问曰。上焦病何谓也。答曰。假令如鼻耳眼口所患。此为上焦之病也。头痛发热。咳嗽鼻鼽。脉浮而数者。风寒也。
头痛HT 作。肌肤鲜明。而脉滑者。为留饮也。头痛胸痞。若脚挛。脉细而弦者。宜柴胡蒿本汤主之。
柴胡蒿本汤方
银柴胡（五分） 黄芩（二分） 半夏（五分） 人参（二分） 蒿本（五分） 川芎（二分） 桂枝（三分） 大
枣（二枚） 生姜（二分） 甘草（二分）
上十味 咀。以水二升。煮取一升。去滓分温服。头痛气逆。若头眩。脉微滑者。桂枝茯苓白术甘草汤主之。
桂枝茯苓白术甘草汤方
茯苓（五分） 桂枝（三分） 白术（五分） 甘草（三分）
上四味。以水一升。煮取七合。去滓分温服。头痛发作。脉数实。此为头疮之兆也。宜芎黄加味丸。
芎黄加味丸方
天灵盖 大黄（各二两） 川芎（一两）
上三味。研筛。以酒糊丸。头痛脉细。胸中温温。唾白涎者。宜吴茱萸汤。头痛胸痞。若悸动。脉关上浮者。大黄
黄连泻心汤主之。头痛眼黄。大便硬者。宜大承气汤主之。头脑刺痛。四肢厥冷。额汗出。此为痛人泥丸宫。即真头痛
也。朝发者夕死。夕发者朝死。儿疳热熏灼。遂客于头脑。其囟尖高者。名曰囟填也。儿泻泄不禁。真元降陷。囟致
者。名曰囟陷。宜抉脾加僵蚕汤主之。问曰。眼病何以所致。答曰。疳热风毒。若胎毒。是皆眼疾之所因也。眼目暴肿。
热而疼痛者。风热所致也。眼翳胧胧然。胸腹如娠。脉沉细者。疳热所动也。眼目热红。肤作班者。为胎毒。宜火济
汤主之。眼睑蚀烂。身凉和。脉沉细者。为遗毒也。芎黄加味丸主之。眼疾热痛不解者。宜铁落浆点之。
铁落浆方
铁落（四钱以雪水五合浸之一七日色如皂角汁） 燕脂（寒制二分）
上二味。调和以点。日四五次。眼病脉数紧。目脉血肿而痛。此为风眼。若不痛。名曰疫眼也。菊花汤主之。
菊花汤方
菊花（五分） 防风（一钱） 川芎（三分） 栀子（黑炒三分） 甘草（二分）
上五味。以水二升。煮取一升。分温服。眼睑发疮。脾郁所致。名曰眼疣。减饮食而自愈。朝明暮暗。名曰雀目。
此为疳郁所致也。宜夜明砂丸主之。
夜明砂丸方
夜明砂（三钱炒研） 熊胆（五分）
上二味。研调。糊丸麻子大。每服三十丸。血眼热痛。若疫眼红肿。俱点还元水。兼与三黄加细辛马舄汤主之。疳
火郁蒸。遂害精萃。翳如雾里。此为疳眼也。儿省目。若疳眼者。鳗鲡胆。若海鲫胆。皆食之。当自愈。儿眼睑。浮肿
HT作者。食饮过饱所致也。痘眼致星障。若翳膜者。须要急治。点以鸡冠血。点燕卵清亦佳。痘毒。若风毒。致翳障
者。
宜辰砂膏主之。
辰砂膏方
蓖麻子（一两） 茬油（三合） 辰砂（四钱）
上三味。捣烂作膏。贴百会。又敷诸疮而愈。若产妇胞衣不降者。贴足心。伤损眼。 热烦痛者。宜 荷根点之。
点方
荷根（一个去粗皮）
上一味。研绞取液。以屡点。痛当自解也。尘砂侵眼。碜痛多泪者。好墨磨清水。以点入。阖眼少顷。以纸捻。从
尾。向 头。拭净二三次。尘当出也。眼目 热。烦痛者。为阳眼也。无热而碧白。不辨物者。阴眼也。阴眼者难治。
阳眼 痛。瞳仁破者。亦难治。风眼热肿疼痛。瞳仁翻突者。不可治。问曰。鼻病如何。答曰。鼻 热而燥。屡欲湿之。
湿则蚀烂而痛者。为鼻疳也。鼻热红若肿大。脉洪而数者。为肺风也。鼻浊沥流如泉。名曰鼻渊。即脑漏也。头为风热。
客于肺所致。必致瞑目。剧者致衄蔑。宜三黄泻心加细辛薄荷汤。鼻内 肉。即鼻痔也。若 热红肿。鼻瓮凝塞。名曰
鼻。宜割破取瘀浊也。肺风肿痛。诸鼻疮。其脉洪数者。宜火济汤服之。鼻疮 鼻。酒毒入肺所致者。葛花汤主之。
葛花汤方
葛花（五分） 枳 （五分） 薄荷（三分） 石膏（一钱） 甘草（二分）
上五味。以水一升。煮取七合。去滓。分温服。儿鼻热燥。遂窒塞。鼻息高鼾。睡眠不安。名 。宜蜂蜜点之。
病患肺窍。为风热所阖。遂 。难以息者。宜瓜蒂散。用管吹之。燥烦而解也。鼻疮肿大。其脉洪而滑者。为鼻 也。
通肺饮主之。
通肺饮方
苍耳子（五分） 辛HT 仁（五分） 白芷（三分） 细辛（二分） 薄荷（二分） 龙脑（一分） 生姜（二分）
上七味。以水一升。煮六味去滓。内龙脑。二三沸。分温服。日三服。鼻不闻香臭。此为肺窍郁遏所致。宜通肺饮
主之。问曰。有衄血。有吐血。其别如何。答曰。鼻者与肺通。血溢于脑者。致衄血也。血动于胸者。致吐血也。病患
血气暴动。致衄血。其脉数实者。宜大黄黄连泻心汤主之。衄血为恙。恶寒发热。其脉浮而紧者。此为风热。欲解所致
也。鼻衄若吐红。喘痰盗汗。脉虚微者。宜玄参汤。
玄参汤方
玄参（三分） 地黄（生三分） 栀子（炒三分） 犀角（三分）
上四味。以水一升。煮取七合。去滓分温服。惊触。逆动而暴衄者。先以冷水 其面。仍与大黄黄连泻心汤。鼻衄
吐红暴流。元阳欲脱者。宜灸涌泉大敦。熨百会亦为佳。病患身体羸瘦。其脉细数。咳血若衄血者。此为上实下虚之侯
也。宜烧酒加萝卜汁服之。又紫糖。以烧酒。和解服之。使大蒜研如泥。贴足心。病患衄蔑颜红。此为孤阳奔腾。好墨
磨热汤。加人尿服之。又花蕊石散主之。
花蕊石散方
花蕊石（四钱） 食盐（一钱）
上二味研均。以童尿服。咯血。若大便血。诸虚动所致者。宜摄血阳主之。
摄血汤方
当归（五分） 芍药（五分） 地黄（生三分） 川芎（二分） 蝮蛇（炒研三分） 生姜（二分）
上六味。以水二升。先煮五味。取一升。去滓内蝮蛇。搅调分温服。血动为病。阳盛则身热。阴盛则身冷。身冷者
易治。身热者难治。病患九窍失血。身热不解。脉滑数者。不可治。伤寒热客于膀胱。遂致血泄。此为病解也。病患吐
红。腥臭不可近。其脉洪大。若头眩者。为难治。血动为侯。其人。肌肤黑瘦者易治。白肥者难治。问曰。耳疾如何。
答曰。耳之为恙。脉浮者为实。沉者为虚。实者发疮。虚者致聋。儿耳脓沥而败臭。此为脾郁所致。以食饮过饱故也。
名曰 耳。宜大黄黄连泻心汤。风热。上攻而鼓击。耳鸣恰如海涛者。宜防风攻毒饮主之。
防风攻毒饮方
防风（五分） 细辛（二分） 牛房子（五分） 黄柏（炒三分） 寒水石（一钱） 芒硝（三分） 甘草（二分）
上七味。以水二升。煮取一升。去滓分温服。病患耳鸣恰如蝉声。暮则剧。朝则减。此为无根假火奔腾所致也。乌
鸦黑散主之。
乌鸦黑散方
乌鸦（黑炒四钱） 黄柏（黑炒二钱） 栀子（黑炒三钱）
上三味。研调。以白汤。加童便服之。耳痛HT 作。若脓滴。若蝉声者。宜白矾油主之。
白矾油方
白矾（五分） 麝香（一分）
上二味。先以清油二升。煮白矾。内麝香。搅调滴入。日二三次。耳鸣HT 作。久久致聋者不可治。风毒逆鼓而耳
鸣
如聋者。尚可治。假火奔腾。为劳聋者。不可治。问曰。齿龈肿痛何谓也。答曰。齿 热肿而痛脉必浮数者。为风热所
致。若脉沉数。其齿焦者为 齿也。龈 暴肿而痛此为风毒所致。宜消毒饮主之。齿龈烦热疼痛若风热若脾热所致者。
宜木鳖散主之。
木鳖散方
木鳖子（一钱） 龙脑（二分）
上二味。研筛醋调。敷患处。齿暴燔灼。干黑而脱落者。为走马疳也。萝勒散主之。
萝勒散方
萝勒（三分） 虾蟆（烧作灰二分） 龙脑（二分）
上三味。研调敷患处。重 。 热而烦痛者。宜砭瘀血也。齿痛体作者。灸列缺若阳溪不复发也。问曰。口涎流出
者。何谓也。答曰。涎者脾液也。口流涎者。此为脾失收摄所致也。养脏汤主之。
养脏汤方
茯苓（五钱） 白术（炒三分） 陈皮（五分） 半夏（四分） 人参（二分） 柯子（二分） 生姜（二分） 大
枣（三枚） 缩砂（三分） 甘草（三分）
上十味。以水二升。煮取一升。去滓。分温服。问曰。暴哑者何以所致也。答曰。病患暴哑其声啾啾。脉沉伏而咳。
此为风痰凝结也。若声吃吃。脉动数。状如狂者。惊触。若虫癖也。病患失声。如嗫状。此为风痰凝塞所致也。白糖饮
主之。
白糖饮方
白糖（四钱） 萝卜汁（五分） 姜（三勺）
上三味。调和。频频服。病患。由惊触而哑者。宜蜜陀丸。
蜜陀丸方
金蜜陀（四钱） 麝香（一分） 辰砂（三分） 猪胆（二分）
上四味。研筛。姜汁糊丸。桐子大。每服三十丸。以温胆汤服之。儿情态恰如痴而呐语。此为痫哑也。病患体倦乏
气力。其声如隔壁而语。此为病末。以血液竭故也。病患身热。脉数而呕者。为胃热所致也。若身冷脉沉者。胃寒令然
也。病候。有声而无物。名曰呕。无声而有物。此为吐。若脉滑为痰饮。脉弦为虫动。虫动所致。宜安蛔汤。
安蛔汤方
人参（二分） 白术（三分） 茯苓（五分） 干姜（三分） 乌梅（一个） 蜀椒（二分）
上六味。以水一升。煮减三合。去滓分温服。病患。诸呕吐。水谷难入者。宜半夏茯苓汤主之。
半夏茯苓汤方
半夏（五分） 茯苓（五分） 生姜（三分）
上三味。以水一升。煮取七合。去滓。分温服。呕逆微热。胸胁苦满。其脉细弦者。宜柴胡汤主之。病患胸间漉漉
作声。吐出水谷者。茯苓饮主之。
茯苓饮方
茯苓（五分） 人参（三分） 白术（三分） 枳实（二分） 橘皮（三分） 生姜（二分）
上六味。以水一升。煮取七合。分温服。病发热而渴。饮反呛者。为水逆也。五苓散主之。呕吐休作。饮食不能者。
宜烧酒服之。
服法
烧酒（五合） 白糖（四钱） 姜汁（一合）
上三味。研调。每服一蚬壳。日五六次。呕家腹满潮热。若腹痛。唇燥舌干者。此为实。宜大承气汤主之。儿暴吐
脉腹反如故。此为乳饵所妨也。呕家有痈脓者勿治。脓尽自愈。呕乳休作。连日不解者。发惊痫。不可治也。呕吐腹大。
四肢瘦。其脉细弦者疳也。呕家要减饮食。若妄饮食者。不可治也。问曰。膈噎病。何以所致也。答曰。天质虚弱。七
情郁塞。若饮食饥饱过度。脾力仍孤竭。浊痰胶疑。致以饮食溢吐也。饮食噎出。肌肤血燥。脉微弱者。为极虚也。与
蚬壳散。
蚬壳散方
蚬壳（浸醋烧四钱） 鸡子壳（四钱） 白糖（一两）
上三味。研调。以生姜汤服之。病患。脉滑而动。饮食时噎吐者。宜大半夏汤。
大半夏汤方
半夏（一钱） 人参（三分） 白蜜（五钱）
上三味。以水二升。调和。煮取一升。去滓。分温服。膈噎胃反。饮食时吐出者。宜鸬 散。
鸬 散方
鸬 （黑炒）
上一味。研筛。每一钱。以烧酒温服。膈噎。饮食吐出而难内。其脉沉弦。此为病属沉痼也。宜老涎饮主之。
老涎饮方
老牛涎（一升） 烧酒（一升）
上二味调和。两三沸。更加姜汁。每服一二合。以病愈为度。终身当不复发也。胃反膈噎。诸脾虚。食谷不化。若
留饮。胸腹雷鸣。俱宜丁香煎主之。
丁香煎方
丁香（三十五个） 大枣（二十枚） 生姜（一钱）
上四味。以水五升。煎取三升。去滓。煮陈米一升为粥。加食盐一匙。搅调 食。兼服白梅萝卜汁等。朝食暮吐暮
食朝吐四肢瘦。腹肉脱者。为难治。呕家勿攻。以上实下虚所致也。饮食噎而难内者。尚可治。内而难收者不可治。问
曰。嗳气吞酸何谓也。答曰嗳者出食臭。酸者致酸味。是以食饪郁塞也。食谷不杀。吞酸嗳臭。剧者膨满而痛。宜
平胃散主之。病患腹力衰弱。胸间留饮。若呕逆食臭者。宜茯苓饮服之。病患胸痞雷鸣。大便泄利。若干噫食臭者。是
以胸腹不和故也。生姜泻心汤主之。
生姜泻心汤方
生姜（三分） 甘草（二分） 人参（三分） 干姜（三分） 黄苓（三分） 半夏（一钱） 黄连（二分） 大
枣（二枚）
上八味。以水一升。煮取七合去滓分温服。论曰。 杂为恙。痰火郁灼。为此害也。宜青皮汤和之。
青皮汤方
青皮（一钱） 食盐（烧三分） 生姜（五分）
上三味。以水一升。煮取七合。去滓分温服。师曰。谷气实则噫。虚则哕。哕为吃逆。吃者哕声轻也。哕者吃声重
也。
哕者吃吃作声。以草刺鼻。嚏而解即是也。吃逆休作。数月不解。食饮喜戏反如故。此为虫气令然也。病患困倦。哕吃
而脉沉细。此为胃虚也。宜柿蒂汤主之。
柿蒂汤方
柿蒂（一钱） 半夏（五分） 丁香（三分） 生姜（三分）
上四味。以水一升。煮取七合去滓。分温服。哕吃。若热若寒。俱宜萝卜饮主之。
萝卜饮方
萝卜汁（五合） 白糖（二两） 烧酒（二升）
Question: What is referred to as a disease of the Upper Jiao (Upper Burner)?
Answer: For example, diseases occurring in the nose, ears, eyes, and mouth belong to diseases of the Upper Jiao. If there is headache, fever, cough, and nasal discharge (bi qiu), with a floating and rapid pulse, it is caused by Wind-Cold pathogenic factors.
When headache occurs, if the skin and muscles appear bright and distinct, and the pulse is slippery, it indicates retained fluid (liu yin). If headache is accompanied by chest stuffiness, and if the legs are cramped, with a fine and wiry pulse, Chaihu Gaoben Tang (Bupleurum and Levisticum Decoction) is indicated.
Chaihu Gaoben Tang Formula
Yin Chai Hu (5 fen) Huang Qin (2 fen) Ban Xia (5 fen) Ren Shen (2 fen) Gao Ben (5 fen) Chuan Xiong (2 fen) Gui Zhi (3 fen) Da Zao (2 pieces) Sheng Jiang (2 fen) Gan Cao (2 fen)
The above ten ingredients are crushed. Boil in two sheng of water until one sheng remains, remove the dregs, and take warm in divided doses.
If headache is accompanied by rebellious Qi, or if there is dizziness, with a slightly slippery pulse, Guizhi Fuling Baizhu Gancao Tang (Cinnamon Twig, Poria, Atractodes, and Licorice Decoction) is indicated.
Guizhi Fuling Baizhu Gancao Tang Formula
Fuling (5 fen) Gui Zhi (3 fen) Baizhu (5 fen) Gan Cao (3 fen)
The above four ingredients are boiled in one sheng of water until seven ge remain, remove the dregs, and take warm in divided doses.
If headache recurs frequently, and the pulse is rapid and excess, this is an omen of head sores (tou chuang). Xionghuang Jiawei Wan (Ligusticum and Rhubarb Modified Pill) is indicated.
Xionghuang Jiawei Wan Formula
Tian Ling Gai (Heavenly Spirit Cover) Da Huang (each 2 liang) Chuan Xiong (1 liang)
The above three ingredients are ground and sifted. Make pills using wine paste.
If the headache pulse is fine, the chest feels uncomfortable and warm, and white saliva is expectorated, Wuzhuyu Tang (Evodia Decoction) is indicated.
If headache is accompanied by chest stuffiness, palpitations, and the pulse at the Guan position is floating, Dahuang Huanglian Xiexin Tang (Rhubarb, Coptis, and Pinellia Decoction for Draining the Heart) is indicated.
If headache is accompanied by yellowing of the eyes and hard stool, Dachengqi Tang (Major Order the Qi Decoction) is indicated.
If there is stabbing pain in the brain, cold limbs, and sweating on the forehead, this is pain penetrating the Niwang Palace (referring to severe brain pain), also known as True Headache (Zhen Toutong). Those who develop it in the morning die in the evening; those who develop it in the evening die in the morning. Infant malnutrition heat scorching and lodging in the brain, causing the fontanelle tip to bulge, is named Fontanelle Filling (Xintian). Infant diarrhea that cannot be controlled, with sinking of true Yuan Qi, causing the fontanelle to sink, is named Fontanelle Depression (Xian). Juepi Jia Jiangcan Tang (Splee-Extracting and Silkworm Added Decoction) is indicated.
Question: How are eye diseases caused?
Answer: Malnutrition wind-heat toxic pathogens, or fetal toxins, are all causes of eye diseases. Sudden swelling of the eyes, with heat and pain, is caused by Wind-Heat. If there is a hazy membrane in the eyes, and the chest and abdomen feel distended like pregnancy, with a deep and fine pulse, it is caused by Malnutrition Heat stirring. If the eyes are red and hot, and the skin has macules, it is caused by fetal toxin. Huoji Tang (Fire-Ji Decoction) is indicated. If the eyelids are corroded and ulcerated, the body is cool and harmonious, and the pulse is deep and fine, it is caused by residual toxin. Xionghuang Jiawei Wan is indicated. If eye disease heat and pain do not resolve, Tieluo Jiang (Iron Filings Slurry) is indicated for instillation.
Tieluo Jiang Formula
Tie Luo (4 qian, soaked in 5 he of snow water for seven days until the color resembles soap pod juice) Yan Zhi (Cold-processed 2 fen)
The above two ingredients are mixed and used to instill into the eyes, four to five times daily.
If the eye disease pulse is rapid and tight, and the ocular vessels are swollen and painful, this is Wind Eye. If there is no pain, it is named Epidemic Eye (Yi Yan). Juhua Tang (Chrysanthemum Decoction) is indicated.
Juhua Tang Formula
Ju Hua (5 fen) Fang Feng (1 qian) Chuan Xiong (3 fen) Zhi Zi (Black-fried 3 fen) Gan Cao (2 fen)
The above five ingredients are boiled in two sheng of water until one sheng remains, and taken warm in divided doses.
Sores on the eyelids, caused by Spleen Stagnation, are named Eye Warts (Yan You). They heal spontaneously with reduced diet. Clear vision in the morning and dim vision in the evening is named Sparrow Eye (Que Mu, night blindness). This is caused by Malnutrition Stagnation. Yeming Sha Wan (Night-Shining Sand Pill) is indicated.
Yeming Sha Wan Formula
Ye Ming Sha (3 qian, fried and ground) Xiong Dan (5 fen)
The above two ingredients are ground and mixed, made into pills the size of hemp seeds. Take thirty pills per dose.
For Blood Eye with heat and pain, or Epidemic Eye with redness and swelling, use Huan Yuan Shui (Return-to-Origin Water) for instillation. Simultaneously administer Sanhuang Jia Xixin Maxi Tang (Three-Yellow Decoction with Added Asarum and Euphorbia) for internal treatment. Malnutrition Fire stagnation steaming and damaging essence, causing vision blurred as if looking through fog, is Malnutrition Eye (Gan Yan). For infants squinting due to Malnutrition Eye, eating Mianli Dan (Mudfish Gallbladder) or Haiji Dan (Sea Bream Gallbladder) will lead to spontaneous recovery. Infant eyelid edema is caused by overeating. Star-shaped opacities or membranes caused by smallpox in the eyes require urgent treatment. Instill Chicken Comb Blood; Egg White is also good. Opacities caused by smallpox toxin or wind toxin are treated with Chen Sha Gao (Cinnabar Ointment).
Chen Sha Gao Formula
Bi Ma Zi (1 liang) Bi Ma You (3 he) Chen Sha (4 qian)
The above three ingredients are pounded into an ointment. Apply to Baihui (GV20). It can also be applied to various sores to cure them. For postpartum retention of the placenta, apply to Yongquan (KI1). For eye injury with heat, irritability, and pain, He Gen (Lotus Root) juice is indicated for instillation.
Instillation Formula
He Gen (1 piece, remove coarse bark)
The above single ingredient is ground and squeezed for juice. Instill repeatedly; pain will resolve spontaneously. If dust or sand invades the eye, causing gritty pain and excessive tearing, grind good ink in clear water and instill. Close the eyes for a moment, then wipe clean two or three times from tail to head with a paper twist; the dust will come out. Eyes with heat, irritability, and pain are Yang Eye (Yang Yan). Eyes without heat, appearing blue-white, unable to distinguish objects, are Yin Eye (Yin Yan). Yin Eye is difficult to treat. Yang Eye with pain and ruptured pupil is also difficult to treat. Wind Eye with heat, swelling, pain, and protruding pupil is incurable.
Question: How about nasal diseases?
Answer: Nose with heat and dryness, frequently desiring moisture, but moistening leads to corrosion, ulceration, and pain, is Nasal Malnutrition (Bi Gan). Nose with heat, redness, and swelling, with a surging and rapid pulse, is Lung Wind (Fei Feng). Turbid nasal discharge flowing like a spring is named Nasal Spring (Bi Yuan), also known as Brain Leak (Nao Lou). This is caused by Wind-Heat in the head lodging in the Lung. It inevitably leads to closed eyes; severe cases lead to epistaxis. Sanhuang Xiexin Jia Xixin Bohe Tang (Three-Yellow Decoction for Draining the Heart with Added Asarum and Mint) is indicated. Flesh growing inside the nasal cavity is Nasal Hemorrhoid (Bi Zhi). If red, swollen, and hot, blocking the nasal aperture, it is named Nasal Obstruction (Bi Shi). Incision to drain stasis and turbidity is indicated. Lung Wind swelling and pain, various nasal sores, with a surging and rapid pulse, are treated internally with Huoji Tang. Nasal sores with obstruction, caused by alcohol toxin entering the Lung, are treated with Ge Hua Tang.
Ge Hua Tang Formula
Ge Hua (5 fen) Zhi Ke (5 fen) Bo He (3 fen) Shi Gao (1 qian) Gan Cao (2 fen)
The above five ingredients are boiled in one sheng of water until seven ge remain, remove dregs, and take warm in divided doses.
Infant nose with heat and dryness, leading to blockage, heavy snoring breath, and restless sleep, is named Nasal Obstruction. Honey instillation is indicated.
If the patient's lung orifice is closed by Wind-Heat, leading to blockage and difficulty breathing, Genti San (Seed of Melon Powder) is indicated, blown in using a tube; resolution comes with drying and irritation. Nasal sore swelling, with a surging and slippery pulse, is Nasal Abscess (Bi Yong). Tongfei Yin (Unblocking Lung Drink) is indicated.
Tongfei Yin Formula
Cang Er Zi (5 fen) Xin Yi Ren (5 fen) Bai Zhi (3 fen) Xi Xin (2 fen) Bo He (2 fen) Long Nao (1 fen) Sheng Jiang (2 fen)
The above seven ingredients: boil six ingredients in one sheng of water, remove dregs, add Long Nao, boil for two or three boils, and take warm in divided doses, three times daily.
Inability to smell fragrances or odors is caused by stagnation and obstruction of the lung orifice. Tongfei Yin is indicated.
Question: There is epistaxis and hematemesis. How do they differ?
Answer: The nose communicates with the Lung. Blood overflowing from the brain causes epistaxis. Blood moving in the chest causes hematemesis. If patient's blood and Qi move violently causing epistaxis, with a rapid and excess pulse, Dahuang Huanglian Xiexin Tang is indicated. Epistaxis as a condition, with aversion to cold and fever, and a floating and tight pulse, indicates Wind-Heat attempting to resolve. Epistaxis or vomiting blood, with wheezing, phlegm, and night sweats, with a deficient and minute pulse, is treated with Xuanshen Tang.
Xuanshen Tang Formula
Xuan Shen (3 fen) Di Huang (Raw, 3 fen) Zhi Zi (Fried, 3 fen) Xi Jiao (3 fen)
The above four ingredients are boiled in one sheng of water until seven ge remain, remove dregs, and take warm in divided doses.
For sudden epistaxis caused by fright and rebellious movement, first apply cold water to the face, then administer Dahuang Huanglian Xiexin Tang. For violent epistaxis or hematemesis with impending collapse of Yuan Yang, moxibustion on Yongquan (KI1) and Dadun (LR1) is indicated; warming Baihui (GV20) is also good. For patients who are emaciated, with a fine and rapid pulse, coughing blood or epistaxis, this is an Excess Above and Deficiency Below pattern. Drinking roasted liquor with radish juice is indicated. Also, consume Zi Tang (Purple Sugar) mixed with roasted liquor. Apply garlic paste to Yongquan (KI1). For patients with epistaxis and red face, indicating lone Yang surging, grind good ink into hot soup, add human urine, and drink. Huarui Shi San (Flower Rhyolite Powder) is also indicated.
Huarui Shi San Formula
Hua Rui Shi (4 qian) Shi Yan (1 qian)
Grind the above two ingredients evenly. Take with child's urine. For hemoptysis or hematochezia caused by various deficiency movements, She Xue Tang (Blood-Holding Decoction) is indicated.
She Xue Tang Formula
Dang Gui (5 fen) Shao Yao (5 fen) Di Huang (Raw, 3 fen) Chuan Xiong (2 fen) Fu She (Fried and ground, 3 fen) Sheng Jiang (2 fen)
The above six ingredients: boil the first five in two sheng of water until one sheng remains, remove dregs, add Fu She, mix well, and take warm in divided doses.
Blood disturbance disease: Yang excess causes body heat; Yin excess causes body cold. Body cold is easy to treat; body heat is difficult to treat. If nine orifices bleed and body heat does not resolve, with a slippery and rapid pulse, it is incurable. If Cold Damage heat lodges in the Bladder causing bloody discharge, this indicates the disease is resolving. For vomiting blood that is foul-smelling and unbearable, with a surging and large pulse, or dizziness, it is difficult to treat. For blood disturbance patterns, patients with dark, thin skin are easy to treat; those with white, fat skin are difficult to treat.
Question: How about ear diseases?
Answer: Ear disease: Floating pulse indicates Excess; Deep pulse indicates Deficiency. Excess leads to sores; Deficiency leads to deafness. Infant ear pus with foul odor is caused by Spleen Stagnation due to overeating. It is named Ting Er (Aural Discharge). Dahuang Huanglian Xiexin Tang is indicated. Wind-Heat attacking upward and drumming, causing tinnitus like ocean waves, is treated with Fangfeng Gongdu Yin.
Fangfeng Gongdu Yin Formula
Fang Feng (5 fen) Xi Xin (2 fen) Niu Bang Zi (5 fen) Huang Bai (Fried, 3 fen) Han Shui Shi (1 qian) Mang Xiao (3 fen) Gan Cao (2 fen)
The above seven ingredients are boiled in two sheng of water until one sheng remains, remove dregs, and take warm in divided doses.
Patient tinnitus like cicada singing, worse in the evening, better in the morning, is caused by rootless false fire surging. Wuya Hei San (Crow Black Powder) is indicated.
Wuya Hei San Formula
Wuya (Black-fried, 4 qian) Huang Bai (Black-fried, 2 qian) Zhi Zi (Black-fried, 3 qian)
The above three ingredients are ground and mixed. Take with plain water and child's urine.
Ear pain attacks, pus dripping, or cicada-like sounds are treated with Bai Fan You (Alum Oil).
Bai Fan You Formula
Bai Fan (5 fen) She Xiang (1 fen)
Boil Bai Fan in two sheng of clear oil, add She Xiang, mix well, and drip in, two to three times daily. Tinnitus attacks leading to long-term deafness is incurable. Tinnitus like deafness caused by reverse drumming of wind toxin is still treatable. Deafness due to labor and false fire surging is incurable.
Question: What is gum swelling and pain?
Answer: Teeth with heat, swelling, and pain, with a necessarily floating and rapid pulse, is caused by Wind-Heat. If the pulse is deep and rapid, and teeth are scorched, it is Dental Caries (Qu Chi). Sudden gum swelling and pain is caused by Wind Toxicity. Xiaodu Yin (Detoxification Drink) is indicated. Gum irritability, heat, and pain caused by Wind-Heat or Spleen Heat are treated with Mubie San.
Mubie San Formula
Mu Bie Zi (1 qian) Long Nao (2 fen)
The above two ingredients are ground, sifted, and mixed with vinegar for application to the affected area. Sudden burning sensation, drying, blackening, and shedding of teeth is Running Horse Gangrene (Zou Ma Gan). Luole San is indicated.
Luole San Formula
Luo Le (3 fen) Xia Wa (Burned to ash, 2 fen) Long Nao (2 fen)
The above three ingredients are ground, mixed, and applied to the affected area. Severe cases with heat and irritability/pain are treated by pricking to release stasis. Tooth pain with body tremors is treated by moxibustion on Lieque (LU7) or Yangxi (LI5) to prevent recurrence.
Question: What causes drooling?
Answer: Saliva is the fluid of the Spleen. Drooling is caused by the Spleen losing its grasping function. Yangzang Tang is indicated.
Yangzang Tang Formula
Fuling (5 qian) Baizhu (Fried, 3 fen) Chen Pi (5 fen) Ban Xia (4 fen) Ren Shen (2 fen) Ke Zi (2 fen) Sheng Jiang (2 fen) Da Zao (3 pieces) Suo Sha (3 fen) Gan Cao (3 fen)
The above ten ingredients are boiled in two sheng of water until one sheng remains, remove dregs, and take warm in divided doses.
Question: How is sudden aphonia caused?
Answer: Patient suddenly loses voice, speaking softly, with a deep, hidden pulse and cough, is caused by Wind-Phlegm coagulation. If voice is stuttering, pulse is moving and rapid, resembling madness, it is caused by fright or intestinal parasites. Patient loss of voice, speaking in a mumbling manner, is caused by Wind-Phlegm obstruction. Baintang Yin is indicated.
Baintang Yin Formula
Bai Tang (4 qian) Luobo Zhi (5 fen) Jiang (3 spoons)
The above three ingredients are mixed and taken frequently. For aphonia caused by fright, Mituo Wan is indicated.
Mituo Wan Formula
Jin Mi Tuo (4 qian) She Xiang (1 fen) Chen Sha (3 fen) Zhu Dan (2 fen)
The above four ingredients are ground, sifted, and made into pills the size of paulownia seeds using ginger juice paste. Take thirty pills per dose, administered with Wendan Tang. Infant demeanor resembling dementia and muttering is Epileptic Aphonia. Patient fatigue and lack of strength, voice sounding like it comes from next door, indicates terminal illness due to exhaustion of blood and fluids. Patient with body heat, rapid pulse, and vomiting is caused by Stomach Heat. If body is cold and pulse is deep, it is caused by Stomach Cold. Disease manifestation: sound without matter expelled is Vomiting (Ou); matter expelled without sound is Spitting/Regurgitation (Tu). Slippery pulse indicates Phlegm-Fluid; Wiry pulse indicates parasite movement. Parasite movement is treated with Anhui Tang.
Anhui Tang Formula
Ren Shen (2 fen) Baizhu (3 fen) Fuling (5 fen) Gan Jiang (3 fen) Wu Mei (1 piece) Shu Jiao (2 fen)
The above six ingredients are boiled in one sheng of water until reduced by three ge, remove dregs, and take warm in divided doses.
For various vomitings where food and water are difficult to retain, Banxia Fuling Tang is indicated.
Banxia Fuling Tang Formula
Ban Xia (5 fen) Fuling (5 fen) Sheng Jiang (3 fen)
The above three ingredients are boiled in one sheng of water until seven ge remain, remove dregs, and take warm in divided doses.
For retching with slight heat, chest and hypochondriac fullness, and fine wiry pulse, Chaihu Tang is indicated. For patient with gurgling sound in chest and spitting of water and food, Fuling Yin is indicated.
Fuling Yin Formula
Fuling (5 fen) Ren Shen (3 fen) Baizhu (3 fen) Zhi Shi (2 fen) Ju Pi (3 fen) Sheng Jiang (2 fen)
The above six ingredients are boiled in one sheng of water until seven ge remain, and taken warm in divided doses.
Fever with thirst, but drinking causes choking, is Water Rebellion (Shui Ni). Wuling San is indicated. For intermittent vomiting and inability to eat, roasted liquor is indicated.
Administration Method
Shao Jiu (Roasted Liquor, 5 he) Bai Tang (4 qian) Jiang Zhi (1 he)
The above three ingredients are mixed. Take one clam shell per dose, five to six times daily.
For vomiting patients with abdominal fullness, tidal fever, or abdominal pain, dry lips and tongue, this is Excess. Dachengqi Tang is indicated. Infant sudden vomiting with normal pulse and abdomen indicates obstruction by milk/food. Do not treat vomiting patients with abscess pus; it heals spontaneously when pus is exhausted. Intermittent vomiting of milk lasting several days unrelieved leads to convulsive epilepsy, which is incurable. Vomiting with large abdomen and thin limbs, with fine wiry pulse, is Malnutrition (Gan). Vomiting patients must reduce diet; arbitrary eating makes it incurable.
Question: How is Ge Ye (Diaphragmatic Dysphagia) caused?
Answer: Congenital weakness, emotional stagnation, or dietary irregularities leading to Spleen exhaustion, turbid phlegm adhesion, causing food overflow and vomiting. Food regurgitation, dry skin and blood, weak pulse indicates Extreme Deficiency. Xian Qiao San is given.
Xian Qiao San Formula
Xian Qiao (Soaked in vinegar and burned, 4 qian) Ji Zi Qiao (4 qian) Bai Tang (1 liang)
The above three ingredients are ground and mixed. Take with ginger soup.
Patient with slippery and moving pulse, dysphagia and vomiting during meals, is treated with Banxia Banxia Tang.
Banxia Banxia Tang Formula
Ban Xia (1 qian) Ren Shen (3 fen) Bai Mi (5 qian)
The above three ingredients are mixed with two sheng of water, boiled until one sheng remains, remove dregs, and take warm in divided doses.
For Ge Ye and Wei Fan (Stomach Reversal) with food regurgitation, Lu E San is indicated.
Lu E San Formula
Lu E (Black-fried)
The above single ingredient is ground and sifted. Take one qian per dose with warm roasted liquor.
Ge Ye with food regurgitation and difficulty swallowing, with deep wiry pulse, indicates chronic stubborn disease. Lao Xian Yin is indicated.
Lao Xian Yin Formula
Lao Niu Xian (1 sheng) Shao Jiu (1 sheng)
The above two ingredients are mixed, boiled two or three times, add ginger juice. Take one to two he per dose, until cured. It should not recur for life.
For Wei Fan Ge Ye, various Spleen deficiencies, undigested food, retained fluids, and borborygmus in chest and abdomen, Dingxiang Jian is indicated.
Dingxiang Jian Formula
Ding Xiang (35 pieces) Da Zao (20 pieces) Sheng Jiang (1 qian)
The above four ingredients are boiled in five sheng of water until three sheng remain, remove dregs. Cook one sheng of aged rice into porridge, add one spoon of salt, mix well and eat. Also take White Plum Radish Juice etc. Morning meal vomited in evening, evening meal vomited in morning, thin limbs, wasted abdominal flesh is difficult to treat. Do not purge vomiting patients. This is caused by Excess Above and Deficiency Below. Dysphagia with difficulty swallowing is treatable; swallowing with difficulty retaining is incurable.
Question: What is belching and acid regurgitation?
Answer: Belching is the emission of food odor; acid regurgitation is the production of sour taste. This is caused by food stagnation and obstruction. Undigested grain, acid regurgitation, and foul belching, severe cases with distension and pain, are treated with Pingwei San. Patient with weak abdominal force, retained fluid in chest, or regurgitation with food odor, is treated with Fuling Yin. Patient with chest stuffiness, borborygmus, and diarrhea, if dry belching with food odor, is due to chest-abdominal disharmony. Shengjiang Xiexin Tang is indicated.
Shengjiang Xiexin Tang Formula
Sheng Jiang (3 fen) Gan Cao (2 fen) Ren Shen (3 fen) Gan Jiang (3 fen) Huang Qin (3 fen) Ban Xia (1 qian) Huang Lian (2 fen) Da Zao (2 pieces)
The above eight ingredients are boiled in one sheng of water until seven ge remain, remove dregs, and take warm in divided doses.
Discussion: Miscellaneous diseases caused by Phlegm-Fire stagnation and scorching. Qingpi Tang is indicated to harmonize.
Qingpi Tang Formula
Qing Pi (1 qian) Shi Yan (Burned, 3 fen) Sheng Jiang (5 fen)
The above three ingredients are boiled in one sheng of water until seven ge remain, remove dregs, and take warm in divided doses.
The Master says: Grain Qi excess leads to belching; deficiency leads to hiccup. Hiccup is inverted Qi. Belching sound is light; Hiccup sound is heavy.
Hiccup makes chi-chi sounds; inserting grass into the nose to induce sneezing resolves it. Intermittent hiccup unrelieved for months, with normal diet and play, is caused by parasite Qi. Patient fatigue, hiccupping with deep fine pulse, indicates Stomach Deficiency. Shidi Tang is indicated.
Shidi Tang Formula
Shi Di (1 qian) Ban Xia (5 fen) Ding Xiang (3 fen) Sheng Jiang (3 fen)
The above four ingredients are boiled in one sheng of water until seven ge remain, remove dregs, and take warm in divided doses.
For hiccupping, whether heat or cold, Luobo Yin is indicated.
Luobo Yin Formula
Luobo Zhi (5 he) Bai Tang (2 liang) Shao Jiu (2 sheng)