preparata), Huai Niu Xi (Achyranthis Bidentatae Radix), Jiao Gu Ya (Hordei Fructus Germinatus), Fu Ling (Poria), Bai Shao (Paeoniae Radix Alba), Chao Che Qian (Plantaginis Semen), Xin Hui Pi (Citri Reticulatae Pericarpium), Dong Gua Zi (Benincasae Semen).
Qi injury causes blood overflow; Fire agitation causes coughing and choking. Liver loses nourishment; Wood Fire insults Metal. Use the method of clearing the Upper and grasping the Lower.
Prescription: Yuan Sheng Di (Rehmanniae Radix), Ju Bai (Citri Reticulatae Pericarpium), Su Zi (Perillae Fructus), Huai Niu Xi (Achyranthis Bidentatae Radix), Shi Jue Ming (Haliotidis Concha), Mai Dong Rou (Ophiopogonis Tuber), Dan Pi (Moutan Cortex), Qian Cao (Rubiae Cordifoliae Radix), Chuan Xu Duan (Dipsaci Radix), Ou Jie (Nelumbinis Node).
Hemoptysis with sore throat, aversion to cold, and rebellious wheezing. Middle deficiency and Lung Yin fluid depletion. Treat by tonifying Qi and protecting the Lung.
Prescription: Zhi Mian Qi (Astragali Radix), Bei Sha Shen (Glehniae Radix), Shan Yao (Dioscoreae Rhizoma), E Jiao (Asini Corii Colla), Ju Bai (Citri Reticulatae Pericarpium), Shu Di Tan (Rehmanniae Radix Preparata Carbonized), Da Mai Dong (Ophiopogonis Tuber), Niu Xi (Achyranthis Bidentatae Radix), Mi Ren (Coicis Semen), Sang Ye (Mori Folium).
After violent blood loss, collaterals are damaged and Qi is timid; pulse is fine and powerless. Although coughing occurs, it is not due to Deficient Fire rushing upward, but lack of Qi. Regulate with Gui Pi method.
Prescription: Zhi Mian Qi (2 qian), Mai Dong (2 qian), Zao Ren (3 qian), Bai Shao (1 qian), Ge Fen Chao E Jiao (3 qian), Bei Sha Shen (2 qian), Yuan Zhi (1 qian, soaked), Fu Shen (2 qian), Mu Li (4 qian, calcined), Jian Lian Rou (Nelumbinis Semen) (7 grains).
Vomiting, diarrhea, and accumulated blood indicate Qi deficiency and Yin collateral damage. Fear that after entering Spring, abdominal distension will be difficult to resolve.
Prescription: Jiao Zhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Chao Gui Shen (Angelicae Sinensis Radix) (1.5 qian), Chuan Liu Zi (Toosendan Fructus) (1 qian), Bai Shao (Paeoniae Radix Alba) (1.5 qian), Chi Ling (Poria) (3 qian), Mu Xiang (Aucklandiae Radix) (0.4 qian, roasted), Chao Qing Pi (Citri Reticulatae Pericarpium Viride) (1 qian), Yan Hu Suo (Corydalis Rhizoma) (1 qian), Ze Xie (Alismatis Rhizoma) (1.5 qian), Gu Ya (Hordei Fructus Germinatus) (3 qian).
Yang collaterals are damaged; blood disease occurs frequently. Although no coughing, six pulses are very wiry and rapid, which is not a good sign. Approaching Start of Spring, prepare for regulation.
Prescription: Yuan Sheng Di (Rehmanniae Radix), Mai Dong (Ophiopogonis Tuber), Tao Ren (Persicae Semen), Hua Rui Shi (Pyritum), Zi Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Ou Jie (Nelumbinis Node), Dan Pi (Moutan Cortex), Niu Xi (Achyranthis Bidentatae Radix), Qian Cao (Rubiae Cordifoliae Radix), Dong Sang Ye (Mori Folium), Cao Yu Jin (Curcumae Radix).
Vomiting, diarrhea, and accumulated blood indicate both Yang and Yin collaterals are damaged. Qi stagnates and Spleen is trapped, unable to transport fluids and generate new blood. True Qi of Lower Jiao is insufficient; ascent and descent of Clear and Turbid are difficult; ability to transform grain is lacking. Abdominal distension, difficult urination and defecation; six pulses are soft, weak, and powerless. Properly, use Warming Tonification assisted by Calming Spirit method. Observe changes, prescription submitted for review.
Prescription: Tu Chao Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Zhi Bai Shao (Paeoniae Radix Alba) (2 qian), Chao Zao Ren (Ziziphi Spinosae Semen) (3 qian), Tu Si (Cuscutae Semen) (2 qian), Ju Ye (Citri Reticulatae Folium) (3 leaves), Tu Chao Gui Shen (Angelicae Sinensis Radix) (1.5 qian), Yun Fu Shen (Poria with Hostwood) (2 qian), Chuan Yu Jin (Curcumae Longae Radix) (1 qian, cut and added later), Ze Xie (Alismatis Rhizoma) (1.5 qian), Jiao Gu Ya (Hordei Fructus Germinatus) (4 qian).
Evening follow-up on the 19th: Left pulse is wiry and moving, slight irritability. This is Liver Yin deficiency and Spleen failing to transport nutrients upward. Re-prescribe Awakening Spleen and Transforming Qi, combined with Softening Liver method.
Prescription: Tu Chao Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Gui Shen (Angelicae Sinensis Radix) (1.5 qian, wine-fried), Zao Ren (Ziziphi Spinosae Semen) (3 qian), Chuan Yu Jin (Curcumae Longae Radix) (1 qian), Ze Xie (Alismatis Rhizoma) (1.5 qian), Jiao Gu Ya (Hordei Fructus Germinatus) (0.4 qian), Ge Fen (Arsenicum Album powder), Chao E Jiao (Asini Corii Colla) (2 qian), Bai Shao (Paeoniae Radix Alba) (2 qian), Fu Shen (Poria with Hostwood) (2 qian), Zhi Sheng Ma (Bupleuri Radix) (4 qian), Ju Ye (Citri Reticulatae Folium) (3 leaves).
Next day: Pulse in both hands is smooth and compliant, but light pressure shows less strength. Middle Jiao Qi mechanism is slightly relieved. Ming Men True Fire fails to control water; Spleen Yang cannot move, hence lower body edema and heaviness. Diet is accepted but hard to digest. Still prescribe Harmonizing Liver and Stomach assisted by Supporting Original Yang method.
Prescription: Chao Huang Xi Dang (Codonopsis Radix) (3 qian), Fu Shen (Poria with Hostwood) (3 qian), Ba Ji (Morindae Officinalis Radix) (1.5 qian, salt-water fried), Chuan Yu Jin (Curcumae Longae Radix) (1 qian, cut and added later), Ze Xie (Alismatis Rhizoma) (1.5 qian), Jiao Gu Ya (Hordei Fructus Germinatus) (4 qian), Tu Chao Yu Zhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Zao Ren (Ziziphi Spinosae Semen) (3 qian), Rou Gui (Cinnamomi Cortex) (0.3 qian, peeled and ground), Zhi Sheng Ma (Bupleuri Radix) (0.4 qian), Ju Ye (Citri Reticulatae Folium) (3 leaves).
Diagnosis on the 23rd: Abdominal distension and insomnia; pulse is surprisingly wiry and rapid. Undoubtedly caused by Excess Wood and Deficient Earth, leading to internal Liver Yin deficiency. Considering symptoms and pulse, dare not tonify abruptly. Take this prescription temporarily.
Prescription: Mi Yin Chao Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma fried with rice water), Gui Shen (Angelicae Sinensis Radix), Fu Ling (Poria), Chuan Yu Jin (Curcumae Longae Radix), Yuan Mi Chao Mai Dong (Ophiopogonis Tuber fried with rice), Chi Dou (Phaseoli Semen) (30 grains), Jiang Zhi Ban Xia (Pinelliae Rhizoma prepared with ginger juice), Bai Shao (Paeoniae Radix Alba), Huo Xiang (Agastaches Herba), Huai Niu Xi (Achyranthis Bidentatae Radix), Mo Chong Rou Gui (Cinnamomi Cortex rubbed and mixed).
Diagnosis on the 25th: Middle Jiao cannot tolerate dampness; dampness transforms into heat. Qi cannot flow freely, leading to poor digestion of grain. Urination and defecation are obstructed. Pulse dynamics suggest supporting the Root as primary, and regulating as secondary.
Prescription: My prescription awaits your review.
Prescription: Tu Chao Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma), Gui Shen (Angelicae Sinensis Radix), Da Fu Rong (Arecae Pericarpium), Fu Shen (Poria with Hostwood), Yi Zhi (Alpiniae Oxyphyllae Fructus), Wei Mu Xiang (Aucklandiae Radix), Bai Shao (Paeoniae Radix Alba), Pao Pao Jiang (Zingiberis Rhizoma Preparata), Che Qian (Plantaginis Semen), Rou Gui (Cinnamomi Cortex).
Deep thought and depression lead to internal stagnation and accumulated blood. After violent vomiting, Liver loses nourishment; Qi mechanism becomes dull, insulting Earth causing distension. Pulse diagnosis: Right is wiry, Left is soft. Indicates no Fire in Lower Jiao and fluids failing to ascend. Use Jingui method.
Prescription: Chao Xi Dang (Codonopsis Radix), Chao Shu Di (Rehmanniae Radix Preparata), Chuan Fu (Aconiti Lateralis Radix Preparata), Niu Xi (Achyranthis Bidentatae Radix), Dan Pi (Moutan Cortex), Jiao Yu Zhu (Atractylodis Macrocephalae Rhizoma), Kuai Fu Ling (Poria), Rou Gui (Cinnamomi Cortex), Ze Xie (Alismatis Rhizoma), Chi Dou (Phaseoli Semen).
After violent blood loss, collaterals are empty; Qi has no foundation. Wheezing and rebellion worsen daily; pulse is rapid and powerless. Spleen and Stomach are not strong; this is a severe deficiency state. Use Sweet-Warm Grasping Tonification method.
Prescription: Xi Dang Shen (Codonopsis Radix), Chao Shu Di (Rehmanniae Radix Preparata), Fu Shen (Poria with Hostwood), Zi Shi Ying (Flavum Pyritum), Niu Xi (Achyranthis Bidentatae Radix), Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma), Chao Qi Zi (Lycii Fructus), Zao Ren (Ziziphi Spinosae Semen), Chuan Fu Zi (Aconiti Lateralis Radix Preparata), Hu Tao (Juglandis Semen).
Follow-up: Previous warming tonification showed no improvement in condition or pulse. However, Original Qi has been deficient for a long time; only warming tonification is suitable. No other strategy exists.
Prescription: Xi Dang (Codonopsis Radix), Shu Di (Rehmanniae Radix Preparata), Mai Dong (Ophiopogonis Tuber), Qi Zi (Lycii Fructus), Fu Zi (Aconiti Lateralis Radix Preparata), Yu Zhu (Atractylodis Macrocephalae Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus), Fu Shen (Poria with Hostwood), Ci Shi (Hematitum), Kan Qi (Adrenalis Gland).
Take Ginseng Prescription
Prescription: Ren Shen (Ginseng Radix et Rhizoma), Yu Zhu (Atractylodis Macrocephalae Rhizoma), Mai Dong (Ophiopogonis Tuber), Wu Wei Zi (Schisandrae Chinensis Fructus), Fu Shen (Poria with Hostwood), Qi Zi (Lycii Fructus), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata).
Another Compound Prescription: Same as previous minus Kan Qi, add Hu Tao Rou (Juglandis Semen).
Violent vomiting and accumulated blood; rib fullness insults the Center. Liver and Spleen collaterals are damaged; fear abdominal fullness.
Prescription: Chuan Shi Hu (Dendrobii Caulis), Fu Ling (Poria), Bie Jia (Trionycis Carapax), Yu Jin (Curcumae Longae Radix), Jiao Gu Ya (Hordei Fructus Germinatus), Chao Su Zi (Perillae Fructus), Bai Shao (Paeoniae Radix Alba), Xin Hui (Citri Reticulatae Pericarpium), Nong Po (Magnoliae Officinalis Cortex), Ou Jie (Nelumbinis Node).
Liver and Stomach disharmony, plus history of blood loss. Clearly Ying and Wei are damaged; only clearing and resolving is suitable.
Prescription: Sheng Bai Shao (Paeoniae Radix Alba), Chuan Yu Jin (Curcumae Longae Radix), Fu Ling (Poria), Gou Gou (Uncariae Ramulus cum Uncis), Jiang Pi (Zingiberis Pericarpium), Chao Su Zi (Perillae Fructus), Shi Jue Ming (Haliotidis Concha), Xin Hui (Citri Reticulatae Pericarpium), Ze Xie (Alismatis Rhizoma).
Internal accumulation of Summer-Heat pathogen; coughing phlegm with blood. Six pulses are surging and large, not soft. Yin-nourishing agents should not be taken early.
Prescription: Di Gu Pi (Lycii Cortex), Sheng Mi Ren (Coicis Semen), Dan Pi (Moutan Cortex), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Dong Gua Zi (Benincasae Semen), Sang Bai Pi (Mori Cortex), Sheng Ge Qiao (Tridacnis Concha), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mao Chai Gen (Imperatae Rhizoma).