丹溪曰：凡人喜食热物，致伤胃口，清血出而留滞，则成瘀血，蓄积胃中，多作心痛。其症得热饮则病愈甚，其脉沉涩。甚者以桃仁承气汤下之，轻者以四物汤加桃仁、红花、乳香、没药、五灵脂、元胡之类。
蟠葱散茯（苓）槟（榔），（炮）姜砂（仁炙）（甘）草（肉）桂（三）棱，青（皮）丁（皮）苍（术）（元胡）索莪（术），心痛疝家疼。
藿香正气散见28页
滚痰丸见23页
二陈汤见7页
导痰汤见7页
平胃散见8页
四物汤见6页
桃仁承气汤见16页
七般疝气病在厥阴
七疝者，寒疝、水疝、血疝、气疝、筋疝、狐疝、癫疝也。张子和①论之详矣。丹溪谓"疝专主肝经，与肾经绝无相干"。多因肝经湿热之气下注，不得泻越，或为偏坠，或为疝痛。子尝制一方以治之，不过三四剂即奏神效，百发百中，无不应验，名曰三捷汤。
青皮（一钱）官桂（五分）归尾（一钱）槟榔（二钱）大茴香(七分微炒)黄柏(三分)橘核(二钱)木通(二钱)紫苏(七分)香附(一钱)赤茯苓(二钱)柴胡(一钱)荔枝核(七个炒)姜(一片)水三盅，煎一盅，空心热服。
按:《医宗金鉴》疝证同名异辨曰："血疝,即鱼口便毒也。筋疝，即下疳也"。是则七疝之中，还包括下疳、使毒等花柳病在内。刘氏三捷汤奏效迅速，盖系寒疝之类也。
胁痛有两边之别
胁②痛，即肋痛也。两胁属少阳胆经，其间或痰饮流注，或瘀血停积，而气不得运行，故作痛也。痰者，脉弦而滑。血者，脉弦而涩。痰者用陈皮、茯苓、瓜蒌、甘草、枳壳、柴胡、白芥子、竹沥、姜汁。血用当归、赤芍、桃仁、红花、柴胡、官桂、香附、没药。如肝火作痛者，加黄连、龙胆草。如食积作痛者，加麦芽、砂仁。
-----------------------------------------
凉。对于汗、吐、下三法，研究最精．若有《儒门事亲》。
②胁：xie2（音协）。从腋下到肋骨界处的部分叫做胁。
头风有左右之分
头居一身之上，当风寒之冲，一有间隙，则风邪乘虚而入。如血虚而风邪乘之，则左边痛。如气虚而风邪乘之，则右边痛。脉浮滑者易治，短涩者难治。方以川芎茶调散为主，血虚加熟地、当归；气虚加黄芪、人参；有痰加半夏、南星；有热加黄芩石膏；风盛加天麻、蔓荆子。其法以加药为主。本方为佐也。
川芎茶调散，荆（芥）薄（荷）（白）芷防（风）甘（草），（细）辛羌（活）八味药，头风痈可安。
都梁丸治暴感风寒，头强项直，不能回顾之症．俗云失枕痛，皆可治也。
香白芷（二两）研为细面，炼蜜为丸，如弹子大。每服一丸，细嚼，茶水或荆芥汤送下。
腰者肾之府，一身之大关节也。如房劳过度则肾虚，闪挫则气逆，负重损伤则血凝，睡卧湿处则受寒湿，此皆为腰痛之因也。原其病形，各有分别。肾虚者，其痛悠悠不已，脉沉弦而大也。闪挫者，俯仰艰难，脉沉弦而实也。血凝者，痛如锥刺，日轻夜重也。湿热者，小便黄而大便溏，脉沉弦而细数也。寒湿者，遇天阴及久坐而作痛者是也。肾虚用当归、熟地、枸杞、牛膝、杜仲、茴香、知母、黄柏、续断、独活之类。闪挫用茴香、木香、川芎、官桂、砂仁、枳壳之类。血凝用归尾、桃仁、红花、苏木、乳香、没药、肉桂、元胡、独活之类。湿热用茯苓、白术、陈皮、防己、知母、防风、秦艽、羌活之类。寒湿用川芎、当归、桂枝、附子、杜仲、牛膝、白芷、苍术、独活之类。
腹痛寒气而或食停
中脘病属太阴，脐腹痛属少阴，小腹痛属厥阴。绵绵痛而无增减者寒也。时作时止者热也。痛甚欲大便，便后痛减者，食积也。痛有常处而不移动者，死血也。痛时小便不利，得辛辣热物痛暂止者，痰也。痛而腹中有块起，急以手按便不见，恶心清水出者，虫也。或先食热物，后食寒物，而作痛者，冷热不调也。又有真腹痛，痛时脐上青筋上贯于心者险，人中黑者危。脉细而迟者吉，脉大而疾者凶。治以平胃散加白芍为主。寒加干姜、附子、肉桂、吴茱萸之类。热加白芍、黄柏。痛甚加炒干姜。食积加槟榔、枳实．神曲、麦芽、山查、莱菔子之类以消之，甚者加大黄、肉桂以下之。死血加归尾、桃仁、五灵脂、元胡索之类以活之，甚者加大黄、肉桂以下之。湿痰加南星、半夏、香附、茯苓、枳壳、木通之类。虫病加使君子肉、苦楝根皮。冷热不调加芍药、桂枝、大黄。
凡腹痛连于胁痛，手足冷，脉伏匿者，多是饮食痰饮填塞至阴，抑遏肝胆之气。宜用烧盐汤探吐。此木郁达之之法。
平胃散见8页
《内经·痿论》的记载大义是：肺热叶焦，即皮毛虚弱急薄，而生痿躄①。心气热，则生脉痿，筋纵而不任也。肝气热，则为筋痿，而宗筋弛纵。脾气热，则为肉痿，肌肉不仁。肾气热，则为骨痿，而足不任身。
痿症之因：或病后远行；或产后起早；或斲丧②异常，立行房事，劳伤骨髓，以致两足痿软者甚多。治宜补精养血壮筋骨之剂。又必须戒绝房劳，庶获全愈。起痿固真丸主之。
一人嗜酒患痿。予谓酒者湿热之物也，因酒成痿，与以清燥汤，良效。
人参（一两）黄芪（一两）当归（二两）牛膝（一两半）肉苁蓉（酒炙二两）熟地（四两）川芎（一两）杜仲（二两）木瓜（一两）鹿角胶（四两酒炙）虎骨（二两醋炙）茯苓（二两）黄柏（二两酒炒）陈皮（一两）盐知母（二两）熟附子（五钱）麦冬（二两）五味子（一两）共为细末，炼蜜为丸。桐子大。每服百丸，酒下。或作煎剂亦可。
清燥四君苍（术），陈（皮）（黄）芪（泽）泻麦（冬）当（归），升（麻）柴（胡）（黄）连（五）味（子）葛（根），（生）地（神）曲（黄）柏猪（苓）良。
-----------------------------------------
①躄：bi4（音必）。两脚有毛病叫躄。两腿痿软不仁不能行路叫痿躄。
②斲：zhuo1（音拙）斲丧：沉溺酒色，损害身体。
痹症寒湿与风乘
《内经》曰："风、寒、湿三气杂至合而为痹①也。"风多则走注，寒多则掣痛，湿多则重着。痹者，犹闭也。风、寒、湿气侵入肌肤，流注经络，则津液为之不清，或变痰饮，或成瘀血，闭塞隧道，故作痛走注，或麻木不仁。宜用通经止痛汤。
-----------------------------------------
①痹：bi4（音闭）。
一妇人怀孕二月，遍身疼痛。医者作痛风治，百药不效。将一月矣。绝粒数日，麻木愈甚，发喘几殆①，脉乍大乍小，面乍红乍白，用左缠藤②一两，河水二盅，煎服即瘥。
通经止痛汤③
通经止痛汤，南（星）威（灵仙）（白）芷（黄）柏苍（术），（川）芎桃（仁）龙胆（草）（神）曲，防己桂（枝）红（花）羌（活）。
-----------------------------------------
①殆：dai（音代）。发喘几殆；喘的几乎要死。
②左缠藤：即忍冬藤。
遗精有四：有用心过度，心不摄肾失精者；有色欲太过，滑泄不禁者；有思欲不随，精气失位而出者；有久无欲事，精气满泄者，皆因心肾不接，水火不能既济，以致有此。
梦中交合而泄精者，谓之梦遗，此神志不清也，二陈汤加人参、枳实、远志、茯神、酸枣仁、辰砂、砂仁。或随溲溺而出者，谓之精滑，此房事过多也，八珍汤加知母、黄柏、五味子、山茱萸、牡蛎、龙骨。
一少年久无色饮，精出牵丝粘腻，虽不便溺，亦常有之。予曰：此名精滑，乃淫火动而精离。治宜清心滋肾健脾固脱，九龙丹治之而愈。
九龙丹九味，金樱（子）（山茱）萸枸杞，莲须芡（实）茯苓，五莲（子）（当）归熟地。
二陈汤见7页
八珍汤见6页
按：久无欲事精满而泄者，不当以病论。
疸症有五，曰黄疸、黄汗、谷疸、酒疸、女劳疸。《金匮要略》论之详矣。丹溪曰："疸不必分其五，同是湿热，如盦曲相似①"利水为先，解毒次之。茵陈去疸汤主之。凡疸病腹满脐突、手足心黄、寸口无脉，皆不治也。
茵陈去疸汤，（黄）芩（黄）连栀子苍（术），猪苓青（皮）泽泻，龙胆（草）水煎尝。
--------------------------------------------
①盦：an1（音安）。复盖也。盦曲相似：是说黄疸发病的原因，和造曲时湿热熏蒸日久发酵变色的道理一样。
眩晕者无痰不作
《灵枢经》①曰："脑为髓之海。……髓海有余，则轻劲多力，自过其度。髓海不足，则脑转耳鸣，胫□（病去丙换（上尤下夂））眩冒，目无所视，懈怠安卧。"丹溪曰；"无痰则不作眩，痰因火动。"予考眩晕者，皆由房劳过度，精去髓空，凡经劳动则火气上炎，故头旋目暗而晕倒矣。治当大补其肾，六味地黄丸加鹿茸、牛膝。《内经》曰：滋苗必固其根，此治本之法也。若夫胸中有痰；以致头目眩晕，治以二陈汤为主。挟风加菊花、天麻、川芎、羌活；挟寒加附子、干姜；挟暑加香薷、扁豆、黄连；挟湿加苍术、白术、干姜。人有吐血太过，与夫崩产脱血而晕者，宜独参汤补之，乃血脱益气之法也。
二陈汤见7页
-------------------------------------------
①《灵枢经》：是我国最古老的一部医书。与《素问》合称《内经》。
消渴者无火不生
消渴有三：上消者属肺，多饮而少食，大小便如常；中消者属胃，善饥多饮食，而小便黄赤；下消者属肾，小便浊淋如膏，烦渴引饮，耳轮焦黑，小便频数。能食者，必发痈疽背疮；不能食者，必传中满腹胀。大抵三消，皆因火热之气煎熬脏腑，消烁血液也。治以四物汤为主。上消加人参、五味、麦冬、花粉，煎成后兑入藕汁、人乳、生地汁，饮酒之人加生葛根汁。中消加石膏，以降胃火。下消加黄柏、知母、五味子，以滋肾水。
四物汤见6页
不寐者痰火旺而血少
不寐有三：有痰在心经，神不归舍，而不寐者，用温胆汤加酸枣仁、竹沥、姜汁。有病后虚弱而不寐者，六君汤加黄芪、酸枣仁。有血少而不寐者，归脾汤。又：不寐者，胆虚寒也，炒枣仁研末竹叶汤下。多睡者，胆实热也，生酸枣仁研末姜茶汤下。
温胆汤见7页
六君汤见6页
归脾汤见35页
大便秘乃血液燥结
大便秘结者，乃津液少之故也。治当养血润肠。宜四物汤加麻仁、杏仁之类。切不可妄用芒硝、大黄、巴豆、牵牛峻下之剂，戕①损真阴，败伤胃气，反致大害。若夫胃气先实，邪蓄肠内，则非下不可，而硝黄等药又当必用也。
润燥汤九味，桃（仁）红（花）（当）归二地，甘草共大黄，麻仁升麻剂。
-----------------------------------------
①戕：qiang2（音强）。戕损：也就是损伤。
小便闭乃气滞不行
东垣曰：小便不通，以渴与不渴而辨之，在气在血而治之。如渴而小便不利者，邪在上焦气分，宜清肺气，泻其火以资水之上源，清肺饮主之。如不渴而小便不利者，热在下焦血分，宜除其热邪，以滋膀胱肾水之下元也，通关丸主之。
一人小便不通，服诸药不效。予日：膀胱者，州都之官，津液藏焉，气化则能出矣。今秘而不通者，气之滞也。用大皂角炒焦研末，蜜丸，桐子大，白汤送下，七丸即愈。
清肺饮猪（苓）泽（泻），木（通）车(前子)通(草)瞿麦，灯心扁蓄(茯)苓，煎调琥珀末。
通关丸知（母）（黄）柏，各用二两（酒）炙，肉桂只一钱，水送空心吃。
痔疾者，湿热之气所主也。如树生菌物，必因湿热而生。治宜凉血宽气为主。予尝制一方，用条芩、黄连、秦艽、当归、生地、荆芥、防风、甘草、青皮、枳壳、槐角、白术，水煎服。外用冰片三厘、雄猪胆（用熊胆更好）三分、番木鳖一个、井水浓磨药汁，敷之，即日奏效，治验颇多。
Danxi stated: Whenever people enjoy eating hot food, it causes damage to the stomach's receiving capacity. Clear blood flows out and stagnates, forming Blood Stasis (Xue Yu) that accumulates in the stomach, often causing Heart Pain (Xin Tong). The symptom is that drinking hot beverages exacerbates the condition, and the pulse is Deep (Chen) and Choppy (Se). For severe cases, use Tao Ren Cheng Qi Tang (Peach Kernel Decoction for Lowering) to purge; for mild cases, use Si Wu Tang (Four Substances Decoction) added with Tao Ren (Peach Kernel), Hong Hua (Safflower), Ru Xiang (Olibanum), Mo Yao (Myrrh), Wu Ling Zhi (Trogopterus Dung), and Yuan Hu (Corydalis Rhizome).
Pan Cong San (Coiled Scallion Powder)
Pan Cong San consists of Fu Ling (Poria), Bing Lang (Areca Seed), Pao Jiang (Prepared Ginger), Sha Ren (Amomum Fruit, prepared), Gan Cao (Licorice Root), Rou Gui (Cinnamon Bark), San Leng (Burreed Tuber), Qing Pi (Citrus Peel), Ding Pi (Clove), Cang Zhu (Atractylodes Rhizome), Yuan Hu Suo (Corydalis Rhizome), and E Zhu (Curcuma Rhizome). It treats Heart Pain and Hernia Pain.
Huo Xiang Zheng Qi San see page 28
Gun Tan Wan see page 23
Er Chen Tang see page 7
Dao Tan Tang see page 7
Ping Wei San see page 8
Si Wu Tang see page 6
Tao Ren Cheng Qi Tang see page 16
Seven Types of Hernias Located in the Jueyin Meridian
The seven hernias are Han Hernia (Cold Hernia), Shui Hernia (Water Hernia), Xue Hernia (Blood Hernia), Qi Hernia (Qi Hernia), Jin Hernia (Sinew Hernia), Hu Hernia (Fox Hernia), and Dian Hernia (Epileptic Hernia). Zhang Zihe discussed this in detail. Danxi stated, "Hernias are specifically related to the Liver Meridian and have absolutely nothing to do with the Kidney Meridian." They are mostly caused by Damp-Heat (Shi Re) from the Liver Meridian sinking downward and failing to disperse, leading to unilateral swelling or hernia pain. I once formulated a prescription to treat them, which showed miraculous effects after just three or four doses, with hundred percent efficacy and no failures. It is named San Jie Tang (Three Swift Decoction).
San Jie Tang (Three Swift Decoction)
Qing Pi (1 qian), Guan Gui (0.5 qian), Gui Wei (1 qian), Bing Lang (2 qian), Da Hui Xiang (0.7 qian, lightly stir-fried), Huang Bai (0.3 qian), Ju He (2 qian), Mu Tong (2 qian), Zi Su (0.7 qian), Xiang Fu (1 qian), Chi Fu Ling (2 qian), Chai Hu (1 qian), Li Zhi He (7 pieces, stir-fried), Jiang (1 slice). Add three zhong of water, decoct to one zhong, take warm on an empty stomach.
Note: *Yi Zong Jin Jian* states under "Differentiation of Same-Named Hernia Syndromes": "Xue Hernia is Yuzhou Biandu (Fish Mouth Abscess); Jin Hernia is Xiagan (Chancre)." Thus, among the seven hernias, Chancre and Biandu, which are sexually transmitted diseases, are also included. Liu's San Jie Tang acts quickly, likely belonging to the category of Cold Hernia.
Difference Between Left and Right Hypochondriac Pain
Hypochondriac pain (Xie Tong) is rib pain. The two hypochondria belong to the Shaoyang Gallbladder Meridian. If Phlegm-Fluid (Tan Yin) flows into the area, or if Blood Stasis (Yu Xue) accumulates, preventing Qi movement, pain occurs. For Phlegm, the pulse is Wiry (Xuan) and Slippery (Hua). For Blood Stasis, the pulse is Wiry and Choppy. For Phlegm, use Chen Pi, Fu Ling, Gua Lou, Gan Cao, Zhi Ke, Chai Hu, Bai Jie Zi, Zhu Li (Bamboo Sap), and Jiang Zhi (Ginger Juice). For Blood Stasis, use Dang Gui, Chi Shao, Tao Ren, Hong Hua, Chai Hu, Guan Gui, Xiang Fu, and Mo Yao. If caused by Liver Fire, add Huang Lian and Long Dan Cao. If caused by Food Stagnation (Shi Ji), add Mai Ya and Sha Ren.
-----------------------------------------
① Zhang Congzheng, courtesy name Zihe, was from Kaocheng, Suzhou, during the Jin Dynasty. His methods followed Liu Hejian, using mostly cold and cool medicines. He studied the Sweating, Vomiting, and Purging methods most profoundly and authored *Rumen Shiqin*.
② Xie: From the armpit to the boundary of the ribs.
Head Wind Has Left and Right Distinctions
The head is at the top of the body, exposed to Wind-Cold. Once there is a gap, Wind Evil enters due to deficiency. If Blood Deficiency allows Wind Evil to invade, the left side hurts. If Qi Deficiency allows Wind Evil to invade, the right side hurts. A Floating (Fu) and Slippery (Hua) pulse indicates easy treatment; a Short (Duan) and Choppy (Se) pulse indicates difficult treatment. The formula is primarily Chuan Xiong Cha Tiao San (Ligusticum Tea-Pouring Powder). For Blood Deficiency, add Shu Di and Dang Gui; for Qi Deficiency, add Huang Qi and Ren Shen; for Phlegm, add Ban Xia and Nan Xing; for Heat, add Huang Qin and Shi Gao; for excessive Wind, add Tian Ma and Man Jing Zi. This method focuses on adding herbs, with the base formula as an assistant.
Chuan Xiong Cha Tiao San
Chuan Xiong Cha Tiao San consists of Jing Jie, Bo He, Bai Zhi, Fang Feng, Gan Cao, Xi Xin, and Qiang Huo—eight flavors of medicine—to calm Head Wind and swellings.
Du Liang Wan treats acute contraction of Wind-Cold, stiffness of the head and neck, inability to look back, commonly known as stiff neck pain.
Xiang Bai Zhi (2 liang) is ground into fine powder, mixed with refined honey into pills the size of a bullet. Take one pill per dose, chew thoroughly, and swallow with tea water or Jing Jie decoction.
Lower Back Pain Due to Kidney Deficiency or Sprain
The lower back is the mansion of the Kidneys and the major joint of the body. Excessive sexual activity leads to Kidney Deficiency; sprains cause Qi reversal; heavy lifting injuries cause Blood coagulation; sleeping in damp places leads to Cold-Damp invasion. All these are causes of lower back pain. Analyzing the symptoms: Kidney Deficiency presents with lingering pain and a Deep, Wiry, and Large pulse. Sprain presents with difficulty bending and extending, and a Deep, Wiry, and Excess pulse. Blood Coagulation presents with stabbing pain, lighter by day and heavier by night. Damp-Heat presents with yellow urine and loose stools, and a Deep, Wiry, Fine, and Rapid pulse. Cold-Damp presents with pain triggered by cloudy weather or prolonged sitting. For Kidney Deficiency, use Dang Gui, Shu Di, Gou Qi, Niu Xi, Du Zhong, Hui Xiang, Zhi Mu, Huang Bai, Xu Duan, and Du Huo. For Sprain, use Hui Xiang, Mu Xiang, Chuan Xiong, Guan Gui, Sha Ren, and Zhi Ke. For Blood Coagulation, use Gui Wei, Tao Ren, Hong Hua, Su Mu, Ru Xiang, Mo Yao, Rou Gui, Yuan Hu, and Du Huo. For Damp-Heat, use Fu Ling, Bai Zhu, Chen Pi, Fang Ji, Zhi Mu, Fang Feng, Qin Jiao, and Qiang Huo. For Cold-Damp, use Chuan Xiong, Dang Gui, Gui Zhi, Fu Zi, Du Zhong, Niu Xi, Bai Zhi, Cang Zhu, and Du Huo.
Abdominal Pain Due to Cold or Food Retention
Zhongwan disease belongs to Taiyin; umbilical abdominal pain belongs to Shaoyin; lower abdominal pain belongs to Jueyin. Continuous pain without fluctuation indicates Cold. Intermittent pain indicates Heat. Severe pain with urge to defecate, relieved after defecation, indicates Food Stagnation. Fixed pain without migration indicates Dead Blood (Si Xue). Pain with difficulty urinating, temporarily relieved by spicy/hot foods, indicates Phlegm. Pain with a movable mass in the abdomen that disappears upon pressing, accompanied by nausea of clear fluid, indicates Parasites. Pain caused by eating hot food then cold food indicates Cold-Heat Disharmony. True abdominal pain where blue veins above the navel extend to the heart is dangerous; black color on the philtrum is critical. A Fine and Slow pulse is auspicious; a Large and Rapid pulse is ominous. Treatment uses Ping Wei San added with Bai Shao as the main formula. For Cold, add Gan Jiang, Fu Zi, Rou Gui, and Wu Zhu Yu. For Heat, add Bai Shao and Huang Bai. For severe pain, add stir-fried Gan Jiang. For Food Stagnation, add Bing Lang, Zhi Shi, Shen Qu, Mai Ya, Shan Zha, and Lai Fu Zi to digest; for severe cases, add Da Huang and Rou Gui to purge. For Dead Blood, add Gui Wei, Tao Ren, Wu Ling Zhi, and Yuan Hu Suo to invigorate; for severe cases, add Da Huang and Rou Gui to purge. For Damp-Phlegm, add Nan Xing, Ban Xia, Xiang Fu, Fu Ling, Zhi Ke, and Mu Tong. For Parasites, add Shi Jun Zi and Ku Lian Gen Pi. For Cold-Heat Disharmony, add Shao Yao, Gui Zhi, and Da Huang.
If abdominal pain radiates to the hypochondria, with cold hands and feet and a hidden pulse, it is mostly due to dietary Phlegm-Fluid filling the Extreme Yin and suppressing Liver-Gallbladder Qi. Use Burnt Salt Soup to induce vomiting. This is the method of dispersing constrained Wood.
Ping Wei San see page 8
Wei Syndrome: Deficiency and Damp-Heat
The gist of *Neijing · Wei Lun* is: Lung Heat scorches the leaves, causing thin and weak skin and hair, leading to Wei Bi (Atrophy and Limpness). Heart Qi Heat generates Mai Wei (Vessel Atrophy), with sinews relaxing and unable to support. Liver Qi Heat generates Jin Wei (Sinew Atrophy), with Zong Jin (Major Sinews) flaccid. Spleen Qi Heat generates Rou Wei (Flesh Atrophy), with muscles insensible. Kidney Qi Heat generates Gu Wei (Bone Atrophy), with feet unable to bear weight.
Causes of Wei Syndrome: Traveling long distances after illness; rising early postpartum; excessive indulgence in sex immediately after depletion, damaging bone marrow, leading to weak legs. Treatment should tonify Essence, nourish Blood, and strengthen sinews and bones. One must abstain from sexual activity to achieve full recovery. Qi Wei Gu Zhen Wan (Start Atrophy Solidify True Pill) is primary.
If contracted in summer due to prevailing Damp-Heat, use Li Dongyuan's Qing Zao Tang (Clear Dryness Decoction).
A person addicted to alcohol suffered from Wei. I said alcohol is a Damp-Heat substance. Caused by alcohol, I gave Qing Zao Tang with good effect.
Qi Wei Gu Zhen Wan (Start Atrophy Solidify True Pill)
Ren Shen (1 liang), Huang Qi (1 liang), Dang Gui (2 liang), Niu Xi (1.5 liang), Rou Cong Rong (2 liang, wine-prepared), Shu Di (4 liang), Chuan Xiong (1 liang), Du Zhong (2 liang), Mu Gua (1 liang), Lu Jiao Jiao (4 liang, wine-prepared), Hu Gu (2 liang, vinegar-prepared), Fu Ling (2 liang), Huang Bai (2 liang, wine-fried), Chen Pi (1 liang), Yan Zhi Mu (2 liang), Shu Fu Zi (0.5 qian), Mai Dong (2 liang), Wu Wei Zi (1 liang). Grind into fine powder, mix with refined honey into pills the size of paulownia seeds. Take 100 pills per dose with wine. Can also be made as a decoction.
Qing Zao Tang (Clear Dryness Decoction)
Qing Zao Si Jun includes Cang Zhu, Chen Pi, Huang Qi, Ze Xie, Mai Dong, Dang Gui, Sheng Ma, Chai Hu, Huang Lian, Wu Wei Zi, Ge Gen, Sheng Di, Shen Qu, Huang Bai, and Zhu Ling.
-----------------------------------------
① Bi: Disease of both feet. Wei Bi refers to weak, insensible legs unable to walk.
② Zhuo Sang: Indulgence in wine and women, damaging the body.
Bi Syndrome: Cold-Damp and Wind Invasion
*Neijing* states: "Wind, Cold, and Dampness mixing together form Bi." Excessive Wind causes wandering pain; excessive Cold causes pulling pain; excessive Dampness causes heaviness. Bi means obstruction. When Wind, Cold, and Damp Qi invade the skin and flow into meridians, body fluids become turbid, transforming into Phlegm-Fluid or Blood Stasis, blocking tunnels, causing pain, wandering sensations, or numbness. Use Tong Jing Zhi Tong Tang (Unblock Meridians Stop Pain Decoction).
-----------------------------------------
① Bi: Obstruction.
A woman pregnant for two months had whole-body pain. Doctors treated it as Gout without success. After nearly a month, fasting for several days worsened numbness, causing panting almost to death. Pulse alternated large and small; face alternated red and white. Using Zuo Chan Teng (Lonicera Stem) 1 liang, decocted in two zhong of river water, cured her immediately.
Tong Jing Zhi Tong Tang (Unblock Meridians Stop Pain Decoction)
Consists of Nan Xing, Wei Ling Xian, Bai Zhi, Huang Bai, Cang Zhu, Chuan Xiong, Tao Ren, Long Dan Cao, Shen Qu, Fang Ji, Gui Zhi, Hong Hua, and Qiang Huo.
-----------------------------------------
① Dai: Panting almost to death.
② Zuo Chan Teng: Lonicera Stem.
③ Zhu Danxi's Universal Gout Formula for Upper, Middle, and Lower Jiao.
Four Types of Nocturnal Emission: Heart and Kidney Not Interacting
Nocturnal emission has four types: Overuse of mind causing Heart not controlling Kidney essence loss; excessive lust causing uncontrollable sliding emission; unfulfilled desires causing essence loss due to misplaced position; long abstinence causing full essence leakage. All are due to Heart-Kidney non-interaction and Water-Fire not balancing.
Emission during dreams of intercourse is called Dream Emission (Meng Yi), due to unclear spirit/mind. Use Er Chen Tang added with Ren Shen, Zhi Shi, Yuan Zhi, Fu Shen, Suan Zao Ren, Chen Sha, and Sha Ren. Emission during urination is called Sliding Essence (Jing Hua), due to excessive sexual activity. Use Ba Zhen Tang added with Zhi Mu, Huang Bai, Wu Wei Zi, Shan Zhu Yu, Mu Li, and Long Gu.
A young man with long abstinence had sticky, stringy semen emission even without urination. I said this is Jing Hua, caused by Lust Fire moving and essence separating. Treatment should clear Heart, nourish Kidney, strengthen Spleen, and secure collapse. Jiu Long Dan (Nine Dragon Pill) cured him.
Jiu Long Dan (Nine Dragon Pill)
Nine ingredients: Jin Ying Zi, Shan Zhu Yu, Gou Qi, Lian Xu, Qian Shi, Fu Ling, Wu Lian Zi, Dang Gui, Shu Di.
Bai Lu Wan (White Deer Pill)
Bai Lu treats nocturnal emission: Lu Jiao Shuang and Mu Li equally; half amount of Sheng Long Gu; made into pills with wine paste to swallow.
Er Chen Tang see page 7
Ba Zhen Tang see page 6
Note: Leakage due to full essence after long abstinence should not be considered a disease.
Five Types of Jaundice: Formed by Damp-Heat Steaming
Jaundice syndromes have five: Huang Dan (Yellow Jaundice), Huang Han (Yellow Sweat), Gu Dan (Grain Jaundice), Jiu Dan (Wine Jaundice), and Nu Lao Dan (Female Labor Jaundice). *Jin Gui Yao Lue* discusses this in detail. Danxi said, "Jaundice need not be divided into five; all are Damp-Heat, similar to fermenting yeast." Promote diuresis first, detoxify second. Yin Chen Qu Dan Tang (Artemisia Eliminate Jaundice Decoction) is primary. Abdominal fullness with protruding navel, yellow palms/soles, and absent Cun Kou pulse are untreatable.
Yin Chen Qu Dan Tang (Artemisia Eliminate Jaundice Decoction)
Consists of Huang Qin, Huang Lian, Zhi Zi, Cang Zhu, Zhu Ling, Qing Pi, Ze Xie, and Long Dan Cao. Decoct in water.
--------------------------------------------
① An: Covering. Similar to fermenting yeast: explains jaundice etiology as similar to long-term Damp-Heat steaming and fermentation changing color.
Vertigo: No Vertigo Without Phlegm
*Ling Shu Jing* states: "The brain is the sea of Marrow... If Sea of Marrow is sufficient, one is light, strong, and powerful beyond measure. If insufficient, one experiences dizziness, tinnitus, calf weakness, vertigo, blindness, lethargy, and desire to lie down." Danxi said, "Without Phlegm, there is no vertigo; Phlegm moves due to Fire." I examine vertigo cases, all caused by excessive sexual activity, draining Essence and emptying Marrow. Any labor causes Fire Qi to flare upward, resulting in spinning head, dim vision, and fainting. Treatment should greatly tonify Kidney, using Liu Wei Di Huang Wan added with Lu Rong and Niu Xi. *Neijing* says: To nourish the seedling, one must solidify the root; this is treating the root. If Phlegm in the chest causes vertigo, use Er Chen Tang as main formula. With Wind, add Ju Hua, Tian Ma, Chuan Xiong, Qiang Huo; with Cold, add Fu Zi, Gan Jiang; with Summerheat, add Xiang Ru, Bian Dou, Huang Lian; with Dampness, add Cang Zhu, Bai Zhu, Gan Jiang. For those fainting due to excessive hematemesis or postpartum hemorrhage, use Du Shen Tang to tonify; this is the method of benefiting Qi from Blood loss.
Liu Wei Di Huang Wan (Six Flavor Rehmannia Pill)
Consists of Dan Pi, Shan Yao decocted, Shan Yu, Fu Ling, Ze Xie, and Shu Di mixed with honey into pills.
Er Chen Tang see page 7
-------------------------------------------
① *Ling Shu Jing*: China's oldest medical book, combined with *Su Wen* as *Neijing*.
Xiao Ke (Wasting-Thirst): No Xiao Ke Without Fire
Xiao Ke has three types: Upper Xiao belongs to Lung, with polydipsia but normal appetite and bowel/bladder function; Middle Xiao belongs to Stomach, with polyphagia and yellow/red urine; Lower Xiao belongs to Kidney, with turbid urine like paste, thirst, black ear cartilage, and frequent urination. Those who can eat will develop carbuncles/back sores; those who cannot eat will develop abdominal distension. Generally, all three Xiao are caused by Fire-Heat scorching organs and consuming Blood. Treatment uses Si Wu Tang as main formula. Upper Xiao adds Ren Shen, Wu Wei Zi, Mai Dong, Hua Fen; after decoction, mix with Ou Zhi (Lotus Root Juice), Ren Ru (Human Milk), Sheng Di Zhi; drinkers add Sheng Ge Gen Zhi. Middle Xiao adds Shi Gao to descend Stomach Fire. Lower Xiao adds Huang Bai, Zhi Mu, Wu Wei Zi to nourish Kidney Water.
Si Wu Tang see page 6
Insomnia: Excess Phlegm-Fire and Blood Deficiency
Insomnia has three types: Phlegm in Heart Meridian causing Spirit not returning to its house, use Wen Dan Tang added with Suan Zao Ren, Zhu Li, Jiang Zhi. Weakness after illness causing insomnia, use Liu Jun Tang added with Huang Qi, Suan Zao Ren. Blood Deficiency causing insomnia, use Gui Pi Tang. Also: Insomnia is Gallbladder Deficiency-Cold; stir-fried Suan Zao Ren powder with Bamboo Leaf Tea. Excessive sleep is Gallbladder Excess-Heat; raw Suan Zao Ren powder with Ginger Tea.
Wen Dan Tang see page 7
Liu Jun Tang see page 6
Gui Pi Tang see page 35
Excessive Sleep: Spleen-Stomach Fatigue and Spirit Confusion
Spleen-Stomach fatigue leads to laziness and desire to lie down. Short Spirit leads to timidity and excessive sleep. Liu Jun Tang is primary.
Constipation: Blood Dryness and Concretion
Constipation is due to insufficient Body Fluids. Treatment should nourish Blood and moisten intestines. Use Si Wu Tang added with Ma Ren and Xing Ren. Do not recklessly use Mang Xiao, Da Huang, Ba Dou, or Qian Niu harsh purgatives, which damage True Yin and harm Stomach Qi, causing greater harm. If Stomach Qi is initially solid and pathogens accumulate in intestines, purging is necessary, and Xiao/Huang medicines must be used.
Run Zao Tang (Moisten Dryness Decoction)
Nine ingredients: Tao Ren, Hong Hua, Dang Gui, Er Di, Gan Cao, Da Huang, Ma Ren, Sheng Ma.
-----------------------------------------
① Qiang: Damage.
Urinary Retention: Qi Stagnation and Failure to Move
Dongyuan said: Urinary obstruction is distinguished by thirst or no thirst, treated based on Qi or Blood. If thirsty with difficult urination, pathogen is in Upper Jiao Qi level; clear Lung Qi, drain Fire to aid upper source of Water, use Qing Fei Yin. If not thirsty with difficult urination, Heat is in Lower Jiao Blood level; remove Heat to nourish Bladder/Kidney lower origin, use Tong Guan Wan.
A person with urinary obstruction failed various medicines. I said: The Bladder is the official of the reservoir, storing fluids; Qi transformation allows exit. Now blocked due to Qi stagnation. Use Da Zao Jiao (Large Gleditsia Spine) roasted, ground, honey pills, paulownia seed size, taken with warm water, seven pills cure.
Qing Fei Yin (Clear Lung Drink)
Consists of Zhu Ling, Ze Xie, Mu Tong, Che Qian Zi, Tong Cao, Qu Mai, Deng Xin, Bian Xu, Fu Ling. Decoct and mix with Hu Po powder.
Tong Guan Wan (Open Passage Pill, aka Zi Shen Wan)
Zhi Mu and Huang Bai each 2 liang (wine-prepared), Rou Gui only 1 qian. Take with water on empty stomach.
Hemorrhoids: Caused by Intestinal Wind-Cold-Damp-Heat
Hemorrhoids are governed by Damp-Heat Qi. Like fungi growing on trees, they arise from Damp-Heat. Treatment should cool Blood and relax Qi. I once formulated a prescription: Tiao Qin, Huang Lian, Qin Jiao, Dang Gui, Sheng Di, Jing Jie, Fang Feng, Gan Cao, Qing Pi, Zhi Ke, Huai Jiao, Bai Zhu, decocted in water. Externally, apply Bing Pian (0.03 fen), Xiong Zhu Dan (Bear bile better, 0.3 fen), Fan Mu Die (one piece), ground thickly with well water. Applied immediately with effect, many verified cases.
Blood in stool: Clear and bright red is called Chang Feng (Intestinal Wind); Turbid and black is called Zang Du (Visceral Toxin). Blood appearing before stool is Near Blood; after stool is Far Blood. Generally use Dang Gui He Xue San.
Dang Gui He Xue San (Angelica Harmonize Blood Powder)