Library

Mr. Ye suffers from deficiency in the middle jiao with retained fluid, disharmony between the Liver and Stomach, alternating chills and fever, vomiting of sour fluids and phlegm-drool, head distension and dizziness. The pulse on the right is wiry, slippery, and floating; treatment should focus on soothing and resolving [Liver Qi stagnation].
*Perillae Caulis* (Laosu Geng), *Tangerine Peel* (Xinhui Pi), *Cyperi Rhizoma* (Zhi Xiangfu), *Amomi Fructus Rotundus* (Baikouren), *Patchouli Herba* (Guang Huoxiang) mixed-fried with one-third portion of *Zuojin Wan*, *Poria* (Chiling), *Alisma Rhizoma* (Zexie), *Ginger Residue* (Dian Jiangzha), *Magnolia Bark* (Zhi Chunpu), *Pinellia Tuber* (Song Banxia), *Medicated Leaven* (Liushenqu).

In Yangming heat disease, with a yellow tongue coating, dry thirst, nausea and vomiting, and a surging, slippery pulse, where even rice water is vomited immediately upon entry but cool water can be retained, *Lugen Tang* (Reed Rhizome Decoction) from *Qianjin Fang* is indicated; *Bamboo Shavings* (Zhuru) stir-fried with ginger juice is also applicable.

During the peak heat phase of Cold Damage disease, if there is a subjective sensation of Qi rising from the left side, accompanied by vomiting such that not even a spoonful of water can be kept down, with a slippery, rapid pulse, a dry and prickly tongue, or vomiting of bitter yellow fluid, this indicates Liver Fire attacking the Stomach from above; treatment should involve descending and draining.
*Coptis Rhizoma* (Chuanlian), *Evodia Fruit* (Wuyu Rou), *Bamboo Shavings* (Zhuru) stir-fried with ginger juice, *Citrus Aurantium* (Qingchenpi), *Poria* (Chibailing), *Pinellia Tuber* (Banxia), *Gardenia Fruit* (Shanzhizhi) stir-fried with ginger juice, *Akebia Caulis* (Bayuezha), and similar herbs.

Patient Chen (Left side, July visit): Wind-phlegm obstructs and depresses Lung Qi, causing the Lung to fail in its dispersing function, resulting in frequent hiccups persisting for over ten days. The pulse on the right is wiry and slippery but feels deficient upon pressure; treatment should aim to disperse wind and resolve phlegm.
*Glehnia Root* (Fenshashen), *Exocarpium Citri Grandis* (Huachentan), *Tribulus Fruit* (Chaobaiji), *Poria* (Chiling), *Perilla Seed* (Chaosuzi), *Pinellia Tuber* (Song Banxia), *Rose Flower* (Meiguahua), *Akebia Caulis* (Bayuezha), *Apricot Seed* (Baixingren), *Inula Flower* (Xuanfuhua), *Fritillaria Bulb* (Chuanbei), *Hematite* (Zishiqing).

Patient Pan: Hiccups due to Middle Jiao deficiency.
*Korean Ginseng* (Dongyangshen), *Persimmon Calyx* (Shidi), *Inula Flower* (Xuanfuhua), *Lotus Seed* (Jianlianrou), *Clove* (Gongdingxiang), *Fresh Ginger* (Shengjiang), *Hematite* (Zishiqing), *Large Red Date* (Dazao).
Every morning, take Walnut Meat ground together with Apricot Seeds and Rock Sugar, mixed with water.

Patient Shen (New City, Liutaoli Left, 50 years old): Deficiency of True Yin, with Yin Fire of the Liver and Kidneys carrying the Chong Mai upward, causing frequent hiccups without respite. There is a sensation of Qi rising from the lower abdomen, termed "Lower Hiccups" (Xiaye). If prolonged, it may develop into severe pathological hiccups. The pulse is small, wiry, and rapid. Treatment proposes *Duqi Yin* (All-Encompassing Drink), assisted by methods to grasp and retain [Kidney Qi].
*Korean Ginseng* (Dongyangshen), *Chinese Yam* (Huai Shanyao), *Poria* (Zhufushen), *Hematite* (Zishiqing), *Aquilaria Wood* (Zichenshuixiang), *Rehmannia Root* (Dashudi) mixed with *Amomum Seed* (Suoshamo) four fen, *Moutan Cortex* (Danpi), *Schisandra Berry* (Beiwuweizi), *Cardamom Seed* (Daodouzi), *Walnut Meat* (Hetourou), *Cornus Fruit* (Chenyurou), *Alisma Rhizoma* (Zexie), *Inula Flower* (Xuanfuhua), *Cinnamon Bark Heart* (Ziyou Anguixin).