古人往矣不朽者，言与德功并重，士不良相即良医，载籍极博，轩岐之所以寿世也。抱元子长水名裔，资敏学优，
好着述，河洛之元机，羲周之秘蕴，钩深致远，一一寓之于医。医之为业，代有名家，摅所得以立说，汗牛充栋。抱元
子以为我既托诸空言，不如载之临症之深切着明也，搜罗奇症而以常理释之，阐天文，抒地理，引人事，旁及品类，名
之以汇，卢扁而韩董者也。当湖钱太史敦堂，其襟戚也，弁言以策其行世者二十稔矣。顾第勿自信，足迹所经，靡不咨
诹，穷年 、句窜字易。或得之朋侪坐对之时，或得之风雨孤灯之夜，饮食而梦寐者胥是也。今夫操刀上游都市，镜
人之疾者，目未睹，耳未闻，其不眉攒而手棘也几希，得是书而证之，了然若指诸掌，岂不大快？枕中之秘，何如肘后
之方乎？爰请奉诸梨枣，以附于不朽之言。
乾隆丙午仲春上浣姻世侄李篪顿首
黄帝奇病论篇曰∶人有头痛，以数岁不已，此安得之，名为何病？（头痛不当数岁，故怪而为问）岐伯曰∶当有所
犯大寒，内至骨髓，髓者以脑为主，脑逆，故令头痛齿亦痛，病名曰厥逆。帝曰善。
夏子益《奇疾方》云∶有人患顶上生疮五色，如樱桃状，破则自顶分裂连皮剥脱至足，名曰肉人，常饮牛乳自愈。
〔源按〕病患顶上生疮，病发于足太阳，足太阳之脉，从巅顶至足。《素问》云∶风气与太阳俱入，行诸脉 ，散
于分肉之间，与卫气相干，其道不利，故使肌肉愤 而有疡，肌肉乃阳明所属，太阳受病必入阳明故也，此症疮顶破裂，
连皮剥脱至足，乃二经之风毒盛而行诸脉俞，散于分肉之间，与卫气相干，所谓其道不利，营血不能贯润。因肌肉燥而
分裂，故皮脱可剥至足，不特愤 而发疡也，牛乳润胃解毒，使毒散胃润，则气血复贯而愈。
《奇病方》云∶有人患鸟鹊生于头上或臂上，外有皮一层包之，或如瘤状，或不似瘤，而皮肤高起一块，内作鸟鹊
之声，逢天明则啼，逢阴雨则叫，临饥寒则痛，百药不效，必须用刀割破其皮，则鸟鹊难以藏形，乃破孔而出，宛似鸟
鹊，但无羽毛耳。鸟鹊出孔之后，以生肌散敷之，外加神膏，三日依然生合。
〔源按〕人身患成形成物，或羽、或介、或裸或鳞，皆应五脏所属而生。《素问》云∶东方生风，风生木，在天为
风，在地为木，在脏为肝，其色苍，其化荣，其虫毛，虫毛者，森森之象也。南方生热，热生火，在天为热，在地为火，
在脏为心，其色赤，其化茂，其虫羽，虫羽者，飞动之象也，中央生湿，湿生土，在天为湿，在地为土，在脏为脾，其
色黄，其化盈，其虫裸，虫裸者，肉体之象也。西方生燥，燥生金，在天为燥，在地为金，在脏为肺，其色白化敛，其
虫介，虫介者，金甲之象也。北方生寒，寒生水，在天为寒，在地为水，在脏为肾，其色黑，其化肃，其虫鳞，虫鳞者
水中之象也。盖人身一小天地，天应五方，所属而化，人应五脏，所属而生。前患似鸟鹊而无羽毛，此虫裸肉体之象，
应中央湿土为病，病生于脾也。
华伦云∶有一人患头面肿大如斗，看人小如三寸，饮食不思，呻吟如睡，此痰也。用瓜蒂散吐之，而头面之肿消，
又吐之，而见人如故矣。后用人参白术散，三剂而愈。
《小山怪症方》云∶有人头皮作痒，时有蛆出，用丝瓜叶以刀切破搽之，候蛆出尽，绝根。
《杨氏医方》云∶有人患头内有声，如虫蛀响，名天白蚁，此肝火为患。用茶子为细末，吹鼻中愈。
《稽神录》云∶处士蒯亮，言其所知，额角患瘤，医为剖之，得一黑石棋子，巨斧击之不伤缺。复有足胫生瘤者，
因至亲家为 犬所啮，正啮其瘤，其中得针百余枚，皆可用。
疾亦愈。
〔源按〕瘤生棋子及针者，此具患病于肺。肺为西方金，金乃坚刚之象，即经所谓其性刚，其化坚敛是也。注云∶
性刚故催铁于物。坚敛，收敛坚强，金之化也。
一人发生水珠，如汗滴不止，用甘草一斤煎汤三四碗，作三四服，其水即止。此症自幼年间，服药过多故也。
〔源按〕此症因服药过多，良由少年性淫过服药石，药毒聚于肾间，积久始发也。盖发属肾，药石之毒，逼迫肾中
之水气升外，故发生水如汗滴。甘草善解金石药毒，故独用此。然此症肾未全亏，故尚有肾气升外，否则必发奇毒矣。
王节斋治一妇，始言头痛，头痛已，又心痛作，心痛已，又目睛痛，相去无瞬息。每头痛甚，欲去大石压之，心痛
作，则以十指抓壁，血流满掌，痛定目复痛，又以两手自剜取之，如是十日，众医莫措，进黑龙丹半粒，疾少减，中夜
再服之，服即闭目，寝如平昔，至平旦，下一行约三升许，如蝗虫子，三疾皆减半，巳刻又行，则顿愈矣。
张子和治一僧，头热而痛，更畏明，以布围其巅上，置冰于其中，日数易之，此阳蓄热也，乃灼灰火于暖室，出汗
涌吐，三法并行，七日而瘥。
唐与正治一女，年数岁，得风瘅疾。先发于臆，迤逦延上，赤肿痛痒，医以上膈风热治之不效。唐诊之曰∶是肝肺
风热盛极耳。以羌活、荆芥、鼠粘子、赤芍药、淡竹叶、桔梗、葛根八物治之，自下渐退，而肿聚于顶，其高数寸，虽
饮食寝处无妨，而疾未去也。唐母吴夫人曰∶此女乳母好饮热酒，至并 其糟，疾殆因是欤？唐方悟所以至顶不消之
由，思之惟葛消酒，且能疗火毒，乃以前方加葛三倍服之，二日肿尽去。
又治一少年，患头晕卧床。医作虚治，反致头不能动，动即晕绝。如是数年，惟饮食如故。唐曰∶此肝胆有火，因
火生痰，动即痰火内动，故遂晕绝。服六黄汤四剂而愈。
祝仲宁治一妇，年二十余，脑生一窍，口中咳脓血，每咳与脑窍相应而出，此肺痿也。用参、 、当归退热排脓之
剂而愈。又有患胸膺间溃一窍，脓血亦口中相应而出，亦作肺痿治，用前药而愈。
翟文炳治陆母，年七十，头响耳鸣，项疼目眩，面麻腮肿，齿苏唇燥，口苦舌强，咽肿气促，心惊胆怯，胸满痰
滞，胁痛腰痛，足软膝疼，已二年矣。复又不得卧，惟人扶而坐，稍欹卧即垂绝。翟诊视，知气挟肝火而然，先与抑青
丸一服，实时睡熟，醒后诸症如失，接服补中益气汤，调理而安。
朱丹溪治一人，左丝竹空穴壅出一角，如鸡距，此少阳经多血少气。朱戒其断酒肉，须针灸以开发壅滞。他工以大
黄、硝、脑等冷药贴之，一夜裂开，如蚶肉，血溅出长尺余而死。此冷药外逼，热不得发故也。
一胡氏子，年十七八，发脱不留一茎，饮食起居如常，脉微弦而涩，轻重皆同。此浓味成热，湿痰在膈间，复因多
食梅酸味，以致湿热之痰随上升之气至于头，熏蒸发根之血，渐成枯槁，遂一时尽脱。以补血升散之药。用防风通圣
散，去芒硝，唯大黄三度酒炒，兼四物汤酒制，合煎服两月余。诊其脉湿热渐解，乃停药。淡味调养二年，发长如初。
薛己治一男子，年二十，巅毛脱尽，脉数。先以通圣散宣其风热，次用六味地黄丸，不数日，发长寸许，两月复旧。
一儒者，因饮食劳役，乃恼怒，眉发脱落，薛以为劳伤精血，阴火上炎所致。用补中益气加麦冬、五味，及六味地
黄丸加五味子，眉发顿生如故。
一男子染时疮，服换肌散之类，眉毛顿脱，遍身作痒，或时赤晕。乃燥药损其阴血，阳气偏旺而然耳。朝用四物
汤，倍熟地，加茯苓、白术、丹皮、山栀、生甘草。夕用六味丸料加当归、黄 治之，疮症即愈，眉毫亦生。
一小儿年十四岁，而近女色，发热吐痰。至有室，两目羞明，头觉胀大，仍不断欲。头渐大，囟门忽开。用地黄
丸、益气汤之类，断色欲，年余而愈。
一小儿十四岁，解颅，自觉头大，视物皆大，畏日羞明。先兄以为肾禀祛弱，用六味丸加五味、鹿茸及补中益气
加山药、山茱萸。半载痊愈，二载而囟合。后毕姻，觉囟门开解，足心如炙，喜其断色欲，戒浓味，日服前药二剂，三
载而愈。
予治山左叶氏子，年二十三岁，患眉发脱落，视其脉，两尺沉迟，症由肾脏受寒，彼云∶匝月前，泄后口渴，曾饮
冷一盏，自后觉眉发渐脱。予曰∶《素问》云，发之华在肾。又草木子云，气之荣以眉，血之荣以发。发者，血之
余；血者，水之类也。水之中有相火寄焉，若一接内，则此火翕然而下，又即以冷冻饮料加之，则火微水凝，十二经脉滞而
不行，于是肾不华而气不荣也。月令云，仲秋阴气侵盛，阳气日衰，水始涸。是水之涸，地之死也，死则草木渐衰。于
仲冬水泉动而一阳生，是水之动，地之生也。生则草木渐长。眉发而欲其复萌，必得阳生而阴可长。用桂附纯阳之火，
加于六味纯阳水中，使肾中温暖。如冬月一阳，来复于水土之中，万物皆生。如予言，服之而愈。
或问∶气之荣以眉，血之荣以发，何故？气荣眉则短，血荣发则长。予曰∶此五脏所属也。眉荣气分，属肺，肺属
金，为干。发荣血分，属肝，肝属木为巽。以易理推之，干金短而巽木长，故眉短而发长也。
又问，眉发何故去之则日长，蓄之则不见其长乎？予曰∶去之则气血荣，其根故日长，蓄之则养其已蓄，故长而有
定耳。
又问∶仲冬一阳生，而草木萌；仲秋阴气侵盛，阳气日衰，草木渐萎；至冬草皆死，而木叶皆落，何故？松柏独不
凋乎？予曰∶不独松柏不凋，凡草木之叶无汁者，皆能存之。又问∶何故叶无汁乎？予曰∶无汁者非全无也。盖无汁
之叶，借滋化生，以气用事，有汁之叶，借气化生，以滋用事。故有有汁无汁之别。然不特草木之叶，无汁而能隆冬不
凋，即草木之根或干若滋少，而以气用事者，并寒冬可能发花，即梅兰之类是也。盖气能敌寒，故如是耳。若人至暮年
而亦能耐寒者，肾气旺也，旺者寿。
邻人顾姓者，因少年勤内事，头皮血出如汗，此肝肾之火逆上，因血热甚，所以从发窍直出，盖汗乃血之液，从气
化白。《内经》有肌衄一条，因气散不能从化，故肌肤汗血。此病并非气不能化，化亦不及故也。治用甘露饮等剂
得愈。
孝廉章睛皋尊人，御臣中年时，忽屡梦白人持刀自割其头，至流血即惊醒，自后闭目亦然，众医莫措，就松江沈鲁
珍治之。沈曰∶寐而见白人者，肺虚也。古人多用独参汤，每服人参一两，一剂可愈，服之果验。
生肌散
寒水石（ ） 滑石（二两） 龙骨 海螵蛸（一两） 蜜陀僧 枯矾 铅粉 干胭脂（五钱）
共为细末，掺疮口上。
瓜蒂散
甜瓜蒂 赤小豆
二味为末，熟水或酸齑水调下，量人虚实服之。吐时须令闭目，紧束肚皮。吐不止者，葱白汤解之，良久不出者，
含砂糖一块，即吐。诸亡血、虚家、老人、产妇、血虚、脉微者，俱不可服。
人参白术散
人参 白术 茯苓 半夏（各三钱） 甘草（一钱） 陈皮（五分）
清水煎服。
十全黑龙丹
当归 五灵脂 川芎 良姜 熟地（各三两）
上研末入罐，盐泥固济，炭十斤 令通红，冷定取开看，成黑糟粕色，细研入后药∶
百草霜（五钱） 硫黄 乳香（各一两） 花蕊石 琥珀（各三钱）
上五味为末，并前和匀，丸如芡实大，每服一丸。
抑青丸
羌活 防风 龙胆草 川芎 当归
等分为末，蜜丸芡实大，每服二三丸，砂糖汤化下。
防风通圣散
防风 薄荷 连翘 荆芥穗 麻黄 川芎 当归 芍药（炒） 山栀 白术 大黄（酒蒸） 芒硝（各五钱） 黄
芩石膏 桔梗（各一两） 甘草（二两） 滑石（三两）
加生姜、葱白煎。
六味地黄丸
熟地黄（八两，砂仁酒拌九蒸九晒） 山茱萸 山药（各四两） 茯苓（乳拌） 丹皮 泽泻（各三两）
蜜丸，空心盐汤下。
四物汤
当归（酒洗） 生地黄（各三钱） 芍药（二钱） 川芎（一钱五分）
清水煎服。
泻青丸
龙胆草 大黄 山栀 当归 川芎 羌活 防风
上各等分为末，蜜丸梧子大，每服四五十丸，竹叶汤下
补中益气汤（见项门）
十全大补汤、桂附八味丸（二方见手足门）
加减八味丸（见目门）
六黄汤（见溺孔门）
[Background Information]
Book: *Qizhenghui* (Collection of Strange Symptoms)
Author: Shen Yuan
Dynasty: Qing
Chapter: Preface / Head
Category: Comprehensive
[English Translation]
The ancients have passed away, but their words and virtuous deeds remain immortal. A scholar who cannot become a good minister should become a good physician. The medical literature is extremely extensive; this is how the Yellow Emperor (Xuanyuan) and Qibo utilized medicine to benefit the world. Baoyuanzi, whose name was Changshui Mingyi, possessed keen intelligence and excellent scholarship. He enjoyed writing and incorporated the profound mysteries of the Hetu and Luoshu diagrams, as well as the hidden implications of Fuxi and King Wen's I Ching, into his medical practice, exploring deep meanings and extending far-reaching insights. Medicine has always had renowned masters in each generation who expounded their theories, resulting in a vast number of publications. Baoyuanzi believed that since he had entrusted his theories to empty words, it would be better to record cases from clinical practice that were precise and clear. Thus, he collected strange symptoms and explained them using common principles, elaborating on astronomy, geography, human affairs, and various categories, naming the compilation "Hui" (Collection), emulating the medical ethics and skills of Lu Bian (Bian Que) and Han Dong (Han Kang and Dong Feng). Qian Tingshi Duntang from Danghu was his relative and wrote a preface twenty years ago to encourage its publication. However, he lacked confidence and consulted widely wherever he traveled, revising characters and sentences throughout the year. Inspiration sometimes came from conversations with friends or from nights spent alone under a lamp during wind and rain; these thoughts permeated his eating, drinking, dreaming, and sleeping. Now, physicians practicing in urban areas, examining others' diseases without having seen or heard of such cases, would rarely fail to frown in distress and act clumsily. Obtaining this book to verify conditions makes everything clear as seeing one's palm, which must be greatly satisfying! How can secrets kept in pillows compare to prescriptions carried at the elbow? Therefore, I request that this be carved onto pear and jujube wood blocks for publication, attaching it to immortal words.
Li Chi, nephew by marriage, bows respectfully. Early spring of the Bingwu year of the Qianlong reign.
In the *Suwen* (Basic Questions) chapter "Strange Diseases" attributed to the Yellow Emperor, it is stated: "There is a person suffering from headache that persists for several years without cessation. How did this occur, and what is the disease named?" (Headaches should not persist for years, hence the question arises from surprise.) Qibo replied: "This must result from exposure to severe cold, allowing the pathogen to penetrate inward to the bone marrow. Since the brain is the master of the bone marrow, the cold qi rebels upward, causing headache and toothache. This disease is named Jue Ni (Rebellious Counterflow)." The Emperor said: "Excellent."
Xia Ziyi, in *Qiji Fang* (Prescriptions for Strange Diseases), states: "A person suffers from sores on the crown of the head, displaying five colors and resembling cherries. Upon rupture, the skin splits from the crown and peels off down to the feet. This is named 'Rou Ren' (Flesh Person). Regular consumption of cow's milk leads to self-healing."
[Shen Yuan's Commentary] The onset of sores on the crown indicates involvement of the Foot-Taiyang Bladder Meridian, which runs from the vertex down to the feet. The *Suwen* states: "Wind pathogens enter together with the Taiyang channel, circulating through various meridians and scattering between the muscle intervals, interfering with Wei Qi. When the pathway becomes obstructed, muscles swell and develop ulcers. Muscles belong to the Yangming channel; thus, when Taiyang is diseased, it inevitably transmits to Yangming. In this case, the rupture of the sore crown and peeling of skin down to the feet indicate excessive Wind-Toxin in both meridians circulating through acupoints and scattering in muscle intervals, interfering with Wei Qi. This obstruction prevents Ying Blood from penetrating and moistening. Consequently, dry muscles split, allowing skin to peel down to the feet, not merely swelling and ulceration. Cow's milk moistens the Stomach and resolves toxins; once toxins dissipate and the Stomach is moistened, Qi and Blood resume circulation, leading to recovery."
*Qiji Fang* also states: "Some people grow bird-like formations on their heads or arms, covered by a layer of skin. These may resemble tumors or present as raised skin patches, emitting sounds like birds inside. They crow at dawn, chirp during rainy weather, and hurt when hungry or cold. All medicines fail. One must cut open the skin with a knife to expose the form, allowing it to emerge from the hole, resembling a bird but lacking feathers. After the bird emerges, apply Shengji San (Flesh-Regenerating Powder) externally, followed by Sheng Gao (Divine Ointment). The wound heals completely in three days."
[Shen Yuan's Commentary] Abnormal growths in the body, whether feathered, shelled, naked, or scaled, correspond to the Five Zang Organs. The *Suwen* states: "The East generates Wind, Wind generates Wood... corresponding to the Liver... its insects are hairy [Mao]. The South generates Heat, Heat generates Fire... corresponding to the Heart... its insects are feathered [Yu]. The Center generates Dampness, Dampness generates Earth... corresponding to the Spleen... its insects are naked [Luo]. The West generates Dryness, Dryness generates Metal... corresponding to the Lung... its insects are shelled [Jie]. The North generates Cold, Cold generates Water... corresponding to the Kidney... its insects are scaly [Lin]." The human body is a microcosm of heaven and earth. Heaven corresponds to the Five Directions and transforms accordingly; humans correspond to the Five Zang and generate accordingly. The previous symptom resembling a bird without feathers corresponds to the 'naked insect' imagery, associated with Central Damp-Earth pathology, originating in the Spleen.
Hua Tuo said: "A patient presented with a head and face swollen as large as a bucket, perceiving people as only three inches tall, loss of appetite, groaning while lying still. This is Phlegm. Administer Goudi San (Melon Peduncle Powder) to induce vomiting. The facial swelling subsided. After a second dose, vision normalized. Subsequently, administered Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Decoction) for three doses, resulting in cure."
*Xiaoshan Guaizheng Fang* (Formulas for Strange Symptoms from Xiaoshan) states: "A person experiences scalp itching with maggots emerging. Apply crushed loofah leaves to the area. Once all maggots are expelled, the root cause is eliminated."
*Yangshi Yifang* (Medical Formulas by Mr. Yang) states: "A person hears sounds in the head like insects chewing, named 'Tian Baiyi' (Heavenly White Ants). This is caused by Liver Fire. Grind tea seeds into fine powder and insufflate into the nose for cure."
*Jishen Lu* (Record of Miracles) states: "Scholar Kuai Liang reported knowing of a case where a tumor on the temple was incised, revealing a black stone Go piece that could not be damaged by a heavy axe. Another case involved a tumor on the lower leg bitten by a relative's dog; over a hundred needles were extracted from the tumor, all usable. The disease healed."
[Shen Yuan's Commentary] Tumors containing stones or needles indicate pathology in the Lung. The Lung belongs to Metal in the West, representing firmness and rigidity, as described in the classics: "Its nature is rigid, its transformation is firm and contracting." Annotations state: "Due to rigidity, it corrodes iron. Firm contraction is the transformation of Metal."
A person suffered from water droplets forming on the scalp like sweat, flowing continuously. One jin (approx. 500g) of Licorice Root (Gancao) was decocted in water to make three to four bowls, taken in three to four doses. The flow stopped. This condition resulted from excessive medication intake since childhood.
[Shen Yuan's Commentary] This condition stems from excessive medication, likely due to youthful sexual excess combined with the use of mineral drugs (Shishi). Toxicity accumulated in the Kidneys and manifested later. Hair belongs to the Kidney. Drug toxicity forces Kidney Water Qi to rise outward, causing fluid exudation from hair follicles. Licorice effectively resolves mineral drug toxicity, justifying its sole use. Since the Kidney essence was not fully depleted, Kidney Qi could still rise; otherwise, a more severe toxic reaction would have occurred.
Wang Jiezhai treated a woman who initially complained of headache. After the headache ceased, heart pain began. After heart pain ceased, eye pain started, with no interval between episodes. Severe headache made her desire a heavy stone to press upon her head. Heart pain made her scratch walls until blood filled her palms. Eye pain made her dig at her eyes with both hands. This persisted for ten days. Physicians were helpless. Administering half a pill of Heilong Dan (Black Dragon Pill) reduced symptoms slightly. A second dose at midnight induced sleep. By dawn, she passed approximately three liters of stool resembling locust larvae. All three ailments halved. Another bowel movement at Si hour led to complete recovery.
Zhang Zihe treated a monk suffering from hot, painful head and photophobia. Ice was placed in cloth wrapped around the vertex, changed frequently. This indicated Yang heat accumulation. Zhang applied moxibustion in a warm room, induced sweating, and performed emesis simultaneously. The three methods worked together, curing him in seven days.
Tang Yu Zheng treated a young girl with Fengdan Disease (Wind-Dampness Disease). It started in the chest and spread upward, presenting with redness, swelling, pain, and itching. Previous treatments for upper burner wind-heat failed. Tang diagnosed extreme Liver-Lung Wind-Heat. He prescribed Qiang Huo, Jing Jie, Niu Bang Zi, Chi Shao Yao, Dan Zhu Ye, Jie Geng, and Ge Gen. The swelling receded downward but gathered at the vertex, rising several inches. Diet and sleep were unaffected, but the disease persisted. Tang's mother, Lady Wu, noted the wet nurse drank hot wine, including dregs. Tang realized Ge Gen (Kudzu Root) resolves alcohol toxicity and clears fire-toxin. He tripled the Ge Gen dosage in the formula. Swelling resolved in two days.
He also treated a youth bedridden with dizziness. Physicians treated it as deficiency, worsening the condition so the head could not move without fainting. This lasted years, with normal diet. Tang diagnosed Liver-Gallbladder Fire generating Phlegm. Movement triggered internal Phlegm-Fire agitation, causing syncope. Six Huang Tang (Six Yellow Decoction) for four doses cured him.
Zhu Zhongning treated a woman in her twenties with an opening in the brain, coughing up pus and blood synchronously with the opening. This was Fei Wei (Lung Withering). Treatment with Ren Shen, Mai Dong, and Dang Gui to clear heat and drain pus resulted in recovery. Another case involved a chest cavity draining pus and blood via the mouth, also treated as Lung Withering with similar success.
Zhai Wenbing treated Mother Lu, aged seventy, suffering from head ringing, tinnitus, neck pain, vertigo, facial numbness, swollen cheeks, loose teeth, dry lips, bitter taste, stiff tongue, swollen throat, shortness of breath, palpitations, fearfulness, chest fullness, phlegm stagnation, hypochondriac pain, lower back pain, weak legs, and knee pain for two years. She could not lie flat, requiring support to sit; slight reclining caused near-syncope. Zhai diagnosed Qi constrained by Liver Fire. Yi Qing Wan (Suppress Green Pill) induced immediate sleep. Upon waking, symptoms vanished. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was then used for regulation and stability.
Zhu Danxi treated a man with a horn-like protrusion at the Left Sizhukong (SJ23) acupoint, resembling a chicken spur. This indicated Shaoyang Meridian excess blood and deficient Qi. Zhu advised abstaining from alcohol and meat and using acupuncture/moxibustion to resolve stagnation. Other physicians applied cold herbs like Rhubarb, Mirabilite, and Borneol. The lesion ruptured overnight like a clam shell, bleeding profusely for over a chi, leading to death. This resulted from external cold forcing heat inward, preventing its release.
A seventeen-eighteen-year-old son of the Hu family lost all hair, including eyebrows, with normal diet and lifestyle. Pulse was slightly wiry and choppy. This was caused by rich foods generating heat and damp-phlegm in the diaphragm. Excessive consumption of sour plums exacerbated damp-heat phlegm rising to the head, steaming and drying the blood at the hair roots, causing sudden total hair loss. Treatment involved blood-nourishing and ascending-dispersing herbs. Fangfeng Tongsheng San (Wind-Barrier Universal Rescue Powder) was modified by removing Mang Xiao (Mirabilite) and stir-frying Da Huang (Rhubarb) three times with wine. Combined with Siwu Tang (Four Substance Decoction) prepared with wine, taken for over two months. Once the pulse showed resolving damp-heat, medication stopped. Two years of light diet restored hair growth.
Xue Ji treated a twenty-year-old man with total scalp hair loss and rapid pulse. First, Tongsheng San dispersed wind-heat. Then, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) was administered. Hair grew one cun in a few days and returned to normal in two months.
A scholar lost eyebrows and hair due to dietary irregularities, overwork, and anger. Xue attributed this to essence-blood depletion and defying Yin fire rising. Buzhong Yiqi Tang plus Maidong and Wuweizi, along with Liuwei Dihuang Wan plus Wuweizi, restored hair growth immediately.
A man contracted epidemic sores and took Huanji San (Skin-Replacing Powder), leading to sudden eyebrow loss, generalized pruritus, and erythema. This was dryness damaging Yin-blood and Yang hyperactivity. Morning: Siwu Tang with doubled Shudi, plus Fuling, Baizhu, Mudanpi, Zhizi, and Gancao. Evening: Liuwei Wan ingredients plus Danggui and Huangqi. Sores healed, and eyebrows regrew.
A fourteen-year-old boy engaged in sexual activity, developing fever and phlegm. Entering rooms caused photophobia and head distension. Despite continuing sexual activity, the head enlarged, and fontanelle opened. Dihuang Wan and Yiqi Tang were used alongside abstinence. Recovery took over a year.
Another fourteen-year-old boy presented with Jielu (delayed closure of fontanelle), feeling his head was large, objects appeared large, and he feared sunlight. His elder brother diagnosed weak Kidney endowment. Liuwei Wan plus Wuweizi and Lurong, combined with Buzhong Yiqi Tang plus Shanyao and Shanzhuyu, cured him in six months, closing the fontanelle in two years. Post-marriage, he felt the fontanelle reopen and soles burn. Due to his abstinence and light diet, taking two doses daily of the previous formula cured him in three years.
I treated the son of the Ye family from Shanleft, aged twenty-three, with eyebrow and hair loss. Pulse was deep and slow in both Chi positions. The etiology was Kidney Cold. He reported drinking cold water after diarrhea a month prior, followed by gradual hair loss. I cited the *Suwen*: "Hair brilliance resides in the Kidney." And *Caomu Zi*: "Qi nourishes eyebrows; Blood nourishes hair." Hair is the surplus of Blood; Blood is a category of Water. Within Water resides Ministerial Fire. Sexual intercourse causes this fire to descend. Adding cold drinks suppresses fire and congeals water, stagnating the Twelve Meridians. Thus, the Kidney fails to shine, and Qi fails to nourish. The Monthly Ordinances state: "In mid-autumn, Yin invades, Yang declines, water begins to dry." This is the death of water and earth, leading to plant decay. "In mid-winter, springs move, one Yang is born." This is the life of water and earth, leading to plant growth. For eyebrows and hair to regrow, Yang birth is required for Yin growth. Guizhi and Fuzi (pure Yang fire) added to Liuwei Dihuang Wan (pure Yin water) warms the Kidney, akin to one Yang returning to earth in winter, fostering all things. Following this advice, he recovered.
Question: Why does Qi nourish eyebrows (short) and Blood nourish hair (long)? Answer: This relates to Zang associations. Eyebrows relate to Qi, belonging to the Lung (Metal, Qian trigram). Hair relates to Blood, belonging to the Liver (Wood, Xun trigram). In I Ching logic, Metal is short, Wood is long; hence eyebrows are short, hair is long.
Question: Why do eyebrows/hair grow daily when cut, but appear static when retained? Answer: Cutting allows Qi and Blood to nourish the roots, promoting daily growth. Retention nourishes existing length, stabilizing growth.
Question: Why do plants sprout in mid-winter when one Yang is born, but wither in mid-autumn when Yin invades? Why do pines and cypresses not shed leaves? Answer: Not only pines/cypresses retain leaves; any plant leaves lacking juice survive winter. Leaves without juice rely on Qi for function; those with juice rely on fluids. Roots/stems with little juice also rely on Qi, allowing flowering in winter (e.g., plum, orchid). Qi resists cold. Elderly individuals resisting cold possess robust Kidney Qi, indicating longevity.
Neighbor surnamed Gu, due to youthful sexual excess, experienced scalp bleeding like sweat. This was Liver-Kidney Fire rebelling upward due to severe Blood Heat, exiting through hair follicles. Sweat is the fluid of Blood, transformed by Qi. *Neijing* describes Jinu (Muscle Ecchymosis) where scattered Qi fails to transform, causing blood to sweat from skin. Here, Qi transformation is insufficient, not absent. Ganlu Yin (Sweet Dew Decoction) and similar formulas cured him.
Zhang Jinggao's father, Yuchen, in middle age, repeatedly dreamed of a white man cutting his head until bleeding, waking abruptly. Even with eyes closed, visions persisted. Physicians were helpless. Consulted Shen Luzhen in Songjiang. Shen stated: Seeing white men in sleep indicates Lung Deficiency. Ancients used Dushen Tang (Single Ginseng Decoction), one liang of Ginseng per dose, curing in one dose. It proved effective.
Shengji San (Flesh-Regenerating Powder)
Hanshuishi (Calcitritum, amount unspecified)
Huashi (Talcum, 2 liang)
Longgu (Fossilized Bones, amount unspecified)
Haipiaoxiao (Cuttlebone, 1 liang)
Miduoseng (Lead Monoxide, amount unspecified)
Kufan (Alumen Exsiccatum, amount unspecified)
Qianfen (Lead Powder, amount unspecified)
Gan Yanzhi (Dry Carmine, 5 qian)
Grind into fine powder and apply to wounds.
Goudi San (Melon Peduncle Powder)
Tianguadi (Sweet Melon Peduncle)
Chixiaodou (Adzuki Bean)
Grind into powder. Mix with boiled water or sour vinegar water. Dosage based on deficiency/excess. During emesis, keep eyes closed and bind abdomen tightly. If vomiting persists, administer Congbai Tang (Scallion Decoction) to stop it. If vomiting does not occur, hold a piece of rock sugar in the mouth to induce it. Contraindicated in hemorrhage, deficiency, elderly, postpartum, blood deficiency, and weak pulse.
Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Decoction)
Renshen (Ginseng Radix et Rhizoma)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Fuling (Poria)
Banxia (Pinelliae Rhizoma Praeparatum, 3 qian each)
Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian)
Chenpi (Citri Reticulatae Pericarpium, 5 fen)
Decoct in clear water and take orally.
Shiquan Heilong Dan (Ten-Ingredient Black Dragon Pill)
Danggui (Angelicae Sinensis Radix)
Wulingzhi (Trogopterori Faeces)
Chuanxiong (Chuanxiong Rhizoma)
Liangjiang (Galangal Rhizome)
Shudi (Rehmanniae Radix Praeparata, 3 liang each)
Grind into powder, place in jar, seal with salt mud, fire with charcoal for ten jin until red hot. Cool, open, and grind finely. Add:
Baicaoshuang (Soot from Chimney, 5 qian)
Huang (Sulfur, 1 liang)
Ruxiang (Olibanum, 1 liang)
Huaruishi (Flower Corundum, 3 qian)
Hupo (Amber, 3 qian)
Grind five ingredients into powder, mix with previous powder, form pills like Euryale seed size. Take one pill per dose.
Yiqing Wan (Suppress Green Pill)
Qianghuo (Notopterygii Rhizoma et Radix)
Fangfeng (Saposhnikoviae Radix)
Longdancao (Gentianae Radix)
Chuanxiong (Chuanxiong Rhizoma)
Danggui (Angelicae Sinensis Radix)
Equal parts ground into powder. Honey-pilled like Euryale seed size. Take 2-3 pills, dissolved in rock sugar water.
Fangfeng Tongsheng San (Wind-Barrier Universal Rescue Powder)
Fangfeng (Saposhnikoviae Radix)
Bohe (Menthae Haplocalycis Herba)
Lianqiao (Forsythiae Fructus)
Jingjiesui (Schizonepetae Spica)
Mahuang (Ephedrae Herba)
Chuanxiong (Chuanxiong Rhizoma)
Danggui (Angelicae Sinensis Radix)
Shaoyao (Paeoniae Radix Alba, stir-fried)
Zhizi (Gardeniae Fructus)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Dahuang (Rhei Radix et Rhizoma, steamed with wine)
Mangxiao (Natrii Sulfas, 5 qian each)
Huangqin (Scutellariae Radix)
Shigao (Gypsum Fibrosum)
Jiegeng (Platycodonis Radix, 1 liang each)
Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang)
Huashi (Talcum, 3 liang)
Decoct with Shengjiang (Fresh Ginger) and Congbai (Scallion Stem).
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia)
Shudihuang (Rehmanniae Radix Praeparata, 8 liang, mixed with Amomi Fructus and wine, steamed and dried nine times)
Shanzhuyu (Corni Fructus)
Shanyao (Dioscoreae Rhizoma, 4 liang each)
Fuling (Poria, mixed with milk)
Danpi (Moutan Cortex)
Zexie (Alismatis Rhizoma, 3 liang each)
Honey-pilled. Take on an empty stomach with salt water.
Siwu Tang (Four Substance Decoction)
Danggui (Angelicae Sinensis Radix, washed with wine)
Shengdihuang (Rehmanniae Radix, 3 qian each)
Shaoyao (Paeoniae Radix Alba, 2 qian)
Chuanxiong (Chuanxiong Rhizoma, 1.5 qian)
Decoct in clear water and take orally.
Xieqing Wan (Drain Green Pill)
Longdancao (Gentianae Radix)
Dahuang (Rhei Radix et Rhizoma)
Zhizi (Gardeniae Fructus)
Danggui (Angelicae Sinensis Radix)
Chuanxiong (Chuanxiong Rhizoma)
Qianghuo (Notopterygii Rhizoma et Radix)
Fangfeng (Saposhnikoviae Radix)
Equal parts ground into powder. Honey-pilled like Sophora seed size. Take 40-50 pills with Bamboo Leaf Decoction.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See Neck Section)
Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction), Guifu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill) (See Hand-Foot Section)
Jiajian Bawei Wan (Modified Eight-Ingredient Pill) (See Eye Section)
Liu Huang Tang (Six Yellow Decoction) (See Urinary Orifice Section)