小其半,现下少腹胀甚,而小便不畅,腰痛胸痛,邪无出路,必得小便畅行,方有转机。
老川朴(五钱) 木通(六钱) 防己(五钱) 杏仁(六钱) 枳实(五钱) 生石膏(四两)
桂枝(六钱) 云苓皮(一两) 滑石(四钱) 小茴香(三钱)
以后脉大而小便不利,用此小便利,去滑石。
初五日 大用石膏,六脉已小,经谓脉小则病退。盖脉为病之帅,脉退不患病不退,经
又谓
脉病患不病者死。人病脉不病者生,现下病归下焦血分,其人本有肝郁,暂退下焦血分。
桂枝(六钱) 云苓皮(一两) 黄柏(三钱,炒) 防己(六钱) 木通(四钱) 广皮(三钱)
全归(三钱) 小茴香(六钱) 小枳实(五钱) 海桐皮(三钱) 川椒炭(三钱)
初六日 脉复洪大,加∶
Reduce the dosage by half. Currently, the patient suffers from severe distension in the lower abdomen and difficult urination, accompanied by low back pain and chest pain. With no outlet for the pathogenic factor, it is imperative that urination becomes smooth for there to be a turning point in the condition.
Lao Chuan Po (Cortex Magnoliae Officinalis, 5 qian) Mutong (Herba Akebiae Trifolatae, 6 qian) Fangji (Radix Stephaniae Tetrandrae, 5 qian) Xingren (Semen Armeniacae Amarum, 6 qian) Zhishi (Fructus Aurantii Immaturus, 5 qian) Sheng Shigao (Gypsum Fibrosum, 4 liang)
Guizhi (Ramulus Cinnamomi, 6 qian) Yunlingpi (Pericarpium Polypori, 1 liang) Huashi (Talcum, 4 qian) Xiaohuixiang (Fructus Foeniculi, 3 qian)
If subsequently the pulse becomes large while urination remains difficult, use this prescription to facilitate urination, then remove Huashi (Talcum).
Fifth day: After using a large dose of Shigao (Gypsum Fibrosum), the pulses in all six positions have become small. The Classics state that when the pulse becomes small, the disease recedes. Since the pulse is the commander of the disease, if the pulse recedes but the disease does not, the Classics further state that "death ensues when the pulse does not correspond with the disease." Life is possible when the person is diseased but the pulse is normal. Currently, the pathology has settled into the Blood aspect of the Lower Jiao. This individual originally had Liver Qi Stagnation, which has temporarily retreated into the Blood aspect of the Lower Jiao.
Guizhi (Ramulus Cinnamomi, 6 qian) Yunlingpi (Pericarpium Polypori, 1 liang) Huangbai (Cortex Phellodendri, 3 qian, stir-fried) Fangji (Radix Stephaniae Tetrandrae, 6 qian) Mutong (Herba Akebiae Trifolatae, 4 qian) Guangpi (Pericarpium Citri Reticulatae, 3 qian)
Quanguai (Radix Angelicae Sinensis, whole root, 3 qian) Xiaohuixiang (Fructus Foeniculi, 6 qian) Xiao Zhishi (Fructus Aurantii Immaturus, smaller variety, 5 qian) Haitongpi (Cortex Erythrinae, 3 qian) Chuanjiaotan (Semen Zanthoxyli Carbonized, 3 qian)
Sixth day: The pulse has returned to being surging and large; add: