桂枝(三钱) 杏仁(四钱) 小枳实(三钱) 白芍(二钱,炒) 姜半夏(五钱) 五味子(
二钱) 炙甘草(一钱) 广皮(三钱) 干姜(二钱)
煮三杯,三次服。三帖。
二十四日 痰饮胁痛而喘咳,是谓悬饮。悬饮者,水在肝也,脉弦数。身热者,外风未
净也。
姜半夏(六钱) 杏仁(三钱) 旋复花(三钱) 桂枝(三钱) 香附(三钱) 广皮(二钱)
小枳实(一钱) 姜汁(二匙) 黄芩炭(钱半) 青蒿(三钱) 苦葶苈(二钱)
服法如前。一帖。
二十五日 身热退,去青蒿、黄芩炭、葶苈,加∶
杏仁(三钱)
二帖。
二十七日 痰饮胁痛而喘咳,是谓悬饮。悬饮者,水在肝也,脉弦数。
姜半夏(六钱) 香附(三钱) 杏泥(三钱) 桂枝尖(三钱) 广皮(二钱) 姜汁(三匙)
旋复花(三钱) 苏子霜(三钱) 降香末(三钱) 小枳实(三钱)
服法如明。
十九日 病减者减其制,去∶
半夏(三钱) 枳实(一钱) 苏子霜(一钱) 降香(一钱) 桂枝(一钱)
五帖而愈。
十一月初六日 痰饮,脉沉弦,有微喘之意,与小青龙去麻辛。
桂枝(四钱) 干姜(二钱) 云苓块(三钱) 白芍(三钱) 五味子(钱半) 炙甘草(二钱)
广皮(三钱) 姜半夏(五钱) 小枳实(三钱)
服法如前。三帖而愈。
十二月初七日 内饮招外风为病,喘咳,脉弦缓,虽头痛恶寒,能大食,只有风而无寒
,用小青龙去麻黄,减细辛,兼用桂枝汤啜稀粥令微汗法。
桂枝(一两) 白芍(四钱,炒) 五味子(二钱) 细辛(五分) 炙甘草(三钱) 干姜(三
钱) 姜半夏(五钱) 加广皮(四钱) 枳实(四钱) 生姜(三钱) 大枣(二枚,去核)
煮三杯,先服一杯,即啜稀粥一碗,覆被令微汗佳,不可使汗淋漓。得汗服第二杯,不
必啜粥,覆被。如不汗,再啜粥,覆被如前。汗后避风要紧。
初十日 脉不浮,外感已解,但弦细,而畏冷,中阳虚也。去细辛。
加桂枝(四钱) 干姜(二钱) 小枳实(二钱)
十三日 于前方加∶
广皮(二钱)
十三日 脉双弦,咳而呕,胃咳也。
姜半夏(八钱) 云苓块(一两) 生姜(五钱) 广皮(三钱) 小枳实(三钱)
煮三杯,三次服。
正月十六日 脉沉弦而缓,饮居右胁,呕痰由肋痛外至脊背恶寒,由厥阴内犯阳明,外
犯太阳也。与逐胁下之饮法。
苏子霜(三钱) 香附(三钱) 桂枝尖(三钱) 旋复花(三钱) 广皮(三钱) 小枳实(二
钱) 降香末(三钱) 青皮(二钱) 生姜(五钱) 姜半夏(五钱) 干姜(二钱)
Cinnamon Twig (Guizhi, 3 qian) Apricot Seed (Xingren, 4 qian) Small Immature Bitter Orange (Xiao Zhishi, 3 qian) White Peony Root (Baishao, 2 qian, stir-fried) Ginger-processed Pinellia Rhizome (Jiang Banxia, 5 qian) Schisandra Fruit (Wuweizi, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 1 qian) Tangerine Peel (Guangpi, 3 qian) Dried Ginger (Ganjiang, 2 qian)
Boil to obtain three cups of decoction, take in three divided doses. Three doses total.
On the 24th day: Phlegm-fluid retention causing hypochondriac pain with wheezing and cough is termed Xuan Yin (Hanging Fluid). Xuan Yin refers to water-fluid accumulation in the Liver region, with a wiry and rapid pulse. The presence of body heat indicates that external Wind pathogen has not yet been cleared.
Ginger-processed Pinellia Rhizome (Jiang Banxia, 6 qian) Apricot Seed (Xingren, 3 qian) Inula Flower (Xuanfuhua, 3 qian) Cinnamon Twig (Guizhi, 3 qian) Cyperus Rhizome (Xiangfu, 3 qian) Tangerine Peel (Guangpi, 2 qian) Small Immature Bitter Orange (Xiao Zhishi, 1 qian) Ginger Juice (Jiangzhi, 2 spoons) Charred Scutellaria Root (Huangqin Tan, 1.5 liang) Artemisia Annua (Qinghao, 3 qian) Sibiric Bellflower Seed (Kutingli, 2 qian)
Administration method as before. One dose.
On the 25th day: Body heat has subsided. Remove Artemisia Annua (Qinghao), Charred Scutellaria Root (Huangqin Tan), and Sibiric Bellflower Seed (Tingli); add:
Apricot Seed (Xingren, 3 qian)
Two doses.
On the 27th day: Phlegm-fluid retention causing hypochondriac pain with wheezing and cough is termed Xuan Yin (Hanging Fluid). Xuan Yin refers to water-fluid accumulation in the Liver region, with a wiry and rapid pulse.
Ginger-processed Pinellia Rhizome (Jiang Banxia, 6 qian) Cyperus Rhizome (Xiangfu, 3 qian) Apricot Paste (Xingni, 3 qian) Cinnamon Twig Tip (Guizhi Jian, 3 qian) Tangerine Peel (Guangpi, 2 qian) Ginger Juice (Jiangzhi, 3 spoons)
Inula Flower (Xuanfuhua, 3 qian) Perilla Seed Frost (Suzishuang, 3 qian) Agarwood Powder (Xiangmo, 3 qian) Small Immature Bitter Orange (Xiao Zhishi, 3 qian)
Administration method as previously described.
On the 19th day: As the condition improves, reduce the dosage. Remove:
Pinellia Rhizome (Banxia, 3 qian) Immature Bitter Orange (Zhishi, 1 qian) Perilla Seed Frost (Suzishuang, 1 qian) Agarwood (Xiang, 1 qian) Cinnamon Twig (Guizhi, 1 qian)
Recovered after five doses.
On the 6th day of the 11th lunar month: Patient suffers from phlegm-fluid retention, with a deep and wiry pulse, and slight signs of wheezing. Prescribe Xiao Qing Long Tang (Minor Blue Dragon Decoction) removing Ephedra Stem (Mahuang) and Asarum Root (Xixin).
Cinnamon Twig (Guizhi, 4 qian) Dried Ginger (Ganjiang, 2 qian) Poria Cocos Block (Yunlingkuai, 3 qian) White Peony Root (Baishao, 3 qian) Schisandra Fruit (Wuweizi, 1.5 liang) Honey-fried Licorice Root (Zhi Gancao, 2 qian)
Tangerine Peel (Guangpi, 3 qian) Ginger-processed Pinellia Rhizome (Jiang Banxia, 5 qian) Small Immature Bitter Orange (Xiao Zhishi, 3 qian)
Administration method as before. Recovered after three doses.
On the 7th day of the 12th lunar month: Internal fluid retention attracts external Wind pathogen, causing wheezing and cough. The pulse is wiry and moderate. Although there is headache and aversion to cold, the patient can eat large amounts, indicating only Wind pathogen without Cold. Use Xiao Qing Long Tang (Minor Blue Dragon Decoction) removing Ephedra Stem (Mahuang), reducing the dose of Asarum Root (Xixin), and concurrently using Gui Zhi Tang (Cinnamon Twig Decoction) combined with drinking hot rice gruel to induce mild sweating.
Cinnamon Twig (Guizhi, 1 liang) White Peony Root (Baishao, 4 qian, stir-fried) Schisandra Fruit (Wuweizi, 2 qian) Asarum Root (Xixin, 5 fen) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Dried Ginger (Ganjiang, 3 qian) Ginger-processed Pinellia Rhizome (Jiang Banxia, 5 qian) Add Tangerine Peel (Guangpi, 4 qian) Immature Bitter Orange (Zhishi, 4 qian) Fresh Ginger (Shengjiang, 3 qian) Jujube (Dazao, 2 pieces, pitted)
Boil to obtain three cups of decoction. Take one cup first, then immediately drink one bowl of hot rice gruel, cover with a blanket to achieve mild sweating; do not allow profuse sweating. If sweat occurs, take the second cup, no need for gruel, just cover with blanket. If no sweat, drink gruel again and cover with blanket as before. Avoid wind carefully after sweating.
On the 10th day: Pulse is no longer floating, indicating external contraction has resolved, but it is wiry and thin, accompanied by fear of cold, signifying deficiency of Middle Jiao Yang. Remove Asarum Root (Xixin).
Add Cinnamon Twig (Guizhi, 4 qian) Dried Ginger (Ganjiang, 2 qian) Small Immature Bitter Orange (Xiao Zhishi, 2 qian)
On the 13th day: Add to the previous formula:
Tangerine Peel (Guangpi, 2 qian)
On the 13th day: Pulse is wiry on both sides, with cough and vomiting, diagnosed as Wei Ke (Stomach Cough).
Ginger-processed Pinellia Rhizome (Jiang Banxia, 8 qian) Poria Cocos Block (Yunlingkuai, 1 liang) Fresh Ginger (Shengjiang, 5 qian) Tangerine Peel (Guangpi, 3 qian) Small Immature Bitter Orange (Xiao Zhishi, 3 qian)
Boil to obtain three cups of decoction, take in three divided doses.
On the 16th day of the 1st lunar month: Pulse is deep, wiry, and moderate. Fluid retention resides in the right hypochondrium. Vomiting of phlegm extends from hypochondriac pain to the back, accompanied by aversion to cold. This is due to Jueyin Meridian invading Yangming Meridian internally and Taiyang Meridian externally. Apply the method to purge fluid retention from under the ribs.
Perilla Seed Frost (Suzishuang, 3 qian) Cyperus Rhizome (Xiangfu, 3 qian) Cinnamon Twig Tip (Guizhi Jian, 3 qian) Inula Flower (Xuanfuhua, 3 qian) Tangerine Peel (Guangpi, 3 qian) Small Immature Bitter Orange (Xiao Zhishi, 2 qian) Agarwood Powder (Xiangmo, 3 qian) Green Tangerine Peel (Qingpi, 2 qian) Fresh Ginger (Shengjiang, 5 qian) Ginger-processed Pinellia Rhizome (Jiang Banxia, 5 qian) Dried Ginger (Ganjiang, 2 qian)