（附反胃）
宋（左） 呕血之后，食入哽阻。瘀滞胃口。恐成噎膈。
延胡索（一钱五分酒炒） 五灵脂（三钱） 制香附（二钱研） 单桃仁（三钱） 炒枳壳（八分）
瓦楞子（五钱） 炒苏子（三钱研） 炒竹茹（一钱五分） 降香（一钱五分劈） 上湘军（一钱
五分好酒浸透炙枯后入）
左 食入哽阻，痰涎上涌。胃阳不运。噎膈重证，势难治也。
薤白头（三钱） 川雅连（四分） 制半夏（一钱五分） 橘皮（一钱） 白檀香（三钱） 淡干姜（
六分） 广郁金（一钱五分） 竹茹（一钱） 上沉香（三分） 公丁香（三分二味研末先调服）
沈（左） 中脘作痛，食入哽阻，去冬曾解坚黑大便。良由瘀滞胃口。势成噎膈。
延胡索（一钱五分酒炒） 薤白头（三钱） 乌药（一钱五分） 荆三棱（一钱） 瓦楞子（五钱打）
单桃仁（三钱打） 蓬术（一钱） 黑白丑（各七分） 旋复花（二钱包） 五灵脂（三钱）
左 脘痞者久，食入哽阻。涌涎气瘀交阻。噎膈重证也。
延胡索（一钱五分酒炒） 瓦楞子（一两） 制香附（二两研） 薤白头（三钱） 旋复花（二钱包）
制半夏（三钱）
五灵脂（三钱酒炒） 益智仁（一钱） 乌药（一钱五分） 生姜汁（一匙冲）
胡云台方伯 年逾花甲，阴液已亏，加以肝气不和，乘于胃土，胃中之阳气不能转旋。食入哽阻，甚则
涎沫上涌。脉两关俱弦。噎膈根源，未可与寻常并论。姑转旋胃阳，略参疏风，以清新感。
竹沥半夏（一钱五分） 炒竹茹（一钱） 川雅连（五分） 淡黄芩（一钱五分） 淡干姜（三分） 白茯苓
（三钱）
桑叶（一钱） 池菊花（一钱五分） 白蒺藜（一钱五分） 白檀香（一钱劈）
二诊 辛开苦降，噎塞稍轻然。左臂作痛，寐醒辄觉燥渴。脉细关弦，舌红苔黄心剥。人身脾为阴土，胃
为阳土，阴土喜燥，阳土喜润譬诸平人，稍一不慎，饮食噎塞，则饮汤以润之，噎塞立止，此即胃喜柔润
之明证。今高年五液皆虚，加以肝火内燃，致胃阴亏损，不能柔润，所以胃口干涩，食不得入矣。然胃既
干涩痰从何来。不知津液凝滞，悉酿为痰，痰愈多则津液愈耗。再拟条达肝木，而泄气火，泄气火即所
以保津液也。然否即请正之。
香豆豉 光杏仁 郁金 炒蒌皮 桔梗 竹茹 川雅连（干姜六分煎汁收入） 枇杷叶 黑山栀 白檀香
三诊 开展气化，流通津液，数日甚觉和平，噎塞亦退。无如津液暗枯，草木之力，不能久持，所以噎塞
既退复甚。五脏主五志，在肺为悲，在脾为忧，今无端悲感交集，亦属脏燥之征。再开展气化，兼进润养之品。
光杏仁（三钱） 广郁金（一钱五分） 黑山栀（三钱） 竹沥（七钱冲） 姜汁（少许冲） 炒蒌皮（三钱）
白茯苓（三钱） 枳壳（五分） 炒苏子（三钱） 大天冬（三钱） 池菊花（一钱） 白檀香（八分） 枇杷
叶（去毛四片）
四诊 开展气化，原所以泄气热而保津液也。数日来舌心光剥之处稍淡。然左臂仍时作痛，噎塞时
重时轻，无非津液不济，胃土不能濡润。咳嗽多痰，亦属津液蒸炼。肺络被灼，所以脏燥乃生悲感。再化
痰泄热以治其标，润养津液以治其木。
白蒺藜（三钱） 黑山栀（三钱） 光杏仁（三钱） 淮小麦（六钱） 池菊花（一钱五分） 广郁金（一钱五分）
炒蒌皮（三钱） 生甘草（三分） 大南枣（四枚劈去核） 盐水炒竹茹（一钱）
接服方 鲜生地（五钱） 天花粉（一钱五分） 大麦冬（三钱） 甜杏仁（三钱） 生怀药（三钱） 白蒺藜（三
钱） 焦秫米（二钱） 青果（三枚打） 梨汁（一两温冲）
蒋 嗜饮损伤中阳，气不施化。食入哽阻，痰涎上涌。脉滞，苔白质腻。噎膈重证，图治维艰。
代赭石（四钱） 白茯苓（三钱） 广郁金（一钱五分） 竹茹（盐水炒一钱） 旋复花（一钱） 炒苏子（
三钱） 白桔梗（八分） 枳实（八分） 左金丸（七分入煎） 竹沥（八钱姜汁三滴冲）
郭（左） 肠红痔坠日久，营液大亏。食入于胃，辄哽阻作痛。脉两关弦滑。此胃阴枯槁。噎膈重证，何易言治。
金石斛 北沙参 杭白芍 生甘草 焦秫米 白蒺藜 半夏曲 活水芦根
师云、另取小锅煮饭，饭初收水，以青皮蔗切片铺于米上，饭成，去蔗食饭。（清儒附志）
二诊 脉滑而弦。舌心作痛，食入胃中，仍觉哽痛。胃阴枯槁，未可泛视再拟金匮大半夏汤法。
台参须（另煎冲七分） 制半夏（三钱） 白蜜（二钱同煎与参汤冲和服）
此方服七剂。煎成以滚水炖，缓缓咽下。汤尽再煎二次，煎蜜用一钱五分。
三诊 脉左大于右，阴伤不复之证。食入哽阻，胃阴尤为枯槁，未可泛视。前拟金匮大半夏汤法，当无
不合，即其意而扩充之。
台参须 制半夏（与白蜜同煎与参汤和服） 左金丸（四分煎汤送下）
四诊 食入哽痛渐定，脉弦稍平，而肠红连日不止。肝火内燃，胃阴枯槁，肝胆内藏相火，肾开窍于二
阴，铜山西鸣，洛钟东应矣。
台参须（一钱） 制半夏（二钱） 白蜜（三钱同上法） 细生地（四钱） 龟甲心（五钱） 地榆炭（三钱）
炒槐花（三钱） 泽泻（一钱五分） 丹皮炭（二钱） 左金丸（四分）
孙（右） 中脘不舒，按之坚硬胀满，甚则气逆如喘。脉两关弦滑。此抑郁动肝，肝气冲入胃中，将成噎膈
重证，非旷怀不能为功。
钉赭石 炒苏子 制香附 淡吴萸 旋复花 薤白头 炒枳壳 砂仁 沉香（三分磨冲） 槟榔（二分磨冲）
殷（左） 食入之后，气辄上冲，遂即呕吐痰水。询知前曾呕吐紫黑，便有血水，痰或青色，乃自下焦肝肾
而来，胃之下口，痰瘀阻之。防膈。
制半夏 川连 单桃仁 台乌药 当归须 土炒赤芍 干姜 川桂枝 酒炒延胡索
二诊
薤白头 橘皮 制半夏 旋复花 茯苓 延胡索 枳实 代赭石 台乌药 扁鹊玉壶丸（一钱二分先服）
三诊 膈食不下，中脘有形，数日以来，呕吐紫黑瘀血，大便亦解黑物，前云瘀血阻塞胃口，于斯可信。
无如瘀虽呕出，而中脘偏左，按之仍硬，足见结滞之瘀，犹然内踞，是血膈大证也。治之之法，若瘀一日
不去，则膈一日不愈，兹以化瘀为主，以觇动静。
山甲片（一钱干漆涂炙令烟尽） 五灵脂（三钱酒炒） 瓦楞子（四钱） 延胡索（二钱） 山楂炭（三钱）
台乌药（一钱五分） 当归尾（二钱） 桃仁（二钱） 土鳖虫（五枚去头足炙）
又 湿痰瘀滞，聚于胃口，以致饮食不能入胃。前进化血行瘀，胸肋胀满。良以瘀阻不宣，行之不能，则
两相阻拒，所以转觉胀满也。血膈大证，极难图治，拟以丸药入下。
五灵脂（二钱酒炒） 川郁金（一钱五分） 西血珀（七分另研） 大黄（二钱酒炒） 土鳖虫（十六枚去头足
炙） 单桃仁（一钱五分） 生蒲黄（一钱） 延胡索（二钱） 山甲片（一钱）
上药共研细末，以韭汁糊丸如绿豆大，每服三钱。
右 朝食暮吐，物不变化。脉沉细，苔白质腻。中阳不旋，反胃重证也。
制半夏 淡吴萸 公丁香 橘皮 竹茹（姜汁炒） 云茯苓 炮黑姜 广藿香 伏龙肝（七钱煎汤代水）
[Appendix: Regurgitation]
Patient Song (Left side record) After vomiting blood, food intake is obstructed with a choking sensation. This is due to blood stasis stagnating at the stomach opening. It is feared that it may develop into dysphagia (Yige).
Prescription: Yanhusuo (Corydalis Rhizome, 1.5 qian, stir-fried with wine), Wulingzhi (Trogopterus Dung, 3 qian), Zhi Xiangfu (Prepared Cyperi Rhizoma, 2 qian, ground), Dan Taoren (Single Peach Kernel, 3 qian), Chao Zhike (Stir-fried Aurantii Fructus, 0.8 fen), Walengzi (Arca Shell, 5 qian), Chao Suzi (Stir-fried Perillae Fructus, 3 qian, ground), Chao Zhuru (Stir-fried Bambusae Caulis in Succo, 1.5 fen), Jiangxiang (Daemonorops Draco, 1.5 qian, split), Shang Xiangjun (i.e., Dahuang/Rhei Radix et Rhizoma, 1.5 qian, soaked in good wine, stir-fried until dry before adding).
Left Case Food intake is obstructed with a choking sensation, phlegm-saliva surges upward. Stomach Yang fails to transport. This is a severe case of dysphagia (Yige), difficult to treat.
Prescription: Xiebaitou (Allii Macrostemonis Bulbus, 3 qian), Chuan Yalian (i.e., Huanglian/Coptidis Rhizoma, 4 fen), Zhi Banxia (Prepared Pinelliae Rhizoma, 1.5 qian), Jupi (Citri Reticulatae Pericarpium, 1 qian), Baitanxiang (Santalum Album Lignum, 3 qian), Dan Ganjiang (Dried Ginger, 6 fen), Guang Yujin (Curcumae Radix, 1.5 qian), Zhuru (Bambusaes Caulis in Succo, 1 qian), Shang Chenxiang (Aquilariae Lignum Resinatum, 3 fen), Gong Dingxiang (Eugeniae Caryophyllatus Flos, 3 fen; the latter two are ground into powder and taken first mixed with water).
Patient Shen (Left side record) Pain in the Zhongwan area, food intake is obstructed with a choking sensation. Last winter, hard black stools were passed. This is mainly due to blood stasis stagnating at the stomach opening, likely forming dysphagia (Yige).
Prescription: Yanhusuo (Corydalis Rhizome, 1.5 qian, wine-fried), Xiebaitou (Allii Macrostemonis Bulbus, 3 qian), Wuyao (Linderae Radix, 1.5 qian), Jing Sanleng (Sparganii Rhizoma, 1 qian), Walengzi (Arca Shell, 5 qian, crushed), Dan Taoren (Single Peach Kernel, 3 qian, crushed), Pengzhu (i.e., Ezhu/Zedoariae Rhizoma, 1 qian), Heibai Chou (i.e., Qian Niu Zi/Pharbitidis Semen, each 7 fen), Xuanfuhua (Inulae Flos, 2 qian, wrapped), Wulingzhi (Trogopterus Dung, 3 qian).
Left Case Chronic epigastric fullness, food intake is obstructed with a choking sensation. Surging saliva and Qi-stagnation block each other. This is a severe case of dysphagia (Yige).
Prescription: Yanhusuo (Corydalis Rhizome, 1.5 qian, wine-fried), Walengzi (Arca Shell, 1 liang), Zhi Xiangfu (Prepared Cyperi Rhizoma, 2 liang, ground), Xiebaitou (Allii Macrostemonis Bulbus, 3 qian), Xuanfuhua (Inulae Flos, 2 qian, wrapped), Zhi Banxia (Prepared Pinelliae Rhizoma, 3 qian), Wulingzhi (Trogopterus Dung, 3 qian, wine-fried), Yizhiren (Alpiniae Oxyphyllae Fructus, 1 qian), Wuyao (Linderae Radix, 1.5 qian), Shengjiangzhi (Fresh Ginger Juice, 1 spoon, taken by mixing).
Fangbo Hu Yuntai Over sixty years old, Yin fluids are already deficient. Added to this is disharmonious Liver Qi invading Spleen/Stomach Earth, causing the Yang Qi in the Stomach to fail to rotate and circulate. Food intake is obstructed with a choking sensation, and severely, saliva and foam surge upward. Both Guan pulses are wiry. The root cause of dysphagia (Yige) cannot be discussed alongside ordinary diseases. Temporarily rotate Stomach Yang, slightly incorporating wind-dispersing methods to clear new external pathogens.
Prescription: Zhuli Banxia (Pinelliae Rhizoma processed with Bamboo Sap, 1.5 qian), Chao Zhuru (Stir-fried Bambusaes Caulis in Succo, 1 qian), Chuan Yalian (i.e., Huanglian/Coptidis Rhizoma, 5 fen), Dan Huangqin (Scutellariae Radix, 1.5 qian), Dan Ganjiang (Dried Ginger, 3 fen), Bai Fuling (Poria, 3 qian), Sangye (Mori Folium, 1 qian), Chi Juhua (Chrysanthemi Flos, 1.5 qian), Bai Jili (Tribuli Fructus, 1.5 qian), Baitanxiang (Santalum Album Lignum, 1 qian, split).
Second Visit Using acrid-opening and bitter-descending methods, the obstruction has slightly relieved. However, the left arm aches, and upon waking, there is a sensation of dryness and thirst. The pulse is fine with a wiry Guan position; the tongue is red with yellow coating and peeled center. The human body's Spleen is Yin Earth, and Stomach is Yang Earth. Yin Earth prefers dryness, while Yang Earth prefers moisture. For example, when a healthy person experiences slight dietary obstruction, drinking soup moistens it, and the obstruction stops immediately. This is clear evidence that the Stomach favors softness and moisture. Now, at an advanced age, the Five Fluids are all deficient, compounded by internal burning of Liver Fire, leading to Stomach Yin deficiency and inability to soften and moisten. Thus, the stomach opening is dry and astringent, preventing food entry. However, if the Stomach is dry and astringent, where does the Phlegm come from? It is unknown that stagnant Jin-Ye (Body Fluids) all transform into Phlegm; the more Phlegm, the more Jin-Ye is consumed. Next, plan to soothe the Liver Wood and drain Qi-Fire; draining Qi-Fire is precisely how to preserve Jin-Ye. Whether this is correct, please correct me.
Prescription: Xiang Douchi (Fermented Soybean, Guang Xingren (Apricot Seed), Yujin (Curcumae Radix), Chao Loupi (Stir-fried Trichosanthis Pericarpium), Jiegeng (Platycodonis Radix), Zhuru (Bambusaes Caulis in Succo), Chuan Yalian (i.e., Huanglian/Coptidis Rhizoma, received into decoction using juice from Ganjiang/Dried Ginger 6 fen), Pipaye (Loquat Leaf), Hei Shanzhi (Gardeniae Fructus), Baitanxiang (Santalum Album Lignum).
Third Visit Promoting Qi transformation and circulating Jin-Ye, for several days the condition felt very peaceful, and obstruction receded. Unfortunately, Jin-Ye secretly withered away; the power of herbs cannot last long, so obstruction receded but then worsened. The Five Zang organs govern the Five Emotions: in Lung it is Grief, in Spleen it is Worry. Now, inexplicable grief and worry intersect, which is also a sign of Zang Dryness. Again promote Qi transformation, simultaneously advancing moistening and nourishing agents.
Prescription: Guang Xingren (Apricot Seed, 3 qian), Guang Yujin (Curcumae Radix, 1.5 qian), Hei Shanzhi (Gardeniae Fructus, 3 qian), Zhuli (Bamboo Sap, 7 qian, taken by mixing), Jiangzhi (Ginger Juice, a little, taken by mixing), Chao Loupi (Stir-fried Trichosanthis Pericarpium, 3 qian), Bai Fuling (Poria, 3 qian), Zhike (Aurantii Fructus, 5 fen), Chao Suzi (Stir-fried Perillae Fructus, 3 qian), Da Tiandong (Asparagi Radix, 3 qian), Chi Juhua (Chrysanthemi Flos, 1 qian), Baitanxiang (Santalum Album Lignum, 8 fen), Pipaye (Loquat Leaf, de-haired, four leaves).
Fourth Visit Promoting Qi transformation was originally intended to drain Qi-Heat and preserve Jin-Ye. For several days, the peeled area on the tongue center has become slightly paler. However, the left arm still occasionally aches, and obstruction fluctuates in severity. This is nothing but Jin-Ye failing to assist, and Stomach Earth failing to moisten. Coughing with much phlegm also belongs to the steaming and refining of Jin-Ye. The Lung collaterals are scorched, thus Zang Dryness generates grief. Again resolve Phlegm and drain Heat to treat the branch, moisten and nourish Jin-Ye to treat the root.
Prescription: Bai Jili (Tribuli Fructus, 3 qian), Hei Shanzhi (Gardeniae Fructus, 3 qian), Guang Xingren (Apricot Seed, 3 qian), Huai Xiaomai (Tritici Fructus, 6 qian), Chi Juhua (Chrysanthemi Flos, 1.5 qian), Guang Yujin (Curcumae Radix, 1.5 qian), Chao Loupi (Stir-fried Trichosanthis Pericarpium, 3 qian), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Da Nanzao (Jujubae Fructus, four pieces, split and pitted), Yanshui Chao Zhuru (Salt-water stir-fried Bambusaes Caulis in Succo, 1 qian).
Follow-up Prescription: Xian Shengdi (Rehmanniae Radix Recens, 5 qian), Tianhuafen (Trichosanthis Radix, 1.5 qian), Da Maidong (Ophiopogonis Radix, 3 qian), Tian Xingren (Sweet Apricot Seed, 3 qian), Sheng Huaiyao (i.e., Dioscoreae Rhizoma, 3 qian), Bai Jili (Tribuli Fructus, 3 qian), Jiao Shimii (i.e., Sorghi Fructus, 2 qian), Qingguo (Canarii Fructus, three pieces, crushed), Lizhi (Pyrus Sinkiangensis Juice, 1 liang, taken warm by mixing).
Patient Jiang Long-term alcohol consumption damaged Middle Yang, Qi fails to function and transform. Food intake is obstructed with a choking sensation, phlegm-saliva surges upward. Pulse is sluggish, coating white and substance greasy. This is a severe case of dysphagia (Yige), treatment is arduous.
Prescription: Daizhe Shi (Hematitum, 4 qian), Bai Fuling (Poria, 3 qian), Guang Yujin (Curcumae Radix, 1.5 qian), Zhuru (Bambusaes Caulis in Succo, salt-water stir-fried, 1 qian), Xuanfuhua (Inulae Flos, 1 qian), Chao Suzi (Stir-fried Perillae Fructus, 3 qian), Bai Jiegeng (Platycodonis Radix, 8 fen), Zhishi (Aurantii Fructus Immaturus, 8 fen), Zuojin Wan (Left Metal Pill, 7 fen, added to decoction), Zhuli (Bamboo Sap, 8 qian, mixed with 3 drops of Jiangzhi/Ginger Juice).
Patient Guo (Left side record) Long-standing intestinal bleeding (Changhong) and hemorrhoidal prolapse, Ying (Nutritive) fluids greatly depleted. When food enters the Stomach, it chokes and causes pain. Both Guan pulses are wiry and slippery. This is Stomach Yin withering and drying up. Severe dysphagia (Yige), how can one easily speak of treatment.
Prescription: Jin Shihu (Dendrobii Caulis), Beishashen (Glehniae Radix), Hang Baishao (Paeoniae Radix Alba), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Jiao Shimii (i.e., Sorghi Fructus, stir-fried), Bai Jili (Tribuli Fructus), Banxia Qu (Pinelliae Fermentum), Huoshui Lugeng (Fresh Reeds Rhizome).
Master's Note: Take a small pot separately to cook rice. When the rice is nearly cooked and water absorbed, place slices of green-skinned sugarcane on top of the rice. Once cooked, remove the sugarcane and eat the rice. (Recorded by a Qing Dynasty scholar).
Second Visit Pulse is slippery and wiry. Pain in the tongue center. When food enters the Stomach, it still feels choking and painful. Stomach Yin is withering and drying up, cannot be viewed lightly. Again plan the method of Banxia Tang from Jin Gui Yao Lue.
Prescription: Taishenxu (Ginseng Radix Filament, separately decocted, 7 fen taken by mixing), Zhi Banxia (Prepared Pinelliae Rhizoma, 3 qian), Bai Mi (White Honey, 2 qian, decocted together, taken mixed with Ginseng decoction).
Take this prescription for seven doses. After decoction, stew in boiling water and swallow slowly. Finish the decoction, then decoct twice more. For the second decoction, use 1.5 qian of honey.
Third Visit Pulse is larger on the left than the right, a sign of Yin injury not recovering. Food intake is obstructed with a choking sensation, Stomach Yin is especially withering and drying up, cannot be viewed lightly. The previously planned Banxia Tang from Jin Gui Yao Lue should be appropriate. Expand upon its intent.
Prescription: Taishenxu (Ginseng Radix Filament), Zhi Banxia (Prepared Pinelliae Rhizoma, decocted with White Honey, taken mixed with Ginseng decoction), Zuojin Wan (Left Metal Pill, 4 fen, taken with decoction).
Fourth Visit Choking and pain upon eating have gradually stabilized, the wiry pulse has slightly flattened, but intestinal bleeding (Changhong) continues for days. Liver Fire burns internally, Stomach Yin is withering and drying up. The Liver and Gallbladder house Ministerial Fire internally; the Kidney opens into the two yin orifices. As copper rings eastward when sounding westward, bells in Lu ring when struck in Xi (metaphor for mutual resonance).
Prescription: Taishenxu (Ginseng Radix Filament, 1 qian), Zhi Banxia (Prepared Pinelliae Rhizoma, 2 qian), Bai Mi (White Honey, 3 qian, same method), Xi Shengdi (Rehmanniae Radix, 4 qian), Guijiaxin (Testudinis Carapax et Plastrum Heart, 5 qian), Diyu Tan (Sanguisorbae Radix Charred, 3 qian), Chao Huaihua (Sophorae Flos Stir-fried, 3 qian), Zexie (Alismatis Rhizoma, 1.5 qian), Danpi Tan (Moutan Cortex Charred, 2 qian), Zuojin Wan (Left Metal Pill, 4 fen).
Patient Sun (Right side record) Discomfort in Zhongwan, pressing feels hard and distended, severely Qi rebels like panting. Both Guan pulses are wiry and slippery. This is depression stirring Liver Qi, Liver Qi rushing into the Stomach, about to form a severe case of dysphagia (Yige). Only an open mind can achieve efficacy.
Prescription: Ding Daizhe Shi (Nailed Hematitum), Chao Suzi (Stir-fried Perillae Fructus), Zhi Xiangfu (Prepared Cyperi Rhizoma), Dan Wuzhuyu (Evodiae Fructus), Xuanfuhua (Inulae Flos), Xiebaitou (Allii Macrostemonis Bulbus), Chao Zhike (Stir-fried Aurantii Fructus), Sharen (Amomi Fructus), Chenxiang (Aquilariae Lignum Resinatum, 3 fen, ground and taken by mixing), Binglang (Arecae Semen, 2 fen, ground and taken by mixing).
Patient Yin (Left side record) After eating, Qi rushes upward, followed immediately by vomiting phlegm-water. Inquired that previously purple-black vomitus occurred, containing blood-water, phlegm sometimes green. This comes from the Lower Jiao Liver and Kidney. The lower outlet of the Stomach is blocked by phlegm and stasis. Prevent progression to Ge (Obstruction).
Prescription: Zhi Banxia (Prepared Pinelliae Rhizoma), Chuan Lian (i.e., Huanglian/Coptidis Rhizoma), Dan Taoren (Single Peach Kernel), Tai Wuyao (Linderae Radix), Danggui Xu (Angelicae Sinensis Radix Filament), Tu Chao Chishao (Earth-stir-fried Paeoniae Radix Rubra), Ganjiang (Dried Ginger), Chuan Guizhi (Cinnamomi Ramulus), Jiuchao Yanhusuo (Wine-stir-fried Corydalis Rhizoma).
Second Visit
Prescription: Xiebaitou (Allii Macrostemonis Bulbus), Jupi (Citri Reticulatae Pericarpium), Zhi Banxia (Prepared Pinelliae Rhizoma), Xuanfuhua (Inulae Flos), Fuling (Poria), Yanhusuo (Corydalis Rhizoma), Zhishi (Aurantii Fructus Immaturus), Daizhe Shi (Hematitum), Tai Wuyao (Linderae Radix), Bianque Yuhu Wan (Bianque Jade Pot Pill, 1.2 qian, taken first).
Third Visit Obstructed food cannot go down,有形 (solid mass) in Zhongwan. For several days, vomiting purple-black blood stasis, stool also passes black matter. Previously stated blood stasis blocks the stomach opening, now credible. Unfortunately, although stasis is vomited out, pressing the left side of Zhongwan remains hard. This shows the knotted and stagnant stasis still occupies internally. This is a major syndrome of Blood Ge (Blood Obstruction). The treatment method: if stasis is not removed for one day, Ge will not heal for one day. Now focus on resolving stasis to observe movement and stillness.
Prescription: Shanjiapian (Manis Squama, 1 qian, coated with Ganqi/Dry Lac, roasted until smoke ceases), Wulingzhi (Trogopterus Dung, 3 qian, wine-fried), Walengzi (Arca Shell, 4 qian), Yanhusuo (Corydalis Rhizome, 2 qian), Shanzha Tan (Crataegi Fructus Charred, 3 qian), Tai Wuyao (Linderae Radix, 1.5 qian), Danggui Wei (Angelicae Sinensis Radix Tail, 2 qian), Taoren (Pruni Semen, 2 qian), Tubiechong (Eupolyphaga Steleophaga, five pieces, head and feet removed, roasted).
Another Prescription: Damp-phlegm and blood stasis accumulate at the stomach opening, causing food and drink unable to enter the Stomach. Previous prescriptions promoted blood transformation and stasis resolution, resulting in chest and hypochondriac fullness. This is because stasis obstruction is not unblocked; moving it fails, so they mutually resist, hence feeling fuller. Blood Ge major syndrome is extremely difficult to treat. Plan to use pill medicine to descend.
Prescription: Wulingzhi (Trogopterus Dung, 2 qian, wine-fried), Chuan Yujin (Curcumae Radix, 1.5 qian), Xi Xuepo (i.e., Hupo/Amber, 7 fen, separately ground), Dahuang (Rhei Radix et Rhizoma, 2 qian, wine-fried), Tubiechong (Eupolyphaga Steleophaga, sixteen pieces, head and feet removed, roasted), Dan Taoren (Single Peach Kernel, 1.5 qian), Sheng Puhuang (Typhae Pollen Raw, 1 qian), Yanhusuo (Corydalis Rhizome, 2 qian), Shanjiapian (Manis Squama, 1 qian).
Grind the above medicines into fine powder. Use Jiuzhi (Chinese Leek Juice) as paste to make pills the size of mung beans. Take 3 qian per dose.
Right Case Morning food, evening vomit, food undigested. Pulse deep and fine, coating white and substance greasy. Middle Yang fails to rotate, severe case of Fanwei (Regurgitation).
Prescription: Zhi Banxia (Prepared Pinelliae Rhizoma), Dan Wuzhuyu (Evodiae Fructus), Gong Dingxiang (Eugeniae Caryophyllatus Flos), Jupi (Citri Reticulatae Pericarpium), Zhuru (Bambusaes Caulis in Succo, stir-fried with Ginger Juice), Yun Fuling (Poria), Paohēi Jiang (Charred Black Ginger), Guang Huoxiang (Agastaches Herba), Fulonggan (Dragon's House Earth, 7 qian, decocted to replace water).