疳者、干而瘦也。此由寒热失理。饮食不节。或因吐久、泻久、痢久、疟久、热久、汗久、咳久、疮久。以
致脾胃亏捐。亡失津液而成也。
心疳者。面黄颊赤。小便赤涩。口舌生疮。烦渴。治宜宁心丸。
肝疳者。肌肉消瘦。目胞赤肿。翳生泪多。白膜遮睛。泻多青色。治用肝疳丸。
脾疳。黄瘦腹大。或吃土吃米吃茶。宜调脾汤。
肺疳。潮热喘嗽。鼻烂流涕。宜先用清肺汤。次用化 丸。
疳肿者。乃由疳久脾衰。不能制水。故头面四肢发肿。胀甚者褐子丸。大喘者不治。
丁奚。腹大项细。哺露。翻食吐蛔。宜芦荟丸。
此候由内有积热重蒸。外被风热所感。搏于血气。皮肤赤肿。色如火灼。或注头上。或发肢体。却非轻症。
入腹入肾。亦能杀人。宜速治之。用升麻、黄芩、连翘各一钱。大黄、朴硝各二钱。同煎服四五剂自愈。
余同袍胡道生乃孙。头患丹火。接余治。用前方。服二剂不退。又以价来请余。以札复曰。此症非轻。非一
二服可愈。宜重用各味五六剂。定然见效。后如数服愈。前岁。余宗人有一女患此症。余嘱曰。此重症也。不可
怠缓。不听。果死。
有沙淋者。肾水为热所结。化为沙石。内塞水道。沙出痛
止。治用五淋散。气淋者。小腹胀满。小便涩滞而痛。用泻白散。血淋者。心热血散。治用五淋散。加小蓟、滑
石、车前子。寒淋者。膀胱冷气。与正气交争。寒战而后溺。治用六味地黄丸加附子、肉桂。有心热者。用清心
莲子饮。肾热者。用六味地黄丸。肝热者。用柴胡栀子饮。脾热者。用泻黄散。脾虚者。用小异功散。肺热者。
用泻白散。肺虚热者。治用小异功散加炒山栀。
以上心热等七种淋症辨法。在辨脾心肺肝肾之 内求之。
Gan disease (Malnutrition syndrome) refers to a condition characterized by dryness and emaciation. This arises from the imbalance of cold and heat, and irregular diet. It may also result from prolonged vomiting, diarrhea, dysentery, malaria, fever, sweating, coughing, or chronic sores, leading to damage to the Spleen and Stomach, and the depletion of Body Fluids (Jin Ye).
Heart Gan: Symptoms include sallow complexion with red cheeks, dark and scanty urine, sores in the mouth and tongue, irritability, and thirst. Treatment is appropriate with Ningxin Wan (Calming Heart Pill).
Liver Gan: Symptoms include muscle wasting, red and swollen eyelids, formation of corneal opacities, excessive tearing, white membranes obscuring the pupils, and greenish loose stools. Treatment uses Gangan Wan (Liver Malnutrition Pill).
Spleen Gan: Symptoms include sallow and thin appearance with an enlarged abdomen; some patients may exhibit pica, eating soil, rice, or tea. Tiaopi Tang (Spleen-Regulating Decoction) is appropriate.
Lung Gan: Symptoms include tidal fever, wheezing, and coughing, along with ulceration of the nostrils and runny nose. Initially use Qingfei Tang (Lung-Clearing Decoction), followed by Huaji Wan (Accumulation-Dissipating Pill).
Gan Edema: This occurs when Gan disease persists for a long time, causing Spleen deficiency and the inability to control water metabolism, resulting in edema of the head, face, and limbs. For severe swelling, Hezi Wan (Brown Seed Pill) is used. If accompanied by severe panting, it is considered incurable.
Dingxi (A specific type of Gan): Symptoms include an enlarged abdomen with a thin neck, regurgitation of food after feeding, and vomiting of roundworms. Lushui Wan (Aloe Pill) is appropriate.
Chiyou Danhuo (Red Roaming Carbuncle/Fire): This condition arises from severe internal accumulated heat steaming outward, combined with external contraction of wind-heat. The pathogens contend with Blood and Qi, causing the skin to become red, swollen, and hot as if burning. It may manifest on the head or limbs. This is not a mild condition. If the pathogen enters the interior and damages the Kidney, it can be fatal, so prompt treatment is required. Use Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), and Lianqiao (Forsythiae Fructus), each 1 qian (approx. 3-5g); Dahuang (Rhei Radix et Rhizoma) and Puxiao (Natrii Sulfas), each 2 qian (approx. 6-10g). Decoct together and take for four to five doses for self-healing.
My fellow townsman Hu Daosheng’s grandson suffered from Danhuo on his head and consulted me. I prescribed the aforementioned formula. After two doses, symptoms did not recede. He returned with payment to invite me again. I replied in a letter: "This condition is not mild; it cannot be cured in one or two doses. You should increase the dosage of each herb and administer for five to six doses; effectiveness will surely appear." Later, he followed these instructions and recovered. In the previous year, a female relative of my clan contracted this illness. I advised that this was a severe condition and urged caution against delay, but she did not listen. Consequently, she died.
Shalin (Sand Strangury): Kidney Water is condensed by Heat into sand and stones, blocking the urinary pathway. Pain ceases when the sand passes. Treatment uses Wulin San (Five Stranguries Powder).
Qilin (Qi Strangury): Symptoms include fullness and distension in the lower abdomen, with difficult, painful, and obstructed urination. Use Xiebai San (Draining White Powder).
Xuelin (Blood Strangury): Caused by scorching Heat in the Heart dispersing into the blood. Treatment uses Wulin San (Five Stranguries Powder) added with Xiaoji (Cirsii Herba), Huashi (Talcum), and Cheqianzi (Plantaginis Semen).
Hanlin (Cold Strangury): Cold Qi in the Bladder contends with Healthy Qi (Zheng Qi), causing chills before urination. Treatment uses Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Fuzi (Aconiti Lateralis Radix Praeparata) and Rougui (Cinnamomi Cortex).
If accompanied by Heart Heat: Use Qingxin Lianzi Yin (Clearing Heart Lotus Seed Decoction).
If Kidney Heat: Use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).
If Liver Heat: Use Chaihu Zhizi Yin (Bupleurum and Gardenia Decoction).
If Spleen Heat: Use Xiehuang San (Draining Yellow Powder).
If Spleen Deficiency: Use Xiaoyigong San (Minor Extraordinary Merit Powder).
If Lung Heat: Use Xiebai San (Draining White Powder).
If Lung Deficiency Heat: Treat with Xiaoyigong San (Minor Extraordinary Merit Powder) added with Chao Shanzhi (Stir-fried Gardeniae Fructus).
The above differentiation methods for the seven types of strangury associated with Heart Heat, etc., can be found within the sections differentiating the Spleen, Heart, Lung, Liver, and Kidney.