尿白如米泔水。久则成疳。人参、甘草、当归、木通、猪苓、赤芍、赤茯、青皮、川萆 治之。
肺与大肠有热。热则津液少而便闭。治用四顺清凉饮。血虚燥滞不通者。治用四物汤加柏子仁、松子仁、胡
桃仁。等分服之。
同邑绅徐梅宣公郎。痘后四十日。大便闭有七日。他医以承气汤单授之。余舅氏时在徐宅。力荐请余。往视
之日。血虚之极。幸未通利。通则不可药矣。梅宣且幸且疑。硬用四物汤一服。便出乃溏粪。带白色。梅宣拍案
叫绝曰。一望即知。神何至此。前庸手几败乃事。此望色审窍。知非肺热之一验也。
小便不通。由肺燥不能生水。当清肺中之热。而滋肾火之源。治宜用黄芩、黄连、天花粉、知母、麦冬、茯
苓、木通、甘草。等分服之。
若脾湿气不上升。当健脾生金。先用泻黄散。随用六君子汤。若膀胱有热。涩滞其流。治用五苓散。
出汗者。寝中通身如浴。觉来方知。属阴虚。营血之所主也。治宜四物汤加黄 、浮小麦、黄连。煎服。有
自汗者。不时而出。动则乃息。属阳虚。卫气之所司也。治宜补中益气汤加麻黄根、浮小麦、麦门冬。煎服。有
脾虚泄泻自汗。而汗出有时者。此症大虚。治宜六君子汤。或附子理中汤。姜枣引。煎服。
黄胆。其候色黄。属脾。盖小儿由饮食所伤。兼之湿热之气。蕴积脾胃。故成此症。面目指爪小便遍身皆黄。
疸症无疑。治宜地黄茵陈汤。
Urine is white like rice-washing water. If prolonged, it may develop into *Gan* syndrome (infantile malnutrition). It is treated with Ren Shen (Ginseng Radix), Gan Cao (Licorice Root), Dang Gui (Angelica Sinensis), Mu Tong (Akebia Stem), Zhu Ling (Polyporus), Chi Shao (Red Peony Root), Chi Fu Ling (Red Poria), Qing Pi (Citrus Unripe Peel), and Chuan Bi Xie (Dioscorea Hypoglauca Rhizome).
Heat in the Lung and Large Intestine causes a deficiency of body fluids, leading to constipation. Treatment utilizes Si Shun Qing Liang Yin (Four-Obedience Cooling Clearing Decoction). For cases where blood deficiency leads to dryness and stagnation causing obstruction, treatment utilizes Si Wu Tang (Four-Substance Decoction) added with Bai Zi Ren (Biota Seed), Song Zi Ren (Pine Nut Kernel), and Hu Tao Ren (Walnut Kernel). These are taken in equal proportions.
The son of Mr. Xu Meixuan, a gentleman from my hometown, suffered from seven days of fecal impaction forty days after recovering from smallpox. Other physicians prescribed Cheng Qi Tang (Ordering the Qi Decoction) as a single prescription. My uncle, who was at the Xu residence at the time, strongly recommended inviting me to attend. Upon examination, I found that the patient’s blood deficiency was extreme. Fortunately, purgatives had not yet been administered; if they had been used, the condition would have become untreatable. Mr. Xu felt both relieved and skeptical but insisted on administering one dose of Si Wu Tang (Four-Substance Decoction). The stool passed was loose and contained white mucus. Mr. Xu slapped the table in amazement, saying, "Diagnosed at a glance, how divine your skill is! Previous mediocre doctors nearly ruined the case." This observation of complexion and orifices serves as verification that the condition was not due to Lung heat.
Obstruction of urination results from Lung dryness failing to generate Kidney water. One should clear heat in the Lung and nourish the source of Kidney fire. Treatment is appropriate with Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Tian Hua Fen (Trichosanthes Root), Zhi Mu (Anemarrhena Rhizome), Mai Dong (Ophiopogon Tuber), Fu Ling (Poria), Mu Tong (Akebia Stem), and Gan Cao (Licorice Root). These are taken in equal proportions.
If Spleen dampness prevents the ascending of clear qi, one should strengthen the Spleen to generate Lung metal (Earth generating Metal). First use Xie Huang San (Drain Yellow Powder), followed by Liu Jun Zi Tang (Six-Gentlemen Decoction). If there is heat in the Bladder causing sluggish flow, treatment utilizes Wu Ling San (Five-Ingredient Powder with Poria).
Night sweats involve sweating all over the body during sleep, realized only upon waking. This belongs to Yin deficiency and is governed by Ying Blood (Nutritive Blood). Treatment is appropriate with Si Wu Tang (Four-Substance Decoction) added with Huang Bo (Phellodendron Bark), Fu Xiao Mai (Light Wheat), and Huang Lian (Coptis Rhizome), decocted for administration. Spontaneous sweating occurs intermittently and ceases with movement. This belongs to Yang deficiency and is governed by Wei Qi (Defensive Qi). Treatment is appropriate with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Ma Huang Gen (Ephedra Root), Fu Xiao Mai (Light Wheat), and Mai Men Dong (Ophiopogon Tuber), decocted for administration. In cases of Spleen deficiency with diarrhea accompanied by spontaneous sweating that occurs at specific times, this indicates severe deficiency. Treatment is appropriate with Liu Jun Zi Tang (Six-Gentlemen Decoction) or Fu Zi Li Zhong Tang (Aconite Regulate the Middle Decoction), using Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) as guides, decocted for administration.
Jaundice presents with yellow discoloration of the skin and is associated with the Spleen. It is generally caused by dietary injury to children combined with the accumulation of damp-heat in the Spleen and Stomach, resulting in this condition. When the face, eyes, fingers, toes, urine, and entire body turn yellow, it is undoubtedly Jaundice. Treatment is appropriate with Di Huang Yin Chen Tang (Rehmannia and Artemisia Decoction).