沈右(三月) 肝阴不足,气郁成瘕,攻逆脘闷,左脊痞痛,痛甚欲呕,脉右弦滑,治宜疏化。
金铃子 东白芍 左金丸 焦麦芽 延胡索 制香附 沉香曲 朱茯神 全当归
宣木瓜 小青皮 车前草
陆左 寒湿成疝,治宜疏解。
金铃子 制香附 全当归 椒目 元胡
小青皮 赤苓 真橘核 东白芍 荔枝核 泽泻 车前草
或加小茴香、木香、胡芦巴;热加飞滑石。
周左(小溪口,二月) 三疟缠久,荣阴自虚,脾失统运之权,寒湿疟痰留滞成 ,左胁
痞胀有形,三疟仍来,腹胀少纳,四肢酸倦,暮夜盗汗,脉象弦数,治拟泄木和中。
鳖血炒柴胡 淡鳖甲 大腹绒 全当归 东白芍(如桂枝、左金、沉香等俱可拌) 焙鼠妇
小青皮 焦麦芽 制香附 半贝丸 奎红(生姜捣汁炒 或加) 青蒿子 地骨皮
或用鳖甲煎丸,阿魏消痞丸等类。
牛(左,年廿六,上兴桥) 寒湿气滞,肝胃不和,胃脘当心而痛,痛甚欲呕,脉右弦缓,治拟泄木和中。
生米仁 宣木爪 东白芍(桂枝三分,拌炒) 赤苓 缩砂仁或用阳春砂仁 广藿香(左金丸
三分,拌) 新会皮 延胡索 小青皮 制香附 法半夏 瓦楞子 焦麦芽
如干姜、吴萸、刺猥皮,九香虫、肉桂、沉香之类,随意用之,常服香砂养胃丸大佳。
南皋桥七家田沈商尧,年五十余,胃寒痛不止,脉弦迟舌白胖,清乌镇沈馨斋治之,用
归建中汤一剂即止,方附后。
桂枝(一钱) 煨姜(三片) 全当归(二钱) 东白芍(三钱) 红枣(三枚) 大棉 (一钱五分)
炙甘草(七分) 饴糖(三钱) 胡芦巴(一钱)
朱(北街,年三十,六月专请) 饥饱失常,劳倦内伤,厥阴肝气横逆,扰动胃中留伏
痰饮,痰气交阻,肝胃气失通调,胃脘当心而痛,痛甚欲呕,两胁支满,甚且厥逆,拘挛不
仁,屡经更医,拟进辛温香燥之品,肝胃血液益受其耗,而脘痛胁胀不除,病经旬余,食不
沾唇,形肉羸瘦,尝读《内经》有云∶肝苦急,急食甘以缓之。治肝之体宜酸宜甘,治肝之用宜
酸宜苦,酸甘能敛肝阴。肝与胃脏腑相对,一胜则一负,肝善升而胃少降,所以见证如是
也。今诊脉象虚数近弦,右关弦滑而浮,舌胎黄糙边红。拟宗经旨主治,附方请明眼酌夺。
台参须(玫瑰花三朵同炖冲) 东白芍 新会皮 吉梅炭 笕麦冬 左金丸 宋制夏 绿
梅蕊 清炙甘草 宣木瓜 朱茯神 陈冬米
Shen, male, March visit. Liver Yin deficiency, Qi stagnation forming a mass (Zhà, abdominal mass), rebellious Qi attacking causing epigastric fullness, left back stiffness and pain, severe pain with urge to vomit, right pulse wiry and slippery, treatment should focus on soothing and resolving.
Jinlingzi (Chuan Lian Zi) Dongbaishao (Bai Shao) Zuojin Wan Jiaomaiya (Mai Ya) Yanhusuo (Yan Hu Suo) Zhixiangfu (Xiang Fu) Chenxiangqu (Chen Pi Qu) Zhufushen (Fu Ling) Quan Danggui (Dang Gui)
Xuan Mugua (Mu Gua) Xiaoqingpi (Qing Pi) Cheqiancao (Che Qian Cao)
Lu, female, left pulse examination. Cold-dampness causing hernia (Shàn), treatment should focus on dispersing and resolving.
Jinlingzi (Chuan Lian Zi) Zhixiangfu (Xiang Fu) Quan Danggui (Dang Gui) Jiaomu (Jiao Mu) Yuanhu (Yan Hu Suo)
Xiaoqingpi (Qing Pi) Chiling (Fu Ling) Zhenjuzhe (Ju He) Dongbaishao (Bai Shao) Lizhihe (Li Zhi He) Zexie (Ze Xie) Cheqiancao (Che Qian Cao)
If heat is added, add Xiaohuixiang (Hui Xiang), Muxiang (Mu Xiang), Huluba (Ba Ji Tian); if heat is severe, add Feihuasishi (Hua Shi).
Zhou, male, left pulse examination, from Xiaoxikou, February visit. San Nüe (recurrent malaria) lingering for a long time, Ying blood and Yin naturally deficient, Spleen losing its authority of control and transportation, cold-dampness and malaria phlegm stagnating forming a mass (Pì), left hypochondriac region stiff and distended with palpable form, San Nüe still recurring, abdominal distension with poor appetite, soreness and fatigue in four limbs, night sweats, pulse wiry and rapid, treatment proposes draining Wood and harmonizing Middle Jiao.
Diechao Chaihu (Chai Hu fried with turtle blood) Dan Biejia (Bie Jia) Dafurong (Da Fu Pi) Quan Danggui (Dang Gui) Dongbaishao (Bai Shao) (Gui Zhi, Zuojin, Chen Xiang etc. can be stir-fried together) Beishufu (Shu Fu)
Xiaoqingpi (Qing Pi) Jiaomaiya (Mai Ya) Zhixiangfu (Xiang Fu) Banbei Wan (Ban Xia Bei Mu Wan) Kuihong (Sheng Jiang juice stir-fried, or add) Qinghaozi (Qing Hao) Digupi (Gu Pi)
Alternatively, use Biejia Jian Wan or Awei Xiaopi Wan etc.
Niu, male, left pulse examination, twenty-six years old, from Shangxingqiao. Cold-dampness and Qi stagnation, Liver-Stomach disharmony, epigastric pain at the heart's center, severe pain with urge to vomit, right pulse wiry and slow, treatment proposes draining Wood and harmonizing Middle Jiao.
Sheng Yiren (Yi Yi Ren) Xuan Mugua (Mu Gua) Dongbaishao (Bai Shao) (Gui Zhi 3 fen, stir-fried with) Chiling (Fu Ling) Suosharen (Sha Ren) or Yangchun Sha Ren Guang Huoxiang (Zuojin Wan 3 fen, mixed) Xinhui Pi (Chen Pi) Yanhusuo (Yan Hu Suo) Xiaoqingpi (Qing Pi) Zhixiangfu (Xiang Fu) Fabanxia (Ban Xia) Walengzi (Wu Ling Zi) Jiaomaiya (Mai Ya)
Such as Ganjiang (Gan Jiang), Wuyu (Wu Zhu Yu), Ciwei Pi, Jiuxiang Chong (Jiu Xiang Chong), Rougui (Rou Gui), Chenxiang (Chen Xiang) etc., use as desired, regularly taking Xiangsha Yangwei Wan is excellent.
Shen Shangyao from Nan Gao Qiao Qi Jia Tian, over fifty years old, unremitting stomach cold pain, pulse wiry and slow, tongue white and fat, treated by Shen Xinzhai from Qingzhen Town, using Guijianzhong Tang one dose stopped the pain, formula attached below.
Guizhi (1 qian) Wei Jiang (Sheng Jiang roasted) Quan Danggui (Dang Gui) Dongbaishao (Bai Shao) Hongzao (Da Zao) Damian (Mian Tang)
Zhi Gancao (Gan Cao) Yitang (Yi Tang) Huluba (Ba Ji Tian)
Zhu, male, North Street, thirty years old, June special invitation. Irregular eating and drinking, internal injury from labor and fatigue, Jueyin Liver Qi rebelling horizontally, disturbing retained phlegm-fluids in the Stomach, phlegm and Qi obstructing each other, Liver-Stomach Qi failing to circulate freely, epigastric pain at the heart's center, severe pain with urge to vomit, bilateral hypochondriac distension, even extremity coldness, spasms and numbness, repeatedly changing doctors, prescribing acrid-warm aromatic-dry substances, causing further consumption of Liver-Stomach blood and fluids, while epigastric pain and hypochondriac distension remain unrelieved, illness lasting more than ten days, no food intake, emaciated body, having read "Neijing": "Liver suffers from tension, urgently eat sweet to relieve it." Treating the substance of Liver requires sour and sweet, treating the function of Liver requires sour and bitter, sour-sweet can astringe Liver Yin. Liver and Stomach are relative organs, one wins then the other loses, Liver nature prefers ascending while Stomach rarely descends, thus presenting such symptoms. Now examining pulse is deficient, rapid, near wiry, right Guan position wiry, slippery and floating, tongue coating yellow and rough with red edges. Proposing to follow classic principles for treatment, attaching formula for expert consideration.
Taishenxu (Mei Gui Hua 3 flowers stewed together and taken with liquid) Dongbaishao (Bai Shao) Xinhui Pi (Chen Pi) Jimetán (Wu Mei Tan) Jian Maidong (Mai Dong) Zuojin Wan Songzhi Xia (Ban Xia) Lümeirui (Wu Mei Ruit) Qingzhigancao (Gan Cao) Xuan Mugua (Mu Gua) Zhufushen (Fu Ling) Chendongmi (Mi)