李（左） 脾虚则生湿，气弱则生痰。然中气空虚，何至胆阳上逆而为眩晕。脉滑，重取濡软。良以脾虚胃
实，脾虚则液滞为痰，胃实则胆逆为晕。拟外台茯苓法出入。
人参须（一两另研和入） 广陈皮（一两五钱） 苦杏仁霜（三两） 白僵蚕（一两） 海蛤粉（二两水飞） 炒
野于术（二两） 煨天麻（一两五钱） 云茯苓（五两） 焦枳实（一两二钱） 白蒺藜（炒去刺二两） 猪苓（一两
）制半夏（三两） 建泽泻（一两五钱） 姜汁炒鲜竹二青（一两）
上药研为细末，用生姜五两，煎汤泛丸如小桐子大，每晨服三钱，下午服一钱，橘红汤送下。
林（左） 经云、卫气者，所以温分肉，充皮肤，肥腠理，司开合。足见阳气流行，断不容有所留阻。气虚生痰，
痰湿内伏，流行被阻，卫气不能敷布。四肢每欠温和，神情难于振卓，而脉形沉弦带滑。有似阳衰，其实
阳气不能从中用事耳。拟补气化痰，宣畅阳气。
人参须（一两另研和入） 野于术（二两） 制半夏（三两） 川断肉（炒一两五钱） 川桂枝（六钱） 白蔻仁
（三钱另研和入）
白蒺藜（一两五钱炒去刺） 枳实（七钱） 浓杜仲（一两五钱） 炒杞子（一两五钱） 广藿香（一两） 猪苓（
一两） 泽泻（一两） 云茯苓（三两） 橘红（一两） 苦桔梗（八钱）
上药如法研为细末，水泛为丸。
秦（左） 大凡伏暑之症，必兼湿邪，以热蒸则湿动也。热盛而投以瓜水，热恋而投以甘寒，致脾困于湿，
胃失通降脾受困则四肢懈惰，胃失降则纳少微眩，面油目赤，正与大实似虚之旨恰合，故得以橘半
而夺参 之效，苓术而掩胶地之长。稂莠既除，嘉禾自植，调理之策，于此推求可耳。
炙绵 （三两） 远志肉（五钱） 陈广皮（三两） 炒杞子（二两） 广木香（五钱） 当归炭（一两五钱）
炒野于术（二两） 炒酸枣仁（一两） 沉香曲（一两五钱） 白蒺藜（炒去刺二两） 枳实（一两三钱） 云茯苓
（四两） 整砂仁（七钱另研和入） 制半夏（四两） 泽泻（一两五钱） 人参须（一两三钱另研和入）
上药研末，水泛为丸如桐子大，橘皮薏米汤送下。
薛（左） 脘胁肋攻撑，甚则作痛，脉象沉弦，为饮气内伏，曾用控逐之法，泻水甚多，然气分仍难舒展。夫
中脘属胃，两胁属肝，胃喜通降，肝喜条达，脾胃失于健运，则胃中之水湿停留，中土气滞，木难疏泄，以
致厥气郁滞，与土相仇，攻撑痛满之类纷至矣。从肝胃疏和。
淡吴萸（四钱） 郁金（五钱） 范志曲（一两五钱炒） 制香附（二两） 茯苓（二两） 公丁香（五钱）
白蒺藜（一两五钱） 麸炒枳壳（一两） 东白芍（一两五钱炒） 小青皮（八钱） 制半夏（二两） 抚川芎（
七钱） 炙甘草（五钱） 广陈皮（八钱） 茅山苍术（一两三钱米泔浸同芝麻炒去芝麻） 白蔻仁（六钱）
上研细末，水泛为丸如绿豆大，每晨服二钱，下午服一钱五分，砂仁汤送下。
某 尾闾为督脉所过之处，为二阴关键之区。淋浊止涩，湿热内留，遂致尾闾作酸，诸药罔效，日久不
瘳，甚至投以参茸，犹未能却病。湿压气坠，少腹似胀似痛，湿胜而脾运不及，大便既溏，而且带泄。及至
利气调中，苦温合化，如鼓应桴，诸恙若失。刻当初愈，似须补其真阴，调其督脉，殊不知补阴之药，性多
呆滞，若漫行尝试，湿热复壅，所得不偿所失也。兹拟于调中利气，苦温合化之中，参以补而不滞之品。当否正之。
人参须（一两五钱另研和入） 云茯苓（三两） 制半夏（三两） 川断肉（一两五钱） 野于术（二两五钱）
广陈皮（一两五钱） 炒川黄柏（三两） 浓杜仲（一两五钱） 泽泻（一两） 茅山苍术（二两米泔浸同芝麻炒去芝
麻） 枳实（七钱） 炒枣仁（一两） 蜜炒香附（一两五钱） 炒牛膝（一两五钱） 广郁金（七钱） 焦秫米（八
钱）
上为细末，水泛丸如绿豆大，每服三钱，开水送下。
过（左） 心痛彻背，本有成法可遵，无如宿有喉症，辛热之药，不能飞渡，所以攻逐痰水，以展其胸中之
阳气，辛润滑利，以通其胸中之阳气，复以辛温大热之品，匮以进之喉无所苦，其为阴邪厥逆上干，可
以显见。故喉痛一层，确是阴盛逼阳于上，若是阴虚火炎，断无一腔之内而相反若是者。进遵金匮成
法，似不为过。
人参须（五钱另研和入） 野于术（八钱） 整砂仁（五钱） 制乌附片（五钱） 云茯苓（二两） 广木香
（四钱） 炙黑草（四钱） 炒蜀椒（四钱） 赤石脂（五钱） 炒淡干姜（五钱）
上药研为细末，蜜丸如桐子大，每空心服二钱。
江（右） 肩背作痛，脊强腰折。夫腰为肾之府，背为阳明之府，腰背皆痛，而脉浮弦，良由肾本素亏，风与
湿郁，遂致太阳之经气不行。宜于养营和络之中，参以胜湿而宣畅气分。
杭白芍（一两淡吴萸三钱同炒） 炒西潞党（二两） 左秦艽（一两） 羌活（七钱） 青防风（七钱）
野于术（一两三钱） 蔓荆子（五钱） 台乌药（一两） 独活（七钱） 川断肉（二两） 白归身（二两酒炒）
熟地炭（三两） 炒杞子（二两） 川芎（七钱） 金铃子（一两五钱） 制首乌（三两） 制香附（一两五钱）
本（七钱）
上为细末，水泛为丸，每服三钱。
沈云卿夫人 脉象常数，左部带弦。绕耳前后，痰 重叠，遇劳即发，发则似痛似胀，幸按之不坚，根脚
尚带浮动。四肢不时灼热，心悸不宁，气分攻撑，头旋眩晕，腰酸带下。夫耳之前，后为少阳部分，肝主生
发，若一遇怫郁，即不能遂其畅茂之性，气郁则生火，火郁则生痰，肝火挟痰上升，而胆经之气，偏主下
降，欲升不能，欲降不得，于是横行漫溢，流入于少阳之经，凝而不散，所以垒垒然有形矣。木火既盛，则
营阴被烁，以致阴分日见其亏，气分日见其旺，气撑肢热火升等象，皆出于此。阳气震撼，故心神怔悸，
而眩晕头旋。木郁不调，脾清沦陷，津液随之渗泄，故带下连绵，液耗肾虚，腰府酸楚矣。拟泄木养营，和
阴凝神，参以消散痰 。当否即请云卿正之。
龟甲心（五两刮去白酥炙） 黑元参（三两） 霜桑叶（一两） 酒蒸女贞子（三两） 粉丹皮（二两）
真阿胶（三两蛤粉炒松） 川贝母（三两去心） 白归身（二两酒炒） 夏枯草（二两） 天花粉（二两） 海蛤
粉（三两水飞） 生熟香附（各一两五钱） 朱茯神（二两） 炒滁菊（一两五钱） 大贝（三两） 广郁
金（二两） 小黑豆衣（四两） 杭白芍（一两五钱酒炒） 炒香枣仁（一两五钱）
上药如法研极细末，用吉林参七钱，微烘另研和入药内，竹沥泛丸如绿豆大，每晨服二钱，下午半
饥时服二钱，开水送下。
李（左） 平时咯吐灰黑稠痰，渐致吐血，叠投清养上中，以平浮热，复入辛温，而血得止。今诸臻平适，黑
痰亦不多见。脉象沉细，右寸关滑大。确系湿痰内盛，水寒之气，迫热上行，损于肺胃之络，不然安有血
症而可投辛温之理，且投辛温而可奏效之理。药既应手于前，法当遵循于后。
生地炭（三两） 西潞党（三两） 云茯苓（三两） 炒山药（三两） 炒于术（一两） 牛膝炭（二两）
川贝母（一两） 茜草炭（一两） 甜杏霜（二两） 苏子霜（二两） 海蛤粉（三两水飞） 炮姜（六钱）
橘红（一两） 旱莲草（一两五钱） 蜜炙紫菀（一两） 上沉香（三钱勿见火另研和入）
上为细末，藕汤泛丸。
潘（左） 痰多稠粘，甚至带出粉红，咽中作痛，叠投清化，痰渐转稀，粉红亦退。夫痰为胶浊，惟湿盛液滞
者才得有此。继进育阴之剂，食饮如常，足见湿化然后痰消，气行然后湿化，阴虚不能化气，气不运湿，
而痰自内生，张介宾先生谓熟地为化痰之圣药，即此之谓矣。不然，清化之下，继以育阴，二者必有一
失矣，今既和平，宜守育阴化气为法。
制洋参（一两五钱炒） 海蛤粉（一两五钱水飞） 桔梗（五钱） 海浮石（一两五钱） 炒黄川贝（一两二
钱） 冬瓜子（二两）
广郁金（一两） 盐水炒橘红（一两） 生薏米（二两） 甜杏仁泥（二两） 生地炭（三两）
百合心（二两） 山药（三两） 云茯苓（三两） 法半夏（一两五钱） 福泽泻（一两五钱）
上药如法研为细末，用二泉胶一两五钱溶化打糊为丸，每服二钱，渐增至三钱。
窦（左） 少阴之脉系舌本，循喉咙，喉有石鹅，不时身热。夫手少阴心，火也，足少阴肾，水也惟
火旺斯水愈亏，惟水亏则火愈旺，两者相因也。童真未足，所见症象如前，其为阳有余阴不足何疑。
补其不足，泻其有余，不易之定理也。
大生地（二两炙） 大有 （炙二两） 杭白芍（炒一两五钱） 炙鳖甲（三两） 大熟地（二两炙） 川
黄柏（盐水炒七钱） 西潞党参（一两五钱元米炒） 龟甲心（四两炙） 生山药（一两五钱） 大麦冬（一两
炒） 制首乌（二两切） 粉丹皮（一两） 小黑豆衣（一两五钱） 制洋参（炒一两五钱） 福泽泻（一两）
茯神（一两） 女贞子（一两五钱酒炒） 龙骨（一两飞）
研细蜜丸，淡盐汤送。
张（左） 胃痛日久，曾呕涎水凝瘀，盖胃为阳明，阳明为多气多血之乡，停饮留阻，痛则不通，无形气滞
之极，有形之血，亦因而痹阻，凝积为瘀，壅极而决，决则通，通则不痛也。所虑者，胃府虽通，而畴昔之凝
滞于络中者，必然未尽，是即涓涓之流，星星之火也。兹以丸药温通胃阳，而培脾土，冀其二土旋运，庶
停留于络中者，潜消而默化耳。
人参须（一两另研和入） 高良姜（四钱） 上徭桂（二钱去粗皮另研和入） 白蔻仁（三钱另研和入）
野于术（二两炒） 玄胡索（酒炒一两） 云茯苓（三两） 土炒白芍（一两） 制香附（二两） 瓦楞子（四两醋
水飞） 甜杏仁霜（二两） 炙甘草（四钱） 新会皮（一两） 公丁香（三钱） 制半夏（二两） 猪苓（一两五钱）
上为细末，水泛为丸，每服二钱，米汤送下。
陈（左） 右脉微滑，左关脉独弦，弦为风木，偏亢之征。据述别无他恙，惟有时冒眩。夫阴虚木旺，木燥生
风，亦令眩晕，若系阴虚，安得于眩晕之外，别无兼症。吾人脏阴而腑阳，脏升而腑降，体之阴者其用阳，
是谓阴中有阳，体之阳者其用阴，是谓阳中有阴，故离虚其中，坎满其中也。肝为乙木，胆为甲木，肝为
脏而胆为腑，一脏一腑，表里相应，与脾脏胃腑相附而升，相附而降，故肝合脾升，而心血以生，胆合胃
降，而命火以长。今右脉微滑，胃有湿痰，而胃欠通降。胃降不及，则胆经之气，安能独向下行。于是肝脾
之升也有余，而胆胃之降也不及，有余不及，即是偏胜之肇端，阳偏于升，而为眩为晕，亦固其宜。若壮
水以涵养肝木，而潜其阳气，惟阴虚阳亢者，有阴以制阳之效。若胆胃少降者，得阴柔之品，则胃府愈
窒，胆愈难降，斯肝愈上升。欲平其肝，当降其胆，欲降其胆，当降其胃，管窥之见，未识有当否。
制半夏（三两） 广陈皮（一两五钱） 粉丹皮（一两） 枳实（一两五钱） 茯苓（四两） 滁菊花（
一两五钱） 海蛤粉（四两飞） 黑山栀（一两五钱） 豆衣（三两） 桑叶（一两五钱）
上药晒干勿见火，研为细末，用水竹茹四两煎汤泛丸，每晨服一钱五分，下午半饥时服二钱。
巫（左） 陡然发厥，厥后不时 杂，然得食又复痞满不舒，脉来弦。滑此由痰气内滞，甲木升浮，遂致一
时之间阴阳闭塞，胃失通降之权，木邪从而摇撼。宜通补之中，参以化痰熄肝。
人参须（八钱烘研细和入） 制半夏（一两五钱） 制南星（五钱） 新会皮（一两） 白僵蚕（一两炒打）
真野于术（一两五钱） 山栀（七钱姜汁炒黑） 煨天麻（一两） 焦苍术（八钱） 枳实（一两） 上川朴（五
钱） 云茯苓（二两） 沉香曲（一两五钱） 白蒺藜（二两） 整砂仁（七钱） 郁金（七钱）
上药研细末，水泛为丸。
孙（右） 胃痛呕吐者久，叠从肝胃主治，旋止旋发，数年以来，未得大效。脉象沉弦。夫肝虽横暴。无刚锐
无穷之理，胃虽被犯，无终始不和之理。盖由胃有痰滞隐伏，虽曾攻逐一鼓而下，其胶稠凝聚者，依然
内踞。特猛剂断非久病所宜。拟以胃苓法，寓猛于宽，以觇其后。
茅山苍术（七钱米泔浸一宿取出同芝麻炒去芝麻） 茯苓（一两五钱） 上川朴（五钱） 生熟于术（各四钱
）广陈皮（七钱） 猪苓（一两） 生熟甘草（各二钱） 官桂（四钱） 泽泻（七钱） 白蛳螺壳（五钱 ）
研末为丸，每空心服五钱。
陈（左） 类中之后，诸恙渐复，然历投之剂，并非气血交补之方，其属风痰为患，已有明征。今大势已退，
Li (Left) Spleen deficiency generates dampness; Qi weakness generates phlegm. However, how can middle Qi emptiness lead to the counterflow of Gallbladder Yang causing dizziness? The pulse is slippery, and deep pressure reveals a soggy and soft quality. This is due to Spleen deficiency and Stomach excess: Spleen deficiency causes fluid stagnation transforming into phlegm, while Stomach excess causes Gallbladder Qi counterflow leading to vertigo. A modified formula based on Waitai Fuling Decoction is proposed.
Ginseng Radicula (50g, separately ground and mixed in), Tangerine Peel (75g), Bitter Apricot Kernel Frost (150g), White Silkworm (50g), Clam Shell Powder (100g, water-floated), Stir-fried Wild Atractylodes Macrocephala Rhizome (100g), Calcinated Gastrodia Elata (75g), Poria (250g), Charred Immature Bitter Orange (60g), Tribulus Terrestris (Stir-fried, thorns removed, 100g), Polyporus (50g), Processed Pinellia Ternata (150g), Jian Ze Xie/Alisma Rhizome (75g), Fresh Bamboo Sap and Bamboo Leaves Stir-fried with Ginger Juice (50g).
The above herbs are ground into fine powder. Using decoction from 250g fresh ginger as the binder, pills are made the size of small Sophora japonica seeds. Take 15g every morning and 5g in the afternoon, delivered with Tangerine Red Decoction.
Lin (Left) The Classic states: "Wei Qi (Defensive Qi) warms the muscles, fills the skin, thickens the interstices, and controls the opening and closing." This shows that the circulation of Yang Qi must not be obstructed. Qi deficiency generates phlegm; phlegm-dampness lies internal, obstructing circulation, preventing Wei Qi from distributing. The limbs are often lacking warmth, spirit is difficult to invigorate, and the pulse is deep, wiry, and slippery. It resembles Yang decline, but in reality, it is Yang Qi failing to function within. The strategy is to tonify Qi and resolve phlegm, to diffuse and unblock Yang Qi.
Ginseng Radicula (50g, separately ground and mixed in), Wild Atractylodes Macrocephala Rhizome (100g), Processed Pinellia Ternata (150g), Dipsacus Asper Root (Stir-fried, 75g), Cinnamon Twig (30g), White Cardamom Seed (15g, separately ground and mixed in).
Tribulus Terrestris (Stir-fried, thorns removed, 75g), Immature Bitter Orange (35g), Eucommia Bark (75g), Goji Berry (Stir-fried, 75g), Patchouli Leaf (50g), Polyporus (50g), Alisma Rhizome (50g), Poria (150g), Tangerine Red (50g), Platycodon Grandiflorus Root (40g).
The above herbs are ground into fine powder according to method, and pills are formed using water.
Qin (Left) Generally, latent summerheat syndromes must be accompanied by dampness, because heat steaming moves dampness. When heat is excessive, administering melon seed emetics [Guashui] fails; when heat lingers, administering sweet-cold herbs fails, resulting in Spleen被困 by dampness and Stomach losing its descending function. Spleen被困 leads to limb flaccidity; Stomach failing to descend leads to poor appetite and slight vertigo, oily face, and red eyes. This perfectly matches the principle of "great excess resembling deficiency." Thus, one can achieve the effect of Tangerine Peel and Pinellia replacing Ginseng, and Poria and Atractylodes masking the cloying nature of Donkey-hide Gelatin and Rehmannia. Once weeds are removed, good crops grow naturally. The strategy for regulation can be deduced from this.
Honey-fried Astragalus Membranaceus Root (150g), Polygala Tenuifolia Root Heart (25g), Aged Tangerine Peel (150g), Goji Berry (Stir-fried, 100g), Costus Root (25g), Angelica Sinensis Root Charcoal (75g).
Wild Atractylodes Macrocephala Rhizome (Stir-fried, 100g), Sour Jujube Kernel (Stir-fried, 50g), Agarwood Fermented Curd (75g), Tribulus Terrestris (Stir-fried, thorns removed, 100g), Immature Bitter Orange (65g), Poria (200g), Amomum Villosum Fruit (35g, separately ground and mixed in), Processed Pinellia Ternata (200g), Alisma Rhizome (75g), Ginseng Radicula (65g, separately ground and mixed in).
The above herbs are ground into powder, and pills are formed using water, the size of Sophora japonica seeds. Delivered with Tangerine Peel and Coix Seed Decoction.
Xue (Left) Distending pain in the epigastrium and hypochondrium, severe pain at times, with a deep and wiry pulse, indicates internal retention of fluid-Qi. Previously, drastic purging methods were used, expelling much water, yet Qi division remains difficult to expand. The epigastrium belongs to the Stomach, and the hypochondrium belongs to the Liver. The Stomach prefers free flow and descent; the Liver prefers smoothness and discharge. If Spleen and Stomach lose their healthy transportation, water-dampness in the Stomach stays, Middle Earth Qi stagnates, Wood cannot vent, leading to rebellious Qi stagnation conflicting with Earth, causing distension, pain, and fullness. Treatment should soothe and harmonize the Liver and Stomach.
Lightly processed Evodia Rutaecarpa Fruit (20g), Turmeric Tuber (25g), Fan Zhi Qu (Fermented Rice Curd) (75g, stir-fried), Processed Cyperus Rotundus Rhizome (100g), Poria (100g), Clove Flower Bud (25g).
Tribulus Terrestris (75g), Bran-fried Aurantium Fructus (Immature Bitter Orange) (50g), Dong Bai Shao/Paeonia Lactiflora Root (75g, stir-fried), Small Green Tangerine Peel (40g), Processed Pinellia Ternata (100g), Chuanxiong Rhizome (35g), Honey-fried Licorice Root (25g), Tangerine Peel (40g), Maoshan Cangzhu/Atractylodes Lancea Rhizome (65g, soaked in rice wash water, stir-fried with sesame seeds, sesame removed), White Cardamom Seed (30g).
Ground into fine powder, pills formed with water, size of mung beans. Take 10g every morning and 7.5g in the afternoon, delivered with Amomum Villosum Decoction.
[Patient Name Omitted] Weili (tailbone area) is where the Du Meridian passes, the key area of the two yin openings. After strangury and turbid urine stopped, damp-heat remained internal, causing soreness at Weili. Various medicines failed. Long-standing illness not cured, even administering Ginseng and Deer Antler did not dispel disease. Dampness pressing down causes Qi sinking, lower abdomen feels distended and painful. Excess dampness overwhelms Spleen transportation, stool is loose and diarrheal. Upon using Qi-promoting and Middle-regulating, bitter-warm combined transformation methods, effects were immediate like drum responding to beat, all ailments vanished. Now just recovered, seemingly needing to tonify True Yin and regulate Du Meridian. However, Yin-tonifying drugs are often stagnant/cloying. Blind experimentation would cause damp-heat to re-congest, loss outweighing gain. Now proposing to combine Middle-regulating and Qi-promoting, bitter-warm transformation, with tonifying yet non-stagnant items. Please advise.
Ginseng Radicula (75g, separately ground and mixed in), Poria (150g), Processed Pinellia Ternata (150g), Dipsacus Asper Root (75g), Wild Atractylodes Macrocephala Rhizome (125g).
Tangerine Peel (75g), Stir-fried Phellodendron Amurense Bark (150g), Eucommia Bark (75g), Alisma Rhizome (50g), Maoshan Cangzhu/Atractylodes Lancea Rhizome (100g, soaked in rice wash water, stir-fried with sesame seeds, sesame removed), Immature Bitter Orange (35g), Sour Jujube Kernel (Stir-fried, 50g), Honey-fried Cyperus Rotundus Rhizome (75g), Stir-fried Achyranthes Bidentata Root (75g), Broad-leaved Turmeric Tuber (35g), Charred Sorghum Grain (40g).
Ground into fine powder, pills formed with water, size of mung beans. Take 15g each time, delivered with boiled water.
Guo (Left) Heart pain piercing to the back has established methods to follow. Unfortunately, the patient has chronic throat issues, so acrid-hot medicines cannot pass through. Therefore, attacking and draining phlegm-water to expand Yang Qi in the chest, using acrid-slippery and lubricating herbs to unblock Yang Qi in the chest, then administering acrid-warm and great-hot substances... the throat suffers no harm. This clearly shows Yin pathogenic factors rebelling upward. Throat pain is indeed Yin excess forcing Yang upward. If it were Yin deficiency with Fire flaming up, there would certainly not be such contradiction internally. Proceeding with established methods from *Jinkui Yaolue* seems appropriate.
Ginseng Radicula (25g, separately ground and mixed in), Wild Atractylodes Macrocephala Rhizome (40g), Amomum Villosum Fruit (25g), Processed Aconite Carmerlatis Root (50g), Poria (100g), Costus Root (20g), Honey-fried Black Licorice Root (20g), Stir-fried Sichuan Pepper (20g), Red Halloysite (25g), Stir-fried Light Dried Ginger (25g).
Ground into fine powder, honey pills formed size of Sophora japonica seeds. Take 10g on an empty stomach.
Jiang (Right) Shoulder and back pain, stiff spine, bending waist. Waist is the mansion of Kidney; Back is the mansion of Yangming. Pain in both waist and back, with floating and wiry pulse, is due to inherent Kidney deficiency, Wind and Dampness constraint, causing Taiyang Meridian Qi to fail to circulate. Within nourishing Ying and harmonizing collaterals, add herbs to overcome dampness and diffuse/unblock Qi division.
Hang Bai Shao/Paeonia Lactiflora Root (50g, stir-fried with 15g lightly processed Evodia Rutaecarpa Fruit), Stir-fried West Lu Dangshen/Pseudoginseng Root (100g), Zuo Qin Jiao/Gentiana Macrophylla Root (50g), Notopterygium Root (35g), Qing Fangfeng/Saposhnikovia Root (35g).
Wild Atractylodes Macrocephala Rhizome (65g), Vitex Fruit (25g), Tai Wu Yao/Lindera Root (50g), Angelica Pubescens Root (35g), Dipsacus Asper Root (100g), Bai Guishen/Angelica Sinensis Root (100g, wine-fried), Shu Di Tan/Prepared Rehmannia Root Charcoal (150g), Goji Berry (Stir-fried, 100g), Chuanxiong Rhizome (35g), Bellflower Fruit (75g), Processed Polygonum Multiflorum Root (150g), Processed Cyperus Rotundus Rhizome (75g).
Ligusticum Chuanxiong Rhizome (35g).
Ground into fine powder, pills formed with water. Take 15g each time.
Madam Shen Yunqing Pulse is generally constant, left section wiry. Around front and back of ears, phlegm nodules overlap, triggered by labor, feeling like pain or distension upon onset. Fortunately, palpation is not hard, root still floats. Limbs occasionally feel burning, palpitations and unrest, Qi division distending, vertigo and dizziness, sore waist, leukorrhea. Front and back of ear belong to Shaoyang sector. Liver governs growth and development. If frustrated, it cannot flourish. Qi stagnation generates Fire; Fire stagnation generates Phlegm. Liver Fire carrying Phlegm rises, while Gallbladder Meridian Qi tends to descend. Unable to rise, unable to descend, it spreads horizontally into Shaoyang Meridian, condensing without dispersing, forming palpable nodules. Wood and Fire flourishing scorch Ying Yin, causing Yin division daily deficit, Qi division daily excess. Symptoms like Qi distension, limb heat, rising fire all stem from this. Yang Qi shaking causes heart palpitations and vertigo. Wood stagnation不调, Spleen clear Qi sinks, fluids leak out, hence continuous leukorrhea. Fluid depletion, Kidney deficiency, waist mansion soreness. Strategy: Vent Wood, nourish Ying, harmonize Yin, calm Spirit, combined with dissipating phlegm nodules. Please advise Yunqing.
Tortoise Plastron Heart (250g, scrape white fat, roast), Hei Yuan Shen/Scrophularia Ningpoensis Root (150g), Frost Mulberry Leaf (50g), Wine-steamed Ligustrum Lucidum Fruit (150g), Fen Dan Pi/Moutan Cortex (100g).
True E Jiao/Donkey-hide Gelatin (150g, stir-fried with Clam Shell Powder until loose), Chuan Bei Mu/Fritillaria Cirrhosa Bulb (150g, remove heart), Bai Guishen/Angelica Sinensis Root (100g, wine-fried), Prunella Vulgaris Spikes (100g), Trichosanthes Root (100g), Clam Shell Powder (150g, water-floated), Raw and Processed Cyperus Rotundus Rhizome (each 75g), Zhu Fu Shen/Poria with Saccharomyces (100g), Stir-fried Chu Ju/Chrysanthemum Morifolium Flower (75g), Da Bei/Fritillaria Thunbergii Bulb (150g), Broad-leaved Turmeric Tuber (100g), Small Black Soybean Coat (200g), Hang Bai Shao/Paeonia Lactiflora Root (75g, wine-fried), Stir-fried Fragrant Sour Jujube Kernel (75g).
Grind extremely fine. Use 35g Jilin Ginseng, slightly roasted, separately ground and mixed. Form pills with Bamboo Sap, size of mung beans. Take 10g every morning and 10g in afternoon when half-hungry, delivered with boiled water.
Li (Left) Usually expectorates grey-black thick phlegm, gradually leading to hemoptysis. Repeatedly administered clearing/nourishing upper/middle jiao to calm floating heat, then added acrid-warm, and bleeding stopped. Now all stable, black phlegm rarely seen. Pulse deep and fine, right Cun and Guan slippery and large. Indeed damp-phlegm excess internal, cold-water Qi forcing heat upward, damaging Lung and Stomach collaterals. Otherwise, how could blood disease be treated with acrid-warm? And why would acrid-warm be effective? Since medicine worked before, method should be followed.
Sheng Di Tan/Rehmannia Glutinosa Root Charcoal (150g), Xi Lu Dangshen/Pseudoginseng Root (150g), Poria (150g), Stir-fried Chinese Yam (150g), Stir-fried Atractylodes Macrocephala Rhizome (50g), Niu Xi Tan/Achyranthes Bidentata Root Charcoal (100g).
Chuan Bei Mu/Fritillaria Cirrhosa Bulb (50g), Qian Cao Tan/Rubia Cordifolia Root Charcoal (50g), Sweet Apricot Kernel Frost (100g), Perilla Seed Frost (100g), Clam Shell Powder (150g, water-floated), Roasted Ginger (30g).
Tangerine Red (50g), Honeysuckle Stem (Lonicera Japonica Caulis - likely referring to a specific part or typo for Hanliancao/Eclipta, text says Hanliancao) (75g), Honey-fried Aster Tataricus Root (50g), Top Agarwood (15g, avoid fire, separately ground and mixed).
Ground into fine powder, pills formed with Lotus Root Decoction.
Pan (Left) Phlegm abundant, thick and sticky, even pinkish. Throat pain. Repeatedly administered clearing/transforming, phlegm became thinner, pink receded. Phlegm is sticky/turbid, only occurring with excess dampness and fluid stagnation. Subsequently advancing Yin-nourishing agents, diet normal. Shows damp transforms then phlegm消, Qi moves then damp transforms. Yin deficiency cannot transform Qi; Qi not moving damp, phlegm generates internally. Mr. Zhang Jiebin said Prepared Rehmannia is the holy medicine for resolving phlegm, this is what he meant. Otherwise, after clearing/transforming, following with Yin-nourishing, one of the two would fail. Now peaceful, should maintain Yin-nourishing and Qi-transforming method.
Processed Western Ginseng (75g, stir-fried), Clam Shell Powder (75g, water-floated), Platycodon Grandiflorus Root (25g), Floating Stone (75g), Stir-fried Yellow Chuan Bei Mu/Fritillaria Cirrhosa Bulb (60g), Winter Melon Seed (100g).
Broad-leaved Turmeric Tuber (50g), Salt-water stir-fried Tangerine Peel (50g), Raw Coix Seed (100g), Sweet Almond Paste (100g), Sheng Di Tan/Rehmannia Glutinosa Root Charcoal (150g).
Lily Bulb Heart (100g), Chinese Yam (150g), Poria (150g), Fa Banxia/Processed Pinellia Ternata (75g), Fu Ze Xie/Alisma Rhizome (75g).
Grind fine. Dissolve 75g Er Quan Jiao (Gelatin) in water to make paste for pills. Take 10g each time, gradually increase to 15g.
Dou (Left) Shaoyin Meridian connects to tongue base, follows throat. Throat has "Stone Swan" (likely referring to tonsillar stones or severe inflammation), occasional fever. Hand Shaoyin Heart is Fire; Foot Shaoyin Kidney is Water. Only when Fire flourishes does Water deplete further; only when Water depletes does Fire flourish further. They cause each other. Youthful innocence not sufficient, symptoms as described. Doubtless Yang excess, Yin deficiency. Tonify deficiency, drain excess, unchangeable principle.
Da Sheng Di/Rehmannia Glutinosa Root (100g, roasted), Da You [Missing Character, likely Rou Cong Rong/Cistanche or similar] (Roasted 100g), Hang Bai Shao/Paeonia Lactiflora Root (75g, stir-fried), Roasted Turtle Plastron (150g), Da Shu Di/Prepared Rehmannia Root (100g, roasted), Chuan Huang Bo/Phellodendron Amurense Bark (70g, salt-water stir-fried), Xi Lu Dang Shen/Pseudoginseng Root (75g, Yuan Mi/Rice stir-fried), Tortoise Plastron Heart (200g, roasted), Raw Chinese Yam (75g), Da Mai Dong/Ophiopogon Japonicus Root (50g, stir-fried), Processed Polygonum Multiflorum Root (100g, sliced), Fen Dan Pi/Moutan Cortex (50g), Small Black Soybean Coat (75g), Processed Western Ginseng (75g, stir-fried), Fu Ze Xie/Alisma Rhizome (50g), Fu Shen/Poria with Hosta Root (50g), Ligustrum Lucidum Fruit (75g, wine-fried), Dragon Bone (50g, water-floated).
Grind fine, honey pills. Delivered with light salt water.
Zhang (Left) Stomach pain long-standing, once vomited saliva congealed with stasis. Stomach is Yangming, Yangming is land of abundant Qi and Blood. Retained fluid obstruction, pain implies blockage. Extreme formless Qi stagnation causes formed Blood to also obstruct, congealing into stasis. Accumulation extreme breaks through, breaking through means flow, flow means no pain. Concern is: although Stomach mansion flows, past stagnation in collaterals surely not fully resolved. This is trickle stream, spark fire. Now using pill medicine to warm/unblock Stomach Yang and cultivate Spleen Earth, hoping Earth Qi rotates, so stagnation in collaterals secretly dissolves.
Ginseng Radicula (50g, separately ground and mixed in), Galangal Root (20g), Shang Yao Gui/Cinnamon Bark (10g, remove rough bark, separately ground and mixed in), White Cardamom Seed (15g, separately ground and mixed in).
Wild Atractylodes Macrocephala Rhizome (100g, stir-fried), Corydalis Yanhusuo Rhizome (50g, wine-fried), Poria (150g), Earth-fried Bai Shao/Paeonia Lactiflora Root (50g), Processed Cyperus Rotundus Rhizome (100g), Arca Shell (200g, vinegar-water floated), Sweet Apricot Kernel Frost (100g), Honey-fried Licorice Root (20g), Xinhui Pi/Tangerine Peel (50g), Clove Flower Bud (15g), Processed Pinellia Ternata (100g), Polyporus (75g).
Ground into fine powder, pills formed with water. Take 10g each time, delivered with Rice Soup.
Chen (Left) Right pulse slightly slippery, Left Guan pulse uniquely wiry. Wiry indicates Wind-Wood, sign of hyperactivity. Described no other ailments, only occasional vertigo. Yin deficiency Wood flourishing, Wood dry generating Wind, also causes vertigo. If Yin deficiency, how can there be no accompanying symptoms besides vertigo? Our organs are Yin, fu-organs are Yang. Zang ascends, Fu descends. Yin substance uses Yang function, called Yang within Yin. Yang substance uses Yin function, called Yin within Yang. Thus Li (Fire) hollow inside, Kan (Water) full inside. Liver is Yi Wood, Gallbladder is Jia Wood. Liver is Zang, Gallbladder is Fu. One Zang one Fu, exterior-interior correspond. With Spleen/Stomach ascend/descend together. Liver combines with Spleen to ascend, generating Heart Blood. Gallbladder combines with Stomach to descend, growing Mingmen Fire. Now right pulse slightly slippery, Stomach has damp-phlegm, Stomach lacks descending flow. Stomach descending insufficient, how can Gallbladder Qi alone descend? Thus Liver/Spleen ascending excess, Gallbladder/Stomach descending insufficient. Excess and insufficiency are beginnings of bias. Yang biased upward, causing vertigo/dizziness, quite appropriate. If strengthening Water to nourish Liver Wood and subdue Yang Qi, only for Yin deficiency Yang hyperactivity, having Yin to control Yang effect. If Gallbladder/Stomach descending little, receiving Yin-softening items, Stomach mansion becomes more blocked, Gallbladder harder to descend, thus Liver rises higher. To calm Liver, must descend Gallbladder. To descend Gallbladder, must descend Stomach. Narrow view, unsure if appropriate.
Processed Pinellia Ternata (150g), Tangerine Peel (75g), Fen Dan Pi/Moutan Cortex (50g), Immature Bitter Orange (75g), Poria (200g), Chu Ju Hua/Chrysanthemum Morifolium Flower (75g), Clam Shell Powder (200g, floated), Hei Shan Zhi/Gardenia Fruit (75g), Dou Yi/Soybean Coat (150g), Mulberry Leaf (75g).
Dry herbs, avoid fire. Grind fine. Use 200g Water Bamboo Sheath (Zhu Ru) decoction to form pills. Take 7.5g every morning and 10g in afternoon when half-hungry.
Wu (Left) Suddenly fainted (Jue), afterwards intermittent symptoms, eating again causes bloating/discomfort, pulse wiry-slippery. This is Phlegm-Qi internal stagnation, Jia Wood floating upward, causing temporary Yin-Yang closure, Stomach losing descending authority, Wood pathogen shaking. Should use tonifying-unblocking, combined with resolving phlegm and extinguishing Liver.
Ginseng Radicula (40g, baked, ground fine and mixed in), Processed Pinellia Ternata (75g), Processed Arisaema Cum Bile (25g), Xinhui Pi/Tangerine Peel (50g), White Silkworm (50g, stir-fried and beaten).
True Wild Atractylodes Macrocephala Rhizome (75g), Gardenia Fruit (35g, ginger juice stir-fried black), Calcinated Gastrodia Elata (50g), Charred Atractylodes Lancea Rhizome (40g), Immature Bitter Orange (50g), Shang Chun Po/Aucklandiae Root (25g), Poria (100g), Agarwood Fermented Curd (75g), Tribulus Terrestris (100g), Amomum Villosum Fruit (35g), Turmeric Tuber (35g).
Grind fine powder, pills formed with water.
Sun (Right) Stomach pain and vomiting long-standing, repeatedly treated from Liver-Stomach perspective, stops and recurs. Years, no major effect. Pulse deep-wiry. Although Liver is fierce, no endless rigid-sharp logic. Although Stomass invaded, no permanent discord logic. Due to hidden phlegm-stasis in Stomach, although attacked once and expelled, sticky-coagulated parts remain internal. Strong medicines definitely not suitable for chronic disease. Propose Weiling San method, hiding strength within mildness, to observe later.
Maoshan Cangzhu/Atractylodes Lancea Rhizome (35g, soak in rice wash overnight, take out, stir-fry with sesame seeds, sesame removed), Poria (75g), Shang Chun Po/Aucklandiae Root (25g), Raw and Processed Atractylodes Macrocephala Rhizome (each 20g), Tangerine Peel (35g), Polyporus (50g), Raw and Processed Licorice Root (each 10g), Cinnamon Bark (Guì) (20g), Alisma Rhizome (35g), White Snail Shell (25g).
Grind powder, form pills. Take 25g on empty stomach.
Chen (Left) After stroke-like illness, various ailments gradually recovering. However, past prescriptions were not Qi-Blood dual tonifying formulas. Evidence of Wind-Phlegm pathology is clear. Major trend retreated,