金（右） 抑郁伤肝，肝强土弱，胃失通降。食入胀满，漾漾欲吐，腹中偏右聚形，月事不行，往来寒热。脉细
弦而数。胆为肝之外府，木旺太过，则少阳之机杼不转。宜平肝调气，参以散郁。
柴胡（五分醋炒） 白芍（一钱五分酒炒） 制香附（二钱） 白茯苓（三钱） 陈香橼皮（一钱） 当归（二钱
酒炒） 金铃子（一钱五分） 粉丹皮（二钱） 延胡（酒炒一钱五分） 炒枳壳（一钱） 干橘叶（一钱五分）
二诊 两和肝胃，参以开郁，便行稍畅。而中院气滞，胃失通降。食入胀满。开合失度，寒热往来。再和肝胃以
舒木郁。
香附（二钱） 豆蔻花（五分） 炒枳壳（一钱） 女贞子（三钱酒炒） 焦麦芽（二钱） 广皮（一钱）
佛手花（六分） 沉香曲（一钱五分炒） 当归（一钱五分酒炒） 逍遥丸（四钱分二次服）
金（左） 先自木郁土中，中脘有形作胀。脾与胃以膜相连，胃土受侮，脾土亦虚，渐致腹笥胀大，肢肿面
浮，目 带黄，如是者已经数月，兹交立冬节令，忽然下利， 不爽，脓血相杂，上则恶心呕吐，呕出亦
带黑色，四肢厥逆。脉沉如伏。肝强土弱已极，肝为藏血之海，肝经之气纵横逆扰，则肝经之血，不克归
藏有发厥之虞。金匮厥阴篇中每以苦辛酸合方，即师其法，能否应手，非敢知也。
乌梅（五分） 川雅连（五分淡吴萸七粒同炒） 白芍（三钱） 黄芩（一钱五分） 干姜（四分）
甘草（四分） 茯苓（三钱） 佛手花（四分） 干橘叶（一钱五分）
再诊 前用金匮苦辛酸法，脓血已退，便利大减，卧得安眠，胃亦略起，胀势稍得宽松。而气仍下坠，呕
痰仍黑，目畏火光，小溲红赤，舌干口燥，两手稍温，两足仍厥。脉稍起而细弦无力。阴虚木旺，气火尽越
于外，经谓热胜则肿也。虽见转机，尚未足恃。拟养肝柔肝，以平气火，气行火平，治肿治胀之道，寓乎其中矣。
陈阿胶（二钱） 炒天冬（三钱） 生甘草（七分） 当归（炒黑二钱） 泽泻（一钱五分） 生地炭（四钱）
生白芍（三钱） 云茯苓（三钱） 木瓜皮（二钱炒） 车前子（三钱） 佛手花（四分）
三诊 四肢转温，面肿大退，胀势亦减，上冲之气亦平，小溲渐畅。然便利仍然不止。昨日停药一天，今
又脓血相杂。脉象细弦。肝强土弱，营不收摄，湿热蹈暇乘隙，更复伤营。再养血和营，兼清湿热。
当归（炒黑二钱） 杭白芍（三钱甘草二分同炒） 生地炭（四钱） 车前子（二钱） 茯苓（三钱） 木瓜
皮（三钱） 大腹皮（三钱） 淡芩（一钱五分） 丹皮（炒黑二钱） 驻车丸（三钱）
酌改方 淡芩（一钱五分） 甘草（三分） 干姜（二分） 丹皮（二钱炒） 木瓜皮（一钱炒） 白头翁
（二钱） 川连（五分） 白芍（三钱与甘草同炒） 秦皮（一钱五分） 黄柏炭（三钱）
四诊 改方参用白头翁汤，脓血大为减少，便利较疏，胀松呕退，痰色转白，略能进谷。然利仍不止，两
足肿胀尤甚，有时恶心。脉象细弦。肝强土弱，湿热伤营，虽屡见转机，而于大局终无所济，不得不预告
也。再泄脾胃湿热，参以分化。
制半夏（二钱） 川雅连（六分） 淡芩（一钱五分） 广橘红（一钱） 淡干姜（三分） 猪苓（二钱）
茯苓（三钱） 滑石（三钱） 木通（八分） 生熟薏仁（各五分） 泽泻（二钱） 白头翁（三钱） 陈胆星（一钱）
左 情志久郁，肝木失疏。冲脉为肝之属，冲脉起于气街，夹脐上行，至胸中而散，以致气冲脘痞咽阻。
姑舒郁结而苦辛降开。
老川朴（一钱） 老山檀（三分磨冲） 川雅连（五分） 茯苓（三钱） 炒竹茹（一钱） 磨苏梗（四分）
郁金（一钱五分） 淡干姜（四分） 橘皮（一钱）
左 痛抱西河，肝气抑郁，腹中 痛肌热口苦舌干。急宜开展襟怀，以靖气火。
桑叶（一钱五分） 金铃子（一钱五分） 川石斛（四钱） 半夏曲（一钱五分炒） 丹皮（二钱） 蜜炙香附（一
钱五分） 大麦冬（二钱） 山栀皮（三钱炒） 枇杷叶（二钱去毛）
陈（右） 肝气抑郁不舒，左胁下又复作痛，牵引胸膈，口鼻烙热，目涩头胀。肝气不舒，肝火内亢，肝阳上
旋。平肝熄肝，兼开气郁。
郁金 金铃子 制香附 炒枳壳 丹皮 木香 延胡索 干橘叶 冬桑叶 池菊
徐（右） 情怀郁结，胸中之阳气，郁痹不舒，胸次窒塞不开，不纳不饥，耳胀头巅烙热，大便不行。脉细弦
微滑。仿胸痹例治。
光杏仁（三钱） 郁金（一钱五分） 生香附（二钱） 白茯苓（三钱） 栝蒌皮（三钱） 川贝母（一钱五分）
山栀（二钱） 鲜竹茹（一钱五分） 炒枳壳（一钱） 枇杷叶（去毛一两）
金（右） 情怀郁结，肝木失疏，以致肝阳冲侮胃土，中脘有形，不时呕吐，眩晕不寐。脉细弦，苔白质红。全
是风木干土之象。拟两和肝胃法。
金铃子（一钱五分切） 制半夏（一钱五分炒） 炒枳壳（一钱） 川雅连（五分） 白芍（一钱五分土炒） 制
香附（二钱研） 延胡（一钱五分酒炒） 代赭石（四钱） 白蒺藜（去刺炒三钱） 淡吴萸（二分与雅连同炒） 旋
覆花（二钱绢包）
转方去川连吴萸，加茯苓竹茹。
再诊 气分攻撑稍平，中脘聚形亦化，呕吐亦减，寐亦渐安，略能安谷。但胸中有时微痛，所进水谷，顷
刻作酸，眩晕带下，脉两关俱弦。肝胃欲和未和。再从厥阴阳明主治。
制半夏（一钱五分） 广皮（一钱） 青皮（四分醋炒） 白芍（一钱五分土炒） 茯苓（三钱） 制香附（二
钱研） 川楝子（一钱五分切） 白蒺藜（去刺炒三钱） 干姜（二分） 川雅连（五分） 代赭石（四钱） 炒竹茹
（一钱）
三诊 呕吐已定，攻撑亦平，渐能安谷，肝胃渐和之象也。但少腹仍觉有形攻撑，心悸眩晕，小溲之后，
辄觉酸胀。肾气已虚，不能涵养肝木。再从肝肾主治。
制半夏（一钱五分） 青陈皮（各一钱） 白归身（一钱五分酒炒） 白蒺藜（三钱） 决明（四钱） 金
铃子（一钱五分） 杭白芍（一钱五分酒炒） 阿胶珠（一钱五分） 朱茯神（三钱） 牡蛎（四钱） 炒枣仁（一
钱）
四诊 呕吐已定，而少腹攻撑，似觉有形，每至溲便，气觉酸坠，眩晕汗出。肝体渐虚。再平肝熄肝。
金铃子（一钱五分） 香附（二钱醋炒） 朱茯神（三钱） 生牡蛎（五钱） 白芍（二钱） 甘杞子
（三钱） 当归炭（二钱） 炒枣仁（二钱） 阿胶珠（二钱） 淮小麦（五钱）
毕（左） 抑郁伤肝，肝气纵横，木来克土，上吐下泻，有似痧气。如此严寒，何来痧秽，其为木土相仇，
显然可见。匝月以来，腹中有形，不时攻筑肝脏郁怒冲突之气也。此时极宜舒郁，而失于调治，以致气滞腹
满，脾土不能运旋，浊痰因而难化，遂令弥漫神机，神情呆钝。脉象沉郁，重取带弦，而尺中无力。深入险
地不能言治。勉拟化痰以通神机，木旺正虚，无暇过问矣。
制半夏（二钱） 栝蒌仁（五钱蜜汁炒研） 炒枳壳（一钱五分） 九节菖蒲（五分） 远志肉（五分）
薤白头（三钱） 陈胆星（一钱） 桔梗（一钱） 生姜汁（三茶匙） 白金丸（七分开水先送下）
改方去白金丸，加白蜜。
曹（右） 咳不甚盛，而咽中梗阻，痰出成粒。此气郁痰滞，所谓郁痰是也。
老川朴（一钱） 磨苏梗（五分） 制半夏（一钱五分） 炒姜皮（三钱） 茯苓（四钱） 光杏仁（三钱打）
香豆豉（一钱五分） 生香附（二钱打） 炒竹茹（一钱） 郁金（一钱五分） 炒枳壳（一钱） 枇杷叶（四片去毛）
再诊 痰多咳嗽如昨。痰在胸中，气火上逼，故口碎而痛。
制半夏（三钱） 甜葶苈（五分） 云茯苓（三钱） 光杏仁（三钱） 竹茹（水炒一钱） 苏子（炒研三钱）
冬瓜子（四钱） 炒枳壳（一钱） 生薏仁（四钱） 苇茎（八钱）
王（右） 营阴不足，厥气有余。腹中有形，发则嗳噫痛胀，阳气上旋，耳鸣眩晕。经事不调。气为血帅，调血
当先调气也。
全当归 朱茯神 天麻 整砂仁 上广皮 制香附 白蒺藜 枳壳 香橼皮 金铃子
张（右） 胆为甲木，肝为乙木，胃为戊土，脾为己土，五行之中，木本土之所胜，人身内景，胆附于肝叶之
内。惊动胆木，又以年迈正虚，不能制伏，遂致肝脏之气，亦随之而动。抑而下者为气，气克己土，则撑满
不和，甚至便溏欲泄。浮而上者为阳，阳犯戊土，则呕吐痰涎，甚至有气逆行至巅，为酸为胀。脉象弦滑，
按之少力，苔白质腻。此皆厥阳犯脾胃致病，胃中之浊，悉行泛动。若久缠不已，恐入衰惫之途。治之之
法，补则恐滞而气壅，平肝又恐迂阔而远于事情，惟有先降其胃府，和其中气，能得呕止安谷再商。正
之。
制半夏（二钱） 煨天麻（一钱五分） 制香附（一钱五分） 白茯苓（四钱） 新会皮（一钱） 白蒺藜
（三钱炒） 煨生姜（一钱五分） 白粳米（一合） 姜汁炒竹茹（一钱五分二味煎汤代水）
陈（右） 肝气不和，横逆入络，腹痛牵引腰际，心悸耳鸣。再平肝泄肝。
金铃子（切一钱五分） 橘红络（各一钱） 制香附（二钱打） 浓杜仲（三钱） 白芍（一钱五分） 春砂仁（
七分后入） 杞子（三钱炒） 甘菊花（一钱五分）
左 心中热辣，少腹有气上冲，至胸而散则尤甚。经云、冲脉者起于气街，并少阴之经，挟脐上行，至胸
中而散。龙相不潜，冲脉不和，良有以也。
金铃子 杭白芍 广皮 盐水炒竹茹 白茯苓 炒杏仁 木香 大补阴丸
姚（左） 禀先不足，木失涵濡，冲气逆行，上干肺脏，单声作呛，腹中有气攻冲，头巅体震。拟滋水养肝清肺。
丹皮（二钱） 阿胶珠（二钱） 生白芍（二钱） 青蛤散（三钱） 川贝母（二钱） 磁石（三钱）
白蒺藜（三钱） 炙生地（四钱） 酒炒女贞子（三钱） 枇杷叶（去毛四片）
二诊 腹中有气攻冲，则头巅体震，单声作呛。日来寒热兼作，此兼新感。先治其表，再治其本。
霜桑叶（一钱五分） 青蒿（二钱） 黛蛤散（四钱） 女贞子（三钱） 代赭石（三钱） 茯神（三钱）
丹皮（二钱） 川贝母（二钱） 炙龟甲（五钱） 枇杷叶（四片去毛）
孙（左） 血虚不复，木燥生风，经络不时抽掣，腹胀带下，冲气不平，气冲至脘，则中脘胀满。宜养血熄肝，
参以和胃。
阿胶珠 牡蛎 金铃子 桑螵蛸 砂仁 炒白芍 佛手 潼沙苑 枇杷叶
二诊 脉症相安，然中脘不时痞满，经络抽掣。脉细关弦。营血不足，肝阳冲侮胃土。再育阴熄肝，参以调气。
阿胶珠（三钱） 白归身（二钱） 香附（一钱五分蜜水炒） 茯苓神（各一钱五分） 土炒白芍（一钱五分）
半夏曲（二钱炒） 金铃子（一钱五分） 炒山药（三钱） 潼白蒺藜（盐水炒各一钱五分）
另备服方
川楝子（一钱五分） 广玉金（一钱五分） 干橘叶（一钱五分） 炒蒌皮（三钱） 延胡索（一钱）
制香附（三钱） 白蒺藜（三钱） 光杏仁（三钱） 黑山栀（一钱五分） 枇杷叶（四片去毛）
倪（右） 肝胃不和，挟痰内阻。中脘不舒，甚则呕吐痰涎。脉形弦滑，重按空虚。血虚胆火犯中。姑和中而
泄胆木。
桑叶 金石斛 制半夏 海蛤粉 炒杞子 丹皮 白蒺藜 云茯苓 钩钩 水炒竹茹
二诊 和中气，泄少阳，脉象相安。舌苔薄白，底质带红。痰多中脘不舒，迷沉欲寐，甚则呕吐，其痰更觉
胶腻。胃为水谷之海，胃受谷气，则化津化气，以调和于五脏，洒陈于六腑也。西河抱痛，则木郁生火，木
火扰中，则脘痞不舒，水谷之气，为火所炼，则不能化津化气，而反凝浊成痰，阳明遂失其通降之常，太
阴亦失其清肃之令，所以呛咳痰多，咽中干毛也。伤寒六经中惟少阴有欲寐之条，既非肾阳虚而浊
阴弥漫胸中，即是肾阴虚而真阴不能上潮于心矣，所以一则主以四逆，一则主以复脉也。姑循序进之。
金石斛（四钱） 制半夏（一钱五分） 茯苓（三钱） 广皮（一钱） 桑叶（一钱五分） 丹皮（二钱）
白蒺藜（三钱） 磨枳实（二分） 钩钩（三钱） 远志肉（五分） 炒竹茹（一钱五分） 姜汁（二匙）
张（左） 身热已退，而咽次仍然哽阻。脉象弦滑。还是痰气交滞。再为清化。
香豆豉（三钱） 枳实（一钱） 云茯苓（四钱） 白檀香（一钱五分） 炒竹茹（一钱） 光杏仁（三钱）
川朴（一钱） 制半夏（二钱） 磨苏梗（五分冲） 枇杷叶（四片）
另附噙化丸方 栝蒌（二钱） 黑山栀（三钱） 风化硝（一钱五分） 杏仁霜（三钱） 桔梗（三钱） 广玉金
（三钱）
上药六味，研细末，用淡姜汁白蜜为丸如弹子大，每服一丸，噙化细细咽下。
Jin (Right) Depression injures the Liver, causing Liver Qi to become excessive and Spleen/Stomach to weaken, leading to the Stomach losing its descending function. After eating, there is distension and fullness, a sensation of nausea and desire to vomit, a palpable mass on the right side of the abdomen, amenorrhea, and alternating chills and fever. The pulse is fine, wiry, and rapid. The Gallbladder is the exterior mansion of the Liver; when Wood Qi is excessively vigorous, the pivot mechanism of Shaoyang does not turn smoothly. It is appropriate to calm the Liver, regulate Qi, and assist in dispersing depression.
Chai Hu (Bupleuri Radix, 5 fen vinegar-fried) Bai Shao (Paeoniae Radix Alba, 1.5 qian wine-fried) Zhi Xiang Fu (Cyperi Rhizoma, processed, 2 qian) Bai Fu Ling (Poria, 3 qian) Chen Xiang Yuan Pi (Citri Reticulatae Pericarpium, aged, 1 qian) Dang Gui (Angelicae Sinensis Radix, 2 qian wine-fried) Jin Ling Zi (Meliae Semen, 1.5 qian) Fen Dan Pi (Moutan Cortex, 2 qian) Yan Hu (Corydalis Rhizoma, wine-fried, 1.5 qian) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1 qian) Gan Ju Ye (Citri Reticulatae Folium, dried, 1.5 qian)
Second visit: The Liver and Stomach have been harmonized twice, assisted by opening depression; bowel movements are slightly smoother. However, Qi stagnation persists in the epigastrium, and the Stomach has lost its descending function. Distension and fullness occur after eating. The opening and closing mechanisms are imbalanced, causing alternating chills and fever. Harmonize the Liver and Stomach again to soothe Wood depression.
Xiang Fu (Cyperi Rhizoma, 2 qian) Dou Kou Hua (Cardamomi Flore, 5 fen) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1 qian) Nv Zhen Zi (Ligustri Lucidi Fructus, 3 qian wine-fried) Jiao Mai Ya (Hordei Fructus Germinatus, charred, 2 qian) Guang Pi (Citri Reticulatae Pericarpium, 1 qian) Fo Shou Hua (Fortunellae Floris, 6 fen) Chen Xiang Qu (Aquilariae Lignum cum Resina Compositum, stir-fried, 1.5 qian) Dang Gui (Angelicae Sinensis Radix, 1.5 qian wine-fried) Xiao Yao Wan (Free and Easy Wanderer Pills, 4 qian, taken in two doses)
Jin (Left) Initially, Wood depression within Earth caused a palpable mass and distension in the epigastrium. The Spleen and Stomach are connected by membranes; when Stomach Earth is oppressed by Liver Wood, Spleen Earth also becomes deficient, gradually leading to abdominal distension and enlargement, limb edema, and a yellowish floating complexion. This condition has persisted for several months. Now, at the start of the Li Dong (Start of Winter) solar term, sudden diarrhea occurs with difficult passage, mixed with pus and blood. Upper symptoms include nausea and vomiting, with black material in the vomitus. The limbs are cold. The pulse is deep and hidden. Liver excess and Spleen deficiency have reached an extreme. The Liver is the sea of storing blood; when Qi of the Liver meridian moves wildly and disrupts, the blood of the Liver meridian cannot return to storage, posing a risk of syncope. In the Jueyin chapter of *Jin Gui Yao Lue*, bitter, sour, and pungent herbs are often combined; this method is followed here. Whether it will be effective is uncertain.
Wu Mei (Mume Fructus, 5 fen) Chuan Ya Lian (Coptidis Rhizoma, 5 fen, stir-fried with 7 Dantian Zhu Yu/Drynariae Rhizoma? No, Wu Zhu Yu/Euodiae Fructus, pale), Bai Shao (Paeoniae Radix Alba, 3 qian) Huang Qin (Scutellariae Radix, 1.5 qian) Gan Jiang (Zingiberis Rhizoma, dried, 4 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen) Fu Ling (Poria, 3 qian) Fo Shou Hua (Fortunellae Floris, 4 fen) Gan Ju Ye (Citri Reticulatae Folium, dried, 1.5 qian)
Re-visit: Previously using the bitter-sour-pungent method from *Jin Gui*, pus and blood have receded, bowel movements have decreased significantly, sleep is peaceful, stomach Qi has slightly recovered, and distension has eased somewhat. However, Qi still sinks downward, vomiting of phlegm remains black, eyes are sensitive to light, urine is red and scalding, tongue is dry, mouth is parched, hands are slightly warm, but feet remain cold. The pulse rises slightly but is fine, wiry, and powerless. Yin deficiency with Wood hyperactivity causes Qi and Fire to escape outward. The Classics state, "Excess heat causes swelling." Although there is a turning point, it is not yet reliable. Plan to nourish and soften the Liver to calm Qi and Fire. When Qi moves and Fire calms, the principles for treating swelling and distension are contained therein.
E Jiao (Asini Corii Colla, 2 qian) Chao Tian Dong (Asparagi Radix, stir-fried, 3 qian) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, 7 fen) Dang Gui (Angelicae Sinensis Radix, charred black, 2 qian) Ze Xie (Alismatis Rhizoma, 1.5 qian) Sheng Di Tan (Rehmanniae Radix Praeparata, charred, 4 qian) Sheng Bai Shao (Paeoniae Radix Alba, raw, 3 qian) Yun Fu Ling (Poria, 3 qian) Mu Gua Pi (Chaenomelis Cortex, 2 qian stir-fried) Che Qian Zi (Plantaginis Semen, 3 qian) Fo Shou Hua (Fortunellae Floris, 4 fen)
Third visit: Limbs have turned warm, facial edema has greatly subsided, distension has decreased, upward-rushing Qi has calmed, and urination has gradually smoothed. However, diarrhea continues. Stopped medication for one day yesterday; today pus and blood are mixed again. Pulse is fine and wiry. Liver excess and Spleen deficiency mean Ying (Nutrient) blood fails to contain and secure. Damp-Heat takes advantage of the weakness to invade, further injuring Ying blood. Re-nourish blood and harmonize Ying, while clearing Damp-Heat.
Dang Gui (Angelicae Sinensis Radix, charred black, 2 qian) Hang Bai Shao (Paeoniae Radix Alba, Hang variety, 3 qian stir-fried with 2 fen Gan Cao) Sheng Di Tan (Rehmanniae Radix Praeparata, charred, 4 qian) Che Qian Zi (Plantaginis Semen, 2 qian) Fu Ling (Poria, 3 qian) Mu Gua Pi (Chaenomelis Cortex, 3 qian) Da Fu Pi (Arecae Pericarpium, 3 qian) Dan Qin (Scutellariae Radix, pale, 1.5 qian) Dan Pi (Moutan Cortex, charred black, 2 qian) Zhu Che Wan (Stop Dysentery Pills, 3 qian)
Modified Prescription: Dan Qin (Scutellariae Radix, pale, 1.5 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen) Gan Jiang (Zingiberis Rhizoma, dried, 2 fen) Dan Pi (Moutan Cortex, stir-fried, 2 qian) Mu Gua Pi (Chaenomelis Cortex, stir-fried, 1 qian) Bai Tou Weng (Pulsatillae Radix, 2 qian) Chuan Lian (Coptidis Rhizoma, 5 fen) Bai Shao (Paeoniae Radix Alba, 3 qian stir-fried with Gan Cao) Qin Pi (Fraxini Cortex, 1.5 qian) Huang Bo Tan (Phellodendri Cortex, charred, 3 qian)
Fourth visit: Modified prescription combined with Bai Tou Weng Tang (Pulsatilla Decoction); pus and blood have greatly reduced, bowel movements are less frequent, distension has loosened, vomiting has retreated, phlegm color has turned white, and slight food intake is possible. However, diarrhea continues, and swelling of both feet is particularly severe, with occasional nausea. Pulse is fine and wiry. Liver excess and Spleen deficiency, Damp-Heat injuring Ying blood. Although there have been repeated turning points, they ultimately do not help the overall situation. Must warn in advance. Again, drain Damp-Heat from Spleen and Stomach, assisted by differentiating and separating turbidity.
Zhi Ban Xia (Pinelliae Rhizoma, processed, 2 qian) Chuan Ya Lian (Coptidis Rhizoma, 6 fen) Dan Qin (Scutellariae Radix, pale, 1.5 qian) Guang Ju Hong (Citri Reticulatae Pericarpium Rubrum, 1 qian) Dan Gan Jiang (Zingiberis Rhizoma, dried, pale, 3 fen) Zhu Ling (Polyporus, 2 qian) Fu Ling (Poria, 3 qian) Shi Tao (Talcum, 3 qian) Mu Tong (Akebiae Caulis, 8 fen) Sheng Shu Yi Ren (Coix Semen, raw and prepared, 5 fen each) Ze Xie (Alismatis Rhizoma, 2 qian) Bai Tou Weng (Pulsatillae Radix, 3 qian) Chen Dan Xing (Arisaematis Cum Bile Rhizoma, aged, 1 qian)
Left: Long-term emotional depression causes Liver Wood to lose its free flow. The Chong Mai (Penetrating Vessel) belongs to the Liver system; it originates at Qi Chong (ST30), ascends alongside the navel, and disperses in the chest, leading to Qi rushing, epigastric stuffiness, and throat obstruction. Temporarily soothe depression and use bitter-pungent descending methods.
Lao Hou Po (Magnoliae Officinalis Cortex, old, 1 qian) Lao Shan Tan (Santalum Album Lignum, old, 3 fen ground and mixed) Chuan Ya Lian (Coptidis Rhizoma, 5 fen) Fu Ling (Poria, 3 qian) Chao Zhu Ru (Bambusae Caulis in Taeniam, stir-fried, 1 qian) Mo Su Geng (Stemonae Radix, ground, 4 fen) Yu Jin (Curcumae Longae Radix, 1.5 qian) Dan Gan Jiang (Zingiberis Rhizoma, dried, pale, 4 fen) Ju Pi (Citri Reticulatae Pericarpium, 1 qian)
Left: Patient Tong Bao Xi He, Liver Qi is depressed, abdominal pain, muscle heat, bitter taste in mouth, dry tongue. Urgently need to broaden the mind to calm Qi and Fire.
Sang Ye (Mori Folium, 1.5 qian) Jin Ling Zi (Meliae Semen, 1.5 qian) Chuan Shi Hu (Dendrobii Caulis, 4 qian) Ban Xia Qu (Pinelliae Rhizoma fermentatum, 1.5 qian stir-fried) Dan Pi (Moutan Cortex, 2 qian) Mi Zhi Xiang Fu (Cyperi Rhizoma, honey-roasted, 1.5 qian) Da Mai Dong (Ophiopogonis Radix, large, 2 qian) Shan Zhi Pi (Gardeniae Cortex, 3 qian stir-fried) Pi Pa Ye (Loquasi Folium, 2 qian de-haired)
Chen (Right): Liver Qi is depressed and unsmooth, left hypochondrium hurts again, radiating to chest and diaphragm, burning heat in mouth and nose, dry eyes, distended head. Liver Qi unsmooth, Liver Fire internal hyperactivity, Liver Yang ascending. Calm Liver, extinguish wind, and open Qi depression.
Yu Jin (Curcumae Longae Radix) Jin Ling Zi (Meliae Semen) Zhi Xiang Fu (Cyperi Rhizoma, processed) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried) Dan Pi (Moutan Cortex) Mu Xiang (Aucklandiae Radix) Yan Hu Suo (Corydalis Rhizoma) Gan Ju Ye (Citri Reticulatae Folium, dried) Dong Sang Ye (Mori Folium, winter) Chi Ju (Chrysanthemi Flos, Chi variety)
Xu (Right): Emotional frustration causes Yang Qi in the chest to be obstructed and unsmooth, chest tightness and blockage, no appetite, no hunger, ear distension, burning heat at vertex, constipation. Pulse is fine, wiry, slightly slippery. Treat according to the example of Chest Bi (Obstruction).
Guang Xing Ren (Armeniacae Semen Amarum, 3 qian) Yu Jin (Curcumae Longae Radix, 1.5 qian) Sheng Xiang Fu (Cyperi Rhizoma, raw, 2 qian) Bai Fu Ling (Poria, 3 qian) Gua Lou Pi (Trichosanthis Pericarpium, 3 qian) Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 1.5 qian) Shan Zhi (Gardeniae Fructus, 2 qian) Xian Zhu Ru (Bambusae Caulis in Taeniam, fresh, 1.5 qian) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1 qian) Pi Pa Ye (Loquasi Folium, de-haired, 1 liang)
Jin (Right): Emotional frustration causes Liver Wood to lose its free flow, leading to Liver Yang attacking Stomach Earth. There is a palpable mass in the epigastrium, frequent vomiting, dizziness, and insomnia. Pulse is fine and wiry, coating white, substance red. All signs indicate Wind-Wood invading Earth. Plan to harmonize Liver and Stomach.
Jin Ling Zi (Meliae Semen, 1.5 qian cut) Zhi Ban Xia (Pinelliae Rhizoma, processed, 1.5 qian stir-fried) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1 qian) Chuan Ya Lian (Coptidis Rhizoma, 5 fen) Bai Shao (Paeoniae Radix Alba, earth-fried, 1.5 qian) Zhi Xiang Fu (Cyperi Rhizoma, processed, 2 qian ground) Yan Hu (Corydalis Rhizoma, 1.5 qian wine-fried) Dai Zhe Shi (Hematitum, 4 qian) Bai Ji Li (Tribuli Fructus, thorns removed, stir-fried, 3 qian) Dan Wu Zhu Yu (Euodiae Fructus, pale, 2 fen stir-fried with Ya Lian) Xuan Fu Hua (Inulae Flos, 2 qian wrapped in silk)
Change formula: Remove Chuan Lian and Wu Zhu Yu, add Fu Ling and Zhu Ru.
Second visit: Qi attack and distension have slightly calmed, epigastric mass has dissolved, vomiting has decreased, sleep is gradually peaceful, slight food intake is possible. But occasional mild chest pain, ingested food turns sour quickly, dizziness, leukorrhea. Both Guan pulses are wiry. Liver and Stomach desire harmony but have not achieved it. Treat again focusing on Jueyin and Yangming.
Zhi Ban Xia (Pinelliae Rhizoma, processed, 1.5 qian) Guang Pi (Citri Reticulatae Pericarpium, 1 qian) Qing Pi (Citri Reticulatae Pericarpium Viride, vinegar-fried, 4 fen) Bai Shao (Paeoniae Radix Alba, earth-fried, 1.5 qian) Fu Ling (Poria, 3 qian) Zhi Xiang Fu (Cyperi Rhizoma, processed, 2 qian ground) Chuan Lian Zi (Meliae Semen, 1.5 qian cut) Bai Ji Li (Tribuli Fructus, thorns removed, stir-fried, 3 qian) Gan Jiang (Zingiberis Rhizoma, dried, 2 fen) Chuan Ya Lian (Coptidis Rhizoma, 5 fen) Dai Zhe Shi (Hematitum, 4 qian) Chao Zhu Ru (Bambusae Caulis in Taeniam, stir-fried, 1 qian)
Third visit: Vomiting has stabilized, attack and distension have calmed, gradual ability to eat peacefully, indicating Liver and Stomach are gradually harmonizing. But lower abdomen still feels like a mass attacking and distending, palpitations, dizziness, acid distension after urination. Kidney Qi is deficient, unable to nourish Liver Wood. Treat focusing on Liver and Kidney.
Zhi Ban Xia (Pinelliae Rhizoma, processed, 1.5 qian) Qing Chen Pi (Citri Reticulatae Pericarpium Viride and Rubrum, 1 qian each) Bai Gui Shen (Angelicae Sinensis Radix Radix, 1.5 qian wine-fried) Bai Ji Li (Tribuli Fructus, 3 qian) Jue Ming Zi (Cassiae Semen, 4 qian) Jin Ling Zi (Meliae Semen, 1.5 qian) Hang Bai Shao (Paeoniae Radix Alba, Hang variety, 1.5 qian wine-fried) E Jiao Zhu (Asini Corii Colla, pearl form, 1.5 qian) Zhu Fu Shen (Poria with Hostwood, cinnabar-coated, 3 qian) Mu Li (Ostreae Concha, 4 qian) Chao Zao Ren (Ziziphi Spinosae Semen, stir-fried, 1 qian)
Fourth visit: Vomiting has stabilized, but lower abdomen attacks and distends, feeling like a mass. Every time urinating or defecating, Qi feels acidic and sinking, dizziness, sweating. Liver Body is gradually deficient. Again calm Liver and extinguish wind.
Jin Ling Zi (Meliae Semen, 1.5 qian) Xiang Fu (Cyperi Rhizoma, 2 qian vinegar-fried) Zhu Fu Shen (Poria with Hostwood, cinnabar-coated, 3 qian) Sheng Mu Li (Ostreae Concha, raw, 5 qian) Bai Shao (Paeoniae Radix Alba, 2 qian) Gan Qi Zi (Lycii Fructus, 3 qian) Dang Gui Tan (Angelicae Sinensis Radix, charred, 2 qian) Chao Zao Ren (Ziziphi Spinosae Semen, stir-fried, 2 qian) E Jiao Zhu (Asini Corii Colla, pearl form, 2 qian) Huai Xiao Mai (Tritici Fructus, 5 qian)
Bi (Left): Depression injures the Liver, Liver Qi moves wildly, Wood attacks Earth, upper vomiting and lower diarrhea, resembling Sha Qi (plague-like qi). Such severe cold, where would Sha turbidity come from? It is clearly Wood and Earth being enemies. For over a month, there is a mass in the abdomen, occasionally attacking and pounding, which is the Qi of Liver depression and anger conflicting. At this time, soothing depression is crucial, but treatment was neglected, leading to Qi stagnation and abdominal fullness. Spleen Earth cannot rotate, turbid Phlegm becomes difficult to transform, spreading through the Shen (Spirit) mechanism, causing dull expression. Pulse is deep and depressed, wiry upon heavy pressure, and powerless at the Chi position. Deep in dangerous territory, cannot speak of cure. Tentatively plan to transform Phlegm to open the Shen mechanism. Wood is excessive, Zheng (Upright) Qi is deficient, no time to ask about other matters.
Zhi Ban Xia (Pinelliae Rhizoma, processed, 2 qian) Gua Lou Ren (Trichosanthis Semen, 5 qian honey-fried and ground) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1.5 qian) Jiu Jie Chang Pu (Acori Tatarinowii Rhizoma, nine-joint, 5 fen) Yuan Zhi Rou (Polygalae Radix, flesh, 5 fen) Xie Bai (Allii Macrostemis Bulbus, 3 qian) Chen Dan Xing (Arisaematis Cum Bile Rhizoma, aged, 1 qian) Jie Geng (Platycodonis Radix, 1 qian) Sheng Jiang Zhi (Zingiberis Rhizoma, fresh juice, 3 tea spoons) Bai Jin Wan (White Gold Pills, 7 fen taken first with water)
Modified formula: Remove Bai Jin Wan, add Bai Mi (White Honey).
Cao (Right): Cough is not severe, but throat feels obstructed, sputum comes out in granules. This is Qi depression and Phlegm stagnation, so-called Depressed Phlegm.
Lao Hou Po (Magnoliae Officinalis Cortex, old, 1 qian) Mo Su Geng (Stemonae Radix, ground, 5 fen) Zhi Ban Xia (Pinelliae Rhizoma, processed, 1.5 qian) Chao Jiang Pi (Zingiberis Rhizoma, skin, stir-fried, 3 qian) Fu Ling (Poria, 4 qian) Guang Xing Ren (Armeniacae Semen Amarum, 3 qian crushed) Xiang Dou Chi (Sojae Semens Praeparatum, 1.5 qian) Sheng Xiang Fu (Cyperi Rhizoma, raw, 2 qian crushed) Chao Zhu Ru (Bambusae Caulis in Taeniam, stir-fried, 1 qian) Yu Jin (Curcumae Longae Radix, 1.5 qian) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1 qian) Pi Pa Ye (Loquasi Folium, 4 pieces de-haired)
Second visit: More phlegm, cough as before. Phlegm in the chest, Qi and Fire pressing upward, hence mouth ulcers and pain.
Zhi Ban Xia (Pinelliae Rhizoma, processed, 3 qian) Ting Li (Descurainiae Semen seu Lepidii Semen, sweet, 5 fen) Yun Fu Ling (Poria, 3 qian) Guang Xing Ren (Armeniacae Semen Amarum, 3 qian) Zhu Ru (Bambusae Caulis in Taeniam, water-fried, 1 qian) Su Zi (Perillae Fructus, stir-fried and ground, 3 qian) Dong Gua Zi (Benincasae Semen, 4 qian) Chao Zhi Ke (Aurantii Fructus Immaturus, stir-fried, 1 qian) Sheng Yi Ren (Coix Semen, raw, 4 qian) Wei Jing (Sacchari Simplicis Caulis, 8 qian)
Wang (Right): Ying Yin is insufficient, Jue Qi is excessive. A mass in the abdomen, when attacking, belching and distension pain occur, Yang Qi ascends, tinnitus, dizziness. Menstrual irregularities. Qi is the commander of Blood; to regulate Blood, one must first regulate Qi.
Quan Dang Gui (Angelicae Sinensis Radix, whole) Zhu Fu Shen (Poria with Hostwood, cinnabar-coated) Tian Ma (Gastrodiae Rhizoma) Zheng Sha Ren (Amomi Fructus, whole) Shang Guang Pi (Citri Reticulatae Pericarpium, superior grade) Zhi Xiang Fu (Cyperi Rhizoma, processed) Bai Ji Li (Tribuli Fructus) Zhi Ke (Aurantii Fructus Immaturus) Xiang Yuan Pi (Citri Reticulatae Pericarpium, fragrant) Jin Ling Zi (Meliae Semen)
Zhang (Right): Gallbladder is Jia Wood, Liver is Yi Wood, Stomach is Wu Earth, Spleen is Ji Earth. Among the Five Elements, Wood conquers Earth. Internally, the Gallbladder is attached within the Liver lobes. Startling disturbs Gallbladder Wood, and due to advanced age and deficient Zheng Qi, it cannot be controlled, causing Liver Qi to move with it. Pressing down is Qi; Qi conquers Ji Earth, causing distension, fullness, and disharmony, even loose stools and desire to defecate. Floating up is Yang; Yang invades Wu Earth, causing vomiting of phlegm and saliva, even Qi reversing to the vertex, causing acidity and distension. Pulse is wiry and slippery, weak upon pressure, coating white, substance greasy. These are all diseases caused by Jue Yang invading Spleen and Stomach, stirring up turbidity in the Stomach. If it lingers, fear entering a state of decline. Treatment method: Tonification may cause stagnation and Qi blockage; calming Liver may be too remote from reality. Only by first descending Stomach Qi and harmonizing Middle Qi, stopping vomiting and allowing food intake, can we discuss further. Correct this.
Zhi Ban Xia (Pinelliae Rhizoma, processed, 2 qian) Wei Tian Ma (Gastrodiae Rhizoma, baked, 1.5 qian) Zhi Xiang Fu (Cyperi Rhizoma, processed, 1.5 qian) Bai Fu Ling (Poria, 4 qian) Xin Hui Pi (Citri Reticulatae Pericarpium, Xinhui variety, 1 qian) Bai Ji Li (Tribuli Fructus, stir-fried, 3 qian) Wei Sheng Jiang (Zingiberis Rhizoma, baked, 1.5 qian) Bai Jing Mi (Oryzae Sativa Granum, white, 1 he) Jiang Zhi Chao Zhu Ru (Bambusae Caulis in Taeniam, fried with ginger juice, 1.5 qian; these two decocted as water substitute)
Chen (Right): Liver Qi is disharmonious, moving horizontally into collaterals, abdominal pain radiating to waist, palpitations, tinnitus. Again calm Liver and drain Liver.
Jin Ling Zi (Meliae Semen, cut 1.5 qian) Ju Hong Luo (Citri Reticulatae Pericarpium Rubrum and Retinervium, 1 qian each) Zhi Xiang Fu (Cyperi Rhizoma, processed, 2 qian crushed) Nong Du Zhong (Eucommiae Cortex, thick, 3 qian) Bai Shao (Paeoniae Radix Alba, 1.5 qian) Chun Sha Ren (Amomi Fructus, spring harvest, 7 fen added later) Qi Zi (Lycii Fructus, 3 qian stir-fried) Gan Ju Hua (Chrysanthemi Flos, sweet, 1.5 qian)
Left: Heart feels hot and spicy, Qi rushes from lower abdomen to chest and disperses, becoming worse. Classics say: The Chong Mai originates at Qi Chong, runs alongside the Shaoyin Meridian, ascends beside the navel, and disperses in the chest. Dragon and Minister Fire do not submerge, Chong Mai is disharmonious, indeed there is reason for this.
Jin Ling Zi (Meliae Semen) Hang Bai Shao (Paeoniae Radix Alba, Hang variety) Guang Pi (Citri Reticulatae Pericarpium) Salt-fried Zhu Ru (Bambusae Caulis in Taeniam) Bai Fu Ling (Poria) Stir-fried Xing Ren (Armeniacae Semen Amarum) Mu Xiang (Aucklandiae Radix) Da Bu Yin Wan (Great Yin Nourishing Pills)
Yao (Left): Congenital insufficiency, Wood lacks nourishment, Chong Qi reverses upward, interfering with Lung, single sound cough, Qi attacks in abdomen, body trembles at vertex. Plan to nourish Water, nourish Liver, clear Lung.
Dan Pi (Moutan Cortex, 2 qian) E Jiao Zhu (Asini Corii Colla, pearl form, 2 qian) Sheng Bai Shao (Paeoniae Radix Alba, raw, 2 qian) Qing Ge San (Green Shell and Clam Powder, 3 qian) Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 2 qian) Ci Shi (Magnetitum, 3 qian) Bai Ji Li (Tribuli Fructus, 3 qian) Zhi Sheng Di (Rehmanniae Radix Praeparata, roasted, 4 qian) Jiu Chao Nv Zhen Zi (Ligustri Lucidi Fructus, wine-fried, 3 qian) Pi Pa Ye (Loquasi Folium, de-haired, 4 pieces)
Second visit: Qi attacks in abdomen, causing body trembles at vertex, single sound cough. Recently chills and fever occur together, this is a new external contraction. Treat the exterior first, then treat the root.
Shuang Sang Ye (Mori Folium, frosted, 1.5 qian) Qing Hao (Artemisiae Annuae Herba, 2 qian) Dai Ge San (Indigo and Clam Powder, 4 qian) Nv Zhen Zi (Ligustri Lucidi Fructus, 3 qian) Dai Zhe Shi (Hematitum, 3 qian) Fu Shen (Poria with Hostwood, 3 qian) Dan Pi (Moutan Cortex, 2 qian) Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 2 qian) Zhi Gui Jia (Testudinis Carapax et Plastrum, roasted, 5 qian) Pi Pa Ye (Loquasi Folium, de-haired, 4 pieces)
Sun (Left): Blood deficiency not restored, Wood dryness generates Wind, meridians twitch occasionally, abdominal distension, leukorrhea, Chong Qi uneven, Qi rushing to epigastrium causes epigastric distension. Nourish Blood and extinguish Liver, assist with harmonizing Stomach.
E Jiao Zhu (Asini Corii Colla, pearl form) Mu Li (Ostreae Concha) Jin Ling Zi (Meliae Semen) Sang Piao Xiao (Mantis Ootheca) Sha Ren (Amomi Fructus) Chao Bai Shao (Paeoniae Radix Alba, stir-fried) Fo Shou (Citri Sarcodactylis Fructus) Tong Sha Yuan (Tussilaginis Semen, Tong variety) Pi Pa Ye (Loquasi Folium)
Second visit: Pulse and symptoms are stable, but epigastrium is occasionally stuffy, meridians twitch. Pulse is fine, Guan is wiry. Ying Blood is insufficient, Liver Yang attacks Stomach Earth. Again nourish Yin and extinguish Liver, assist with regulating Qi.
E Jiao Zhu (Asini Corii Colla, pearl form, 3 qian) Bai Gui Shen (Angelicae Sinensis Radix Radix, 2 qian) Xiang Fu (Cyperi Rhizoma, 1.5 qian honey-water fried) Fu Ling Shen (Poria and Poria with Hostwood, 1.5 qian each) Tu Chao Bai Shao (Paeoniae Radix Alba, earth-fried, 1.5 qian) Ban Xia Qu (Pinelliae Rhizoma fermentatum, stir-fried, 2 qian) Jin Ling Zi (Meliae Semen, 1.5 qian) Chao Shan Yao (Dioscoreae Rhizoma, stir-fried, 3 qian) Tong Bai Ji Li (Tribuli Fructus, Tong and Bai varieties, salt-water fried, 1.5 qian each)
Separately Prepared Formula:
Chuan Lian Zi (Meliae Semen, 1.5 qian) Guang Yu Jin (Curcumae Longae Radix, 1.5 qian) Gan Ju Ye (Citri Reticulatae Folium, dried, 1.5 qian) Chao Lou Pi (Trichosanthis Pericarpium, stir-fried, 3 qian) Yan Hu Suo (Corydalis Rhizoma, 1 qian) Zhi Xiang Fu (Cyperi Rhizoma, processed, 3 qian) Bai Ji Li (Tribuli Fructus, 3 qian) Guang Xing Ren (Armeniacae Semen Amarum, 3 qian) Hei Shan Zhi (Gardeniae Fructus, black, 1.5 qian) Pi Pa Ye (Loquasi Folium, de-haired, 4 pieces)
Ni (Right): Liver and Stomach disharmony, accompanied by internal Phlegm obstruction. Epigastric discomfort, severe cases vomiting phlegm and saliva. Pulse is wiry and slippery, empty upon heavy pressure. Blood deficiency, Gallbladder Fire invades Middle. Temporarily harmonize Middle and drain Gallbladder Wood.
Sang Ye (Mori Folium) Jin Shi Hu (Dendrobii Caulis, gold stone) Zhi Ban Xia (Pinelliae Rhizoma, processed) Hai Ge Fen (Clam Shell Powder) Chao Qi Zi (Lycii Fructus, stir-fried) Dan Pi (Moutan Cortex) Bai Ji Li (Tribuli Fructus) Yun Fu Ling (Poria) Gou Gou (Uncariae Ramulus cum Uncis, hook) Shui Chao Zhu Ru (Bambusae Caulis in Taeniam, water-fried)
Second visit: Harmonize Middle Qi, drain Shaoyang, pulse is stable. Coating thin white, base substance red. More phlegm, epigastric discomfort, drowsiness, severe cases vomiting, phlegm feels sticky. Stomach is the Sea of Water and Grain; receiving grain Qi, it transforms Jin and Qi to harmonize the Five Zang and distribute to the Six Fu. Xi He suffering pain means Wood depression generates Fire, Wood-Fire disturbs Middle, causing epigastric stuffiness. Water and Grain Qi, refined by Fire, cannot transform into Jin and Qi, but instead condense into turbid Phlegm. Yangming loses its normal descending function, Taiyin loses its clear and肃 (purifying) command, hence choking cough, more phlegm, dry and hairy throat. Among the Six Meridians of Cold Damage, only Shaoyin has the symptom of desire to sleep. Since it is not Kidney Yang deficiency with turbid Yin filling the chest, it must be Kidney Yin deficiency with True Yin unable to ascend to the Heart. Hence, one is treated with Si Ni (Four Inversion), the other with Fu Mai (Restoring Pulse). Proceed step by step.
Jin Shi Hu (Dendrobii Caulis, gold stone, 4 qian) Zhi Ban Xia (Pinelliae Rhizoma, processed, 1.5 qian) Fu Ling (Poria, 3 qian) Guang Pi (Citri Reticulatae Pericarpium, 1 qian) Sang Ye (Mori Folium, 1.5 qian) Dan Pi (Moutan Cortex, 2 qian) Bai Ji Li (Tribuli Fructus, 3 qian) Mo Zhi Shi (Aurantii Fructus Immaturus, ground, 2 fen) Gou Gou (Uncariae Ramulus cum Uncis, 3 qian) Yuan Zhi Rou (Polygalae Radix, flesh, 5 fen) Chao Zhu Ru (Bambusae Caulis in Taeniam, stir-fried, 1.5 qian) Jiang Zhi (Zingiberis Rhizoma, fresh juice, 2 spoons)
Zhang (Left): Body heat has receded, but throat still feels obstructed. Pulse is wiry and slippery. Still Phlegm and Qi interlocking. Again clear and transform.
Xiang Dou Chi (Sojae Semens Praeparatum, 3 qian) Zhi Shi (Aurantii Fructus Immaturus, 1 qian) Yun Fu Ling (Poria, 4 qian) Bai Tan Xiang (Santalum Album Lignum, 1.5 qian) Chao Zhu Ru (Bambusae Caulis in Taeniam, stir-fried, 1 qian) Guang Xing Ren (Armeniacae Semen Amarum, 3 qian) Chuan Hou Po (Magnoliae Officinalis Cortex, 1 qian) Zhi Ban Xia (Pinelliae Rhizoma, processed, 2 qian) Mo Su Geng (Stemonae Radix, ground, 5 fen mixed) Pi Pa Ye (Loquasi Folium, 4 pieces)
Separately Attached Throat Lozenge Formula:
Gua Lou (Trichosanthis Fructus, 2 qian) Hei Shan Zhi (Gardeniae Fructus, black, 3 qian) Feng Hua Xiao (Natrii Sulfas exsiccatus, 1.5 qian) Xing Ren Shuang (Armeniacae Semen Amarum, cream, 3 qian) Jie Geng (Platycodonis Radix, 3 qian) Guang Yu Jin (Curcumae Longae Radix, 3 qian)
The above six medicines, ground into fine powder, made into pills the size of a bullet using pale ginger juice and white honey. Take one pill per dose, hold in mouth to dissolve and swallow slowly.