北沙参（六钱） 麦冬（三钱） 象贝（五钱） 冬桑叶（一钱半） 石菖蒲（一钱） 桔梗（二
钱） 生甘草（一钱半） 滑石（三钱） 薄荷梗（二钱） 生苡仁（六钱） 竹肉（一丸）
诸筋抽痛，足底作痒，头风作痛，右寸大，余均虚，当属肝血虚风。
大生地（六钱） 归身（三钱） 川续断（三钱） 炒刺蒺藜（三钱） 冬桑叶（一钱半） 炒旱
莲草（一钱半） 茯苓（三钱） 怀山药（三钱） 炒白芍（二钱） 麦冬（三钱） 生牡蛎（五钱）
伏邪八日已有汗，舌黄口渴唇焦。今日有昏语，胸中痛，动则欲呕，是属上焦心肺，现
在走心，兼有肝气，须防呕蛔与痉。
羚羊角（二钱，先煎） 鲜生地（八钱） 麦冬（三钱） 连翘（三钱） 金银花（三钱） 石菖
蒲（
一钱半） 川连（八分，姜汁炒） 归尾（三钱） 益元散（三钱） 川楝子（三钱） 酒元胡（一钱
半） 陈皮（八分） 竹肉（一丸）
冬温恶寒去，皮肤有凉时，而仍有热时，口能渴，舌渐化燥，大便泻，小便有，是移热
已解
，而肺阴余热未除，再当遵叶氏甘寒法矣。惟太阳经与两手腕牵掣，且呕酸绿水，是仍属夹
有肝气，法当复入肝药，而避去甘味，以呕家忌甘也。
苦杏仁（三钱） 象贝（五钱） 生白芍（二钱） 焦栀子（三钱） 栝蒌皮（三钱） 陈皮（八
分）
冬桑叶（二钱） 天花粉（三钱） 苦桔梗（一钱半） 黄芩（三钱） 连翘（三钱） 生姜（二片）
此姜所以除呕也，平肝也。丹溪有生姜栀子汤，用以通肝热，祈勿泥。
感风肌热已久，今已有汗，而舌黄口燥，咳嗽痰如水，喉痒，诊脉弦数。据书风温日久
，表里均热，当用甘寒。
苦杏仁（三钱） 生甘草（一钱） 桔梗（二钱） 羚羊角（二钱，先煎） 根生地（六钱） 地
骨皮
（三钱） 冬桑叶（一钱半） 橘红（八分） 麦冬（三钱） 生玉竹（三钱） 象贝（五钱） 竹肉（
一丸）
湿疟以温脾得止，述胃开，大便已燥，小溲亦长，舌苔黄去而尚浓仍滑，尚非过燥之候
。拟再祛湿温中。
东洋参（三钱） 陈皮（八分） 茯苓（三钱） 生苡仁（六钱） 焦冬术（三钱） 炮姜炭（一
钱半
）清炙甘草（八分） 广木香（一钱） 矾半夏（三钱） 桂枝（一钱半） 炒谷芽（五钱） 生姜（二
片） 红枣（七枚）
少腹痛，气升作呕，诊脉两关尺独大，咳嗽多痰，患经四载，此属奔豚，当用石顽先生
法。
当归（三钱） 川楝子（三钱） 小茴香（三钱，炒） 酒元胡（一钱半） 生牡蛎（六钱） 乌
骨（三钱） 降真香（一钱半） 生香附（一钱半） 炒白芍（三钱） 泽泻（三钱）
四帖痛去，而咳嗽多痰，再以前法，复以息风。
外感去后，带起肝痛作呕，口渴，脉弦数。
归须（三钱） 炒川连（一钱） 杏仁（三钱） 炒白芍（三钱） 川楝子（三钱） 半夏曲（三
钱
）降真香（一钱） 鲜生地（二片，泡） 酒元胡（一钱半） 陈皮（八分） 生香附（一钱半）
两剂痛呕皆去。
诊脉沉弦，五更腹痛作溏，当用建中加减。
当归（三钱） 清炙甘草（一钱半） 生牡蛎（五钱） 制香附（三钱） 生白芍（五钱） 南天
烛（六钱） 阳春砂（八分，冲） 川续断（三钱） 桂枝（一钱半） 炒丹皮（三钱） 陈皮（一钱）
，久
则必失红，且块形日增痛，今已患有咳嗽，岂已愈之事，故用薛氏法八剂未效。鄙见仍须进
之，药足其疟母自消。
炙鳖甲（六钱） 当归（三钱） 小青皮（一钱半） 旋复花（三钱，包煎） 炙龟板（四钱）
生牡
蛎（六钱） 柏子仁（四钱） 青葱管（二支） 生地（五钱） 软柴胡梢（一钱半） 冬桑叶（一钱）
Bei Sha Shen (Glehniae Radix, 6 qian) Mai Dong (Ophiopogonis Tuber, 3 qian) Xiang Bei (Fritillariae Thunbergii Bulbus, 5 qian) Dong Sang Ye (Mori Folium, 1.5 qian) Shi Chang Pu (Acori Tatarinowii Rhizoma, 1 qian) Jie Geng (Platycodonis Radix, 2 qian) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma Recens, 1.5 qian) Hua Shi (Talcum, 3 qian) Bo He Geng (Menthae Haplocalycis Caulis, 2 qian) Sheng Yi Ren (Coicis Semen, 6 qian) Zhu Rou (Bambusae Medulla, 1 pill)
The patient experiences spasmodic pain in various tendons, itching on the soles of the feet, and headache due to wind pathogen. The pulse at the right Cun position is large, while the rest are deficient; this should be attributed to internal wind caused by Liver Blood deficiency.
Da Di Huang (Rehmanniae Radix Preparata, 6 qian) Gui Shen (Angelicae Sinensis Radix, 3 qian) Chuan Xu Duan (Dipsaci Radix, 3 qian) Chao Ci Ji Li (Tribuli Fructus, stir-fried, 3 qian) Dong Sang Ye (Mori Folium, 1.5 qian) Chao Han Lian Cao (Ecliptae Herba, stir-fried, 1.5 qian) Fu Ling (Poria, 3 qian) Huai Shan Yao (Dioscoreae Hypoglaucae Rhizoma, 3 qian) Chao Bai Shao (Paeoniae Radix Alba, stir-fried, 2 qian) Mai Dong (Ophiopogonis Tuber, 3 qian) Sheng Mu Li (Ostreae Concha, 5 qian)
After eight days of latent pathogen (Fu Xie), there is sweating, yellow tongue coating, thirst, and cracked lips. Today, there is confusion with delirious speech, chest pain, and nausea upon movement. This indicates the pathogen is located in the Upper Jiao (Heart and Lung), has now affected the Heart, and is accompanied by Liver Qi stagnation. One must prevent vomiting of roundworms and spasms.
Ling Yang Jiao (Capricornu Saigae Tataricae, 2 qian, decocted first) Xian Di Huang (Rehmanniae Radix Recens, 8 qian) Mai Dong (Ophiopogonis Tuber, 3 qian) Lian Qiao (Forsythiae Fructus, 3 qian) Jin Yin Hua (Lonicerae Japonicae Flos, 3 qian) Shi Chang Pu (Acori Tatarinowii Rhizoma, 1.5 qian) Chuan Lian (Coptidis Rhizoma, 0.8 fen, stir-fried with ginger juice) Gui Wei (Angelicae Sinensis Radix Cauda, 3 qian) Yi Yuan San (Yiyuan Powder, 3 qian) Chuan Liu Zi (Toosendan Fructus, 3 qian) Jiu Yuan Hu (Cyperi Rhizoma prepared with wine, 1.5 qian) Chen Pi (Citri Reticulatae Pericarpium, 0.8 fen) Zhu Rou (Bambusae Medulla, 1 pill)
The aversion to cold from Winter Warmth (Dong Wen) has ceased. The skin feels cool at times but hot at others. There is thirst, the tongue coating is gradually becoming dry, there is diarrhea, and urination is normal. This indicates that the transferred heat has resolved, but residual heat damaging Lung Yin remains. Subsequently, one should follow Ye's (Ye Tianshi) method of Sweet-Cold herbs. However, the Taiyang meridian and both wrists feel pulling and painful, and there is vomiting of sour green water. This still belongs to accompanying Liver Qi. The treatment method should re-introduce Liver-targeting herbs while avoiding Sweet substances, as patients who vomit contraindicate Sweet herbs.
Ku Xing Ren (Armeniacae Semen Amarum, 3 qian) Xiang Bei (Fritillariae Thunbergii Bulbus, 5 qian) Sheng Bai Shao (Paeoniae Radix Alba, 2 qian) Jiao Zhi Zi (Gardeniae Fructus, charred, 3 qian) Gua Lou Pi (Trichosanthis Pericarpium, 3 qian) Chen Pi (Citri Reticulatae Pericarpium, 0.8 fen) Dong Sang Ye (Mori Folium, 2 qian) Tian Hua Fen (Trichosanthis Radix, 3 qian) Ku Jie Geng (Platycodonis Radix, 1.5 qian) Huang Qin (Scutellariae Radix, 3 qian) Lian Qiao (Forsythiae Fructus, 3 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 2 slices)
Ginger is used here to stop vomiting and calm the Liver. Danxi (Zhu Zhenheng) had a Ginger-Gardenia Decoction used to clear Liver Heat; do not be rigid in your understanding.
Having felt wind causing muscle heat for a long time, there is now sweating, yet the tongue coating is yellow and the mouth is dry. There is coughing with watery sputum, itchy throat, and the pulse is wiry and rapid. According to texts, for prolonged Wind-Warmth with heat in both exterior and interior, the Sweet-Cold method should be used.
Ku Xing Ren (Armeniacae Semen Amarum, 3 qian) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma Recens, 1 qian) Jie Geng (Platycodonis Radix, 2 qian) Ling Yang Jiao (Capricornu Saigae Tataricae, 2 qian, decocted first) Gen Di Huang (Rehmanniae Radix Preparata, 6 qian) Di Gu Pi (Lycii Cortex, 3 qian) Dong Sang Ye (Mori Folium, 1.5 qian) Ju Hong (Citri Reticulatae Pericarpium Rubrum, 0.8 fen) Mai Dong (Ophiopogonis Tuber, 3 qian) Sheng Yu Zhu (Polygonati Odorati Rhizoma, 3 qian) Xiang Bei (Fritillariae Thunbergii Bulbus, 5 qian) Zhu Rou (Bambusae Medulla, 1 pill)
Wet Malaria was stopped by warming the Spleen. The Stomach qi has opened, stool has become dry, and urination is abundant. The tongue coating has lost its yellow color but remains thick, greasy, and slippery, indicating it is not yet overly dry. It is proposed to again dispel dampness and warm the middle.
Dong Yang Shen (Panax Ginseng from Korea, 3 qian) Chen Pi (Citri Reticulatae Pericarpium, 0.8 fen) Fu Ling (Poria, 3 qian) Sheng Yi Ren (Coicis Semen, 6 qian) Jiao Bai Zhu (Atractylodis Macrocephalae Rhizoma, charred, 3 qian) Pao Jiang Tan (Zingiberis Rhizoma Preparatum, carbonized, 1.5 qian) Qing Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma preparata with honey, 0.8 fen) Guang Mu Xiang (Aucklandiae Radix, 1 qian) Fan Ban Xia (Pinelliae Tuber preparata with alum, 3 qian) Gui Zhi (Cinnamomi Ramulus, 1.5 qian) Chao Gu Ya (Hordei Fructus Germinatus, stir-fried, 5 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 2 slices) Hong Zao (Jujubae Fructus, 7 pieces)
Lower abdominal pain, rising Qi causing vomiting. The pulse at Guan and Chi positions on both sides is uniquely large. There is coughing with much phlegm. Having suffered for four years, this belongs to Ben Tun (Rushing Pig disease, characterized by Qi rushing from lower abdomen to chest). One should use the method of Mr. Shi Wan.
Dang Gui (Angelicae Sinensis Radix, 3 qian) Chuan Liu Zi (Toosendan Fructus, 3 qian) Xiao Hui Xiang (Foeniculi Fructus, stir-fried, 3 qian) Jiu Yuan Hu (Cyperi Rhizoma prepared with wine, 1.5 qian) Sheng Mu Li (Ostreae Concha, 6 qian) Wu Gu (Asari Radix et Rhizoma? Note: Context suggests likely a specific herb or typo for Wu Mei/Wu Tou, but literal translation used if unclear, often refers to Asarum or similar in older texts, here kept as Wu Gu based on text) (3 qian) Jiang Zhen Xiang (Daemonorops Spatha, 1.5 qian) Sheng Xiang Fu (Cyperi Rhizoma, 1.5 qian) Chao Bai Shao (Paeoniae Radix Alba, stir-fried, 3 qian) Ze Xie (Alismatis Rhizoma, 3 qian)
After four doses, pain ceased, but coughing with much phlegm persisted. The previous method was repeated, adding wind-extinguishing herbs.
After external pathogens were removed, Liver pain and vomiting ensued, along with thirst and a wiry-rapid pulse.
Gui Xu (Angelicae Sinensis Radix Cauda, 3 qian) Chuan Lian (Coptidis Rhizoma, stir-fried, 1 qian) Xing Ren (Armeniacae Semen Amarum, 3 qian) Chao Bai Shao (Paeoniae Radix Alba, stir-fried, 3 qian) Chuan Liu Zi (Toosendan Fructus, 3 qian) Ban Xia Qu (Pinelliae Tuber fermentatum, 3 qian) Jiang Zhen Xiang (Daemonorops Spatha, 1 qian) Xian Di Huang (Rehmanniae Radix Recens, 2 slices, soaked) Jiu Yuan Hu (Cyperi Rhizoma prepared with wine, 1.5 qian) Chen Pi (Citri Reticulatae Pericarpium, 0.8 fen) Sheng Xiang Fu (Cyperi Rhizoma, 1.5 qian)
After two doses, pain and vomiting both ceased.
The pulse is deep and wiry. There is lower abdominal pain and loose stools at dawn (Wu Geng). One should use Jian Zhong Decoction with modifications.
Dang Gui (Angelicae Sinensis Radix, 3 qian) Qing Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma preparata with honey, 1.5 qian) Sheng Mu Li (Ostreae Concha, 5 qian) Zhi Xiang Fu (Cyperi Rhizoma preparata, 3 qian) Sheng Bai Shao (Paeoniae Radix Alba, 5 qian) Nan Tian Zhu (Nandinae Fructus, 6 qian) Yang Chun Sha (Amomi Fructus Rotundus, 0.8 fen, taken with liquid) Chuan Xu Duan (Dipsaci Radix, 3 qian) Gui Zhi (Cinnamomi Ramulus, 1.5 qian) Chao Dan Pi (Moutan Cortex, stir-fried, 3 qian) Chen Pi (Citri Reticulatae Pericarpium, 1 qian)
Long-term illness inevitably leads to blood loss, and the mass shape increases daily with pain. Now suffering from cough, is this not a sign of recovery? Thus, Xue's (Xue Ji) method was used for eight doses without effect. My opinion is that tonification must continue; when the medicinal force is sufficient, the Ma Mu (Malaria mass) will naturally dissipate.
Zhi Bie Jia (Testudinis Carapax et Plastrum, roasted, 6 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian) Xiao Qing Pi (Citri Reticulatae Pericarpium Viride, 1.5 qian) Xuan Fu Hua (Inulae Flos, 3 qian, wrapped and decocted) Zhi Gui Ban (Testudinis Plastrum, roasted, 4 qian) Sheng Mu Li (Ostreae Concha, 6 qian) Bai Zi Ren (Biota Semen, 4 qian) Qing Cong Guan (Allii Fistulosi Caulis, 2 stalks) Sheng Di (Rehmanniae Radix Recens, 5 qian) Ruan Chai Hu Shao (Bupleuri Radix tip, soft, 1.5 qian) Dong Sang Ye (Mori Folium, 1 qian)