惟络隧不能流利，什一之病，断无即为更章之理，略参顾本可耳。
人参须（一两） 制半夏（二两） 白僵蚕（一两） 防风（八钱） 杭白芍（一两五钱） 东洋参（五钱炒）
制南星（六钱） 左秦艽（一两五钱） 炒野于术（二两三钱） 木防己（一两） 煨天麻（一两二钱） 炙绵 （三
两） 广橘红（八钱） 独活（一两） 川桂枝（四钱） 云茯苓（二两） 桑寄生（二两） 蜜炙麻黄（三钱）
上研细末，用姜汁一分竹沥九分泛丸，每晨服三钱，渐加至四钱，下午亦服二三钱。
丁（右） 经事愆期，虚寒为多。然虚则肢体必形软弱，或微微身热，寒则腹中痛，脉必沉细。今经来日迟，
诸若平人，惟四肢作酸，脉象濡滑。此痰湿占于血海，营卫之气不克宣通。宜理气化痰祛湿，不治血而
治其所以病血者。
炒全当归（二两） 左秦艽（一两五钱） 制半夏（三两） 白蒺藜（去刺炒一两） 抚川芎（一两三钱）
云茯苓（四两）
川断肉（一两五钱） 杭白芍（酒炒一两五钱） 制香附（三两） 蕲艾叶（三钱） 橘白（一两五钱） 独活
（一两） 泽泻（一两） 焦苍术（八钱） 粉丹皮（二两）
上研细末，水泛为丸，上午半饥时服三钱，下午半饥时服二钱，橘皮汤送下。
李（右） 血得热则妄行，所以经事参前，多属于热。特热迫血行，何至腹痛。惟血虚则不固而气胜，气胜
则滞，滞则为痛矣。气为血帅，宜正其气。
香白芷（一两） 生甘草（五钱） 全当归（三两酒炒） 老苏梗（三两） 川朴（一两） 野于术（炒一两
五钱） 大腹皮（二两） 制香附（三两） 缩砂仁（六钱另研和入） 广陈皮（一两） 茯苓（四两） 川芎（
一两五钱） 广藿香（一两五钱） 广木香（五钱） 半夏曲（三钱炒） 桔梗（一两）
上研极细末，姜枣汤泛丸，每晨三钱，下午服一钱五分。
周（右） 经、常也，不失其时，其来有信，故请之经。然必冲脉通流，心脾生化，源源相济，自无阻滞之虞。今
月事每数月而来，临行并无痛胀涩少之类，惟于清晨阳旺之时，腹中微微而热。脉濡细，左关微弦。此
营血不足，虽至一月，冲脉未满，所以迟迟其来。拟调气以生血。煎方恐不耐性，而浅尝辄止，用以丸药
缓调，丸药尽再觇动静投药。
西党参（元米炒三两） 炒野于术（一两五钱） 云茯苓（二两） 川断肉（二两） 生熟甘草（各三钱） 杜红
花（七钱酒炒） 全当归（二两酒炒） 紫丹参（二两） 抚川芎（一两五钱） 女贞子（一两五钱） 大熟地（三
两砂仁拌炙） 制香附（三两） 大生地（一两姜炙） 杭白芍（一两五钱酒炒） 丹皮（一两五钱） 茺蔚子（二两）
小黑豆（一两五钱）
上研细末，水泛为丸。
宣（右） 经事愆期，腹并不痛，惟来反过多。脉小软左涩，良以气血不足，营卫流行迟钝，八脉拥护无权
拟补气益血，参以升清。
大熟地（五两炙） 抚川芎（八钱） 人参须（一两三钱另研和入） 炙绵 （三两） 全当归（三两炒） 杭白
芍（一两七钱酒炒） 西潞党参（三两） 炙升麻（七钱） 广陈皮（一两二钱） 野于术（二两）
研为细末，水泛为丸如绿豆大，晨服三钱，下午服一钱五分。
孙（右） 气行则血行，气滞则血滞，气热则血热，气寒则血寒，故曰气为血帅，调经以理气为先也。平素
经每预期，来辄过多，腹满气滞痛胀。良以气滞则壅，壅极则厥也。前人往往以正气散先正其气，兹仿此意。
上川朴（七钱） 苦桔梗（七钱） 香白芷（七钱） 广陈皮（八钱） 川断肉（二两） 白茯苓（二两三钱）
大腹皮（一两五钱酒洗炙） 白蒺藜（二两鸡子黄拌炒去刺） 野于术（二两三钱枳实五钱煎汤收入）
广藿香（二两二钱） 半夏曲（炒一两五钱） 炒枣仁（一两五钱） 浓杜仲（二两） 老苏梗（二两） 生熟
甘草（各一钱五分） 制香附（三两） 全当归（三两炒）
上药研末，姜枣汤泛丸。
徐（左） 色白者多气虚，苍瘦者多血虚。至于体既丰伟，色复华泽，述其病则曰头晕而刺痛也，鼻塞也，
鼻渊也，颔下结核也，飘飘乎其若虚也，何哉。盖人身之阴阳，如权衡之不可偏胜。由湿生痰，由痰生火，
阳太旺矣。阳旺则升多而头痛作，痰阻清窍而鼻塞作，浊火熏蒸而鼻渊作，火袭经络而结核作。阳形
其有余，故阴形其不足，非真有所不足也。惟有削其有余，以就其不足而已。不然，与色白色苍之说，岂
非大谬乎哉。维知者能识之耳。
制半夏（三两） 山栀仁（三两炒黑） 夏枯草（一两五钱） 白蒺藜（去刺炒二两） 栝蒌仁（压去油四两）
陈胆星（八钱） 淡黄芩（一两五钱酒炒） 广橘红（一两） 桑叶（一两五钱） 泽泻（二两） 苦杏泥（三
两） 煨天麻（二两） 甘菊花（一两五钱） 云茯苓（三两） 大有黄 （四两重盐水浸透炙） 枳实（二两）
郁金（一两五钱） 炒白僵蚕（二两）
上药研为细末，用松萝茶三两鲜枇杷叶四两去毛绢包一同煎汤，去渣，将汤略略收浓，再用鲜首
乌八两打绞汁，与前汤相合，拌药为丸如桐子大，每食后隔时许用开水服二钱，晚上弗服，禁食动
火生湿之物。
裘（右） 头痛起于新产。前人于头痛，都以眉骨之痛否，辨外感之有无今额作辛胀，而眉骨却不作痛，
且脉见细软，其为血虚风壅阳络，略见一斑。仿竹林子玉露散法。
人参须（一两另研和入） 川芎（二两） 桔梗（二两） 生熟草（各五钱） 赤苓（一两） 全当归
（一两八钱酒炒） 香白芷（二两） 炒玉竹（三两） 赤芍（一两五钱）
上药如法研末为丸，每食后半饥时服二钱。
沈（右） 暴厥之名甚多，总不外乎阴阳逆乱，升降失常，气道闭塞而成。稚年无七情之感，阳气渐充，阴
气不摄，风激痰升，故屡次发厥而不省人事也。
川黄柏（一两五钱盐水炒） 白芥子（三钱炒） 煨天麻（一两） 炒党参（二两） 淡干姜（五钱） 制南
星（五钱） 白蒺藜（一两五钱炒去刺） 制半夏（一两五钱） 炒于术（一两） 茯苓（一两五钱） 白僵蚕
（一两五钱） 枳实（一两） 木猪苓（三两） 磁石（七钱水飞） 郁金（一两） 牡蛎粉（一两五钱）
广橘红（一两）
上药为末，陈关蛰煎汤泛丸，每晨服二钱。
程（左） 目糊不明，并不红赤肿胀。历投药饵，凡属阴滞之剂，即觉欠适，余则如化湿祛风豁痰之品，尚
属和平。脉象沉细而糊。经云、五脏六腑之精气，皆上注于目，而为之睛。又云、瞳子黑眼法于阴。故目疾
由于阴精不足者多。然经文又云、阴阳合传而精明也。足见阴虚而阳火离散，与气滞湿郁而真火无
光，皆足为障碍之缘起。拟药如左，备质专门名家。
川椒（二两去目） 金铃子（二两） 熟附片（一两） 白蒺藜（三两） 白茯苓（四两） 巴戟肉（二两
）左秦艽（一两五钱） 大茴香（一两） 制半夏（一两五钱） 广郁金（一两五钱） 泽泻（一两五钱）
上为细末，用干山药四两酒煮打糊为丸，每服十六七丸，渐加至二十二三丸，盐汤下。
左 膈消之症，叠投清金益阴，制伏君火，大势已退。而口渴终不能全愈，苔黄心糙。良以肺热来自少
阴，而胃府浊痰，郁即生热，胃脉通心，故令君火日动不已，则必移肺。兹拟开展气化，弗令胃中有所蕴
郁，即是不治热而治热之法也。
炒香豆豉（二两） 炒半夏曲（三两） 南沙参（四两） 紫口蛤壳（二两水飞） 广郁金（一两五钱） 天
花粉（二两） 北沙参（三两） 炒黄川贝母（二两） 光杏仁（三两） 炒麦冬（二两） 粉丹皮（一两）
茯神（二两）
上药研细末，用枇杷叶膏打糊为丸，每服三四钱。
王（左） 失血往往盈盆而至，然屡经大吐，未几一切如常，若论阴亏，则火且由虚而起，何况血去之甚
多乎。今诊右关脉滑大有力，两尺俱觉敛静。其血之上冲，由于胃之湿热蒸燔，迫而使涌，不言可喻。所
以血去多而一切如常者，以阳明多气多血故也。刻下左胁时觉霍霍有声，盖胃热上蒸，则肺肝气逆。
调理之策，惟宜清降胃土，而平肺肝，勿犯实实虚虚之戒。
广郁金（二两） 泽泻（一两五钱） 木猪苓（一两五钱） 川连炭（四钱） 枳实（一两） 川贝母（一
两五钱去心） 炒黑丹皮（一两二钱） 杏仁霜（二两） 苏子霜（二两） 钉赭石（一两五钱 透研水飞）
橘白（盐水炒七钱） 生薏仁（二两） 茯苓（三两） 栝蒌仁（压去油二两） 降香屑（四钱） 牛膝炭（三两
）茜草炭（一两五钱）
上为细末，用水炒竹茹三两煎浓汤帚洒泛丸，每服二钱，每日二次。
虞（左） 曲直动摇，风之象也。因有是言，故世俗凡遇心中震荡之疾，莫不以为心血之亏，肝液之耗也。
殊不知动摇虽系风象，而仲景痰饮门中，则曰心下悸者，为有水气，足见悸荡之疾，有虚有实，全在临
症辨认之耳。脉象沉弦，面色晦黄，全无阳气有余之象。而每遇操劳，或暮夜临卧之时，心中辄悸，平素
多湿之人，正与金匮水停为悸之条符合。用药不宜呆补，温理脾胃，即是补中寓泻，泻中寓补之法也。
上党参（元米炒二两） 广陈皮（八钱） 泽泻（一两五钱） 白蒺藜（去刺炒二两） 东洋参（元米炒三
两） 淡干姜（五钱） 藿香梗（一两五钱） 川断肉（一两五钱） 酒炒杭白芍（一两五钱） 野于术（三
两） 制附子（七钱） 白蔻仁（三钱另研和入） 云茯苓（四两） 炙黑草（四钱） 生熟薏仁（各八钱）
炒沉香曲（一两） 制半夏（一两五钱） 炒牛膝（一两五钱） 浓杜仲（二两） 炒枣仁（一两五钱）
炒杞子（一两五钱）
上药为末，水泛为丸。
鲍（右） 经云、阳气者所以温分肉，充皮肤肥腠理，司开合者也。病后而四肢常欠温和，似属病伤阳气，
阳虚则分肉不温，所以肢为之厥。经又云、阳气者若天与日，失其所则折寿而不彰。足见阳气一失其
所，尚如此之可畏，何况实系阳虚，而至于四肢厥逆哉。细察脉情，濡而带滞，谓为病后湿郁，阳气不能
敷布于四末则可，谓为阳气式微，不能充达于四肢则不可。盖一由于阳气之衰竭，一由于阳气之不
治，不可不辨也。若执阳气温分肉之例为言，则与失其所折寿不彰之条刺谬矣。以意会之，自有至理
存乎其中。拟补气运湿，以宣其阳气营运之道路。
西潞党（元米炒三两） 煨天麻（一两五钱） 香白芷（一两） 光杏仁泥（三两） 川桂枝（六钱） 野于
术（二两炒）
白僵蚕（二两炒） 生熟薏米（各一两） 郁金（一两五钱） 草果仁（五钱炒） 云茯苓（三两） 新会皮（一
两） 泽泻（二两） 白蔻仁（七钱另研和入） 中川朴（六钱） 制半夏（二两） 本（八钱）
上为细末，水泛为丸。
陈（右） 经闭之症，大旨为生化不及而营血日枯，或郁滞不宣而营血以痹。则是枯竭之候，形瘦羸弱，
内热骨蒸。痹塞之症，寒热往来，咳逆腹痛。一症有一症之见端，断无闭阻数年，仍复起居如常之理。盖
经漏淋沥之后，冲任内伤，血虚生热，热复耗血，生化与所耗相抵，故月信为之不行。有所耗亦有所生，
故数载之久，起居尚能如旧。仿近贤补气益血，作日就月将之计。
西党参（四两） 全当归（二两五钱酒炒） 山茱萸（去核炒一两） 川断（二两） 生甘草（五钱） 大生地
（五两炙） 粉丹皮（二两炒） 川芎（一两二钱蜜水炒） 炙绵 （三两） 泽泻（一两五钱） 炒松麦冬（二两
）酒炒杭白芍（一两五钱） 野于术（一两五钱炒） 香附（童便制三两） 炒青蒿（一两五钱） 生山药（三两）
上为细末，水泛为丸。
张建侯 大病之后，继以失血，失血之后虚象毕集，或恶寒，或恶热，痰多喘促，痰至盈碗，而复火从上
升，动辄不寐。前以痰喘之甚。进以小青龙去麻辛，顿退十七。辛温之药，并未动血，苟非饮阻肺降，安能
若此。而痰喘甫轻，连宵不寐，此由脾胃之阳气薄弱，营液亦亏，致肝经之阳气，转觉有余。治之之法，清
之养之，必碍脾胃，温之化之，必碍营液。夫肝自左升，胆从右降，则木火自熄，然胆不能自降也，必胃降
而胆木之气方得下行。计惟有补其脾土，降其胃土，化其浊痰，俾得肺肾交通，胆木不致漂拔，似为一
以贯通之道。管窥之见，请质之明敏者，以为然否。
奎潞党（三两） 云茯苓（四两） 枳实（一两五钱） 白蒺藜（去刺炒二两） 炒玉竹（三两） 陈胆星
（八钱） 炒于术（二两） 绵 （盐水炒二两） 陈广皮（一两三钱） 制半夏（一两五钱）
上为细末，水泛为丸。
尹（右） 中脘不时作痛，月事不调，白带绵下，甚则头疼眩晕，遍身经脉抽掣，骨节作痛。肝为风木，必得
The collateral channels and tunnels cannot flow smoothly. For one-tenth of the cases, there is absolutely no rationale for immediately changing the treatment principle; it is sufficient to slightly reference protecting the root (Ben).
*Ren Shen Xu* (Ginseng Radicula, 1 liang), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 2 liang), *Bai Jiang Can* (White Silkworm, 1 liang), *Fang Feng* (Saposhnikovia Root, 8 qian), *Hang Bai Shao* (White Peony Root from Hangzhou, 1.5 liang), *Dong Yang Shen* (Korean Ginseng, 5 qian, stir-fried)
*Zhi Nan Xing* (Prepared Arisaema Rhizome, 6 qian), *Zuo Qin Jiao* (Gentiana Macrophylla Root, 1.5 liang), *Chao Ye Yu Zhu* (Stir-fried Atractylodes Rhizome, 2.3 qian), *Mu Fang Ji* (Stephania Tetrandra Stem, 1 liang), *Wei Tian Ma* (Baked Gastrodia Tuber, 1.2 liang), *Zhi Mian Huang Qi* (Honey-fried Astragalus Root, 3 liang), *Guang Ju Hong* (Broad-skin Tangerine Peel, 8 qian), *Du Huo* (Angelica Pubescens Root, 1 liang), *Chuan Gui Zhi* (Cinnamon Twig, 4 qian), *Yun Fu Ling* (Poria, 2 liang), *Sang Ji Sheng* (Taxillus Branch, 2 liang), *Mi Zhi Ma Huang* (Honey-fried Ephedra Herb, 3 qian)
Grind the above into fine powder. Use ginger juice (one part) and bamboo sap (nine parts) to pelletize. Take 3 qian every morning, gradually increasing to 4 qian. Also take 2-3 qian in the afternoon.
Patient Ding (Right pulse): Menstruation is delayed, mostly due to deficiency-cold. However, deficiency manifests as weak limbs or slight fever; cold manifests as abdominal pain with a deep, fine pulse. Currently, menstruation arrives late, other aspects are like a normal person, only the four limbs feel sour/aching, and the pulse is soggy and slippery. This indicates phlegm-dampness occupying the Sea of Blood (Xue Hai), preventing the free circulation of Ying (Nutrient) and Wei (Defensive) Qi. The appropriate method is to regulate Qi, resolve phlegm, and dispel dampness. Do not treat the blood directly, but treat the cause of the blood disorder.
*Chao Quan Dang Gui* (Stir-fried Whole Angelica Sinensis Root, 2 liang), *Zuo Qin Jiao* (Gentiana Macrophylla Root, 1.5 liang), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 3 liang), *Bai Ji Li* (Tribulus Fruit, 1 liang, thorns removed, stir-fried), *Fu Chuan Xiong* (Ligusticum Chuanxiong Rhizome, 1.3 liang)
*Yun Fu Ling* (Poria, 4 liang)
*Chuan Duan Rou* (Dipsacus Root, 1.5 liang), *Hang Bai Shao* (White Peony Root, 1.5 liang, wine-fried), *Zhi Xiang Fu* (Cyperi Rhizoma, 3 liang), *Qi Ai Ye* (Artemisia Argyi Leaf, 3 qian), *Ju Bai* (Tangerine Albedo, 1.5 liang), *Du Huo* (Angelica Pubescens Root, 1 liang), *Ze Xie* (Alisma Rhizome, 1 liang), *Jiao Cang Zhu* (Charred Atractylodes Rhizome, 8 qian), *Fen Dan Pi* (Moutan Cortex, 2 liang)
Grind the above into fine powder. Water-pelletize. Take 3 qian when half-hungry in the morning, 2 qian when half-hungry in the afternoon. Send down with tangerine peel decoction.
Patient Li (Right pulse): When blood gets hot, it acts recklessly; thus, early menstruation mostly belongs to heat. Specifically, heat forcing blood movement, how could it cause abdominal pain? Only when blood is deficient, it fails to secure, leading to Qi excess. Qi excess leads to stagnation; stagnation causes pain. Qi is the commander of blood; it is suitable to rectify the Qi.
*Xiang Bai Zhi* (Angelica Dahurica Root, 1 liang), *Sheng Gan Cao* (Raw Licorice Root, 5 qian), *Quan Dang Gui* (Whole Angelica Sinensis Root, 3 liang, wine-fried), *Lao Su Geng* (Perilla Stem, 3 liang), *Chuan Hou Po* (Magnolia Bark, 1 liang), *Ye Yu Zhu* (Atractylodes Rhizome, 1.5 liang, stir-fried), *Da Fu Pi* (Areca Peel, 2 liang), *Zhi Xiang Fu* (Cyperi Rhizoma, 3 liang), *Suo Sha Ren* (Amomum Fruit, 6 qian, separately ground and mixed in), *Guang Chen Pi* (Broad-skin Tangerine Peel, 1 liang), *Fu Ling* (Poria, 4 liang), *Chuan Xiong* (Ligusticum Chuanxiong Rhizome, 1.5 liang), *Guang Huo Xiang* (Patchouli Herb, 1.5 liang), *Guang Mu Xiang* (Costus Root, 5 qian), *Ban Xia Qu* (Pinellia Fermented Powder, 3 qian, stir-fried), *Jie Geng* (Platycodon Root, 1 liang)
Grind the above into extremely fine powder. Ginger and jujube decoction to pelletize. Take 3 qian every morning, 1.5 qian in the afternoon.
Patient Zhou (Right pulse): "Jing" (Menstruation) means regularity; arriving on time and reliably, hence called Jing. However, the Chong Mai (Penetrating Vessel) must flow freely, and the Heart and Spleen must generate and transform continuously, assisting each other, so there is no fear of obstruction. Currently, menstruation comes every few months. Upon arrival, there is no pain, distension, or scantiness. Only during the early morning when Yang Qi is vigorous, there is slight heat in the abdomen. The pulse is soggy and fine, with the Left Guan position slightly wiry. This indicates insufficient Ying Blood. Although a month has passed, the Chong Mai is not yet full, hence the delay. The plan is to regulate Qi to generate Blood. Decoctions may be hard to persist with or lead to superficial treatment; therefore, use pills for slow regulation. After finishing the pills, observe changes before adjusting medication.
*Xi Dang Shen* (Codonopsis Root, 3 liang, stir-fried with Yuan Mi/Rice), *Chao Ye Yu Zhu* (Stir-fried Atractylodes Rhizome, 1.5 liang), *Yun Fu Ling* (Poria, 2 liang), *Chuan Duan Rou* (Dipsacus Root, 2 liang), *Sheng Shu Gan Cao* (Raw and Prepared Licorice Root, 3 qian each), *Du Hong Hua* (Safflower, 7 qian, wine-fried), *Quan Dang Gui* (Whole Angelica Sinensis Root, 2 liang, wine-fried), *Zi Dan Shen* (Salvia Miltiorrhiza Root, 2 liang), *Fu Chuan Xiong* (Ligusticum Chuanxiong Rhizome, 1.5 liang), *Nv Zhen Zi* (Ligustrum Lucidum Fruit, 1.5 liang), *Da Shu Di* (Rehmannia Glutinosa Root, 3 liang, steamed with Amomum Fruit), *Zhi Xiang Fu* (Cyperi Rhizoma, 3 liang), *Da Sheng Di* (Rehmannia Glutinosa Root, 1 liang, ginger-steamed), *Hang Bai Shao* (White Peony Root, 1.5 liang, wine-fried), *Dan Pi* (Moutan Cortex, 1.5 liang), *Chong Wei Zi* (Leonurus Fruit, 2 liang), *Xiao Hei Dou* (Black Soybean, 1.5 liang)
Grind the above into fine powder. Water-pelletize.
Patient Xuan (Right pulse): Menstruation is delayed, abdomen does not hurt, but flow is excessive. Pulse is small, soft, and Left side is choppy. This is likely due to insufficient Qi and Blood, sluggish circulation of Ying and Wei Qi, and powerless control by the Eight Extraordinary Vessels. Plan: Tonify Qi and nourish Blood, combined with ascending Clear Qi.
*Da Shu Di* (Rehmannia Glutinosa Root, 5 liang, steamed), *Fu Chuan Xiong* (Ligusticum Chuanxiong Rhizome, 8 qian), *Ren Shen Xu* (Ginseng Radicula, 1.3 liang, separately ground and mixed in), *Zhi Mian Huang Qi* (Honey-fried Astragalus Root, 3 liang), *Quan Dang Gui* (Whole Angelica Sinensis Root, 3 liang, stir-fried), *Hang Bai Shao* (White Peony Root, 1.7 liang, wine-fried), *Xi Lu Dang Shen* (Codonopsis Root, 3 liang), *Zhi Sheng Ma* (Bupleurum Root, 7 qian, steamed), *Guang Chen Pi* (Broad-skin Tangerine Peel, 1.2 liang), *Ye Yu Zhu* (Atractylodes Rhizome, 2 liang)
Grind into fine powder. Water-pelletize into mung-bean-sized pills. Take 3 qian in the morning, 1.5 qian in the afternoon.
Patient Sun (Right pulse): When Qi moves, Blood moves; when Qi stagnates, Blood stagnates; when Qi is hot, Blood is hot; when Qi is cold, Blood is cold. Thus, Qi is the commander of Blood. Regulating menstruation prioritizes regulating Qi. Usually, menstruation comes early, flows heavily, with abdominal fullness, Qi stagnation, pain, and distension. This is because Qi stagnation causes congestion; extreme congestion leads to Jue (reversal/collapse). Predecessors often used Zheng Qi San first to rectify Qi. Here, we imitate this intent.
*Chuan Hou Po* (Magnolia Bark, 7 qian), *Ku Jie Geng* (Platycodon Root, 7 qian), *Xiang Bai Zhi* (Angelica Dahurica Root, 7 qian), *Guang Chen Pi* (Broad-skin Tangerine Peel, 8 qian), *Chuan Duan Rou* (Dipsacus Root, 2 liang), *Bai Fu Ling* (Poria, 2.3 qian)
*Da Fu Pi* (Areca Peel, 1.5 liang, washed with wine and steamed), *Bai Ji Li* (Tribulus Fruit, 2 liang, stir-fried with egg yolk, thorns removed), *Ye Yu Zhu* (Atractylodes Rhizome, 2.3 qian, processed with Zhi Shi decoction)
*Guang Huo Xiang* (Patchouli Herb, 2.2 qian), *Ban Xia Qu* (Pinellia Fermented Powder, 1.5 liang, stir-fried), *Chao Zao Ren* (Stir-fried Ziziphus Seed, 1.5 liang), *Nong Du Zhong* (Eucommia Bark, 2 liang), *Lao Su Geng* (Perilla Stem, 2 liang), *Sheng Shu Gan Cao* (Raw and Prepared Licorice Root, 1.5 qian each), *Zhi Xiang Fu* (Cyperi Rhizoma, 3 liang), *Quan Dang Gui* (Whole Angelica Sinensis Root, 3 liang, stir-fried)
Grind the above herbs into powder. Ginger and jujube decoction to pelletize.
Patient Xu (Left pulse): Those with white complexion often have Qi deficiency; those with lean, pale bodies often have Blood deficiency. As for this patient, who is robust and has lustrous skin, describing symptoms as dizziness with stabbing pain, nasal congestion, rhinorrhea (Bi Yuan), submandibular lymph node enlargement, and a floating sense of emptiness—why? The Yin and Yang of the human body are like a scale, neither can prevail. Dampness generates Phlegm; Phlegm generates Fire. Yang is too vigorous. Vigorous Yang rises excessively causing headache; Phlegm obstructs clear orifices causing nasal congestion; Turbid Fire steaming causes rhinorrhea; Fire attacking collaterals causes lymph node enlargement. Yang appears excessive, thus Yin appears deficient, though it is not truly deficient. One must reduce the excess to accommodate the deficiency. Otherwise, this contradicts the theory that white/pale indicates deficiency. Only those who understand can recognize this.
*Zhi Ban Xia* (Prepared Pinellia Rhizome, 3 liang), *Shan Zhi Ren* (Gardenia Seed, 3 liang, stir-fried black), *Xia Ku Cao* (Prunella Spike, 1.5 liang), *Bai Ji Li* (Tribulus Fruit, 2 liang, thorns removed, stir-fried), *Gua Lou Ren* (Trichosanthes Seed, 4 liang, pressed to remove oil)
*Chen Dan Xing* (Aged Arisaema with Bile, 8 qian), *Dan Huang Qin* (Scutellaria Root, 1.5 liang, wine-fried), *Guang Ju Hong* (Broad-skin Tangerine Peel, 1 liang), *Sang Ye* (Mulberry Leaf, 1.5 liang), *Ze Xie* (Alisma Rhizome, 2 liang), *Ku Xing Ni* (Bitter Apricot Paste, 3 liang), *Wei Tian Ma* (Baked Gastrodia Tuber, 2 liang), *Gan Ju Hua* (Chrysanthemum Flower, 1.5 liang), *Yun Fu Ling* (Poria, 3 liang), *Da You Huang* (Rhubarb Root, 4 liang, soaked in salt water and steamed), *Zhi Shi* (Immature Bitter Orange, 2 liang), *Yu Jin* (Curcuma Root, 1.5 liang), *Chao Bai Jiang Can* (Stir-fried White Silkworm, 2 liang)
Grind the above into fine powder. Simmer 3 liang Songluo Tea and 4 liang fresh Loquat Leaf (wrapped in silk, de-haired) together. Strain. Reduce the decoction slightly. Mix with juice from 8 liang fresh Polygonum Multiflorum Root. Combine with powder to form pill sizes of paulownia seeds. Take 2 qian with boiled water about an hour after meals. Do not take at night. Avoid foods that generate fire and dampness.
Patient Qiu (Right pulse): Headache started after recent childbirth. Predecessors distinguished external contraction by whether the brow bone hurt. Now the forehead feels pungent and distended, but the brow bone does not hurt. The pulse is fine and soft. This reveals Blood deficiency with Wind congestion affecting the Yang collaterals, showing just a glimpse. Imitate the method of Zhu Lin Zi's Yu Lu San.
*Ren Shen Xu* (Ginseng Radicula, 1 liang, separately ground and mixed in), *Chuan Xiong* (Ligusticum Chuanxiong Rhizome, 2 liang), *Jie Geng* (Platycodon Root, 2 liang), *Sheng Shu Cao* (Raw and Prepared Licorice Root, 5 qian each), *Chi Ling* (Red Poria, 1 liang), *Quan Dang Gui* (Whole Angelica Sinensis Root, 1.8 liang, wine-fried), *Xiang Bai Zhi* (Angelica Dahurica Root, 2 liang), *Chao Yu Zhu* (Stir-fried Polygonatum Rhizome, 3 liang), *Chi Shao* (Red Peony Root, 1.5 liang)
Grind the above into powder and pelletize according to method. Take 2 qian when half-hungry after meals.
Patient Shen (Right pulse): There are many names for sudden Jue (collapse/fainting), all essentially due to reversal of Yin and Yang, abnormal ascending/descending, and blockage of Qi channels. In youth, without emotional trauma, Yang Qi gradually fills, but Yin Qi fails to secure. Wind agitates and Phlegm rises, causing repeated fainting and loss of consciousness.
*Chuan Huang Bo* (Phellodendron Bark, 1.5 liang, salt-water fried), *Bai Jie Zi* (Mustard Seed, 3 qian, stir-fried), *Wei Tian Ma* (Baked Gastrodia Tuber, 1 liang), *Chao Dang Shen* (Stir-fried Codonopsis Root, 2 liang), *Dan Gan Jiang* (Light Dried Ginger, 5 qian), *Zhi Nan Xing* (Prepared Arisaema Rhizome, 5 qian), *Bai Ji Li* (Tribulus Fruit, 1.5 liang, stir-fried, thorns removed), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 1.5 liang), *Chao Yu Zhu* (Stir-fried Atractylodes Rhizome, 1 liang), *Fu Ling* (Poria, 1.5 liang), *Bai Jiang Can* (White Silkworm, 1.5 liang), *Zhi Shi* (Immature Bitter Orange, 1 liang), *Mu Zhu Ling* (Polyporus, 3 liang), *Ci Shi* (Magnetite, 7 qian, water-ground), *Yu Jin* (Curcuma Root, 1 liang), *Mu Li Fen* (Oyster Shell Powder, 1.5 liang), *Guang Ju Hong* (Broad-skin Tangerine Peel, 1 liang)
Grind the above into powder. Chen Guan Zhe decoction to pelletize. Take 2 qian every morning.
Patient Cheng (Left pulse): Blurred vision, not red or swollen. Previous medications, especially Yin-nourishing/stagnant ones, caused discomfort. Others like damp-resolving, wind-dispelling, and phlegm-resolving agents were mild. Pulse is deep, fine, and blurred. The Classic states: Essence and Qi of the five Zang and six Fu organs ascend to the eyes to form vision. It also states: The pupil and dark eye follow Yin. Thus, eye diseases are mostly due to insufficient Yin Essence. However, the Classic also states: Yin and Yang combine to produce clarity. This shows that Yin deficiency with scattered Yang Fire, and Qi stagnation with damp depression obscuring True Fire, both serve as causes of obstruction. Proposed formula follows, for experts to review.
*Chuan Jiao* (Sichuan Pepper, 2 liang, remove eyes), *Jin Ling Zi* (Melia Toosendan Fruit, 2 liang), *Shu Fu Pian* (Prepared Aconite Slice, 1 liang), *Bai Ji Li* (Tribulus Fruit, 3 liang), *Bai Fu Ling* (Poria, 4 liang), *Ba Ji Rou* (Morinda Root, 2 liang), *Zuo Qin Jiao* (Gentiana Macrophylla Root, 1.5 liang), *Da Hui Xiang* (Star Anise, 1 liang), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 1.5 liang), *Guang Yu Jin* (Curcuma Root, 1.5 liang), *Ze Xie* (Alisma Rhizome, 1.5 liang)
Grind into fine powder. Use 4 liang dried Chinese Yam boiled in wine to make paste for pelletizing. Take 16-17 pills initially, gradually increase to 22-23 pills. Send down with salt water.
Patient Zuo: For Ge Xiao (Diaphragmatic Wasting-Thirst), multiple treatments with Lung-clearing and Yin-nourishing herbs to suppress Ministerial Fire have reduced the major symptoms. However, thirst persists, tongue coating is yellow and rough. Likely because Lung Heat originates from Shaoyin, and turbid Phlegm in the Stomach generates heat upon stagnation. Since Stomach Meridian connects to the Heart, Ministerial Fire moves daily, transferring to the Lung. Plan: Promote Qi transformation, prevent Stomach stagnation. This is treating heat by addressing its mechanism rather than cooling directly.
*Chao Xiang Dou Chi* (Stir-fried Fermented Soybean, 2 liang), *Chao Ban Xia Qu* (Stir-fried Pinellia Fermented Powder, 3 liang), *Nan Sha Shen* (Adenophora Root, 4 liang), *Zi Kou Ge Ke* (Purple Clam Shell, 2 liang, water-ground), *Guang Yu Jin* (Curcuma Root, 1.5 liang), *Tian Hua Fen* (Trichosanthes Root, 2 liang), *Bei Sha Shen* (Glehnia Root, 3 liang), *Chao Huang Chuan Bei Mu* (Stir-fried Yellow Fritillaria Bulb, 2 liang), *Guang Xing Ren* (Apricot Seed, 3 liang), *Chao Mai Dong* (Stir-fried Ophiopogon Tuber, 2 liang), *Fen Dan Pi* (Moutan Cortex, 1 liang)
*Fu Shen* (Poria with Hostwood, 2 liang)
Grind into fine powder. Loquat leaf paste to make paste for pelletizing. Take 3-4 qian per dose.
Patient Wang (Left pulse): Hemorrhage often fills basins. Yet after massive vomiting, everything returns to normal quickly. If discussing Yin deficiency, Fire arises from deficiency; how much more so with massive blood loss? Current Right Guan pulse is slippery, large, and forceful; both Chi pulses feel restrained and quiet. The upward rush of blood is due to Steaming and Scorching of Damp-Heat in the Stomach, forcing eruption. This is self-evident. The reason blood loss is followed by normalcy is because the Yangming channel has abundant Qi and Blood. Currently, left hypochondrium sometimes sounds "huo huo." This is likely Stomach Heat steaming upward, causing rebellious Qi in Lung and Liver.
Regulation strategy: Clear and descend Stomach Earth, calm Lung and Liver. Do not violate the taboo of reinforcing Excess and tonifying Deficiency.
*Guang Yu Jin* (Curcuma Root, 2 liang), *Ze Xie* (Alisma Rhizome, 1.5 liang), *Mu Zhu Ling* (Polyporus, 1.5 liang), *Chuan Lian Tan* (Charred Coptis Rhizome, 4 qian), *Zhi Shi* (Immature Bitter Orange, 1 liang), *Chuan Bei Mu* (Fritillaria Bulb, 1.5 liang, remove heart), *Chao Hei Dan Pi* (Stir-fried Black Moutan Cortex, 1.2 liang), *Xing Ren Shuang* (Apricot Frost/Paste, 2 liang), *Su Zi Shuang* (Perilla Seed Paste, 2 liang), *Ding Zhe Shi* (Hematite, 1.5 liang, finely ground, water-ground)
*Ju Bai* (Tangerine Albedo, 7 qian, salt-water fried), *Sheng Yi Ren* (Raw Coix Seed, 2 liang), *Fu Ling* (Poria, 3 liang), *Gua Lou Ren* (Trichosanthes Seed, 2 liang, pressed to remove oil), *Jiang Xiang Xie* (Sandalwood Chips, 4 qian), *Niu Xi Tan* (Charred Achyranthes Root, 3 liang), *Qian Cao Tan* (Charred Rubia Root, 1.5 liang)
Grind into powder. Stir-fry 3 liang Bamboo Shavings in water to make thick decoction for sprinkling/pelletizing. Take 2 qian per dose, twice daily.
Patient Yu (Left pulse): Bending, straightening, shaking, and moving are images of Wind. Hence, laypeople attribute heart palpitations to Heart Blood deficiency and Liver Fluid consumption. Little do they know, although shaking is a Wind image, Zhang Zhongjing in the Phlegm-Fluid chapter states: Palpitations below the heart indicate Water Qi. This shows palpitations can be Deficient or Excess, depending on clinical differentiation. Pulse is deep and wiry; complexion is dull yellow; no signs of Yang excess. Palpitations occur with exertion or at night. This matches the Golden匮 (Jin Gui) principle of Water retention causing palpitations in damp-prone individuals. Medication should not be static tonification. Warming and regulating Spleen/Stomach is a method of tonifying within draining and draining within tonifying.
*Shang Dang Shen* (Codonopsis Root, 2 liang, stir-fried with Yuan Mi/Rice), *Guang Chen Pi* (Broad-skin Tangerine Peel, 8 qian), *Ze Xie* (Alisma Rhizome, 1.5 liang), *Bai Ji Li* (Tribulus Fruit, 2 liang, thorns removed, stir-fried), *Dong Yang Shen* (Korean Ginseng, 3 liang, stir-fried with Yuan Mi/Rice), *Dan Gan Jiang* (Light Dried Ginger, 5 qian), *Huo Xiang Geng* (Patchouli Stem, 1.5 liang), *Chuan Duan Rou* (Dipsacus Root, 1.5 liang), *Jiu Chao Hang Bai Shao* (Wine-stir-fried White Peony Root, 1.5 liang), *Ye Yu Zhu* (Atractylodes Rhizome, 3 liang), *Zhi Fu Zi* (Prepared Aconite Root, 7 qian), *Bai Kou Ren* (White Cardamom Seed, 3 qian, separately ground and mixed in), *Yun Fu Ling* (Poria, 4 liang), *Zhi Hei Cao* (Charred Licorice Root, 4 qian), *Sheng Shu Yi Ren* (Raw and Prepared Coix Seed, 8 qian each)
*Chao Chen Xiang Qu* (Stir-fried Agarwood Fermented Powder, 1 liang), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 1.5 liang), *Chao Niu Xi* (Stir-fried Achyranthes Root, 1.5 liang), *Nong Du Zhong* (Eucommia Bark, 2 liang), *Chao Zao Ren* (Stir-fried Ziziphus Seed, 1.5 liang)
*Chao Qi Zi* (Stir-fried Lycium Fruit, 1.5 liang)
Grind the above into powder. Water-pelletize.
Patient Bao (Right pulse): The Classic states: Yang Qi warms the flesh, fills the skin, plumps the interstices, and controls opening/closing. Post-illness, limbs are often cool, suggesting injury to Yang Qi. Yang deficiency fails to warm flesh, causing limb Jue (coldness). The Classic also states: Yang Qi is like Heaven and the Sun; losing its proper place shortens life. Losing its place is so fearful, let alone true Yang deficiency causing limb coldness. Examining the pulse: soggy and stagnant. It is acceptable to say post-illness damp depression prevents Yang Qi from spreading to extremities, but unacceptable to say Yang Qi is declining and failing to reach limbs. One is due to Yang exhaustion, the other to Yang non-circulation. They must be distinguished. Relying solely on "Yang warms flesh" contradicts "losing place shortens life." Understanding the intent reveals the truth. Plan: Tonify Qi and transport Dampness to open pathways for Yang Qi circulation.
*Xi Lu Dang* (Codonopsis Root, 3 liang, stir-fried with Yuan Mi/Rice), *Wei Tian Ma* (Baked Gastrodia Tuber, 1.5 liang), *Xiang Bai Zhi* (Angelica Dahurica Root, 1 liang), *Guang Xing Ren Ni* (Apricot Paste, 3 liang), *Chuan Gui Zhi* (Cinnamon Twig, 6 qian), *Ye Yu Zhu* (Atractylodes Rhizome, 2 liang, stir-fried)
*Bai Jiang Can* (White Silkworm, 2 liang, stir-fried), *Sheng Shu Yi Mi* (Raw and Prepared Coix Seed, 1 liang each), *Yu Jin* (Curcuma Root, 1.5 liang), *Cao Guo Ren* (Tsao-ko Fruit, 5 qian, stir-fried), *Yun Fu Ling* (Poria, 3 liang), *Xin Hui Pi* (New Hoi Tangerine Peel, 1 liang), *Ze Xie* (Alisma Rhizome, 2 liang), *Bai Kou Ren* (White Cardamom Seed, 7 qian, separately ground and mixed in), *Zhong Chuan Hou Po* (Magnolia Bark, 6 qian), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 2 liang), *Ben* (Ligusticum Wallichii Rhizome, 8 qian)
Grind into powder. Water-pelletize.
Patient Chen (Right pulse): Amenorrhea generally results from insufficient generation/transformation leading to daily withering of Ying Blood, or stagnation preventing free flow causing Ying Blood obstruction. Withering presents as emaciation, weakness, internal heat, and bone-steaming fever. Obstruction presents as alternating chills and fever, cough/rebellion, and abdominal pain. Each disease has its specific onset. It is impossible to have obstruction for years while living normally. After prolonged spotting, Chong and Ren vessels are internally injured. Blood deficiency generates heat; heat consumes blood. Generation balances consumption, hence menstruation stops. There is consumption and generation, so for years, daily life remains normal. Imitate modern sages' method of tonifying Qi and nourishing Blood, planning for gradual improvement.
*Xi Dang Shen* (Codonopsis Root, 4 liang), *Quan Dang Gui* (Whole Angelica Sinensis Root, 2.5 liang, wine-fried), *Shan Zhu Yu* (Cornus Fruit, 1 liang, pitted, stir-fried), *Chuan Duan* (Dipsacus Root, 2 liang), *Sheng Gan Cao* (Raw Licorice Root, 5 qian), *Da Sheng Di* (Rehmannia Glutinosa Root, 5 liang, steamed), *Fen Dan Pi* (Moutan Cortex, 2 liang, stir-fried), *Chuan Xiong* (Ligusticum Chuanxiong Rhizome, 1.2 liang, honey-water fried), *Zhi Mian Huang Qi* (Honey-fried Astragalus Root, 3 liang), *Ze Xie* (Alisma Rhizome, 1.5 liang), *Chao Song Mai Dong* (Stir-fried Ophiopogon Tuber, 2 liang), *Jiu Chao Hang Bai Shao* (Wine-stir-fried White Peony Root, 1.5 liang), *Ye Yu Zhu* (Atractylodes Rhizome, 1.5 liang, stir-fried), *Xiang Fu* (Cyperi Rhizoma, 3 liang, prepared with child's urine), *Chao Qing Hao* (Stir-fried Artemisia Annua, 1.5 liang), *Sheng Shan Yao* (Fresh Dioscorea Rhizome, 3 liang)
Grind into powder. Water-pelletize.
Zhang Jianhou: After severe illness, followed by hemorrhage, deficiency signs accumulate. Chills or fever, profuse phlegm, panting, phlegm filling bowls, Fire rising from above, frequent insomnia. Previously, severe phlegm-panting was treated with Xiao Qing Long Tang removing Ma Huang and Xin Yi, reducing symptoms by 70%. Acrid-warm herbs did not trigger bleeding. If not for fluid obstruction hindering Lung descent, how could it be so effective? But as soon as phlegm-panting lightened, continuous insomnia occurred. This is due to weak Spleen/Stomach Yang Qi and deficient Ying Fluid, causing Liver Yang to appear relatively excessive. Treatment: Clearing and nourishing will hinder Spleen/Stomach; warming and transforming will hinder Ying Fluid. Liver ascends from Left, Gallbladder descends from Right; Wood and Fire extinguish themselves. But Gallbladder cannot descend alone; it requires Stomach descent for Gallbladder Qi to go down. The only way is to tonify Spleen Earth, descend Stomach Earth, transform turbid phlegm, allowing Lung-Kidney communication, preventing Gallbladder Wood from drifting. This seems like a comprehensive approach. Humble opinion, asking for review.
*Kui Lu Dang* (Codonopsis Root, 3 liang), *Yun Fu Ling* (Poria, 4 liang), *Zhi Shi* (Immature Bitter Orange, 1.5 liang), *Bai Ji Li* (Tribulus Fruit, 2 liang, thorns removed, stir-fried), *Chao Yu Zhu* (Stir-fried Polygonatum Rhizome, 3 liang), *Chen Dan Xing* (Aged Arisaema with Bile, 8 qian), *Chao Yu Zhu* (Stir-fried Atractylodes Rhizome, 2 liang), *Mian Huang Qi* (Astragalus Root, 2 liang, salt-water fried), *Chen Guang Pi* (Aged Broad-skin Tangerine Peel, 1.3 liang), *Zhi Ban Xia* (Prepared Pinellia Rhizome, 1.5 liang)
Grind into powder. Water-pelletize.
Patient Yin (Right pulse): Zhong Wan (Middle Jiao) occasionally hurts. Menstruation irregular, leukorrhea dripping like cotton. Severe cases: headache, vertigo, whole-body meridian twitching, joint pain. Liver is Wind-Wood, must obtain...