台参须（五分） 生于术（一钱） 大麦冬（三钱） 炙草（三分） 生牡蛎（五钱） 盐水炙黄 （一钱五分）
炙生地（四钱） 炙甘杞（二钱） 怀药（三钱炒） 煨天麻（一钱五分） 酒炒白芍（一钱五分）
八诊 扶正气以御肝木，益荣血以涵肝木，风木已平，惊搐自不复发，津液回而涕泪下，面青既退，脉
亦柔缓。足见慢惊究属虚症，然又有阳衰阴弱之辨耳。
台参须（五分） 大生地 白茯苓 阿胶珠 生山药 盐水炙绵 生于术 杭白芍 大麦冬 生牡蛎 甘杞
子淮小麦
急惊属阳，慢惊属阴，急惊属实，慢惊属虚，而属虚之中，又有阳衰阴弱之辨。此又心思独到之处也。慢惊诸药
罔效用一分五厘散或有获效者，方用活蟾蜍一只，将阳春砂仁末由口纳入其腹，以腹膨为度，用泥周遭涂
满不使泄气，砻糠火中煨烧，至泥红焦烈，则蟾蜍亦必枯矣。去泥研成末，用开水先调服一厘，次服二厘，限一
昼夜服五次，每次增一厘，计共一分五厘，故名之曰一分五厘散。是方并治水臌，以蟾蜍有行水之功，砂仁有
关气之能，气开水行，则臌症可消矣。（文涵志）
右 调气熄肝，眩晕不定。左脉弦大，尺部空虚。下虚上实。拟介类潜阳，为进一层治。
生龟板（七钱） 磁石（三钱） 杭白芍（一钱五分酒炒） 阿胶珠（二钱） 生牡蛎（五钱） 朱茯神（三钱）
池菊花（一钱五分） 黑豆衣（三钱） 钩钩（三钱） 淮小麦（五钱）
钱（左） 肾水不足，不能涵养肝木，肝经之气，横扰不平，则腹胀胸闷。在下则为气，上旋则为风，风阳上
旋，则为眩晕。今大势虽定，而根柢不除，牙龈胀痛，亦属风阳阻于胃络也。脉象细弦。宜为柔养。
川石斛（四钱） 大麦冬（三钱） 生牡蛎（六钱） 生白芍（二钱） 白蒺藜（三钱） 小黑豆衣（三钱）
酒炒女贞子（三钱） 阿胶珠（一钱五分） 干橘叶（一钱）
某 头目旋晕，经久不愈，投滋纳减，此痰阻中宫。痰能作眩，古人之言，岂欺我哉。
温胆汤加蚕砂蒺藜僵蚕天麻蒌仁杏仁。另白金丸五分先服。
李（右） 气血两亏，木失涵养，致阳气不和，头昏眩晕，皮寒骨蒸，时易汗出。阳气不能外卫，非偏热所能
常进也。
川桂枝（五分） 地骨皮（二钱桂枝同炒） 杭白芍（一钱五分酒炒） 白茯苓（三钱） 白归身（二钱）
炙黑草（三分） 橘白（一钱） 淮小麦（五钱） 大南枣（三枚）
叶（右） 但寒不热，渐致腹满作痛，头昏目眩，饮食少思。脉弱而弦。气滞于下，阳升于上。宜调气熄肝。
醋炒香附（二钱） 当归（二钱） 金铃子（一钱五分） 白蒺藜（三钱） 酒炒白芍（一钱五分） 钩钩（三
钱） 半夏曲（一钱五分） 干橘叶（一钱） 甘菊花（一钱五分） 佛手花（七分） 生熟谷芽（各一钱）
二诊 眩昏少减，食入仍满。再和协肝脾。
制香附（二钱） 广陈皮（二钱） 朱茯神（三钱） 冬白芍（一钱五分） 缩砂仁（五分后入） 炒枳壳（一钱）
炒枣仁（三钱研） 香橼皮（一钱） 金铃子（一钱五分） 沉香曲（二钱炒） 焦麦芽（二钱）
梁（右） 每交阴分，火升眩晕颧红，阳气尽从上凌，两足不温，头发脱落。宜导阳气下行。
生牡蛎（四钱） 炙龟板（三钱先煎） 池菊（一钱五分） 云茯苓（三钱） 石决明（四钱） 白蒺藜（去刺炒
三钱） 钩钩（三钱） 粉归身（一钱五分） 滋肾丸（一钱五分盐汤先服）
茅（右） 脉细濡而右关带滑。叠进育阴潜阳，昏晕依然不定，有时 作酸。良以清津为阳气所炼，渐
欲成痰，致浊阻清位，所以昏晕不能定也。再以退为进。
制半夏 晚蚕砂 云茯苓 杭菊 广橘红 煨天麻 白蒺藜 白金丸（三分）
二诊 阳气浮越在上，时时昏冒。在上之阳气日浮，在下之阳气日乏，所以叠进潜阳，而病不少退。拟
金匮附子汤以导阳气下行。
台参须（一钱另煎） 野于术（一钱五分） 云茯苓（三钱） 熟附片（四分） 煨牡蛎（四钱） 杭白芍（
一钱五分酒炒） 白蒺藜（三钱） 老生姜（二片）
金（右） 眩晕呕吐，舌本牵强，脉滑苔腻，火升右太阳作痛。肝阳挟痰上升。宜化痰熄肝。
桑叶（一钱五分） 山栀（三钱） 僵蚕（二钱） 茯苓（三钱） 制半夏（一钱二分） 丹皮（一钱）
蔓荆子（一钱） 橘红（一钱） 竹茹（一钱） 白金丸（五分分二次先服）
杨（左） 白疹已化，热亦渐轻。而四肢欠温，痰多频咳，有时自觉热冲至巅，则头昏眩晕。脉象沉弦。良由
痰饮内阻，阳气不克宣通，所谓无痰不作眩也。拟化痰以通阳气。
制半夏（一钱五分） 橘红（一钱） 炒苏子（三钱） 白蒺藜（三钱去刺） 僵蚕（二钱） 白茯苓（三钱）
制南星（四分） 川桂枝（四分） 煨天麻（一钱五分） 煨姜（二片）
二诊 头晕恶寒已退，痰多欲咳。的是痰饮内动，阳气郁阻。再化痰降气。
于术（二钱） 川桂枝（三分） 补骨脂（盐水炒一钱） 干姜（三分） 炙草（二分） 橘红（一钱）
白茯苓（三钱） 制半夏（一钱五分） 五加皮（二钱）
三诊 昨吐痰涎甚多，余邪上泛也。今吐痰尚作恶心，胃气已经虚馁，况吐出带黑。拟四逆法。
台参须（另煎冲八分） 上广皮（一钱） 生熟薏仁（各二钱） 茯苓（三钱） 制半夏（一钱五分） 熟附片
（五分） 淡干姜（五分） 竹茹（姜汁炒一钱） 生熟谷芽（各一钱五分）
四诊 投附子四逆，呕吐已止，痰亦渐少，咳嗽较定，而咽中觉燥，舌仍淡白。本质阴亏，未便温燥过节。
拟六君以治脾胃为主。
台参须（八分） 制半夏（一钱五分） 炒于术（一钱五分） 上广皮（一钱） 生熟草（各一分） 竹茹（
姜汁炒一钱） 佩兰叶（一钱五分） 白茯苓（三钱） 生熟谷芽（各一钱五分）
五诊 祛痰补气，咳嗽痰多俱减，咽燥转润。的是寒饮内阻，脾胃气虚。药向效边求。
台参须（一钱） 制半夏（一钱五分） 炒陈皮（一钱） 姜汁炒竹茹（一钱） 炒于术（二钱）
生熟草（各二分） 云茯苓（三钱） 生熟谷芽（各一钱） 玫瑰花（二朵） 真武丸（三钱先服）
六诊 痰多咳逆气喘。脉象沉弦，左部细弱。脾胃肾皆虚，气不收摄。拟摄纳阳气。
台参须 补骨脂 浓杜仲 云茯苓 车前子 菟丝子 怀牛膝 济生肾气丸
七诊 温摄脾肾，气喘已平，痰亦渐少。可见脾虚不运则生痰，肾虚不纳则气逆。药既应手，宜再扩充。
台参须（一钱） 炒于术（一钱五分） 牛膝（盐水炒三钱） 车前子（三钱） 上广皮（一钱） 制半夏（
一钱五分） 沙苑（盐水炒三钱） 菟丝子（盐水炒三钱） 茯苓（三钱） 巴戟肉（三钱） 杜仲（三钱）
补骨脂（盐水炒三钱）
八诊 气喘已平，每至戌后阴分，痰辄上逆。再以温药和之。
台参须（一钱） 茯苓（三钱） 炒于术（二钱） 桂枝（四分） 炙甘草（二分） 制半夏（一钱五分）
杜仲（三钱） 巴戟肉（三钱） 橘红（一钱） 菟丝子（盐水炒三钱） 济生肾气丸（三钱）
丸方 脾虚则生湿，气虚则生痰，痰饮内踞，为喘为咳为眩晕。温脾所以燥湿化痰，而脾土之阳，化生
于命火，历投温补脾肾，颇形康胜。此次喘发甚重，守前意进退施治，渐得平定。惟衰年气血皆亏，阴腻
之药，必助寒饮，惟血肉有情之品，斯温不涉燥，柔不涉腻。
炙上 （四两） 煨天麻（一两） 巴戟肉（三两） 白茯苓（三两） 炙甘草（八钱） 奎党参（六两）
炒山药（三两） 广郁金（三两） 川桂枝（八钱） 炒于术（三两） 甘杞子（三两） 浓杜仲（三两）
炒萸肉（二两） 制半夏（二两） 广橘红（一两） 泽泻（一两五钱） 肥玉竹（二两） 补骨脂（盐水炒
二两） 白蒺藜（去刺炒二两） 菟丝子（盐水炒二两） 蜜炙淡干姜（六钱） 炒霞天曲（一两） 胡桃肉
（十二枚打碎）
上药各炒研为末，用鲜河车一具，漂净酒煮打烂，捣药糊丸，每服三钱。
Tai Shen Xu (Radix Ginseng Stolon, 5 fen) Sheng Yu Zhu (Rhizoma Atractylodis Macrocephalae, 1 qian) Da Mai Dong (Radix Ophiopogonis Japonici, 3 qian) Zhi Cao (Herba Glycyrrhizae Preparata, 3 fen) Sheng Mu Li (Concha Ostreae, 5 qian) Yan Shui Zhi Huang Qi (Radix Astragali Membranaceae Salt-Prepared, 1.5 qian)
Zhi Sheng Di (Radix Rehmanniae Glutinosae Preparated, 4 qian) Zhi Gan Qi Zi (Fructus Lycii Chinensis Prepared, 2 qian) Huai Yao (Rhizoma Dioscoreae Oppositae Stir-fried, 3 qian) Wei Tian Ma (Rhizoma Gastrodiae Blumeae Calcined, 1.5 qian) Jiu Chao Bai Shao (Radix Paeoniae Lactiflorae Wine-Stirfried, 1.5 qian)
Eighth Consultation: Support the righteous Qi to resist the hyperactivity of Liver Wood, nourish Ying Blood to contain Liver Wood. Since the Wind-Wood has calmed, the convulsions and twitching will naturally not recur; as fluids return, nasal discharge and tears normalize, the cyanotic complexion recedes, and the pulse becomes soft and slow. This demonstrates that slow epilepsy ultimately belongs to deficiency syndromes, yet there is a distinction between Yang decline and Yin weakness.
Tai Shen Xu (Radix Ginseng Stolon, 5 fen) Da Sheng Di (Radix Rehmanniae Glutinosae Fresh) Bai Fu Ling (Poria) E Jiao Zhu (Colla Corii Asini Bead) Sheng Shan Yao (Rhizoma Dioscoreae Oppositae Fresh) Yan Shui Zhi Mian Huang Qi (Radix Astragali Membranaceae Salt-Prepared) Sheng Yu Zhu (Rhizoma Atractylodis Macrocephalae Fresh) Hang Bai Shao (Radix Paeoniae Lactiflorae) Da Mai Dong (Radix Ophiopogonis Japonici) Sheng Mu Li (Concha Ostreae) Gan Qi Zi (Fructus Lycii Chinensis) Huai Xiao Mai (Frumentum Tritici Vulgaris)
Acute epilepsy belongs to Yang, slow epilepsy belongs to Yin; acute epilepsy belongs to excess, slow epilepsy belongs to deficiency. Within the category of deficiency, there is further distinction between Yang decline and Yin weakness. This represents a unique insight. Medications for slow epilepsy are mostly ineffective, but "One Fen Five Li San" may yield results. The formula uses one live Bufo bufo gargarizans (Toad), filling its abdomen with powder of Fructus Amomi Verrucosus (Yangchun Cardamom) via the mouth until the abdomen swells, coating it completely with mud to prevent gas leakage, and baking it in chaff fire until the mud turns red and scorched, at which point the toad is also dried out. Remove the mud, grind into powder, first administer 1 li mixed with boiling water, then 2 li, limited to five doses within 24 hours, increasing by 1 li each time, totaling 1 fen 5 li, hence named "One Fen Five Li San". This formula also treats Shui Gu (Ascites), as Bufo bufo gargarizans has the function of promoting water metabolism, and Fructus Amomi Verrucosus has the ability to regulate Qi; when Qi moves and water flows, the distension syndrome can resolve. (Note by Wen Hanzhi)
Right side: After regulating Qi and extinguishing Liver Wind, dizziness remains unstable. Left pulse is wiry and large, the Chi position is empty. This indicates lower deficiency and upper excess. Propose using shell-type minerals to subdue Yang as a further treatment.
Sheng Gui Ban (Carapax et Plastrum Testudinis, 7 qian) Ci Shi (Magnetitum, 3 qian) Hang Bai Shao (Radix Paeoniae Lactiflorae Wine-Stirfried, 1.5 qian) E Jiao Zhu (Colla Corii Asini Bead, 2 qian) Sheng Mu Li (Concha Ostreae, 5 qian) Zhu Fu Shen (Poria with Hostwood, 3 qian)
Chi Ju Hua (Flos Chrysanthemi Indici, 1.5 qian) Hei Dou Yi (Testa Phaseoli Sojae Nigrae, 3 qian) Gou Gou (Ramulus Uncariae cum Uncis, 3 qian) Huai Xiao Mai (Frumentum Tritici Vulgaris, 5 qian)
Patient Qian (Right): Kidney Water is insufficient to nourish Liver Wood; Qi of the Liver Meridian rebels chaotically, causing abdominal distension and chest tightness. Below, it manifests as Qi stagnation; above, swirling transforms into Wind. Upward swirling of Wind-Yang causes dizziness. Although the major trend is stabilized, the root cause remains; gum swelling and pain also belong to Wind-Yang obstructing the Stomach collaterals. Pulse is fine and wiry. Soft nourishment is suitable.
Chuan Shi Hu (Hermulae Caulis, 4 qian) Da Mai Dong (Radix Ophiopogonis Japonici, 3 qian) Sheng Mu Li (Concha Ostreae, 6 qian) Sheng Bai Shao (Radix Paeoniae Lactiflorae, 2 qian) Bai Ji Li (Fructus Tribuli, 3 qian) Xiao Hei Dou Yi (Testa Phaseoli Sojae Nigrae, 3 qian)
Jiu Chao Nu Zhen Zi (Fructus Ligustri Lucidi Wine-Stirfried, 3 qian) E Jiao Zhu (Colla Corii Asini Bead, 1.5 qian) Gan Ju Ye (Pericarpium Citri Reticulatae Leaf, 1 qian)
Certain Patient: Head and eyes spinning with dizziness, persisting for a long time without cure; symptoms improve after administering Yin-nourishing and grasping medicines, indicating Phlegm obstructing the Middle Palace (Spleen/Stomach). Phlegm can cause dizziness, as stated by ancients, does it deceive us?
Wen Dan Tang (Warm Gallbladder Decoction) plus Can Sha (Bombyx Batryticatus residue), Ji Li (Fructus Tribuli), Jiang Can (Bombyx Batryticatus), Tian Ma (Rhizoma Gastrodiae Blumeae), Lou Ren (Semen Trichosanthis), Xing Ren (Semen Armeniacae Amarum). Additionally, take Bai Jin Wan (White Gold Pill) 5 fen first.
Patient Li (Right): Qi and Blood both deficient, Wood loses nourishment, leading to disharmony of Yang Qi, causing dizziness, cold skin and steaming bone, frequent sweating. Yang Qi cannot guard the exterior externally, so biased hot medicines should not be advanced frequently.
Chuan Gui Zhi (Ramulus Cinnamomi Cassiae, 5 fen) Di Gu Pi (Cortex Lycii Chinensis, 2 qian, stir-fried with Gui Zhi) Hang Bai Shao (Radix Paeoniae Lactiflorae Wine-Stirfried, 1.5 qian) Bai Fu Ling (Poria, 3 qian) Bai Gui Shen (Radix Angelicae Sinensis Root Body, 2 qian)
Zhi Hei Cao (Herba Glycyrrhizae Preparated Blackened, 3 fen) Ju Bai (Albedo Citri Reticulatae, 1 qian) Huai Xiao Mai (Frumentum Tritici Vulgaris, 5 qian) Da Nan Zao (Fructus Jujubae, 3 pieces)
Patient Ye (Right): Only cold, no heat, gradually leading to abdominal fullness and pain, dizziness, reduced appetite. Pulse is weak and wiry. Qi stagnates below, Yang rises above. Regulate Qi and extinguish Liver Wind is suitable.
Cu Chao Xiang Fu (Rhizoma Cyperi Rotundi Vinegar-Stirfried, 2 qian) Dang Gui (Radix Angelicae Sinensis, 2 qian) Jin Ling Zi (Fructus Meliae Toosendan, 1.5 qian) Bai Ji Li (Fructus Tribuli, 3 qian) Jiu Chao Bai Shao (Radix Paeoniae Lactiflorae Wine-Stirfried, 1.5 qian) Gou Gou (Ramulus Uncariae cum Uncis, 3 qian) Ban Xia Qu (Rhizoma Pinelliae Preparata Fermented, 1.5 qian) Gan Ju Ye (Pericarpium Citri Reticulatae Leaf, 1 qian) Gan Ju Hua (Flos Chrysanthemi Indicum, 1.5 qian) Fo Shou Hua (Flos Citri Sarcodactylis, 7 fen) Sheng Shu Gu Ya (Semen Hordei Germinatum Raw and Cooked, 1 qian each)
Second Consultation: Dizziness slightly reduced, still feeling full after eating. Harmonize Liver and Spleen again.
Zhi Xiang Fu (Rhizoma Cyperi Rotundi Prepared, 2 qian) Guang Chen Pi (Pericarpium Citri Reticulatae, 2 qian) Zhu Fu Shen (Poria with Hostwood, 3 qian) Dong Bai Shao (Radix Paeoniae Lactiflorae Winter Harvest, 1.5 qian) Suo Sha Ren (Fructus Amomi Verrucosus, 5 fen, add later) Chao Zhi Ke (Pericarpium Aurantii Immaturum Stir-fried, 1 qian)
Chao Zao Ren (Semen Ziziphi Spinosae Stir-fried, 3 qian, crushed) Xiang Yuan Pi (Exocarpium Citri Grandis Peel, 1 qian) Jin Ling Zi (Fructus Meliae Toosendan, 1.5 qian) Chen Xiang Qu (Lignum Aquilariae Resinatum Fermented Stir-fried, 2 qian) Jiao Mai Ya (Semen Hordei Germinatum Charred, 2 qian)
Patient Liang (Right): Upon entering Yin phases, Fire rises causing dizziness and malar flush, Yang Qi entirely rushes upward, feet are not warm, hair falls out. Guide Yang Qi downward is suitable.
Sheng Mu Li (Concha Ostreae, 4 qian) Zhi Gui Ban (Carapax et Plastrum Testudinis Prepared, 3 qian, decoct first) Chi Ju (Flos Chrysanthemi Indici, 1.5 qian) Yun Fu Ling (Poria, 3 qian) Shi Jue Ming (Concha Haliotidis, 4 qian) Bai Ji Li (Fructus Tribuli De-thorned Stir-fried, 3 qian) Gou Gou (Ramulus Uncariae cum Uncis, 3 qian) Fen Gui Shen (Radix Angelicae Sinensis Root Body Powdered, 1.5 qian) Zi Shen Wan (Nourish Kidney Pill, 1.5 qian, salt water first)
Patient Mao (Right): Pulse is fine and soggy, Right Guan position carries slipperiness. Repeatedly advancing Yin-nourishing and Yang-subduing medicines, dizziness remains unstable, sometimes acid regurgitation occurs. Good reason: Clear fluids are refined by Yang Qi, gradually turning into Phlegm, causing turbid obstruction in clear positions, thus dizziness cannot stabilize. Advance by retreating strategy.
Zhi Ban Xia (Rhizoma Pinelliae Preparata) Wan Can Sha (Bombyx Batryticatus residue) Yun Fu Ling (Poria) Hang Ju (Flos Chrysanthemi Indici) Guang Ju Hong (Pericarpium Citri Reticulatae Pericarpium) Wei Tian Ma (Rhizoma Gastrodiae Blumeae Calcined) Bai Ji Li (Fructus Tribuli) Bai Jin Wan (White Gold Pill, 3 fen)
Second Consultation: Yang Qi floats upward, frequent dizziness. Yang Qi above floats daily, Yang Qi below lacks daily, so repeated Yang-subduing medicines do not reduce the disease. Propose Jin Gui Fu Zi Tang (Aconite Decoction from Golden Cabinet) to guide Yang Qi downward.
Tai Shen Xu (Radix Ginseng Stolon, 1 qian, decoct separately) Ye Yu Zhu (Rhizoma Atractylodis Macrocephalae Wild, 1.5 qian) Yun Fu Ling (Poria, 3 qian) Shu Fu Pian (Radix Aconiti Lateralis Preparata Cooked, 4 fen) Wei Mu Li (Concha Ostreae Calcined, 4 qian) Hang Bai Shao (Radix Paeoniae Lactiflorae Wine-Stirfried, 1.5 qian) Bai Ji Li (Fructus Tribuli, 3 qian) Lao Sheng Jiang (Rhizoma Zingiberis Recens Old, 2 slices)
Patient Jin (Right): Dizziness and vomiting, tongue base stiff, pulse slippery, coating greasy, Fire rises causing right Taiyang headache. Liver Yang carrying Phlegm rises. Resolve Phlegm and extinguish Liver Wind is suitable.
Sang Ye (Folium Mori, 1.5 qian) Shan Zhi (Fructus Gardeniae Jasminoidis, 3 qian) Jiang Can (Bombyx Batryticatus, 2 qian) Fu Ling (Poria, 3 qian) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.2 qian) Dan Pi (Cortex Moutan Radicis, 1 qian)
Man Jing Zi (Fructus Viticis Negundo, 1 qian) Ju Hong (Pericarpium Citri Reticulatae Pericarpium, 1 qian) Zhu Ru (Caulis Bambusae in Taeniam, 1 qian) Bai Jin Wan (White Gold Pill, 5 fen, divide twice, take first)
Patient Yang (Left): White rash has transformed, heat is gradually lighter. But limbs are not warm, much phlegm and frequent cough, sometimes feels heat rushing to vertex, causing dizziness. Pulse is deep and wiry. Good reason: Phlegm-fluids internally obstruct, Yang Qi cannot circulate freely, saying "No Phlegm, No Dizziness". Resolve Phlegm to unblock Yang Qi is suitable.
Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Ju Hong (Pericarpium Citri Reticulatae Pericarpium, 1 qian) Chao Su Zi (Semen Lepidii Descurainiae Stir-fried, 3 qian) Bai Ji Li (Fructus Tribuli De-thorned, 3 qian) Jiang Can (Bombyx Batryticatus, 2 qian) Bai Fu Ling (Poria, 3 qian)
Zhi Nan Xing (Rhizoma Arisaematis Cum Bile Preparata, 4 fen) Chuan Gui Zhi (Ramulus Cinnamomi Cassiae, 4 fen) Wei Tian Ma (Rhizoma Gastrodiae Blumeae Calcined, 1.5 qian) Wei Jiang (Rhizoma Zingiberis Recens Calcined, 2 slices)
Second Consultation: Dizziness and aversion to cold have retreated, much phlegm wanting to cough. Indeed Phlegm-fluids move internally, Yang Qi is depressed and obstructed. Resolve Phlegm and descend Qi again.
Yu Zhu (Rhizoma Atractylodis Macrocephalae, 2 qian) Chuan Gui Zhi (Ramulus Cinnamomi Cassiae, 3 fen) Bu Gu Zhi (Fructus Psoraleae Corylifoliae Salt-Stirfried, 1 qian) Gan Jiang (Rhizoma Zingiberis Secum Preparatum, 3 fen) Zhi Cao (Herba Glycyrrhizae Preparata, 2 fen) Ju Hong (Pericarpium Citri Reticulatae Pericarpium, 1 qian)
Bai Fu Ling (Poria, 3 qian) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Wu Jia Pi (Cortex Acanthopanacis Senticosi, 2 qian)
Third Consultation: Yesterday vomited much phlegm-saliva, residual pathogen floating upward. Today vomiting phlegm still causes nausea, Stomach Qi is already deficient, moreover vomitus is black. Propose Si Ni method (Four Inverse Method).
Tai Shen Xu (Radix Ginseng Stolon, decoct separately and mix, 8 fen) Shang Guang Pi (Pericarpium Citri Reticulatae Superior, 1 qian) Sheng Shu Yi Ren (Semen Coicis Raw and Cooked, 2 qian each) Fu Ling (Poria, 3 qian) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Shu Fu Pian (Radix Aconiti Lateralis Preparata Cooked, 5 fen) Dan Gan Jiang (Rhizoma Zingiberis Secum Preparatum Pale, 5 fen) Zhu Ru (Caulis Bambusae in Taeniam Ginger-Juice Stirfried, 1 qian) Sheng Shu Gu Ya (Semen Hordei Germinatum Raw and Cooked, 1.5 qian each)
Fourth Consultation: After administering Fu Zi Si Ni, vomiting stopped, phlegm decreased, cough settled, but throat feels dry, tongue remains pale white. Essence is Yin deficient, inconvenient to use warm-drying excessively. Propose Liu Jun Zi (Six Gentlemen Decoction) to treat Spleen and Stomach primarily.
Tai Shen Xu (Radix Ginseng Stolon, 8 fen) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Chao Yu Zhu (Rhizoma Atractylodis Macrocephalae Stir-fried, 1.5 qian) Shang Guang Pi (Pericarpium Citri Reticulatae Superior, 1 qian) Sheng Shu Cao (Herba Glycyrrhizae Preparata Raw and Cooked, 1 fen each) Zhu Ru (Caulis Bambusae in Taeniam Ginger-Juice Stirfried, 1 qian) Pei Lan Ye (Herba Eupatorii Fortunei, 1.5 qian) Bai Fu Ling (Poria, 3 qian) Sheng Shu Gu Ya (Semen Hordei Germinatum Raw and Cooked, 1.5 qian each)
Fifth Consultation: Dispersing Phlegm and tonifying Qi, cough and much phlegm both reduced, throat dryness turned moist. Indeed Cold-Fluids internally obstruct, Spleen-Stomach Qi deficient. Seek efficacy from medicine.
Tai Shen Xu (Radix Ginseng Stolon, 1 qian) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Chao Chen Pi (Pericarpium Citri Reticulatae Stir-fried, 1 qian) Jiang Zhi Zhu Ru (Caulis Bambusae in Taeniam Ginger-Juice Stirfried, 1 qian) Chao Yu Zhu (Rhizoma Atractylodis Macrocephalae Stir-fried, 2 qian)
Sheng Shu Cao (Herba Glycyrrhizae Preparata Raw and Cooked, 2 fen each) Yun Fu Ling (Poria, 3 qian) Sheng Shu Gu Ya (Semen Hordei Germinatum Raw and Cooked, 1 qian each) Mei Gui Hua (Flos Rosae Rugosae, 2 flowers) Zhen Wu Wan (True Warrior Pill, 3 qian, take first)
Sixth Consultation: Much phlegm, coughing reverse, asthma. Pulse is deep and wiry, Left part fine and weak. Spleen, Stomach, and Kidney all deficient, Qi cannot grasp. Propose grasping and retaining Yang Qi.
Tai Shen Xu (Radix Ginseng Stolon) Bu Gu Zhi (Fructus Psoraleae Corylifoliae) Nong Du Zhong (Cortex Eucommiae Ulmoidis Concentrated) Yun Fu Ling (Poria) Che Qian Zi (Semen Plantaginis) Tu Si Zi (Semen Cuscutae) Huai Niu Xi (Radix Achyranthis Bidentatae) Ji Sheng Shen Qi Wan (Kidney Qi Generating Pill for Sufferings)
Seventh Consultation: Warming and grasping Spleen and Kidney, asthma has flattened, phlegm gradually decreased. Visible: Spleen deficiency failing to transport generates Phlegm, Kidney deficiency failing to grasp causes Qi rebellion. Medicine responds well, should expand further.
Tai Shen Xu (Radix Ginseng Stolon, 1 qian) Chao Yu Zhu (Rhizoma Atractylodis Macrocephalae Stir-fried, 1.5 qian) Niu Xi (Radix Achyranthis Bidentatae Salt-Stirfried, 3 qian) Che Qian Zi (Semen Plantaginis, 3 qian) Shang Guang Pi (Pericarpium Citri Reticulatae Superior, 1 qian) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Sha Yuan (Semen Astragali Complanati Salt-Stirfried, 3 qian) Tu Si Zi (Semen Cuscutae Salt-Stirfried, 3 qian) Fu Ling (Poria, 3 qian) Ba Ji Rou (Cortex Morindae Officinalis Flesh, 3 qian) Du Zhong (Cortex Eucommiae Ulmoidis, 3 qian) Bu Gu Zhi (Fructus Psoraleae Corylifoliae Salt-Stirfried, 3 qian)
Eighth Consultation: Asthma has flattened, every evening during Yin phase, Phlegm reverses upward. Warm medicines to harmonize again.
Tai Shen Xu (Radix Ginseng Stolon, 1 qian) Fu Ling (Poria, 3 qian) Chao Yu Zhu (Rhizoma Atractylodis Macrocephalae Stir-fried, 2 qian) Gui Zhi (Ramulus Cinnamomi Cassiae, 4 fen) Zhi Gan Cao (Herba Glycyrrhizae Preparata, 2 fen) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 1.5 qian) Du Zhong (Cortex Eucommiae Ulmoidis, 3 qian) Ba Ji Rou (Cortex Morindae Officinalis Flesh, 3 qian) Ju Hong (Pericarpium Citri Reticulatae Pericarpium, 1 qian) Tu Si Zi (Semen Cuscutae Salt-Stirfried, 3 qian) Ji Sheng Shen Qi Wan (Kidney Qi Generating Pill for Sufferings, 3 qian)
Pill Formula: Spleen deficiency generates Dampness, Qi deficiency generates Phlegm, Phlegm-Fluids occupy internally, manifesting as asthma, cough, dizziness. Warming Spleen dries Dampness and resolves Phlegm, while Spleen Earth Yang is generated from Ming Men Fire. Previously repeatedly administering warming tonics to Spleen and Kidney showed good recovery. This time asthma attack was severe, adhering to previous intent adjusting treatment, gradually stabilized. Only in declining years, Qi and Blood are both deficient, Yin-greasy medicines must assist Cold-Fluids, only flesh-and-blood sentient substances, thus warming does not involve dryness, softening does not involve greasiness.
Zhi Shang Huang Qi (Radix Astragali Membranaceae Prepared, 4 liang) Wei Tian Ma (Rhizoma Gastrodiae Blumeae Calcined, 1 liang) Ba Ji Rou (Cortex Morindae Officinalis Flesh, 3 liang) Bai Fu Ling (Poria, 3 liang) Zhi Gan Cao (Herba Glycyrrhizae Preparata, 8 qian) Kui Dang Shen (Radix Codonopsis Pilosae Kweichow, 6 liang)
Chao Shan Yao (Rhizoma Dioscoreae Oppositae Stir-fried, 3 liang) Guang Yu Jin (Radix Curcumae Longae, 3 liang) Chuan Gui Zhi (Ramulus Cinnamomi Cassiae, 8 qian) Chao Yu Zhu (Rhizoma Atractylodis Macrocephalae Stir-fried, 3 liang) Gan Qi Zi (Fructus Lycii Chinensis, 3 liang) Nong Du Zhong (Cortex Eucommiae Ulmoidis Concentrated, 3 liang)
Chao Yu Rou (Fructus Corni Officinalis Stir-fried, 2 liang) Zhi Ban Xia (Rhizoma Pinelliae Preparata, 2 liang) Guang Ju Hong (Pericarpium Citri Reticulatae Pericarpium, 1 liang) Ze Xie (Rhizoma Alismatis Orientalis, 1.5 liang) Fei Yu Zhu (Rhizoma Polygonati Odorati Fat, 2 liang) Bu Gu Zhi (Fructus Psoraleae Corylifoliae Salt-Stirfried, 2 liang) Bai Ji Li (Fructus Tribuli De-thorned Stir-fried, 2 liang) Tu Si Zi (Semen Cuscutae Salt-Stirfried, 2 liang) Mi Zhi Dan Gan Jiang (Rhizoma Zingiberis Secum Preparatum Pale Honey-Prepared, 6 qian) Chao Xia Tian Qu (Massa Medicata Fermentata Stir-fried, 1 liang) Hu Tao Rou (Semen Juglandis Semen Flesh, 12 pieces, crushed)
Above medicines each stir-fried and ground into powder, use fresh He Che (Placenta Hominis) one set, rinse clean, wine-boil and mash,捣药糊丸 (pound medicine paste into pills), each dose 3 qian.