徐(右) 先发肝厥,既而 杂脘痛,涌涎少寐。皆木郁之极,致肝阳冲胃。刻当经行之后,带下如注,以奇
脉隶于肝,肝病则奇脉不能固摄矣。先从肝胃主治。
制香附(二钱) 炒枳壳(一钱) 潼沙苑(四钱) 左金丸(五分) 豆蔻花(五分) 朱茯神(三钱)
牡蛎(四钱) 炒白芍(一钱五分) 金铃子(一钱五分)
右 涎下略少,仍然不止, 杂易饥,足软腰酸,腹时胀满。冲气不和,冲脉不固。再摄奇脉,兼参调气。
炒松熟地 当归炭 炙艾叶 乌贼骨 茯苓 酒炒白芍 阿胶珠 公丁香 旱莲草 淮小麦
右 产后血虚不复,收藏不固,不时咳嗽。兹则寅卯之交,咳呛更甚,心 头晕腹满。脉虚弦,左尺细涩。
阳气升多降少,拟育阴封固。
南沙参(四钱) 炙生地(三钱) 川贝母(二钱) 潼沙苑(盐水炒三钱) 阿胶珠(二钱) 杭白芍(酒
炒一钱五分) 海蛤粉(三钱) 黑豆衣(三钱) 生熟草(各二分) 淮小麦(五钱)
左 不时 杂,头晕心悸,足胫带肿。此经血不足,肝阳有余,木撼中州,土德暗损。宜从肝胃主治。
朱茯神 炒枣仁 白蒺藜 土炒白芍 真珠母 五加皮 左金丸
居(右) 中州痞阻吞酸 杂。木郁土中,宜和肝胃。
金铃子 赤白芍 炒枳壳 甜广皮 左金丸 制半夏 白蒺藜 香橼皮 淮小麦
周(右) 火时上升,不寐头痛 杂,甚则脘痛。脉弦舌光。阳升不熄。拟宁神和阳。
炒枣仁(二钱研) 龙齿(三钱) 杭白芍(一钱五分酒炒) 女贞子(三钱酒蒸) 朱茯神(三钱) 珍珠母
(四钱) 夜交藤(四钱) 木瓜皮(一钱炒)
宋(女) 脘痛偏左为甚,时为 杂,脉象细弦。肝胃不和。当平肝和胃。
香附(二钱) 白芍(一钱五分土炒) 砂仁(五分) 茯神(三钱) 金铃子(一钱五分) 干橘叶(一钱五分)
炙草(五分) 炒枣仁(二钱) 大南枣(三枚) 淮小麦(五钱)
又 脘痛不止。有时 杂涌涎。肝阳冲侮胃土,致胃中阳气不旋。前法扩充之。
青皮(一钱醋炒) 制香附(二钱) 淡吴萸(三分) 白蒺藜(三钱) 炒枣仁(二钱) 白芍(二钱土炒)
川楝子(一钱五分) 延胡索(一钱五分) 炙黑草(三分) 茯神(三钱) 淮小麦(五钱) 大南枣(三枚)
许(右) 中脘作痛,两胁胀满, 杂而不能食。两关脉弦。肝胃不和。拟平肝调气和胃。
制香附(二钱) 延胡索(一钱五分) 川雅连(三分淡吴萸四分同炒) 橘皮(一钱) 炒枳壳(一钱)
川楝子(一钱五分) 白芍(一钱五分土炒) 砂仁(五分) 香橼皮(一钱)
Xu (Right side): Initially presented with Liver Jue (a condition characterized by cold extremities and altered consciousness due to Liver Qi stagnation), followed by intermittent epigastric pain, hypersalivation, and insomnia. These are all manifestations of extreme Liver Qi depression leading to Liver Yang rushing into the Stomach. Currently, it is post-menstruation, with leukorrhea flowing profusely like a stream; this is because the Eight Extraordinary Vessels are subordinate to the Liver, and Liver disease causes the extraordinary vessels to lose their securing function. Treatment should first focus on regulating the Liver and Stomach.
Prepared Cyperi Rhizoma (2 qian) Stir-fried Aurantii Fructus (1 qian) Psoraleae Fructus (4 qian) Zuojin Wan (Coptis and Evodia Pill) (0.5 fen) Cardamomi Flos (0.5 fen) Polysporum Poria Cocos (3 qian)
Ostrea Concha (4 qian) Stir-fried Paeoniae Radix Alba (1.5 qian) Meliae Semen (1.5 qian)
Patient (Right side): Saliva secretion has slightly decreased but has not stopped completely; accompanied by intermittent hunger, weak feet, sore waist, and occasional abdominal distension. The Chong Mai (Penetrating Vessel) Qi is disharmonious, and the vessel lacks security. Re-treatment focuses on securing the extraordinary vessels, combined with regulating Qi.
Stir-fried Prepared Rehmanniae Radix (with pine nuts) Carbonized Angelicae Sinensis Radix Moxi Folium (roasted) Sepiae Endoconcha Alisma Rhizoma White Paeoniae Radix Alba (wine-stir-fried) Ecliptae Herba Huai Xiaomai (Coix Seed)
Patient (Right side): Postpartum blood deficiency has not recovered, and the storing function is insecure, causing intermittent coughing. At this time, during the transition between Yin and Mao hours (5-7 AM), the coughing and wheezing are more severe, accompanied by heart vexation, dizziness, and abdominal fullness. The pulse is deficient and wiry, with the left Chi position being fine and choppy. Yang Qi rises excessively while descending insufficiently. The proposed method is to nourish Yin and seal/secure.
Southern Schisandrae Fructus (4 qian) Roasted Rehmanniae Radix (3 qian) Fritillariae Thunbergii Bulbus (2 qian) Psoraleae Fructus (stir-fried in salt water, 3 qian) Ecliptae Herba (prepared as beads, 2 qian) Hang Bai Shao (Paeoniae Radix Alba, wine-stir-fried, 1.5 qian) Arcae Concha Powder (3 qian) Glycine Max Coat (3 qian) Raw and Prepared Licorice Root (each 0.2 fen) Coix Seed (5 qian)
Patient (Left side): Intermittent symptoms, dizziness, palpitations, and swelling of the lower legs/shins. This is due to insufficient menstrual blood, excess Liver Yang, where Wood shakes the Central Earth, secretly damaging the virtue of Earth. It is appropriate to treat from the perspective of the Liver and Stomach.
Polysporum Poria Cocos Stir-fried Ziziphi Spinosae Semen Tribuli Fructus Earth-stir-fried Paeoniae Radix Alba Mother-of-Pearl Acanthopanacis Cortex Zuojin Wan (Coptis and Evodia Pill)
Ju (Right side): Epigastric blockage and acid regurgitation with intermittent discomfort. Liver Qi depression within Spleen Earth; suitable for harmonizing Liver and Stomach.
Meliae Semen Red and White Paeoniae Radices Stir-fried Aurantii Fructus Sweet Tangerine Peel Zuojin Wan (Coptis and Evodia Pill) Prepared Pinelliae Rhizoma Tribuli Fructus Citri Reticulatae Pericarpium Coix Seed
Zhou (Right side): Fire Qi rises intermittently, accompanied by insomnia, headache, and other discomforts, worsening to epigastric pain. Pulse is wiry, tongue is bare/red. Yang rises but does not subside. Proposed method: calm the spirit and harmonize Yang.
Stir-fried Ziziphi Spinosae Semen (2 qian, crushed) Dragon's Teeth (3 qian) Hang Bai Shao (Paeoniae Radix Alba, wine-stir-fried, 1.5 qian) Ligustri Lucidi Fructus (wine-steamed, 3 qian) Polysporum Poria Cocos (3 qian) Mother-of-Pearl (4 qian) Caulis Trichosanthis (4 qian) Papaveris Somniferi Pericarpium (1 qian, stir-fried)
Song (Female): Epigastric pain is more severe on the left side, with intermittent discomfort. Pulse is fine and wiry. Liver-Stomach disharmony. Should soothe the Liver and harmonize the Stomach.
Cyperi Rhizoma (2 qian) Paeoniae Radix Alba (Earth-stir-fried, 1.5 qian) Amomi Fructus (0.5 fen) Poria Cocos (3 qian) Meliae Semen (1.5 qian) Dried Tangerine Leaf (1.5 qian)
Roasted Licorice Root (0.5 fen) Stir-fried Ziziphi Spinosae Semen (2 qian) Large Southern Jujube (3 pieces) Coix Seed (5 qian)
Second visit: Epigastric pain persists. Sometimes accompanied by hypersalivation. Liver Yang rushes and insults Stomach Earth, causing Stomach Yang Qi to fail to rotate. Expand upon the previous prescription.
Green Tangerine Peel (1 qian, vinegar-stir-fried) Prepared Cyperi Rhizoma (2 qian) Mild Evodiae Fructus (0.3 fen) Tribuli Fructus (3 qian) Stir-fried Ziziphi Spinosae Semen (2 qian) Paeoniae Radix Alba (Earth-stir-fried, 2 qian)
Meliae Semen (1.5 qian) Corydalis Rhizoma (1.5 qian) Roasted Black Licorice Root (0.3 fen) Poria Cocos (3 qian) Coix Seed (5 qian) Large Southern Jujube (3 pieces)
Xu (Right side): Pain in the Zhongwan area, distension in both hypochondria, with intermittent inability to eat. Both Guan positions of the pulse are wiry. Liver-Stomach disharmony. Proposed method: soothe the Liver, regulate Qi, and harmonize the Stomach.
Prepared Cyperi Rhizoma (2 qian) Corydalis Rhizoma (1.5 qian) Sichuan Coptidis Rhizoma (0.3 fen, stir-fried with mild Evodiae Fructus 0.4 fen) Tangerine Peel (1 qian) Stir-fried Aurantii Fructus (1 qian)
Meliae Semen (1.5 qian) Paeoniae Radix Alba (Earth-stir-fried, 1.5 qian) Amomi Fructus (0.5 fen) Citri Reticulatae Pericarpium (1 qian)