附片60克 干姜15克 葱白4差(连须根)
服后，疹已出透而色转红活，再剂疹渐灰，脉静身凉，食增神健，霍然而愈。
按：体弱发迷无神，疹出性慢，色象不鲜，服白通汤一、二剂，即能使疹子出齐，平安而愈。此种治法，在麻疹方书上，虽不易见，但麻疹既不得发越外出而观阴盛阳表之象，投以白通汤扶助心肾之阳，故疗效甚速。倘再误施寒凉，则正愈虚而阳愈弱，无力托毒外出，反而内攻，必致表脱。故无论痧麻痘疹，一旦病势沉重，务须体会《内经·阴阳应象大论》 “治病必求其本”之精神，认真辨别阴阳，不可固守一法，症现阴象，必须救阳，症现阳象，必须救阴，方有挽回之望。
麻疹危证扶阳救逆二例顺证一例
陶××，年三十二岁，江西人，住上海。有四子一女，于1932年3月值麻疹流行，将其长次两子(七至丸岁)，送往苏州躲避。殊料去后均出麻疹，误服寒凉之药相继夭亡。
三四两子，约二至四岁，在上海亦患麻疹，住某广东医院治疗。病至严重时，该院诊断为： “肺炎”，延余到该院诊视。
两孩均同卧于小床内，麻疹虽免，但发热不退，喘咳痰鸣，满口涎痰随时流出口外，不知曾服何药。见喂入黄果水时，仍从口中外流。颜面青黯(阴象外露)，两颧发赤(虚阳外泄)，唇色青紫，指纹青黑出二关，脉搏紧急(寒极之象)，大便鹜溏(水寒土湿，木邪贼土)，乳食不进(胃中虚寒，司运失权)。该院认为病势严重，别无他法，已感束手。余诊视后，当即告以病势危笃，已成三阴寒极之症，寒痰内壅，真阳外泄，有风动或衰脱之势，急宜扶阳抑阴，温逐寒痰为主。若服后涌吐寒痰，系病除之兆。如热退喘平，尚可转危为安。倘若缓治或再施寒凉之药，必危殆无救。渠因长次两子已夭亡，三、四两孩又复病重，惊慌不已，要求设法抢救，万分信任，纵虽不起，决无怨言。遂拟四逆二陈汤加丁香、肉桂、少佐麻辛，分量加重，与两孩同服(因其病情相同，故共服一剂)。
附片100克 干姜24克 肉桂10克(研末，泡水兑入) 法夏10克
广皮6克 茯苓15克 细辛3克 公丁香6克 炙麻绒3克
甘草10克
此方服后，均呕吐涎痰碗许，自汗淋漓，大便泄泻。次日复诊，发热已退十之七八，喘平十之五、六，口中涎沫减去十之八、九，喉间痰呜亦减去其半，略进乳食。照原方加量去麻辛治之。
附片130克 干姜36克 肉桂10克(研末，泡水兑入) 化红6克
茯苓15克 法夏10克 公丁香6克 甘草10克
第二方服后，又各吐涎痰碗许。第三日复诊，已脉静身凉，喘平泻止，眠食较佳，咳减十之六、七，颜面及指纹青紫均退。照原方去公丁，加细辛、五味、黄芪，连进三剂，诸病痊愈。
渠之另一女孩，约五岁多，亦继出麻疹。初起即发热、涕清，而加咳嗽，呕吐泄泻，目泪盈眶。拟以桂枝葛根汤加防风、薄荷。
桂枝10克 杭芍1 o克 葛根10克 防风6克 薄荷6克 甘
草6克生姜10克 大枣2枚
服上方后麻疹渐出。第二剂去葛根加黄芪16克，服后全身透达。第三剂黄芪桂枝五物汤，服后疹灰脉静身凉，平安而愈。
黄芪15克 桂枝10克 生姜10克 大枣2枚 杭芍10克
按：陶某五个小孩，长次两子，远避隔离不能幸免，误于寒凉之药而夭亡。三、四两子转“肺炎”而严重，得回阳救逆之剂抢救而全活。一女孩用药适当，两、三剂平淡之药而治愈。以此观之，凡治麻疹一证，立方用药，务须细心审慎。
明朝李念莪《内经知要》注《阴阳应象大论》关于“少火生气”云：“特须善为调剂，世之善用苦寒，好行疏伐者，讵非歧黄之罪人哉。”此为医医之言，须熟记之。
麻疹后转“肺炎”虚寒重证三例
其一：
罗××之子，年三岁，住昆明如意巷。患儿于1939年3月患麻疹，住某医院治疗。因转变为肺炎，病势严重。该院认为病势危笃，已感束手，遂出院回家。当延余诊视之，患儿麻疹虽免，但脉搏沉细而紧，颜面含青黯之色，唇口紫乌而焦燥，舌苔白滑而厚腻，指纹青紫出二关，大便鹜溏，小便短赤。咳嗽喘促，声音嘶嗄，午后及夜间发热，食少无神。据以上病情，已成为太少二阴虚寒重证，寒痰邪阴内壅，阳不足以运行，遂见以上证状。当即用四逆汤加肉桂、公丁香、法夏、茯苓以扶阳抑阴治之。
附片36克干姜15克 甘草6克 公丁香3克 法夏10克
茯苓15克
次日复诊，据病家自述，服药后，旋即呕吐不少涎痰，大便泄泻数次。视其发热、咳嗽、喘促等证已减轻十之六、七，且能熟寐，面唇青黯之色稍退，唇亦较润，仍照原方将附片加为60克，去丁香，加苍术6克。第三日续诊，据病家云，服药后又吐涎痰二次，发热已退，小便较长，泄泻亦止，喘促已平，并能进稀粥。视其面唇青黯已退去十之八、九，唇转红润，白苔已退其半，小便虽黄而长，神食亦较增，声肯已恢复正常，尚微咳稍喘，以四逆汤加砂仁、法夏连服二剂。
附片60克 干姜15克 砂仁6克 法夏10克
第五日续诊，面色已转红润，舌苔全退，喘咳已愈，再以四逆汤加北口芪16克、潞党参13克、砂仁6克，连服二剂，食增神健，诸病全瘳。
其二：朱××之女，年五岁，住昆明市晓东街。于1939年春出麻疹，住某医院诊治，麻疹免后，转为“肺炎”，病势沉重，遂出院回家。延余诊视，见其脉来沉弱，面色青黯，唇口淡红而焦，舌苔白厚而燥，不渴饮，夜发潮热，形神瘦弱，咳嗽气短而喘促，腹痛食少。据以上病情，属于素禀不足，麻疹免后，正虚阳弱，寒湿内伏上逆于肺，阳不足以运行所致。法当温中扶阳，开提肺气，化痰止咳，以四逆二陈汤加味主之。
附片50克 干姜15克 法夏10克 陈皮6克 茯苓12克 肉
桂10克(研末，泡水兑入) 砂仁6克 细辛3克 五味2．5克
甘草6克
次日·复诊，喘咳已减轻，唇舌较润，面色青黯稍退，饮食略增，夜热已退，照原方再服一剂。第三日续诊，喘咳止，精神饮食较增，白苔退去十之八、九，唇舌已转红润，颜色青黯已退十之七、八，续以四逆汤加砂仁、肉桂、茯苓连进三剂，津液满口，食增神健，诸病痊愈。
附片50克 干姜15克 肉桂6克(研末，泡水兑入)砂仁6克
茯苓12克 甘草6克
其三：
杨××，住昆明大绿水河，有一女生甫半岁，于1958年春出麻疹，已灰，忽转“肺炎”，发热喘咳，喉间痰鸣，鼻翼掮动，面含青象，指纹青紫出二关，大便泻绿水，小便短赤。此系疹后元阳内虚，寒痰壅闭，肺肾之气不接，清肃不降而成是证，即以小青龙汤加附子主之。
附片30克 干姜12克 法夏6克 细辛3克 麻黄3克 五
味子1．5克桂尖10克 杭芍6克 甘草6克
服后旋即呕吐涎痰盏许。次日复诊，喘咳稍减，发热已退其半，再以四逆二陈汤加肉桂少佐麻绒，细辛主之。
附片50克 干姜12克 法夏6克 陈皮6克 茯苓13克 肉
桂20克(研末，泡水兑入) 甘草10克 炙麻绒3克 细辛2．5克
服后，又吐不少涎痰，喘咳已去十之八、九，鼻搧痰鸣已止，大便转黄而溏，小便已较长而淡黄，并略进稀粥，颜面指纹已转红润，仍照原方去麻辛、陈皮，连服二剂而愈。
按： “肺炎”系西医病名，中医则应分为肺热、肺寒或肺燥等证。针对寒热虚实之病情实据，灵活处方治疗。如一见“肺炎”，不辨寒热，动轭以清凉解毒之剂任意消炎，则贻误不浅矣。以上三例，均系体质虚寒，湿痰内盛而成肺炎寒极严重之证，故主以扶阳温化之剂，均奏全功。如系邪热肺燥之炎证，又当以养阴清肺生津润燥之剂治之，方能收效。
麻疹后邪热灼肺
王××之男孩，年三岁，出麻疹免后，身热不退，喘咳痰滞，唇焦，舌苔白厚而燥，指纹紫红，脉洪数，壮热烦渴，小便短赤，鼻干，目多眵。此系疹后真阴内虚，邪热灼肺，津枯液燥，以人参白虎汤加味主之。
米洋参5克生石膏12克 知母10克 甘草6克 寸冬10克
尖母3克 五味5克 粳米一撮
次日复诊，患儿脉静身凉，烦渴喘咳均减，以生脉散加味治之。
米洋参6克寸冬12克五味2．5克 甘草3克生地10克
川贝5克 杭芍6克
第三日复诊，津液满口，喘咳已平，食量较佳，再以黄芪20克、当归10克、生地6克、党参10克、元肉10克，炙甘草3克，调补气血之剂，连服二剂而愈。
麻疹后湿热下痢
王××之女，年五岁，麻疹免后，下利红白，腹痛里急后重，不思饮食。系麻疹后，湿热阻遏所致，以槟芍顺气汤主之。
杭芍12克 槟榔片6克 枳壳6克 厚朴6克 木香3克
前仁6克 大黄6克 甘草3克
服后，大便畅利三、四次。次日复诊，红自痢已减十之八、九，仍照上方加减治之。
当归12克 杭芍12克 前仁6克 莱菔子5克 槟榔片6克
黄芩3克枳壳3克甘草3．克
第三诊，利止食增，续以下方连服二剂而愈。
党参12克 口芪12克西砂仁3克 当归10克 黑姜6克
元肉10克
麻疹后阴虚阳燥
王××之子，年五岁，出麻疹后，邪热内伏，阴虚阳燥，发热八、九日不退，脉息沉数，唇焦舌燥，渴思冷饮，虚烦不寐，大便不解已五、六日，小便短赤。以温补之剂服之，病势更甚。此系少阴热化之证，拟以黄连阿胶鸡子黄汤主之。
黄连5克 黄芩6克 杭芍12克 阿胶6克(烊化兑入) 鸡
子黄1枚(搅化兑入)
待芩、连、芍三味煎汁，少冷，兑入阿胶、鸡子黄调匀而服。
次日再诊，患儿烦止得寐，身热退去十之八、九，唇舌已回润，再以生脉散加味治之。
米洋参5克 寸冬10克 五味3克 甘草6克 生地6克
玄参6克
第三日复诊，患儿脉静身凉，津液满日，二便通利，续以前方去生地、玄参，加口芪20克、当归10克，补中益气，养阴生血，连服二剂，食增神健，诸病俱愈。
Fupian (Processed Aconite Root) 60g, Ganjiang (Dried Ginger) 15g, Congbai (Scallion White) 4 segments (with root hairs).
After ingestion, the measles rash had fully erupted and turned bright red and vibrant. After one more dose, the rash color gradually faded to gray, the pulse became calm, the body temperature normalized, appetite increased, and spirit recovered vigorously; the patient was cured suddenly and completely.
Commentary: The patient had a weak constitution, appeared listless and devoid of spirit during fever, the measles eruption was slow, and the rash color was not fresh. After taking Baitong Tang (White Connective Decoction) for one or two doses, the measles were able to erupt completely, leading to a safe recovery. Although this treatment method is rarely seen in measles formularies, since the measles failed to vent outward and presented signs of Yin excess and Yang deficiency, administering Baitong Tang to support the Yang Qi of the Heart and Kidney resulted in rapid efficacy. If cold-natured drugs were mistakenly administered again, the healthy Qi would become more deficient and Yang weaker, lacking the strength to push toxins out, causing them to attack inward, inevitably leading to exterior collapse (Yang collapse). Therefore, regardless of sand-rash, measles, or smallpox, once the disease condition becomes severe, one must comprehend the spirit of "treating diseases requires seeking the root" from the *Neijing · Yin Yang Ying Xiang Da Lun*. One must carefully differentiate Yin and Yang. When symptoms present Yin characteristics, Yang must be rescued; when symptoms present Yang characteristics, Yin must be rescued; only then is there hope for recovery.
Two cases of critical measles requiring Yang-supporting and counter-reversal treatment, and one case of favorable progression.
Tao XX, male, 32 years old, from Jiangxi, residing in Shanghai. He had four sons and one daughter. In March 1932, during a measles epidemic, he sent his eldest and second sons (aged 7 to 9) to Suzhou to avoid infection. Unexpectedly, after arriving, both contracted measles and died successively due to the mistaken administration of cold-natured medicines.
The third and fourth sons, aged approximately 2 to 4, also contracted measles in Shanghai and were treated at a certain Guangdong Hospital. When their condition became severe, the hospital diagnosed it as "Pneumonia" and requested my consultation at the hospital.
Both children lay in a small bed together. Although the measles had erupted, the fever persisted, accompanied by wheezing, coughing, and phlegm rales. Their mouths were full of saliva and phlegm flowing out constantly, and the medication history was unknown. When fed with yellow fruit water, it flowed back out of the mouth. The face was cyanotic and dark (external manifestation of Yin), the malar regions were red (leakage of deficient Yang), lips were cyanotic-purple, the fingerprint (pediatric pulse diagnosis site) was cyanotic-black extending past the Wind and Qi gates (two gates), the pulse was urgent (sign of extreme cold), stools were watery diarrhea (water-cold dampening earth, Wood evil attacking Earth), and milk/food intake ceased (deficient-cold in Stomach, loss of transport authority). The hospital considered the condition critical, having no other methods, and felt helpless. Upon examination, I immediately informed them that the condition was critical, constituting a syndrome of extreme cold in the Three Yin channels, with cold-phlegm obstructing internally and True Yang leaking externally, showing tendencies of internal wind stirring or Yang collapse. Urgent treatment should focus on supporting Yang and suppressing Yin, primarily warming and expelling cold-phlegm. If vomiting of cold-phlegm occurs after medication, it is a sign of disease removal. If fever subsides and wheezing stops, critical condition can turn to safety. If treatment is delayed or cold-natured drugs are used again, it will surely lead to fatal danger. Due to the death of the first two sons and the critical illness of the next two, they were panicked, begged for rescue measures, trusted me completely, and stated they would bear no resentment even if unsuccessful. Thus, I prescribed Sini Erchen Tang (Four Reversal Two-Aged Phlegm Decoction) plus Dingxiang (Clove) and Rougui (Cinnamon Bark), with a small addition of Mahuang (Ephedra) and Xixin (Asarum), increasing dosages, given to both children together (as their conditions were identical, they shared one dose).
Fupian (Processed Aconite Root) 100g, Ganjiang (Dried Ginger) 24g, Rougui (Cinnamon Bark) 10g (powdered, soaked in water and mixed in), Faxia (Prepared Pinellia) 10g, Guangpi (Aurantii Pericarpium) 6g, Fuling (Poria) 15g, Xixin (Asarum) 3g, Gongdingxiang (Public Clove) 6g, Zhi Marenrong (Honey-processed Ephedra Downy Part) 3g, Gancao (Licorice Root) 10g.
After taking this formula, both vomited about a bowl of saliva and phlegm, sweated profusely, and had watery diarrhea. On the second day's follow-up, fever had subsided by 70-80%, wheezing by 50-60%, oral saliva/phlegm reduced by 80-90%, and throat phlegm rales halved. They took slight amounts of milk/food. Following the original formula with increased dosage, removing Mahuang and Xixin, continued treatment.
Fupian (Processed Aconite Root) 130g, Ganjiang (Dried Ginger) 36g, Rougui (Cinnamon Bark) 10g (powdered, soaked in water and mixed in), [Chihong/Specific Herb] 6g, Fuling (Poria) 15g, Faxia (Prepared Pinellia) 10g, Gongdingxiang (Public Clove) 6g, Gancao (Licorice Root) 10g.
After the second formula, each vomited another bowl of saliva and phlegm. On the third day's follow-up, pulse was calm, body cool, wheezing stopped, diarrhea ceased, sleep and diet improved, cough reduced by 60-70%, and facial/fingerprint cyanosis receded. Following the original formula, removing Gongdingxiang, adding Xixin (Asarum), Wuweizi (Schisandra Berry), and Huangqi (Astragalus Root), taken for three consecutive doses, all diseases were cured.
His other daughter, over five years old, subsequently developed measles. Initially presenting with fever, clear nasal discharge, cough, vomiting, diarrhea, and teary eyes. Prescribed Guizhi Gegen Tang (Cinnamon Twig and Kudzu Root Decoction) plus Fangfeng (Saposhnikovia Root) and Bohe (Mint).
Guizhi (Cinnamon Twig) 10g, Hangshao (Hangzhou Peony Root) 10g, Gegen (Kudzu Root) 10g, Fangfeng (Saposhnikovia Root) 6g, Bohe (Mint) 6g, Gancao (Licorice Root) 6g, Shengjiang (Fresh Ginger) 10g, Dazao (Jujube Fruit) 2 pieces.
After taking the above formula, measles gradually erupted. For the second dose, Gegen was removed and Huangqi (Astragalus Root) 16g added; after ingestion, the body was thoroughly permeated. For the third dose, Huangqi Guizhi Wuwu Tang (Astragalus and Cinnamon Twig Five-Material Decoction) was used; after ingestion, rash faded, pulse calmed, body cooled, and recovery was peaceful.
Huangqi (Astragalus Root) 15g, Guizhi (Cinnamon Twig) 10g, Shengjiang (Fresh Ginger) 10g, Dazao (Jujube Fruit) 2 pieces, Hangshao (Hangzhou Peony Root) 10g.
Commentary: Among Tao's five children, the eldest and second sons could not escape despite isolation, dying due to mistaken cold-natured medicines. The third and fourth sons progressed to "Pneumonia" severely but survived due to Yang-returning and counter-reversal agents. The girl was treated appropriately with mild medicines in two or three doses. This shows that treating measles requires careful and prudent formulation and medication selection.
Li Nian'e of the Ming Dynasty, in his commentary on *Yin Yang Ying Xiang Da Lun* within *Neijing Zhi Yao*, regarding "Lesser Fire generates Qi," stated: "One must skillfully regulate; those in the world who adeptly use bitter-cold substances and favor destructive methods—are they not sinners against Qibo and Huangdi?" These are words for physicians to memorize diligently.
Three cases of critical deficiency-cold syndrome following measles progressing to "Pneumonia"
Case 1:
Son of Luo XX, 3 years old, residing in Ruyi Alley, Kunming. The child contracted measles in March 1939 and was hospitalized. Due to progression to pneumonia, the condition became severe. The hospital deemed it critical and hopeless, discharging him home. I was then consulted. Although the measles had erupted, the pulse was deep, fine, and tight; the face showed cyanotic-darkness; lips and mouth were purple-black and scorched-dry; tongue coating was white, slippery, thick, and greasy; fingerprint was cyanotic-purple extending past the two gates; stools were watery diarrhea; urine was short and red. Coughing and wheezing were prominent, voice hoarse, fever in afternoon and night, poor appetite and spirit. Based on these symptoms, it had become a critical deficiency-cold syndrome of Taiyang and Shaoyin. Cold-phlegm and pathogenic Yin obstructed internally, insufficient Yang could not circulate, resulting in the above signs. Immediately, Sini Tang (Four Reversal Decoction) plus Rougui (Cinnamon Bark), Gongdingxiang (Public Clove), Faxia (Prepared Pinellia), and Fuling (Poria) was used to support Yang and suppress Yin.
Fupian (Processed Aconite Root) 36g, Ganjiang (Dried Ginger) 15g, Gancao (Licorice Root) 6g, Gongdingxiang (Public Clove) 3g, Faxia (Prepared Pinellia) 10g, Fuling (Poria) 15g.
Next day follow-up: Family reported immediate vomiting of considerable saliva/phlegm and several episodes of watery diarrhea upon taking medicine. Fever, cough, and wheezing reduced by 60-70%; child slept soundly; facial/lip cyanosis slightly receded; lips moister. Following original formula, Fupian increased to 60g, Dingxiang removed, Cangzhu (Atractylodes Rhizome) 6g added. Third day follow-up: Vomited phlegm twice more; fever subsided; urine longer; diarrhea stopped; wheezing ceased; could eat thin porridge. Facial/lip cyanosis receded 80-90%; lips turned red; white coating reduced by half; urine yellow but long; spirit/appetite increased; voice normalized; slight cough/wheeze remained. Sini Tang plus Sharen (Amomum Fruit) and Faxia taken for two doses.
Fupian (Processed Aconite Root) 60g, Ganjiang (Dried Ginger) 15g, Sharen (Amomum Fruit) 6g, Faxia (Prepared Pinellia) 10g.
Fifth day follow-up: Face turned red/rosy; tongue coating completely gone; cough/wheeze cured. Sini Tang plus Beiqi (Northern Astragalus) 16g, Lushen (Luodai Codonopsis) 13g, Sharen (Amomum Fruit) 6g, taken for two doses; appetite increased, spirit robust, all diseases cured.
Case 2: Daughter of Zhu XX, 5 years old, residing in Xiaodong Street, Kunming. Contracted measles in Spring 1939, hospitalized. After measles eruption, progressed to "Pneumonia," condition heavy, discharged home. Consulted me. Pulse deep and weak; face cyanotic-dark; lips/mouth pale-red and scorched; tongue coating white, thick, dry; no thirst; tidal fever at night; emaciated body and spirit; cough, shortness of breath, wheezing, abdominal pain, poor appetite. Based on symptoms, this belongs to innate insufficiency; after measles eruption, healthy Qi deficient and Yang weak, cold-dampness latent internally reversing upward to Lung, insufficient Yang unable to circulate. Method: Warm Middle, support Yang, raise Lung Qi, transform phlegm, stop cough. Main prescription: Sini Erchen Tang modified.
Fupian (Processed Aconite Root) 50g, Ganjiang (Dried Ginger) 15g, Faxia (Prepared Pinellia) 10g, Chenpi (Aged Tangerine Peel) 6g, Fuling (Poria) 12g, Rougui (Cinnamon Bark) 10g (powdered, soaked in water and mixed in), Sharen (Amomum Fruit) 6g, Xixin (Asarum) 3g, Wuwei Zi (Schisandra Berry) 2.5g, Gancao (Licorice Root) 6g.
Next day follow-up: Wheezing/cough reduced; lips/tongue moister; facial cyanosis slightly receded; diet slightly increased; night fever subsided. Take original formula for one more dose. Third day follow-up: Wheezing/cough stopped; spirit/diet increased; white coating receded 80-90%; lips/tongue red/rosy; facial cyanosis receded 70-80%. Continue Sini Tang plus Sharen, Rougui, Fuling for three doses; mouth full of fluids, appetite increased, spirit robust, all diseases cured.
Fupian (Processed Aconite Root) 50g, Ganjiang (Dried Ginger) 15g, Rougui (Cinnamon Bark) 6g (powdered, soaked in water and mixed in), Sharen (Amomum Fruit) 6g, Fuling (Poria) 12g, Gancao (Licorice Root) 6g.
Case 3:
Yang XX, residing in Dalvshuihe, Kunming. A female infant, half-year-old, contracted measles in Spring 1958. Rash faded, suddenly progressed to "Pneumonia," fever, wheezing/cough, throat phlegm rales, alar flaring, face showing cyanotic signs, fingerprint cyanotic-purple past two gates, stool greenish-water diarrhea, urine short/red. This is post-measures Yuan Yang internal deficiency, cold-phlegm obstruction, disconnect between Lung and Kidney Qi, failure of descending clarity. Prescribed Xiao Qinglong Tang (Minor Blue Dragon Decoction) plus Fupian.
Fupian (Processed Aconite Root) 30g, Ganjiang (Dried Ginger) 12g, Faxia (Prepared Pinellia) 6g, Xixin (Asarum) 3g, Mahuang (Ephedra) 3g, Wuweizi (Schisandra Berry) 1.5g, Guijian (Cinnamon Tip) 10g, Hangshao (Hangzhou Peony Root) 6g, Gancao (Licorice Root) 6g.
Immediately vomited about a cup of saliva/phlegm. Next day follow-up: Wheezing/cough slightly reduced, fever halved. Prescribed Sini Erchen Tang plus Rougui and small amount of Zhima Rong (Honey-processed Ephedra Downy Part), Xixin.
Fupian (Processed Aconite Root) 50g, Ganjiang (Dried Ginger) 12g, Faxia (Prepared Pinellia) 6g, Chenpi (Aged Tangerine Peel) 6g, Fuling (Poria) 13g, Rougui (Cinnamon Bark) 20g (powdered, soaked in water and mixed in), Gancao (Licorice Root) 10g, Zhima Rong (Honey-processed Ephedra Downy Part) 3g, Xixin (Asarum) 2.5g.
After ingestion, vomited considerable phlegm; wheezing/cough reduced 80-90%; alar flaring/phlegm rales stopped; stool turned yellow and loose; urine longer and pale yellow; slight thin porridge intake; facial/fingerprint turned red/rosy. Follow original formula, removing Mahuang, Xixin, Chenpi, take for two doses to cure.
Commentary: "Pneumonia" is a Western medical term; TCM classifies it into Lung Heat, Lung Cold, or Lung Dryness syndromes. Formulas must be flexible based on actual cold/heat/deficiency/excess conditions. If "Pneumonia" is seen without differentiating cold/heat, and cooling/antidote-clearing agents are arbitrarily used for anti-inflammation, significant delay ensues. The above three cases were all constitutional deficiency-cold with abundant damp-phlegm, forming severe cold-extreme pneumonia; thus, Yang-supporting and warming-transforming agents were main treatments, achieving complete success. If it were heat-toxin Lung Dryness inflammation, nourishing-Yin, clearing-Lung, generating-fluids, and moistening-dryness agents should be used to be effective.
Measles followed by Evil Heat Scorches Lung
Boy of Wang XX, 3 years old. After measles eruption, persistent fever, wheezing/cough with phlegm stagnation, scorched lips, white thick dry tongue coating, purple-red fingerprint, surging-numerate pulse, high fever with vexation/thirst, short red urine, dry nose, excessive eye discharge. This is post-measures True Yin internal deficiency, evil heat scorching Lung, fluid exhaustion and dryness. Prescribed Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction) modified.
Mi Yangshen (Rice-Cultivated American Ginseng) 5g, Sheng Shigao (Raw Gypsum Fibrosum) 12g, Zhimu (Anemarrhena Rhizome) 10g, Gancao (Licorice Root) 6g, Cundong (Ophiopogon Tuber) 10g, Jianmu (Zanthoxylum Seed? Note: Likely typo for Zhimu or similar, kept as Jianmu) 3g, Wuwei Zi (Schisandra Berry) 5g, Jingmi (Glutinous Rice) a pinch.
Next day follow-up: Pulse calm, body cool, vexation/thirst/cough reduced. Prescribed Sheng Mai San (Generate Pulse Powder) modified.
Mi Yangshen (Rice-Cultivated American Ginseng) 6g, Cundong (Ophiopogon Tuber) 12g, Wuwei Zi (Schisandra Berry) 2.5g, Gancao (Licorice Root) 3g, Shengdi (Rehmannia Root) 10g, Chuanbei (Fritillaria Bulb) 5g, Hangshao (Hangzhou Peony Root) 6g.
Third day follow-up: Mouth full of fluids, wheezing/cough stopped, appetite better. Prescribed Huangqi (Astragalus Root) 20g, Danggui (Angelica Sinensis) 10g, Shengdi (Rehmannia Root) 6g, Dangshen (Codonopsis Root) 10g, Yuanrou (Lychee Aril) 10g, Zhi Gancao (Honey-fried Licorice Root) 3g, a Qi-and-Blood tonifying agent, taken for two doses to cure.
Measles followed by Damp-Heat Dysentery
Girl of Wang XX, 5 years old. After measles eruption, dysentery with red and white stool, abdominal pain with tenesmus, loss of appetite. Caused by damp-heat obstruction post-measles. Prescribed Bing Shao Shun Qi Tang (Areca Nut and Peony Qi-Smooth Decoction).
Hangshao (Hangzhou Peony Root) 12g, Binglang Pian (Betel Nut Slice) 6g, Zhiqiao (Aurantium Fructus) 6g, Houpo (Magnolia Bark) 6g, Muxiang (Vladimiria Root) 3g, Qianren (Plantago Seed) 6g, Dahuang (Rhubarb Root) 6g, Gancao (Licorice Root) 3g.
After ingestion, bowel movements smooth 3-4 times. Next day follow-up: Red-white dysentery reduced 80-90%. Modify above formula.
Danggui (Angelica Sinensis) 12g, Hangshao (Hangzhou Peony Root) 12g, Qianren (Plantago Seed) 6g, Laifuzi (Radish Seed) 5g, Binglang Pian (Betel Nut Slice) 6g, Huangqin (Scutellaria Root) 3g, Zhiqiao (Aurantium Fructus) 3g, Gancao (Licorice Root) 3g.
Third visit: Diarrhea stopped, appetite increased. Continue below formula for two doses to cure.
Dangshen (Codonopsis Root) 12g, Kouqi (Astragalus Root) 12g, Xi Sharen (Western Amomum Fruit) 3g, Danggui (Angelica Sinensis) 10g, Heijiang (Black Ginger) 6g, Yuanrou (Lychee Aril) 10g.
Measles followed by Yin Deficiency and Yang Dryness
Son of Wang XX, 5 years old. Post-measles, evil heat latent internally, Yin deficiency and Yang dryness. Fever persisted for 8-9 days, pulse deep-numerate, scorched lips/dry tongue, thirst for cold drinks, empty vexation insomnia, constipation for 5-6 days, short red urine. Taking warming-tonifying agents worsened condition. This is Shaoyin Heat Transformation syndrome. Prescribed Huanglian Ejiao Jizi Huang Tang (Coptis, Donkey-Hide Gelatin, and Egg Yolk Decoction).
Huanglian (Coptis Rhizome) 5g, Huangqin (Scutellaria Root) 6g, Hangshao (Hangzhou Peony Root) 12g, Ejiao (Donkey-Hide Gelatin) 6g (melted and mixed in), Jizi Huang (Chicken Egg Yolk) 1 piece (beaten and mixed in).
Decoct Huangqin, Huanglian, Hangshao; let cool slightly; mix in Ejiao and Jizi Huang evenly before taking.
Next day follow-up: Vexation stopped, sleep obtained, fever reduced 80-90%, lips/tongue moistened. Prescribed Sheng Mai San modified.
Mi Yangshen (Rice-Cultivated American Ginseng) 5g, Cundong (Ophiopogon Tuber) 10g, Wuwei Zi (Schisandra Berry) 3g, Gancao (Licorice Root) 6g, Shengdi (Rehmannia Root) 6g, Xuanshen (Scrophularia Root) 6g.
Third day follow-up: Pulse calm, body cool, mouth full of fluids, urination/bowel movement unobstructed. Continue previous formula, removing Shengdi and Xuanshen, adding Kouqi (Astragalus Root) 20g, Danggui (Angelica Sinensis) 10g, to tonify Middle, boost Qi, nourish Yin, generate Blood. Taken for two doses; appetite increased, spirit robust, all diseases cured.