-----------------------------------------
①此方因限于参考书籍，一时查不到出处，故不加旁注，仅将《冯氏锦囊》所载十皮五子饮方附后，以供参考。
附：十皮五子饮（见《冯氏锦囊》）
茯苓皮牡丹皮五加皮甘草皮木通皮草果皮地骨皮大腹皮木瓜皮生姜皮菟丝子车前子紫苏子葶苈子大腹子
调经（当）归益母（草），生地与丹参，牛膝丹皮（元胡）索红花三几分。
败毒散见17页
补中益气汤见17页
藿香正气散见28页
噎膈之病，由于七情过伤，饮食失节，食因气逆则食不下降，气因食阻则气不运行，气、食、痰涎互相凝结，留于咽嗌者为噎，留于胸膈者为膈，妨碍饮食渐为呕吐，翻胃之病也。
丹溪有云：自气成积，自积成痰，痰挟瘀血，遂成窝囊。此症若不早治，必为难愈之疾。初起者五膈宽中散，日久者二陈汤加减。
噎膈翻胃通用二陈汤加姜汁、竹沥为主。如气虚肥白之人，加人参、白术。如血虚瘦弱之人，加当归、芍药、桃仁、红花。如胸中热闷，加土炒黄芩、黄连、瓜蒌、桔梗，去半夏。如因七情郁结者，加香香附、川芎、木香、槟榔、砂仁。脾虚不运化者，加人参、神曲、麦芽以助之。如大便燥结者，少加酒蒸大黄、桃仁泥以润之。大抵噎膈病，血液枯燥，胃脘干枯，难服丸药，宜煎膏子服之。
五膈宽中散，青（皮）陈（皮）丁（香）木香，（白）蔻砂（仁）香附（厚）朴，甘草与盐姜。
二陈汤见7页
喘急有虚有实
暴病发喘谓之实；久病发喘谓之虚。脉滑而四肢煖者易治；脉涩而四肢寒者难医。原夫喘动便有痰声者痰也。乍进乍退，得食则减，食已则喘者火也。气从脐下起，直冲清道而上者，阴虚也。呼吸短促而无疾声者，气虚也。恶寒发热而喘，脉浮紧者，风寒也。胸中滚滚有声，怔悸而喘者，水停心下也。大抵患病至于发喘，已为恶候，未易治也。
治喘经验方，总用苏子降气汤为主，痰喘加竹沥，火喘加栀子、枯芩，阴虚加知母、黄柏、竹沥，气虚加人参、阿胶，风寒加苏叶、麻黄、杏仁。水喘用椒目焙研为末，生姜汤下二钱。痰火喘嗽，常服玉露霜①可除病根。
----------------------------------------
①玉露霜：荔枝实之产于广东新会县崖门山者，其实白壳丹肉，经冬不落。功能降肺火止嗽．
苏子降气汤，二陈（汤）桔（梗）（五）味（子）桑（皮），瓜蒌同枳壳，喘嗽即时康。
按:喘之虚实，宜细心诊察：四肢不温脉细固属虚象，但察其脉有滑意舌有厚苔大便秘而痰多者，不当以虚症论。往往以豁痰肃肺之剂佐苏合香丸，则脉转滑大手足转温。倘误认为虚，予以人参、阿胶等品，则痰愈塞气愈喘矣。
痉症有阴有阳
痉①症者，颈项牵急，腰背反张，如鸟之张翅，故名痉痓②。有因于寒者，令人无汗恶寒，名曰刚痉，属阳。有因于湿者，令人有汗不恶寒，名曰柔痉，属阴。俱用小续命汤；但有汗去麻黄。或因发汗太过，或因失血太甚，致筋无血养，筋急而牵，百节强痉者，十全大补汤。
小续命汤见19页
十全大补汤见6页
---------------------------------------
①痉：jing4（音敬）。筋肉收缩痉挛。
②痓：chi1（音池）。卒口噤、背反张而瘈瘲。
五脏为积，六腑为聚。积属阴而有定处，聚属阳而无常形。肝之积曰肥气②。心之积曰伏梁③。脾之积曰痞气④。肺之积曰息贲⑤。肾之积曰奔豚⑥，世人谓之气块。丹溪论曰：块乃有形之物，气不能成形，俱是痰与食积、死血也。在中为痰积，在右为食积，在左为死血。妇人腹中有块，多是死血。不能移动者曰□（病去丙换征），能移动者曰瘕。大法咸以软之，坚以削之，行气开痰为主，溃坚汤、溃坚丸治之。外用琥珀膏、三圣膏贴之。
--------------------------------------
②肥气：在左胁下，状如复杯，有头有足．
③伏粱：起脐上，大如拿，上至心下。
④痞气：在胃脘复大如盘。
⑤息贲：在右助下．复大如杯。
⑥奔豚：起于少腹，上乘于心，或冲咽喉，如豚之奔突状。
溃坚枳实（当）归，半（夏）陈（皮）白术随，香附（厚）朴山查，砂仁木香陪。左胁有块加青皮，右胁有块加莪术。血块加桃仁、红花，肉桂去半夏。食积块加神曲。痰块加海浮石、瓜蒌去山查。瘦人加人参少许。
即溃坚汤加海石、瓦楞子、鳖甲，共为细末，另将阿魏用醋煮化和入药中，生姜汁煮米糊为丸，如梧桐子大，每服六十丸，黄酒送下。
用大黄、芒硝等分为末，以独头大蒜捣膏贴之。以线束住，鼻闻臭气则效。
用未化石灰半斤为末，瓦器中炒令淡红色，撤火，候热少减入大黄末一两，在炉外拌炒。候热减，再下桂心末五钱，略微一炒，人米醋同熬，搅匀成黑膏。调药厚摊。烘热贴。
五劳者，五脏劳伤也。六极者，皮焦、肉脱，筋痿、骨重、津枯、脉数也。大抵劳怯之人有此症。皆因二火①无制，煎烁天真，气血精神日渐衰弱，遂成六极。
凡治劳之法，须当辨其何脏虚、何脏实、气虚、血虚、气热、血热，真知灼见，治始无差。脏之虚者，其脏之脉，必虚而小。脏之实者，其脏之脉，必实而大。气虚者，面白而无神。血虚者，面黑而枯
瘦。气热者面红而光，声确而清，病甚于昼，脉浮而数。血热者面赤而黯，声确而浊，病甚于夜，脉沉而数。气血俱热者，病则昼夜俱甚，气急而津枯。依此辨之，无不中的。
气虚用四君汤。血虚则用四物汤。气血俱虚者用八珍汤。清气用麦冬、竹叶、银花、柴胡、知母之类。凉血用天冬、生地、胡黄连、黄柏、黄芩之类。安心神用茯神、远志、酸枣仁之类。壮筋骨用牛膝、杜仲、虎骨之类。补阳用鹿茸、枸杞子、锁阳、肉苁蓉、菟丝子之类。补阴用山药、丹皮、龟板、柏子仁之类。降相火用黄柏、知母。涩精用龙骨、牡蛎粉、鹿角霜、山茱萸、楮实子、赤石脂之类。
四君汤见5页
四物汤见6页
八珍汤见6页
--------------------------------------
吐血出于胃也。其因：有饮酒过伤者，有负重损伤者，有跌扑损伤者，有因劳损伤者，有劳心过多者，有大怒气逆者，种种不同。必须诊脉问明，方可施治、以犀角地黄汤为主。酒伤加葛根、黄连、茅根、藕汁。内伤加当归、桃仁、红花、韭汁。房劳加当归、熟地、知母、黄柏、桅子、竹沥。劳心伤加酸枣仁、茯神、玄参、当归。怒伤加青黛、黄芩。如精神壮健，大便燥结，吐血不止者，加炒黑大黄、桃仁泥、童便。如吐血过多，形容脱色，脉微欲绝者，以独参汤饮之，乃血脱益气之法，气旺则能生血也。
衄血者，血出于鼻也。鼻为肺之窍，故曰本乎肺经。治用犀角地黄汤加枯芩、茅根、柏叶、藕节。或用荷叶蒂、藕节各七个捣碎，水煎服。
痰涎血属于脾脏
脾生痰，痰中带血出于脾也。犀角地黄汤加白芍药、茯苓、瓜蒌仁、竹沥。血色紫黑者，加桃仁泥、韭汁、当归。
咯唾血属于肾经
咯血者，咯出血屑也。唾血者，鲜血随唾而出也。惧属肾经。犀角地黄汤加知母、黄柏、元参、熟地治之。
牙宣者阳明之热极
齿缝中出血谓之牙宣，乃阳明经之热也。足阳明之脉，贯于上龈；手阳明之脉，贯于下龈。阳明湿热上蒸，则齿龈腐烂出血。用黄芩、连翘、薄荷、栀子、甘草，水煎服。外用百草霜、龙骨、炒盐为末，
敷之。
舌上出血，名曰舌衄。用槐花炒为末擦之。有舌长出口者，用冰片敷之即效。
腹中窄狭而痰火各别
肥人自觉腹中窄狭，是湿痰流注胃腑，用苍术、香附以燥饮行气。瘦人自觉腹中窄狭，是热气熏蒸胃腑，用苍术、黄连以开郁清热。
胸中烦热而虚实可分
胸中烦热，实热者须用栀子仁。若虚烦须用人参、白术、茯苓、黄芩、白芍、麦冬。
惊悸痰迷恐惧所致
惊悸者，痰迷心窍也，多因恐惧所致，治用二陈汤加茯神、远志、当归、柏子仁、酸枣仁、人参。或用八物定志丸、补心丹。
二陈汤见7页
八物定志安心神，镇惊补气牛黄（人）参，远志茯神菖（蒲）（茯）苓（白）术，麦冬蜜丸朱（砂）衣吞。
前人遗下补心丹，善治惊悸睡眠难．（当）归（生）地（天麦）二冬酸（枣仁）柏（子仁）远（志），（丹人元）三参（茯）苓桔（梗）（五）味（子）为丸。
健忘血少忧郁而成
健忘之病，因忧思过度，损伤心包，以致神舍不清，故令人转眼遗忘。宜归脾汤、八物定志丸。
归脾汤四君①，（木）香（炙）芪远（志）枣仁，元肉（当）归姜枣，健忘效如神。
-----------------------------------------
①四君：即四君汤。
心热极则癫；肝热极则狂。癫多喜；狂多怒。脉浮大者吉，沉细者凶。癫宜清心养神，宁志化痰汤主之。狂宜去风除热，防风通圣散主之。
宁志化痰（汤）（人）参，天麻（黄）连胆星，茯苓陈（皮）半夏，枣仁菖蒲根。
妇人患癫狂，桃仁赤芍当（归），柴（胡）（茯）苓甘（草）远（志）（白）术，苏（木）（生）地合一方。
防风通圣散见19页
痫症大抵属痰火与惊，不必分五等治法。大率行痰为主，用黄连、南星、瓜蒌、半夏。寻痰、寻火，分多少治之，无不愈者。有热者，以凉药清其心。有疾者，必用吐药，吐后用安神丸及平肝之剂，如柴胡、青黛、川芎之类。
便浊有赤白之异
便浊者，小肠经之热，膀胱之结也。血热则赤；气热则白。治用清心莲子饮，赤加木通、黄柏；白加赤苓、滑石。
清心（石）莲子（黄）芩，车（前子）柴（胡）地骨（皮）（人）参，麦（冬）
汗出有自盗之名
自汗者，时常无故濈濈①汗出，动则更甚，属于阳虚。盗汗者，寐②中汗出，醒后汗止，属于阴虚。自汗宜补阳调卫；盗汗宜补阴降火。自汗用补中益气汤加麻黄根、浮小麦。虚甚者加熟附子一二片。方中升麻、柴胡俱用蜜水炒，以制其升发之性。然非升麻、柴胡不能领参芪至于肌表，故用之耳。盗汗用当归六黄汤。
-----------------------------------------
①濈：ji1（音吉）。濈濈：汗出和缓的样子。
②寐：mei4（音妹）。寐中：睡眠当中。
盗汗六黄汤，当归二地黄，（黄）柏（黄）连（黄）芩酒炒，黄芪七味良。
独圣散五倍（子），为末津调配，脐中敷一宵．汗出登时退。
补中益气汤见17页
心疼，即胃脘疼也。古云心痛有九种：一虫、二疰、三风、四悸、五饮、六食、七寒、八热、九去来痛。予考其言，虽有其名，而无其注，故医者认治不真。子既知之，敢不开示后学。
夫虫疼者，懊憹（右边是简体的农）不安、口吐清水、面多蟹爪纹路，用白矾、雄黄、槟榔为末，汤水调下。疰病者，平日无心痛之症，忽然作痛，妄言谵语，脉来乍大乍小，用银花一两水煎服。风痛者，因暑天露卧，风邪入于脾中，脾痛连心，上下不定，多兼呕吐，用藿香正气散。悸痛者，其痛不甚，但觉胸中隐隐然如痛之状，此因惊风乘心也，治用二陈汤加茯神、远志、黄连、积实、当归。饮痛者，因痰饮留于胃脘，阻塞气逆，故作痛也，其人眼下必如灰烟之染，胸中常如冰水之停，甚者以滚痰丸下之，轻者以导痰汤加苍术、香附、川芎。食痛者，胸中痞满，或嗳气吞酸，恶闻食气，用平胃散加枳实、山查、莱菔子、神曲、
麦芽之类。寒痛者，客寒犯胃，其痛大作，四肢清冷，六脉沉迟，蟠葱散主之。热病者，积热在胃，心烦身热，大小便不利，二陈汤加栀子、黄连、川芎、香附。去来疼者，时作时止，面赤口渴，瘦人多有此病，乃胃火作痛也，四物汤加栀子、香附、陈皮。
Wuzi Shipi Yin (Five-Seed Ten-Skin Decoction) consists of Cheqianzi (Plantaginis Semen), Tinglizi (Lepidii Fructus), Dafupi (Arecae Pericarpium), Zisuzi (Perillae Fructus), and Chenxiang (Aloxyli Lignum); plus Sangbaipi (Mori Cortex), Fulingpi (Poria Cum Cortice), Dafupi (Arecae Pericarpium - *note: repeated in original, refers to Arecae Pericarpium*), Chenshi (Citri Reticulatae Pericarpium), Dongguapi (Cucurbitae Pepo Pericarpium), Yiyiren (Coicis Semen), Mutong (Akebiae Caulis), Qingpi (Citri Reticulatae Pericarpium Viride), and Shengjiang (Zingiberis Rhizoma Recens).
① This prescription's source could not be located in the reference books at hand, so no annotation is added. The "Shi Pi Wu Zi Yin" (Ten-Skin Five-Seed Decoction) recorded in *Feng Shi Jin Nang* is attached below for reference.
Appendix: Shi Pi Wu Zi Yin (See *Feng Shi Jin Nang*)
Fulingpi (Poria Cum Cortice), Mudanpi (Moutan Cortex), Wujiaopi (Acanthopanacis Cortex), Gancaopi (Glycyrrhizae Radix et Rhizoma Pericarpium), Mutongpi (Akebiae Caulis Pericarpium), Caoguoping (Phellodendri Cortex), Digupi (Lycii Cortex), Dafupi (Arecae Pericarpium), Mugua pi (Chaenomelis Fructus Pericarpium), Shengjiangpi (Zingiberis Rhizoma Pericarpium); Tusizi (Cuscutae Semen), Cheqianzi (Plantaginis Semen), Zisuzi (Perillae Fructus), Tinglizi (Lepidii Fructus), Dafuzi (Arecae Semen).
Tiaojing San (Regulating Menses Powder)
Tiaojing San is composed of Danggui (Angelicae Sinensis Radix) and Yimucao (Leonuri Herba), plus Shengdihuang (Rehmanniae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Mudanpi (Moutan Cortex), Yuanhusuo (Corydalis Rhizoma), and Honghua (Carthami Flos), each 3 fen.
Baidu San (Deficiency-Dispelling Powder) See page 17.
Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) See page 17.
Huoxiang Zhengqi San (Powder for Rectifying the Qi of Ague-Inducing Pathogens) See page 28.
Yige Fanwei: Qi and Food Coagulate
The disease of Yige (Dysphagia and Obstruction) arises from excessive injury by the Seven Emotions and irregular diet. When food causes Qi rebellion, it cannot descend; when Qi is obstructed by food, it cannot circulate. Qi, food, and phlegm-saliva coagulate mutually. When lodged in the throat, it is called Yige (Dysphagia); when lodged in the chest and diaphragm, it is called Ge (Obstruction). It hinders eating and drinking, gradually leading to vomiting, which is the disease of Fanwei (Vomiting after Eating).
Danxi stated: "Qi transforms into accumulation; accumulation transforms into phlegm; phlegm carries blood stasis, thus forming a mass." If this condition is not treated early, it will become a difficult-to-cure disease. In the initial stage, use Wuge Kuanzhong San (Five-Ge Widening the Middle Powder); if long-standing, use Erchen Tang (Two-Aged Decoction) with modifications.
For Yige Fanwei, the general treatment uses Erchen Tang (Two-Aged Decoction) with Ginger Juice and Zhuli (Bamboo Sap) as the main base. For those with Qi deficiency who are fat and white-complexioned, add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). For those with Blood deficiency who are thin and weak, add Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Taoren (Persicae Semen), and Honghua (Carthami Flos). For heat and oppression in the chest, add Tu Chao Huangqin (Scutellariae Radix stir-fried with soil), Huanglian (Coptidis Rhizoma), Gualou (Trichosanthis Fructus), and Jiegeng (Platycodonis Radix), removing Banxia (Pinelliae Rhizoma). For stagnation due to the Seven Emotions, add Xiangfu (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), and Sharen (Amomi Fructus). For Spleen deficiency failing to transform and transport, add Renshen (Ginseng Radix), Shenqu (Massa Medicata Fermentata), and Maiya (Hordei Fructus Germinatus) to assist. For dry stool constipation, add a small amount of Jiu Zheng Dahuang (Rhei Radix et Rhizoma steamed with wine) and Taoren Paste to moisten. Generally, in Yige disease, blood fluids are dry and the stomach cavity is parched; pills are hard to take, so decocting into a paste is suitable.
Wuge Kuanzhong San (Five-Ge Widening the Middle Powder)
Wuge Kuanzhong San consists of Qingpi (Citri Reticulatae Pericarpium Viride), Chenshi (Citri Reticulatae Pericarpium), Dingxiang (Syzygii Flos), and Muxiang (Aucklandiae Radix); plus Baiko (Amomi Fructus Rotundus), Sharen (Amomi Fructus), Xiangfu (Cyperi Rhizoma), and Houpo (Magnoliae Officinalis Cortex), paired with Gancao (Glycyrrhizae Radix et Rhizoma), salt, and ginger.
Erchen Tang (Two-Aged Decoction) See page 7.
Chuanji: There is Deficiency and Excess
Sudden onset of asthma/wheezing is called Excess; chronic onset is called Deficiency. A slippery pulse with warm limbs indicates easy treatment; a choppy pulse with cold limbs indicates difficult treatment. Originally, wheezing accompanied by phlegm sounds upon movement is Phlegm Wheezing. Wheezing that fluctuates, improves after eating, and worsens after eating is Fire Wheezing. Qi rising from below the navel straight up the clear pathways is Yin Deficiency Wheezing. Shortness of breath without phlegm sounds is Qi Deficiency Wheezing. Aversion to cold, fever, and wheezing with a floating-tight pulse is Wind-Cold Wheezing. Rolling sounds in the chest, palpitations, and wheezing indicate Water Retention in the Heart area. Generally, illness reaching the stage of wheezing is a bad omen and difficult to treat.
Empirical formula for treating wheezing generally uses Suzi Jiangqi Tang (Perilla Fruit Descending Qi Decoction) as the main base. Add Zhuli (Bamboo Sap) for Phlegm Wheezing; add Zhizi (Gardeniae Fructus) and Kuqing (Scutellariae Radix) for Fire Wheezing; add Zhimu (Anemarrhenae Rhizoma) and Huangbai (Phellodendri Cortex) and Zhuli (Bamboo Sap) for Yin Deficiency; add Renshen (Ginseng Radix) and Ejiao (Asini Corii Colla) for Qi Deficiency; add Zisuye (Perillae Folium), Mahuang (Ephedrae Herba), and Xingren (Armeniaca Semen Amarum) for Wind-Cold. For Water Wheezing, use Jiaomu (Zanthoxyli Semen) roasted and ground to powder, taken with Ginger Decoction, 2 qian. For Phlegm-Fire wheezing and cough, regular consumption of Yulu Shuang can remove the root cause.
----------------------------------------
① Yulu Shuang: Refers to the fruit of Lychee produced in Ya Men Mountain, Xinhui County, Guangdong Province. It has a white shell and red flesh, remaining on the tree through winter. Its function is to descend Lung Fire and stop cough.
Suzi Jiangqi Tang (Perilla Fruit Descending Qi Decoction)
Suzi Jiangqi Tang consists of Erchen Tang (Two-Aged Decoction), Jiegeng (Platycodonis Radix), Wuweizi (Schisandrae Fructus), and Sangbaipi (Mori Cortex); plus Gualou (Trichosanthis Fructus) and Zhike (Aurantii Fructus Immaturus), wheezing and cough will recover immediately.
Note: Regarding the deficiency and excess of wheezing, careful diagnosis is required. Cold limbs and fine pulse certainly belong to deficiency images. However, if the pulse has a slippery quality, the tongue has a thick coating, there is constipation, and much phlegm, it should not be treated as a deficiency syndrome. Often, using phlegm-resolving and lung-clearing agents assisted by Suhexiang Wan (Styrax Pill) will turn the pulse slippery and large, and hands/feet warm. If mistakenly considered deficiency and given Renshen (Ginseng Radix) or Ejiao (Asini Corii Colla), the phlegm will block more and Qi will wheeze more severely.
Jing Syndrome: There is Yin and Yang
Jing Syndrome involves tension in the neck and back, with the body arching backward like a bird spreading its wings, hence named Jing (Spasm). Caused by Cold, leading to anhidrosis and aversion to cold, it is called Gang Jing (Yang Spasm), belonging to Yang. Caused by Dampness, leading to sweating without aversion to cold, it is called Rou Jing (Yin Spasm), belonging to Yin. Both use Xiao Xuming Tang (Minor Continuation Life Decoction); but if sweating, remove Mahuang (Ephedrae Herba). Due to excessive sweating or severe blood loss, causing tendons to lack blood nourishment, leading to tendon tension and spasm of all joints, use Shiquan Dabu Tang (Perfect Ten Tonifying Decoction).
Xiao Xuming Tang (Minor Continuation Life Decoction) See page 19.
Shiquan Dabu Tang (Perfect Ten Tonifying Decoction) See page 6.
---------------------------------------
① Jing: Muscle contraction and spasm.
② Chi: Sudden jaw clenching, back arching, and convulsions.
Wu Ji Liu Ju: Always Qi Stagnation with Phlegm and Blood Stasis
Accumulations (Ji) belong to the Five Zang Organs; Gatherings (Ju) belong to the Six Fu Organs. Accumulations are Yin and have fixed locations; Gatherings are Yang and have no constant shape. The Liver's accumulation is called Feiqi (Fat Qi). The Heart's accumulation is called Fuliang (Hidden Beam). The Spleen's accumulation is called Piqi (Pi Qi). The Lung's accumulation is called Xiben (Breath Burden). The Kidney's accumulation is called Bentun (Running Piglet), known in common parlance as Qi Masses. Danxi argued: "Masses are tangible objects; Qi cannot form shapes. They are all Phlegm, Food Accumulation, and Dead Blood." In the center is Phlegm Accumulation; on the right is Food Accumulation; on the left is Dead Blood. In women, masses in the abdomen are mostly Dead Blood. Those that cannot move are called Zheng (Fixed Mass); those that can move are called Jia (Mobile Mass). The general principle is to soften hardness with salty flavors, reduce firmness by scraping, primarily moving Qi and resolving Phlegm. Treat with Kuijian Tang (Softening Hardness Decoction) and Kuijian Wan (Softening Hardness Pill). Externally apply Hupo Gao (Amber Plaster) and Sansheng Gao (Three Sages Plaster).
--------------------------------------
② Feiqi: Under the left hypochondrium, shaped like an inverted cup, with head and feet.
③ Fuliang: Starts above the umbilicus, size of a fist, extending up to below the heart.
④ Piqi: In the epigastrium, flat and large like a plate.
⑤ Xiben: Under the right hypochondrium, flat and large like a cup.
⑥ Bentun: Starts in the lower abdomen, rises to the heart, or rushes to the throat, like a running piglet.
Kuijian Tang (Softening Hardness Decoction)
Kuijian Tang consists of Zhishi (Aurantii Fructus Immaturus) and Danggui (Angelicae Sinensis Radix); plus Banxia (Pinelliae Rhizoma), Chenshi (Citri Reticulatae Pericarpium), and Baizhu (Atractylodis Macrocephalae Rhizoma); paired with Xiangfu (Cyperi Rhizoma), Houpo (Magnoliae Officinalis Cortex), and Shanzha (Crataegi Fructus); Sandaren (Amomi Fructus) and Muxiang (Aucklandiae Radix) accompany. For masses in the left hypochondrium, add Qingpi (Citri Reticulatae Pericarpium Viride); for masses in the right hypochondrium, add Ezhu (Curcumae Rhizoma). For blood masses, add Taoren (Persicae Semen) and Honghua (Carthami Flos); replace Banxia with Rougui (Cinnamomi Cortex). For food accumulation masses, add Shenqu (Massa Medicata Fermentata). For phlegm masses, add Haifushi (Pumex) and Gualou (Trichosanthis Fructus), removing Shanzha. For thin people, add a little Renshen (Ginseng Radix).
Kuijian Wan (Softening Hardness Pill)
This is Kuijian Tang plus Haifushi (Pumex), Walengzi (Unio Concha), and Biejia (Trionycis Carapax), ground to fine powder. separately, dissolve Asari (Ferulae Resina) in vinegar and mix into the medicine. Use Ginger Juice and rice paste to make pills, sized like paulownia seeds. Take 60 pills per dose, delivered with Yellow Wine.
Hupo Gao (Amber Plaster)
Use Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas) in equal parts, ground to powder. Mash single-clove garlic into a paste and apply. Bind with thread; smelling the odor through the nose indicates efficacy.
Sansheng Gao (Three Sages Plaster)
Use half a jin of unslaked lime, ground to powder. Stir-fry in a clay vessel until pale red. Remove from fire, wait for heat to decrease slightly, then add one liang of Dahuang (Rhei Radix et Rhizoma) powder, stirring outside the furnace. Wait for heat to decrease, then add five qian of Guixin (Cinnamomi Ramulus) powder, stir-fry slightly. Boil together with Rice Vinegar, stirring evenly until it becomes a black plaster. Apply the medicine thickly. Warm before application.
Wu Lao Liu Ji: All Are Fire Scorches True Nature
Wu Lao (Five Labors) refers to labor injuries of the Five Zang Organs. Liu Ji (Six Extremes) refers to scorched skin, wasted flesh, flaccid tendons, heavy bones, dried fluids, and rapid pulse. Generally, people with consumptive weakness have these symptoms. All result from Uncontrolled Two Fires scorching True Nature, causing Qi, Blood, and Spirit to decline daily, eventually forming the Six Extremes.
In treating consumption, one must distinguish which Zang is deficient or excess, whether Qi or Blood is deficient, and whether Qi or Blood is hot. With true insight, treatment will not err. For Zang deficiency, the pulse of that Zang must be deficient and small. For Zang excess, the pulse of that Zang must be excess and large. For Qi deficiency, the face is pale and spiritless. For Blood deficiency, the face is dark and withered/thin. For Qi Heat, the face is red and shiny, voice distinct and clear, symptoms worse during day, pulse floating and rapid. For Blood Heat, the face is red and dull, voice distinct and turbid, symptoms worse at night, pulse deep and rapid. For both Qi and Blood Heat, symptoms are severe day and night, with shortness of breath and dried fluids. Distinguishing according to this leaves no misses.
For Qi deficiency, use Sijun Tang (Four Gentlemen Decoction). For Blood deficiency, use Siwu Tang (Four Substances Decoction). For both Qi and Blood deficiency, use Bazhen Tang (Eight Treasures Decoction). To clear Qi Heat, use Maidong (Ophiopogonis Tuber), Zhuye (Bambusae Folium), Yinhua (Lonicerae Flos), Chaihu (Bupleuri Radix), Zhimu (Anemarrhenae Rhizoma), etc. To cool Blood, use Tiantong (Asparagi Tuber), Shengdi (Rehmanniae Radix), Huhuanglian (Coptidis Chinensis Rhizoma variant), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), etc. To calm the Spirit, use Fushen (Poria cum Radix Pini), Yuanzhi (Polygalae Radix), Suanzaoren (Zizyphi Semen), etc. To strengthen sinews and bones, use Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), Hugujia (Pantheris Os), etc. To tonify Yang, use Lurong (Cervi Cornu Pantotrichum), Gouqizi (Lycii Fructus), Suoyang (Cynomorphi Herba), Rongzhu (Cistanches Herba), Tusizi (Cuscutae Semen), etc. To tonify Yin, use Shanyao (Dioscoreae Rhizoma), Danpi (Moutan Cortex), Guiban (Testudinis Carapax et Plastrum), Baiziren (Biota Semen), etc. To descend Minister Fire, use Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma). To astringe Essence, use Longgu (Fossilia Ossis Mastodi et Scapulae), Moli Fen (Ostreae Concha Pulvis), Lu Jiao Shuang (Cervi Cornus Degelatinatum), Shanzhuyu (Corni Fructus), Chushizi (Celastrus Semen), Chishizhi (Kaolinitum), etc.
Sijun Tang (Four Gentlemen Decoction) See page 5.
Siwu Tang (Four Substances Decoction) See page 6.
Bazhen Tang (Eight Treasures Decoction) See page 6.
--------------------------------------
① Two Fires: Monarch Fire and Minister Fire.
Tu Xue Originates from the Stomach Organ
Hematemesis originates from the Stomach. Causes include: excessive drinking, carrying heavy loads causing injury, falls causing injury, labor-induced injury, overworking the mind, and extreme anger causing Qi rebellion. Various causes differ. One must diagnose the pulse and ask clearly before treating. Use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) as the main base. For alcohol injury, add Gegen (Puerariae Lobatae Radix), Huanglian (Coptidis Rhizoma), Maogen (Imperatae Rhizoma), and Ouji (Nelumbinis Rhizomatis Sucus). For internal injury, add Danggui (Angelicae Sinensis Radix), Taoren (Persicae Semen), Honghua (Carthami Flos), and Jiuji (Allii Tuberosi Sucus). For sexual exhaustion, add Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Zhizi (Gardeniae Fructus), and Zhuli (Bamboo Sap). For mental labor injury, add Suanzaoren (Zizyphi Semen), Fushen (Poria cum Radix Pini), Xuanshen (Scrophulariae Radix), and Danggui (Angelicae Sinensis Radix). For anger injury, add Qingdai (Indigo Naturalis) and Huangqin (Scutellariae Radix). If spirit is robust, stool is dry, and hematemesis does not stop, add Chao Hei Dahuang (Rhei Radix et Rhizoma stir-fried until black), Taoren Paste, and Tongbian (Children's Urine). If hematemesis is excessive, appearance is drained, and pulse is faint and near extinction, drink Dushen Tang (Single Ginseng Decoction). This is the method of benefiting Qi when Blood is depleted; strong Qi can generate Blood.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)
Xijiao Dihuang Tang consists of Mudanpi (Moutan Cortex) and Chishao (Paeoniae Radix Rubra), capable of treating various hemorrhages; take with modifications for good effect.
Nu Xue Roots in the Lung Meridian
Epistaxis is blood coming from the nose. The nose is the orifice of the Lung, hence it roots in the Lung Meridian. Treatment uses Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) plus Kuqing (Scutellariae Radix), Maogen (Imperatae Rhizoma), Baiye (Menthae Haplocalycis Folium), and Oujie (Nelumbinis Rhizomatis Node). Or use Lotus Stem Tip and Lotus Node, seven each, crushed, decocted in water and taken.
Tan Xian Xue Belongs to the Spleen Organ
The Spleen generates Phlegm; blood in phlegm comes from the Spleen. Use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) plus Baishaoyao (Paeoniae Radix Alba), Fuling (Poria), Gualou Ren (Trichosanthis Semen), and Zhuli (Bamboo Sap). If blood color is purple-black, add Taoren Paste, Jiuji (Allii Tuberosi Sucus), and Danggui (Angelicae Sinensis Radix).
Ke Tuo Xue Belongs to the Kidney Meridian
Ke Xue is coughing up blood fragments. Tuo Xue is fresh blood coming out with saliva. Fearfully belongs to the Kidney Meridian. Treat with Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) plus Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Yuanshen (Scrophulariae Radix), and Shudi (Rehmanniae Radix Preparata).
Ya Xuan is Extreme Heat of the Yangming Meridian
Bleeding from tooth gaps is called Ya Xuan, which is Heat of the Yangming Meridian. The Foot Yangming Meridian passes through the upper gums; the Hand Yangming Meridian passes through the lower gums. Yangming Damp-Heat steaming upward causes gum rot and bleeding. Use Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Folium), Zhizi (Gardeniae Fructus), and Gancao (Glycyrrhizae Radix et Rhizoma), decocted in water and taken. Externally, use Baicaoshuang (Carbonis Herbae), Longgu (Fossilia Ossis Mastodi et Scapulae), and stir-fried Salt, ground to powder, applied.
She Nu is Generated by Fire of the Shaoyin Meridian
Bleeding on the tongue is called She Nu. Use Huaihua (Sophorae Flos) stir-fried to powder and rubbed on it. For a tongue protruding out of the mouth, apply Bingpian (Borneolum Syntheticum) for immediate effect.
Abdominal Narrowness: Phlegm and Fire Differ
Fat people feeling abdominal narrowness is Wet Phlegm flowing into the Stomach Organ; use Cangzhu (Atractylodis Rhizoma) and Xiangfu (Cyperi Rhizoma) to dry fluid and move Qi. Thin people feeling abdominal narrowness is Heat Steaming the Stomach Organ; use Cangzhu (Atractylodis Rhizoma) and Huanglian (Coptidis Rhizoma) to open depression and clear heat.
Chest Irritation and Heat: Deficiency and Excess Can Be Distinguished
Chest irritation and heat: For Excess Heat, use Zhizi Ren (Gardeniae Fructus). For Deficiency Irritation, use Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Huangqin (Scutellariae Radix), Baishao (Paeoniae Radix Alba), and Maidong (Ophiopogonis Tuber).
Jing Ji (Palpitations from Startle) Caused by Phlegm Confusion and Fear
Jing Ji is Phlegm confusing the Heart Orifices, often caused by fear. Treatment uses Erchen Tang (Two-Aged Decoction) plus Fushen (Poria cum Radix Pini), Yuanzhi (Polygalae Radix), Danggui (Angelicae Sinensis Radix), Baiziren (Biota Semen), Suanzaoren (Zizyphi Semen), and Renshen (Ginseng Radix). Or use Bawu Dingzhi Wan (Eight-Ingredient Calming Will Pill) and Buxin Dan (Tonify Heart Pellet).
Erchen Tang (Two-Aged Decoction) See page 7.
Bawu Dingzhi Wan (Eight-Ingredient Calming Will Pill)
Bawu Dingzhi Wan calms the Spirit, settles fright, benefits Qi, with Niuhuang (Bovis Calculus) and Renshen (Ginseng Radix), Yuanzhi (Polygalae Radix), Fushen (Poria cum Radix Pini), Changpu (Acori Tatarinowii Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Maidong (Ophiopogonis Tuber). Honey-pill with Cinnabar coating.
Buxin Dan (Tonify Heart Pellet)
Predecessors left behind Buxin Dan, good for treating palpitations and difficulty sleeping. Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Tian Dong (Asparagi Tuber), Mai Dong (Ophiopogonis Tuber), Suan Zao Ren (Zizyphi Semen), Bai Zi Ren (Biota Semen), Yuan Zhi (Polygalae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Ren Shen (Ginseng Radix), Xuan Shen (Scrophulariae Radix), Fu Ling (Poria), Jie Geng (Platycodonis Radix), Wu Wei Zi (Schisandrae Fructus) made into pills.
Forgetfulness Caused by Blood Deficiency and Depression
The disease of forgetfulness is due to excessive worry and thought, injuring the Pericardium, causing the Spirit residence to be unclear, thus making one forget instantly. Suitable are Guipi Tang (Restore the Spleen Decoction) and Bawu Dingzhi Wan (Eight-Ingredient Calming Will Pill).
Guipi Tang (Restore the Spleen Decoction)
Guipi Tang contains Sijun Tang (Four Gentlemen Decoction), Muxiang (Aucklandiae Radix), Zhi Huangqi (Astragali Radix stir-fried), Yuanzhi (Polygalae Radix), Zaoren (Zizyphi Semen), Yuanrou (Litchi Arillus), Danggui (Angelicae Sinensis Radix), Jiang (Zingiberis Rhizoma), and Zao (Jujubae Fructus). Effective as magic for forgetfulness.
-----------------------------------------
① Sijun: Refers to Sijun Tang (Four Gentlemen Decoction).
Dian Kuang (Mania and Madness): Distinguish Extreme Heat of Heart and Liver
Extreme Heart Heat leads to Dian (Mania); Extreme Liver Heat leads to Kuang (Madness). Dian involves much joy; Kuang involves much anger. Floating-large pulse is auspicious; deep-thin pulse is ominous. Dian should clear Heart and nourish Spirit, mainly using Ningzhi Huatan Tang (Calming Will and Resolving Phlegm Decoction). Kuang should dispel Wind and remove Heat, mainly using Fangfeng Tongsheng San (Saposhnikovia Unblocking Strength Powder).
Ningzhi Huatan Tang (Calming Will and Resolving Phlegm Decoction)
Ningzhi Huatan Tang consists of Renshen (Ginseng Radix), Tianma (Gastrodiae Rhizoma), Huanglian (Coptidis Rhizoma), and Danning (Arisaematis Cum Bile), Fuling (Poria), Chenshi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Zaoren (Zizyphi Semen), and Changpu Gen (Acori Tatarinowii Rhizoma).
Kaimi San (Open Obscurity Powder)
For women suffering from Dian/Kuang, Tao Ren (Persicae Semen), Chi Shao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix), Chai Hu (Bupleuri Radix), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Yuan Zhi (Polygalae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Su Mu (Sappan Lignum), and Sheng Di Huang (Rehmanniae Radix) combined in one formula.
Fangfeng Tongsheng San (Saposhnikovia Unblocking Strength Powder) See page 19.
Xian Zheng (Epilepsy): Seek Heavy or Light Phlegm and Fire
Epilepsy generally belongs to Phlegm-Fire and Shock; no need to divide into five treatment methods. Primarily resolve Phlegm, using Huanglian (Coptidis Rhizoma), Nanxing (Arisaematis Cum Bile), Gualou (Trichosanthis Fructus), and Banxia (Pinelliae Rhizoma). Seek Phlegm and Fire, treat according to quantity, and all will heal. For Heat, use cooling medicines to clear the Heart. For acute cases, emetics must be used; after vomiting, use Anshen Wan (Calming Spirit Pill) and Liver-pacifying agents like Chaihu (Bupleuri Radix), Qingdai (Indigo Naturalis), and Chuanxiong (Ligustici Chuanxiong Rhizoma).
Anshen Wan (Calming Spirit Pill)
Anshen Wan contains Zhusha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma), and Shengdihuang (Rehmanniae Radix). Excellent effect for epilepsy.
Bian Zhuo: Difference Between Red and White
Bian Zhuo (Cloudy Urine) is Heat of the Small Intestine Meridian and Knotting of the Bladder. Blood Heat makes it red; Qi Heat makes it white. Treatment uses Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction). For red, add Mutong (Akebiae Caulis) and Huangbai (Phellodendri Cortex); for white, add Chifuling (Poria) and Huashi (Talcum).
Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction)
Qingxin Lianzi Yin consists of Shilianzi (Nelumbinis Plumula), Huangqin (Scutellariae Radix), Cheqianzi (Plantaginis Semen), Chaihu (Bupleuri Radix), Digupi (Lycii Cortex), Renshen (Ginseng Radix), Maidong (Ophiopogonis Tuber), Chifuling (Poria), Huangqi (Astragali Radix), and Gancao (Glycyrrhizae Radix et Rhizoma). Clears Bian Zhuo.
Bixie Fenqing Yin (Dioscorea Separating Turbidity Decoction)
Bixie Fenqing Yin consists of Bixie (Dioscoreae Hypoglaucae Rhizoma) and Changpu (Acori Tatarinowii Rhizoma); Caocaogen (Licorice Root Tip) and Yizhi (Alpiniae Oxyphyllae Fructus), Fuling (Poria) must reside together.
Sweating Has Names of Self and Night Sweats
Zihan (Spontaneous Sweating) is frequent,无故 sweating, worsening with movement, belonging to Yang Deficiency. Daohan (Night Sweating) is sweating during sleep, stopping upon waking, belonging to Yin Deficiency. Spontaneous sweating should tonify Yang and harmonize Defense; Night sweating should tonify Yin and descend Fire. Spontaneous sweating uses Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) plus Mahuanggen (Ephedrae Herba Radix) and Xiaomai (Tritici Fructus). For severe deficiency, add 1-2 slices of Shufu (Aconiti Lateralis Radix Preparata). In the formula, Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) are stir-fried with honey water to restrain their ascending nature. However, without Shengma and Chaihu, Renshen and Huangqi cannot reach the muscle surface, hence they are used. Night sweating uses Danggui Liuhuang Tang (Angelica Six-Yellow Decoction).
-----------------------------------------
① Ji: Slow and steady. Ji Ji: Gentle sweating.
② Mei: Sleep. Mei Zhong: During sleep.
Danggui Liuhuang Tang (Angelica Six-Yellow Decoction)
Daohan Liuhuang Tang consists of Danggui (Angelicae Sinensis Radix), two Dihuangs (Rehmanniae Radix), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) stir-fried with wine, and Huangqi (Astragali Radix). Seven excellent ingredients.
Dusheng San (Supreme Holy Powder)
Dusheng San is Wubeizi (Myrobalani Fructus), ground to powder, mixed with saliva, applied to the navel overnight. Sweating retreats immediately.
Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) See page 17.
Nine Types of Heart Pain Located in the Epigastrium
Heart pain is actually Epigastric pain. Ancients said Heart Pain has nine types: 1. Worm, 2. Zhu (Infectious Disease), 3. Wind, 4. Palpitation, 5. Fluid, 6. Food, 7. Cold, 8. Heat, 9. Migratory Pain. I examined their words; although they have names, there are no annotations, so doctors' recognition and treatment are not accurate. Since I know them, dare I not instruct later learners?
Worm pain: Restlessness, spitting clear water, crab-claw patterns on the face. Use Baifan (Alumen), Xionghuang (Realgar), and Binglang (Arecae Semen) ground to powder, taken with water.
Zhu disease: No heart pain usually, suddenly painful, delirious speech, pulse fluctuating large and small. Use Yinhua (Lonicerae Flos) one liang, decocted in water and taken.
Wind pain: Due to sleeping exposed in summer, Wind pathogen enters the Spleen. Spleen pain connects to Heart, moving up and down, often with vomiting. Use Huoxiang Zhengqi San (Powder for Rectifying the Qi of Ague-Inducing Pathogens).
Palpitation pain: Pain is not severe, but feels like hidden pain in the chest. Due to Wind-Shock invading the Heart. Treat with Erchen Tang (Two-Aged Decoction) plus Fushen (Poria cum Radix Pini), Yuanzhi (Polygalae Radix), Huanglian (Coptidis Rhizoma), Zhishi (Aurantii Fructus Immaturus), and Danggui (Angelicae Sinensis Radix).
Fluid pain: Due to Phlegm-Fluid retained in the epigastrium, blocking Qi rebellion, causing pain. Dark circles under eyes like smoke stains, chest feels like ice-water. Severe cases use Guntan Wan (Rolling Phlegm Pill) to purge; mild cases use Daotan Tang (Leading Phlegm Decoction) plus Cangzhu (Atractylodis Rhizoma), Xiangfu (Cyperi Rhizoma), and Chuanxiong (Ligustici Chuanxiong Rhizoma).
Food pain: Chest fullness, belching with acid regurgitation, aversion to food smell. Use Pingwei San (Peace the Stomach Powder) plus Zhishi (Aurantii Fructus Immaturus), Shanzha (Crataegi Fructus), Laifuzi (Radish Seed), Shenqu (Massa Medicata Fermentata), and Maiya (Hordei Fructus Germinatus).
Cold pain: External Cold invading Stomach, severe pain, cold limbs, six pulses deep and slow. Pancong San (Scallion Twisting Powder) is main.
Heat pain: Accumulated Heat in Stomach, vexation, body heat, difficulty in urination and defecation. Erchen Tang (Two-Aged Decoction) plus Zhizi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Xiangfu (Cyperi Rhizoma).
Migratory pain: Comes and goes, red face, thirst. Common in thin people, caused by Stomach Fire pain. Siwu Tang (Four Substances Decoction) plus Zhizi (Gardeniae Fructus), Xiangfu (Cyperi Rhizoma), and Chenshi (Citri Reticulatae Pericarpium).