巫（左） 先后并亏，任督俱损。胸凸背耸，童损情形也。
生地炭（四钱） 浓杜仲（三钱） 茯苓神（各二钱） 川桂枝（三分） 橘红（一钱） 炙
绵（二钱） 川断肉（三钱） 制半夏（一钱五分） 生熟谷芽（各一钱五分）
二诊 脉象虚软，气口及左关俱带浮弦，其为气血亏损，风邪乘虚而入，略见一斑。前法参以祛风。
川桂枝（五分） 炙绵 （二钱） 川独活（一钱） 浓杜仲（三钱） 西党参（二钱） 香白芷
（一钱） 川断肉（三钱） 白归身（二钱） 防风（二钱） 生熟谷芽（各一钱五分）
某 少腹作痛有形，腿股屈伸不利。湿郁气滞恐成内痈。
制香附（二钱） 锦纹大黄（酒炒后入三钱） 生薏仁（四钱） 台乌药（一钱五分） 败酱草（三
钱） 南楂炭（三钱） 丹皮（一钱五分） 蓬术（一钱炒）
梁（左） 湿热流入筋骨，遍身作痛。脉象弦紧。宜祛风理湿。
白藓皮（三钱） 皂荚子（二钱） 生薏仁（四钱） 左秦艽（一钱五分） 土茯苓（一两） 生甘草（五分）
白僵蚕（三钱） 防风（一钱） 绿豆衣（五钱） 银花（五钱二味煎汤代水）
二诊 脉弦紧稍柔。肩胛腿膝酸楚，步履疲软。湿热未楚，肝肾已虚。再从厥少二阴主治。
淡苁蓉 潼沙苑 淮牛膝 金毛脊 甘杞子 云茯苓 川萆 虎潜丸
三诊 培补肝肾，兼清湿热，脉证相安。然两手腿股广痘未消。前法仍参清化。
海风藤 苁蓉 白藓皮 生甘草 左秦艽 桑寄生
杞子 土茯苓 川萆 虎潜丸 银花（五钱） 绿豆衣（五钱二味煎汤代水）
四诊 腰腿仍然酸软，四肢广痘未化。湿热未清，而肝肾已经亏损。再补泻并行。
干苁蓉（三钱） 菟丝子（盐水炒三钱） 桑寄生（三钱酒炒） 怀牛膝（三钱酒炒） 甘杞子（三钱） 秦
艽（一钱五分）
生甘草（五分） 绿豆衣（五钱） 仙灵脾（三钱） 浓杜仲（三钱） 金银花（五钱） 鲜土茯苓（用木器打汁一两）
五诊 广痘渐化，腰足酸软。仍益肝肾。
干苁蓉（三钱） 于术（一钱五分） 当归（二钱） 浓杜仲（三钱） 仙灵脾（三钱） 甘杞子（三钱）
菟丝子（三钱） 牛膝（三钱） 生甘草（三分） 桑寄生（三钱） 金毛脊（四钱） 绿豆衣（三钱）
六诊 肝肾虚而湿热未清。腰足酸软，小溲不爽，广痘渐化渐发。再清湿热，兼益肝肾。
白藓皮（三钱） 金银花（三钱） 川萆 （二钱） 淮牛膝（三钱酒炒） 茯苓（三钱） 甘草梢（五分）
绿豆衣（三钱） 生薏仁（三钱） 虎潜丸（三钱先服）
左 湿毒不化，龙相上凌。神烦不寐，玉茎破碎。化毒泄热，亦定理也。
盐水炒黄柏（二钱） 川萆 （二钱） 夜交藤（二钱） 建泽泻（一钱五分） 醋 真珠母（四钱）
炒知母（二钱） 云茯神（三钱） 龙齿（三钱） 酸枣仁（二钱川连三分煎汁炒） 盐水炒灯心（三尺）
余（左） 脉细弱，重按微滑。下疳虽愈，而阴茎短缩，近根带肿，溺有余沥。此湿热袭入肝肾，易入难出，不
易图治，拟以丸药入下。
虎潜丸（五钱每日服二次） 嘱服半月定方
陈（左） 湿毒深伏于肾，曾经淋浊，横 下疳，虽经治愈，而喉间糜碎，经久不除，舌下肿胀。脉细而左尺
坚硬鼓指。以少阴之脉系舌本、循喉咙，此响而彼应也。拟方请专门名家采择。
上濂珠 上犀黄 西血珀 人中黄（四味研细吹喉） 滋肾丸（三钱淡盐汤下）
祝（左） 下疳之后，湿毒未清，遍身 瘰密布。疠风重证，须请专门名家诊视。
秦艽 桑寄生 防风 僵蚕 萆 生薏仁 防己 土茯苓 泽泻 三角胡麻
程 湿热流入筋骨，不时身痛，左膝破碎。病深在下，极难清澈。
白藓皮（一钱五分） 陈松节（五钱） 海蛤粉（三钱包） 川贝母（二钱） 左秦艽（一钱五分） 川萆
（二钱） 赤白苓（各二钱） 栝蒌皮（三钱） 建泽泻（一钱五分） 车前子（二钱） 甘草节（四分） 丹皮（
二钱）
二诊 筋骨不时作痛，左膝破碎虽敛，而眼目昏花。良以湿毒流入筋骨，肝热生风。轻剂育阴，以觇动静。
龟甲心（五钱先煎） 元参肉（三钱） 炒当归（二钱） 酒炒白芍（一钱五分） 池菊花（一钱五分） 白蒺藜
（三钱） 炙甘草（三分） 陈松节（五钱劈） 绿豆衣（三钱） 金银花（二钱）
黄 喉痹染毒。前服药方进百帖甚效，原意治之。
细生地（三钱） 银花（二钱） 牛膝（一钱） 人中白（一钱） 川连（三分） 鲜贯仲（三
钱） 黄柏（一钱） 甘草（四分）
左 湿火深伏于肾，少阴之脉上循喉咙，以致咽辄哽痛，背脊轰热，直至头巅，脉象细弦。极难奏效，以
病久而且深也。
甘中黄（五分） 知母（一钱五分） 元参（三钱） 茯苓（三钱） 黄柏（一钱五分盐水炒） 细生地
（四钱） 贝母（一钱五分） 绿豆衣（三钱） 金银花（三钱） 竹茹（一钱五分）
左 横 虽经消散，而湿毒未清，营卫因而闭阻。寒热往来，舌心灰霉，胃呆少纳。湿毒之气中入，最难
图治之证也。
制半夏（一钱五分） 香青蒿（一钱五分） 绵茵陈（二钱） 泽泻（一钱五分） 淡黄芩（一钱五分）
广郁金（一钱五分） 川萆 （二钱） 车前子（三钱） 川雅连（三分） 杏仁（三钱） 滑石（三钱）
银花（三钱） 绿豆衣（三钱）
[Patient surnamed Zuo] Both the congenital (innate) and acquired (postnatal) foundations are depleted, and both the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel) are damaged. The chest is convex and the back is hunched, which are manifestations of Tong Sun (developmental deformities due to congenital deficiency).
Prescription: Sheng Di Tan (Charred Rehmanniae Radix, 4 qian), Nong Du Zhong (Thick Eucommiae Cortex, 3 qian), Fu Ling Shen (Poria with Hostwood, 2 qian each), Chuan Gui Zhi (Cinnamon Twig, 3 fen), Ju Hong (Tangerine Peel, 1 qian), Zhi Mian (Prepared Astragali Radix, 2 qian), Chuan Duan Rou (Dried Dioscoreae Hypoglottis, 3 qian), Zhi Ban Xia (Prepared Pinelliae Rhizoma, 1.5 qian), Sheng Shu Gu Ya (Raw and Fried Hordei Fructus Germinatus, 1.5 qian each).
Second visit: The pulse is deficient and soft; the Qi Kou (radial artery at the wrist) and the left Guan position both show floating and wiry qualities. This indicates a slight manifestation of Qi and Blood depletion, with Wind pathogen entering through the deficiency. The previous method is modified to include dispelling Wind.
Prescription: Chuan Gui Zhi (Cinnamon Twig, 5 fen), Zhi Mian (Prepared Astragali Radix, 2 qian), Chuan Du Huo (Angelicae Pubescentis Radix, 1 qian), Nong Du Zhong (Thick Eucommiae Cortex, 3 qian), Xi Dang Shen (Codonopsis Pilosula, 2 qian), Xiang Bai Zhi (Angelicae Dahuricae Radix, 1 qian), Chuan Duan Rou (Dried Dioscoreae Hypoglottis, 3 qian), Bai Gui Shen (Angelicae Sinensis Radix, 2 qian), Fang Feng (Saposhnikoviae Radix, 2 qian), Sheng Shu Gu Ya (Raw and Fried Hordei Fructus Germinatus, 1.5 qian each).
[Patient surnamed Mou] Pain in the lower abdomen with palpable masses, and difficulty flexing and extending the thighs and legs. Dampness stagnation and Qi obstruction may lead to Nei Yong (internal abscess).
Prescription: Zhi Xiang Fu (Cyperi Rhizoma, 2 qian), Jin Wen Da Huang (Rhei Radix et Rhizoma, fried with wine, added 3 qian), Sheng Yi Ren (Coicis Semen, 4 qian), Tai Wu Yao (Linderae Radix, 1.5 qian), Bai Jiang Cao (Patriniae Herba, 3 qian), Nan Zha Tan (Charred Crataegi Fructus, 3 qian), Dan Pi (Moutan Cortex, 1.5 qian), Peng Zhu (Curcumae Rhizoma, fried 1 qian).
[Patient surnamed Liang] Damp-Heat flowing into the sinews and bones causes pain throughout the body. The pulse is wiry and tight. It is appropriate to use methods for dispelling Wind and regulating Dampness.
Prescription: Bai Xian Pi (Dictamni Cortex, 3 qian), Zao Jia Zi (Gleditsiae Sinensis Spina, 2 qian), Sheng Yi Ren (Coicis Semen, 4 qian), Zuo Qin Jiao (Gentianae Macrophyllae Radix, 1.5 qian), Tu Fu Ling (Smilacis Glabrae Rhizoma, 1 liang), Sheng Gan Cao (Licorice Root, 5 fen), Bai Jiang Can (Bombyx Batryticatus, 3 qian), Fang Feng (Saposhnikoviae Radix, 1 qian), Lv Dou Yi (Vigna mungo Husk, 5 qian), Yin Hua (Flos Lonicerae Japonicae, 5 qian; decoct these two ingredients first to replace water for brewing other herbs).
Second visit: The wiry and tight pulse has become slightly softer. Soreness and discomfort in the shoulder blades, legs, and knees, with weak walking gait. Damp-Heat remains, while Liver and Kidney deficiency exists. Treatment should focus on the Foot Jueyin (Liver) and Foot Shaoyin (Kidney) meridians.
Prescription: Dan Cong Rong (Cistanche Stem), Tong Sha Yuan (Euryales Semen), Huai Niu Xi (Achyranthis Bidentatae Radix), Jin Mao Ji (Cibotii Rhizoma), Gan Qi Zi (Lycii Fructus), Yun Fu Ling (Poria), Chuan Bi (Dioscoreae Hypoglottis), Hu Qian Wan (Tiger-Hiding Pill).
Third visit: Tonifying Liver and Kidney, while clearing Damp-Heat, the pulse and symptoms are stable. However, the Guang Dou (syphilitic rash) on both hands and thighs has not resolved. The previous method continues to incorporate clearing and transforming techniques.
Prescription: Hai Feng Teng (Sargentodoxae Caulis), Cong Rong (Cistanche Stem), Bai Xian Pi (Dictamni Cortex), Sheng Gan Cao (Licorice Root), Zuo Qin Jiao (Gentianae Macrophyllae Radix), Sang Ji Sheng (Taxilli Caulis), Qi Zi (Lycii Fructus), Tu Fu Ling (Smilacis Glabrae Rhizoma), Chuan Bi (Dioscoreae Hypoglottis), Hu Qian Wan (Tiger-Hiding Pill), Yin Hua (Flos Lonicerae Japonicae, 5 qian), Lv Dou Yi (Vigna mungo Husk, 5 qian; decoct these two ingredients first to replace water for brewing other herbs).
Fourth visit: Waist and legs remain sore and weak, and the Guang Dou on limbs have not resolved. Damp-Heat is not cleared, and Liver and Kidney are already depleted. Use simultaneous tonification and purgation.
Prescription: Gan Cong Rong (Cistanche Stem, 3 qian), Tu Si Zi (Cuscutae Semen, stir-fried with salt water, 3 qian), Sang Ji Sheng (Taxilli Caulis, wine-fried, 3 qian), Huai Niu Xi (Achyranthis Bidentatae Radix, wine-fried, 3 qian), Gan Qi Zi (Lycii Fructus, 3 qian), Qin Jiao (Gentianae Macrophyllae Radix, 1.5 qian), Sheng Gan Cao (Licorice Root, 5 fen), Lv Dou Yi (Vigna mungo Husk, 5 qian), Xian Ling Pi (Epimedii Folium, 3 qian), Nong Du Zhong (Thick Eucommiae Cortex, 3 qian), Jin Yin Hua (Flos Lonicerae Japonicae, 5 qian), Xian Tu Fu Ling (Fresh Smilacis Glabrae Rhizoma juice made with wooden mortar, 1 liang).
Fifth visit: Guang Dou gradually resolves, but waist and feet are sore and weak. Continue to benefit Liver and Kidney.
Prescription: Gan Cong Rong (Cistanche Stem, 3 qian), Yu Zhu (Atractylodis Rhizoma, 1.5 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Nong Du Zhong (Thick Eucommiae Cortex, 3 qian), Xian Ling Pi (Epimedii Folium, 3 qian), Gan Qi Zi (Lycii Fructus, 3 qian), Tu Si Zi (Cuscutae Semen, 3 qian), Niu Xi (Achyranthis Bidentatae Radix, 3 qian), Sheng Gan Cao (Licorice Root, 3 fen), Sang Ji Sheng (Taxilli Caulis, 3 qian), Jin Mao Ji (Cibotii Rhizoma, 4 qian), Lv Dou Yi (Vigna mungo Husk, 3 qian).
Sixth visit: Liver and Kidney deficiency with unresolved Damp-Heat. Soreness and weakness of waist and feet, dysuria, Guang Dou resolving yet recurring. Clear Damp-Heat while benefiting Liver and Kidney.
Prescription: Bai Xian Pi (Dictamni Cortex, 3 qian), Jin Yin Hua (Flos Lonicerae Japonicae, 3 qian), Chuan Bi (Dioscoreae Hypoglottis, 2 qian), Huai Niu Xi (Achyranthis Bidentatae Radix, wine-fried, 3 qian), Fu Ling (Poria, 3 qian), Gan Cao Shao (Licorice Stalk Tip, 5 fen), Lv Dou Yi (Vigna mungo Husk, 3 qian), Sheng Yi Ren (Coicis Semen, 3 qian), Hu Qian Wan (Tiger-Hiding Pill, 3 qian taken first).
[Patient surnamed Zuo] Damp-Toxin fails to transform, Dragon Fire and Ministerial Fire ascend. Mental restlessness and insomnia, penis ulcerated and broken. Resolving toxin and draining heat is also a standard principle.
Prescription: Yan Shui Chao Huang Bo (Phellodendri Cortex, salt-water fried, 2 qian), Chuan Bi (Dioscoreae Hypoglottis, 2 qian), Ye Jiao Teng (Polygoni Multiflori Caulis, 2 qian), Jian Ze Xie (Alismatis Rhizoma, 1.5 qian), Cu Zhen Zhu Mu (Mother-of-Pearl, vinegar-treated, 4 qian), Chao Zhi Mu (Anemarrhenae Rhizoma, fried, 2 qian), Yun Fu Shen (Poria with Hostwood, 3 qian), Long Chi (Dragon Teeth, 3 qian), Suan Zao Ren (Ziziphi Spinosae Semen, 2 qian, fried with decoction of Chuan Lian), Yan Shui Chao Deng Xin (Junci Medulla, salt-water fried, 3 chi).
[Patient surnamed Yu] Pulse is fine and weak, slightly slippery upon heavy pressure. Although the Xia Gang (chancre) has healed, the penis is retracted, swollen near the root, and urination leaves residual drops. This is Damp-Heat invading Liver and Kidney, easy to enter but hard to exit, difficult to treat. Prescribe pills to be administered via the lower orifice.
Prescription: Hu Qian Wan (Tiger-Hiding Pill, 5 qian, taken twice daily), instructed to take for half a month before reassessing.
[Patient surnamed Chen] Damp-Toxin deeply hidden in the Kidney, previously suffered from Lin Zhuo (dysuria/turbid urine), Heng Xuan (bubo/grove swelling), and Xia Gang (chancre). Although cured, there is erosion in the throat persisting long-term, and swelling under the tongue. The pulse is fine, and the left Chi position is hard and pulsating against the finger. Since the Foot Shaoyin (Kidney) meridian connects to the root of the tongue and follows the throat, this is a case of resonance between distant sites. Prescribe for selection by specialized experts.
Prescription: Shang Lian Zhu (Pearl Powder), Shang Xi Huang (Calculus Bovis), Xi Xue Po (Succinum Occidentale), Ren Zhong Huang (Human Excrement Extract) (these four ground finely and blown into the throat), Zi Shen Wan (Kidney-Nourishing Pill, 3 qian taken with light salt water).
[Patient surnamed Zhu] After Xia Gang (chancre), Damp-Toxin is not cleared, with Luoli (scrofula/lymph node tuberculosis) densely distributed over the body. This is a severe case of Li Feng (leprosy/severe syphilis), requiring consultation with specialized experts.
Prescription: Qin Jiao (Gentianae Macrophyllae Radix), Sang Ji Sheng (Taxilli Caulis), Fang Feng (Saposhnikoviae Radix), Jiang Can (Bombyx Batryticatus), Bi (Dioscoreae Hypoglottis), Sheng Yi Ren (Coicis Semen), Fang Ji (Stephaniae Tetrandrae Radix), Tu Fu Ling (Smilacis Glabrae Rhizoma), Ze Xie (Alismatis Rhizoma), San Jiao Hu Ma (Hemp Seed).
[Patient surnamed Cheng] Damp-Heat flows into sinews and bones, causing intermittent body pain, with the left knee ulcerated and broken. The disease is deep in the lower jiao, extremely difficult to clear.
Prescription: Bai Xian Pi (Dictamni Cortex, 1.5 qian), Chen Song Jie (Pinus Massoniana Joint, 5 qian), Hai Ge Fen (Tridacna Shell Powder, wrapped in cloth, 3 qian), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 2 qian), Zuo Qin Jiao (Gentianae Macrophyllae Radix, 1.5 qian), Chuan Bi (Dioscoreae Hypoglottis, 2 qian), Chi Bai Ling (Red and White Poria, 2 qian each), Gua Lou Pi (Trichosanthis Pericarpium, 3 qian), Jian Ze Xie (Alismatis Rhizoma, 1.5 qian), Che Qian Zi (Plantaginis Semen, 2 qian), Gan Cao Jie (Licorice Node, 4 fen), Dan Pi (Moutan Cortex, 2 qian).
Second visit: Sinews and bones hurt intermittently. Although the left knee ulceration has healed, vision is blurred. This is due to Damp-Toxin flowing into sinews and bones, generating Liver Heat and Wind. Use mild yin-nourishing agents to observe dynamics.
Prescription: Gui Jia Xin (Turtle Plastron Heart, decocted first, 5 qian), Yuan Shen Rou (Scrophulariae Radix, 3 qian), Chao Dang Gui (Angelicae Sinensis Radix, fried, 2 qian), Jiu Chao Bai Shao (Paeoniae Radix Alba, wine-fried, 1.5 qian), Chi Ju Hua (Chrysanthemi Flos, 1.5 qian), Bai Ji Li (Tribuli Fructus, 3 qian), Zhi Gan Cao (Licorice Root, honey-fried, 3 fen), Chen Song Jie (Pinus Massoniana Joint, split, 5 qian), Lv Dou Yi (Vigna mungo Husk, 3 qian), Jin Yin Hua (Flos Lonicerae Japonicae, 2 qian).
[Patient surnamed Huang] Hou Bi (sore throat) infected with toxin. Previous prescriptions were very effective after taking over a hundred doses; continue with the original intent.
Prescription: Xi Sheng Di (Rehmanniae Radix, 3 qian), Yin Hua (Flos Lonicerae Japonicae, 2 qian), Niu Xi (Achyranthis Bidentatae Radix, 1 qian), Ren Zhong Bai (Calculus Humanis, 1 qian), Chuan Lian (Coptidis Rhizoma, 3 fen), Xian Guan Zhong (Dryopteridis Crassirhizoma Rhizome, fresh, 3 qian), Huang Bo (Phellodendri Cortex, 1 qian), Gan Cao (Licorice Root, 4 fen).
[Patient surnamed Zuo] Damp-Fire deeply hidden in the Kidney. The Foot Shaoyin (Kidney) meridian ascends along the throat, causing frequent choking pain in the pharynx, hot flashes up the spine to the vertex of the head. The pulse is fine and wiry. Very difficult to achieve efficacy because the disease is chronic and deep.
Prescription: Gan Zhong Huang (Urine Stone Deposit, 5 fen), Zhi Mu (Anemarrhenae Rhizoma, 1.5 qian), Yuan Shen (Scrophulariae Radix, 3 qian), Fu Ling (Poria, 3 qian), Huang Bo (Phellodendri Cortex, salt-water fried, 1.5 qian), Xi Sheng Di (Rehmanniae Radix, 4 qian), Bei Mu (Fritillariae Bulbus, 1.5 qian), Lv Dou Yi (Vigna mungo Husk, 3 qian), Jin Yin Hua (Flos Lonicerae Japonicae, 3 qian), Zhu Ru (Bambusae Caulis in Taenia, 1.5 qian).
[Patient surnamed Zuo] Although Heng Xuan (bubo) has dissipated, Damp-Toxin is not cleared, blocking Ying and Wei (Nutrient and Defensive Qi). Alternating chills and fever, gray mold on the center of the tongue, poor appetite and reduced intake. Damp-Toxin entering internally is one of the most difficult conditions to treat.
Prescription: Zhi Ban Xia (Prepared Pinelliae Rhizoma, 1.5 qian), Xiang Qing Hao (Artemisiae Annuae Herba, 1.5 qian), Mian Yin Chen (Artemisiae Scopariae Herba, 2 qian), Ze Xie (Alismatis Rhizoma, 1.5 qian), Dan Huang Qin (Scutellariae Radix, 1.5 qian), Guang Yu Jin (Curcumae Radix, 1.5 qian), Chuan Bi (Dioscoreae Hypoglottis, 2 qian), Che Qian Zi (Plantaginis Semen, 3 qian), Chuan Ya Lian (Coptidis Rhizoma, 3 fen), Xing Ren (Armeniacae Semen Amarum, 3 qian), Shi Tao (Talcum, 3 qian), Yin Hua (Flos Lonicerae Japonicae, 3 qian), Lv Dou Yi (Vigna mungo Husk, 3 qian).