冯(右) 面浮足肿,朝则面甚,晚则足甚。产后营虚,阳气挟湿上行也。先治其标。
炒苏子(三钱) 杏仁泥(三钱) 炒枳壳(一钱) 粉归身(二钱) 羌活(一钱) 磨沉香(三分冲)
云茯苓(三钱) 炒于潜术(二钱) 青防风(一钱) 越鞠丸(三钱开水先服)
储(左) 胀势既松之后,适交春令,肝藏之气,勃然升发。流行之机,皆为之阻。大腹仍胀,寅卯木旺,气觉
攻撑。脉细而弦。恐成气胀大症。
酒炒白当归(二钱) 广皮(一钱) 土炒东白芍(二钱) 炒川椒(四分) 制香附(二钱) 建泽泻(一钱五
分) 猪苓(二钱) 金铃子(一钱五分) 砂仁(七分) 连皮苓(四钱) 上徭桂(五分研末饭为丸先服)
二诊 辛温以通阳气,寅卯胀觉略平。据述露坐受寒而起。经谓脏寒生满病。再守温脏为法。
制香附(二钱) 新会皮(一钱) 泽泻(一钱五分) 云茯苓(四钱) 木猪苓(二钱) 广郁金(一钱五分)
上沉香(二分) 上徭桂(三分) 木香(四分) 砂仁(四粒) 酒炒湘军(四分后五味研末为丸)
左 温补脾肾,胀满降序,神情亦振。药既应手,再当扩充。
西潞党(三钱) 野于术(三钱) 川桂木(五分) 炮姜(五分) 泽泻(一钱五分) 炙绵 (三
钱) 熟附片(四分) 淡吴萸(四分) 茯苓(三钱) 牛膝(三钱)
二诊 宣布五阳,胀势渐退,然中脘按之作痛。此饮食伤滞。当补脾之不足,疏胃之有余。
党参 枳实 猪苓 熟附片 公丁香 炮姜 泽泻 于术 青皮 上广皮 鸡内金
左 至暮不能纳食,食即胀满,至天明其满始退。脉象沉弦。此由脾阳不振,所以至暮则阳无以化,而
胀满辄甚。鼓胀根源,未可忽视。
上川朴 连皮苓 建泽泻 大腹皮 炒于潜术 草果仁 炒枳实 熟附片 木猪苓 炙鸡内金 老姜衣
冯(左) 肿势不增不减,气急痰鸣,大便溏行,小便涓滴,心中灼热懊烦。脉沉弦重按带滑。此水
气逆射于肺,而痰火交炽于胸中,势恐喘脱。
葶苈子(一钱) 大腹皮(三钱) 炒苏子(三钱) 花槟榔(一钱) 猪苓(二钱) 光杏仁(三钱)
桑白皮(二钱) 建泽泻(二钱) 舟车丸(一钱五分) 竹沥达痰丸(一钱五分二丸和匀通草汤下)
周(左) 由肢体疲软,渐至食入运迟,腹笥胀满,脐下尤甚,咳嗽痰多。脉形沉细,苔白少华。此由脾肾阳
衰,不足以运旋鼓舞,土为火子,真阳不治,则土德愈衰,木邪愈肆。补火生土,一定之理也,特王道无近
功耳。饮食一切,必须谨慎,以盛纳在胃,运化在脾也。知者当能察之。
别直参(二钱) 制半夏(三钱) 炒椒目(五分) 炮姜(四分) 炙内金(一钱五分) 土炒野于术(二钱)
茯苓(七钱) 川桂木(四分) 炒苏子(三钱) 橘红(一钱) 熟附片(八分) 泽泻(一钱五分)
某 湿热随风流布,水湿之气,上溢高源,面色带浮。宜分利湿热,略佐祛风。
制半夏 通草 防风 白僵蚕 羌活 茯苓 生薏仁 泽泻 陈皮
某 气喘略定,而水湿之邪,仍不得泄,两足肿大。的属水气横溢,势非轻小。
葶苈 大腹皮 瞿麦 焦苍术 猪苓 茯苓皮 泽泻 新会皮 炙内金 车前子 炒冬瓜皮
周(左) 足肿稍退,面部仍浮,腹笥膨急,而不自觉胀,其湿热横溢于皮肤肌肉可知。上则痰多,下则便
闭。运脾利湿泄浊,再望应手。
大腹皮(二钱) 茯苓皮(三钱) 建泽泻(一钱五分) 五加皮(二钱) 猪苓(二钱) 范志曲(一钱五分)
上广皮(一钱) 炙内金(一钱五分) 老姜衣(三分) 小温中丸(三钱先服)
二诊 体半以下,肿势渐消,而体半以上,仍肿不退。脉沉细,舌苔黄滑。湿热溢于皮肤肌肉,用金匮越
婢汤,以发越脾土之湿邪。
生甘草(三分) 茯苓皮(四钱) 炙内金(一钱) 煨石膏(二钱) 大腹皮(二钱) 生麻黄(五分另煎去
沫后入) 陈橘皮(一钱) 老姜(三片)
三诊 太阳膀胱为六经之首,主皮肤而统卫,所以开太阳之经气,而膀胱之府气自通。小溲较畅,面
浮肤肿略退。再风以胜湿,淡以渗湿,温脾土以燥湿。
青防风(一钱) 川芎(一钱) 木猪苓(二钱) 泽泻(一钱五分) 川羌活(一钱) 大腹皮(二钱)
连皮苓(三钱) 川朴(一钱) 广皮(一钱) 姜衣(四分)
朱(幼) 遍体虚浮,肿满窒塞,小溲不利,气逆喘促。脉沉,苔黄质腻。此脾虚而湿热泛滥莫制。将至喘脱。
大腹皮(二钱) 广陈皮(一钱) 赤小豆(三钱) 细木通(一钱) 羌活(一钱) 制川朴(一钱)
川椒目(七分) 云茯苓皮(三钱) 建泽泻(二钱) 舟车丸(三钱开水先服)
二诊 肿势虽减,腹仍胀满,腿股晶澈溃烂,胃呆厌食。湿热充斥,尚在险途。
大腹皮(三钱) 汉防己(酒炒三钱) 生薏仁(五钱) 川通草(一钱) 广皮(一钱) 黑山栀(三
钱) 连皮苓(五钱) 滑石块(四钱) 光杏仁(三钱) 枇杷叶(四片)
师云、溃烂不致伤命,险在腹胀厌食。炒冬瓜泥可服。水果甜物忌。盐大忌,以秋石代之。(清儒附志)
三诊 浮肿已退,而湿热下趋,两足糜烂。急延疡科商治。
西茵陈 赤白苓 泽泻 生薏仁 车前子 台白术 制半夏 广皮 木猪苓 粉当归
范(左) 目窠先肿,渐至腿足俱胀,脘腹不舒。脉细沉迟。此湿寒泛滥,水气重症,方兴未艾之际也。
川朴 泽泻 广皮 大腹皮 防风 羌活 川芎 猪苓 防己 五加皮 桂枝 姜衣
炙内金(一钱五分研先调服)
经云、水之始起也,目窠上微肿,如新卧起之状。观于此益信。(清儒志)
二诊 脘腹胀舒足肿未退。
苍术 川朴 五加皮 连皮茯苓 炒冬瓜皮 广皮 薏仁 大腹皮 建泽泻 木猪苓 姜衣 鸡内金(炙研调服)
三诊 肿势已退,偏右头痛。湿渐解而风未解也。
炒冬瓜皮 青防风 连皮茯苓 川芎 白术 生熟薏仁 川羌活 白僵蚕 猪苓 泽泻
以上三方初剂腹肿退,三剂全愈矣。(清儒志)
吴(左) 遍体虚浮,气逆难卧。水气逆射于肺。未可忽视。
葶苈子(八分) 光杏仁(三钱) 大腹皮(二钱) 炙桑皮(二钱) 广皮(一钱) 香附子(二钱)
炒苏子(三钱) 茯苓皮(四钱) 川朴(一钱) 生姜衣(四分) 鸡内金(一钱五分炙研先调服)
二诊 导水下行,气喘虚浮,一毫不退。脉沉细如丝。此由命火式微,水气泛滥,而逆射于肺。恐逆甚而
喘而厥而脱,不可不慎。
熟附片(五分) 炒冬瓜皮(五钱) 酒炒杭白芍(一钱五分) 云茯苓(三钱) 川桂技(五分)
台白术(一钱五分) 川朴(一钱) 杏仁(三钱) 老姜(一钱五分)
王 由足肿而至遍体虚浮,两胫红赤,二便不利。脉形沉滑。此脾虚而湿热泛滥,水气重症。为势正盛也。
苍术(一钱五分) 防风(一钱五分) 茯苓皮(五钱) 广皮(一钱五分) 五加皮(三钱) 大腹皮(三
钱) 川芎(一钱) 酒炒汉防己(一钱五分) 黑丑(四分) 湘军(一钱) 炙内金(一具后三味研细先调服)
荣(右) 胎前作肿,产后未消,兹将三月有余,反觉面浮腹满。此脾阳虚而不能旋运,水湿泛滥莫制也。
势在正盛。
土炒于术(一钱五分) 大腹皮(二钱) 炙黑草(二分) 炮姜(五分) 广皮(一钱) 炒冬瓜皮(四
钱) 连皮苓(四钱) 生熟薏仁(各二钱) 建泽泻(一钱五分) 官桂(五分后入) 炙内金(一钱半研末调服)
二诊 腹胀消,肤仍肿,微带呛咳。产后脾虚,湿不旋运。再运湿温中,以参调气。
土炒于术 猪苓 茯苓皮 泽泻 葶苈子 生熟薏仁 炮姜 广皮 光杏仁 五加皮 官桂 炙内金(研末调服)
炒冬瓜皮
曹(左) 胃脘作痛,渐至腹大,泄泻之后,痛势虽止,面目肢体俱肿,朝则面甚,暮则足甚。脉细沉弦。此水
饮之气,郁遏脾阳,水从泻去,而脾以泻虚。致水气泛溢。水胀根源也,不可轻视。
苍于术(各二钱) 川朴(一钱) 制半夏(二钱) 猪苓(二钱) 羌活(一钱) 防风(一钱)
连皮苓(五钱) 陈皮(一钱) 磨沉香(三分) 泽泻(一钱五分) 藿香(三钱) 川芎(一钱) 杜苏子(三钱)
某 养肝之体,疏肝之用,参以苦辛而泄肝浊,胀势仍然不减,以前偏左为甚,今则中脘偏右为甚,恶
心频呕痰水,喉间痰声漉漉。左脉细弦,右脉滑大。此由肝横太过,无形之气,挟停痰积水内阻,致脾肺
升降之道,窒塞不通耳。再拟行水气,散痞结,参入芳化,以流气机而开郁阻。
橘皮 旋复花 白芥子 茯苓 老姜 薏仁 制半夏 大腹皮 玉枢丹(五分磨冲)
凡肿胀气升,宜降其气。惟足肿不可降气,代赭亦宜留意。(清儒附志)
邹(左) 由气逆痰升,而致面浮足肿,朝则面甚,暮则足甚。脉滑苔白质腻。此外感风邪,与内湿相合,遂
致风湿相搏,风旋则面浮,湿坠则足肿。恐成肿胀之症。
羌活(一钱) 藿香(一钱五分) 橘红(一钱) 茯苓(三钱) 川朴(五分) 前胡(一钱)
防风(一钱) 西党参(二钱) 制半夏(一钱五分) 杜苏子(炒研三钱) 茅术(一钱五分)
二诊 降气除湿合方,两胫肿胀大退,而足跗仍肿,面色带浮。脉象濡滑。风旋于上,湿坠于下,再培土利湿。
炙绵 (二钱) 汉防己(一钱五分) 炒木瓜皮(一钱五分) 生熟薏仁(四钱) 上徭桂(四分)
白茯苓(三钱) 炒冬瓜皮(三钱) 炒于术(一钱五分) 大腹皮(二钱)
邵 由足肿而致遍体虚浮,二便不利。脉象沉弦,舌苔白滑。脾虚湿邪不运,溢入肌肤,名曰饮肿。恐水
气逆射而致气喘。拟开鬼门法。
炙麻黄(五分) 北细辛(三分) 煨石膏(四钱) 制半夏(一钱五分) 橘红(一钱) 桂枝(四分)
淡干姜(四分) 光杏仁(三钱) 生甘草(二分) 大腹皮(二钱)
陈岳林 平人清气上升,浊气下降,气机施化,无一息之停者也。吸烟之体,湿痰必盛。况食百合,百合
性寒粘腻,寒则伤脾,腻则助湿,脾土不运,湿滞不行,清浊升降,因而失司。浊气在上,则生 胀,以致大
腹胀满,绷急如鼓,中脘尤甚,常觉火热,以湿郁则生热也。浊气不降,则清津不升,所以湿热甚而转生
口渴。小溲红赤,且觉热痛,大便不克畅行,所以胀满更甚,噫气酸浊。良由土滞则木郁,土中有木,方能
为胀,前人有肿属于脾,胀属于肝之说为此。脉象沉郁,而且带数。一派湿热闭郁情形,鼓胀之症也。为
今之计,惟有泄化湿热,以舒脾困,兼泄府浊,以望气机流行。
川雅连(四分吴萸一分同炒) 云茯苓(三钱) 炒杏仁(三钱) 大腹皮(二钱) 方通草(一钱) 绵
茵陈(二钱) 上川朴(一钱) 生薏仁(四钱) 广皮(一钱) 炒神曲(二钱) 滑石(三钱) 鸡内金
(一钱炙研末调服) 小温中丸(三钱开水先送下)
孙(左) 情志抑郁,气机不运,湿热从而闭阻,三焦升降失司,以致大腹胀满,腿股肿胀,肢体面目发黄。
脉糊滑,苔白罩灰。鼓胀重症。勉拟辛开淡渗苦泄。
上川朴(一钱) 大腹皮(三钱) 炒杏仁(三钱) 海金砂(三钱) 绵茵陈(二钱) 上广皮(一钱)
范志曲(二钱) 炙内金(二钱) 焦麦芽(三钱)
储(左) 似疟之后,湿恋未清,而服血肉大补之剂,致令湿热壅滞,压坠府气,少腹作胀。再服养血以助
湿,甘寒以伐气,遂致湿热充斥三焦,大腹膨胀,延及胸脘,二便不利。脉数,舌红苔腻。鼓胀重症也。欲止
其胀,当疏其气,欲疏其气,当运其脾,欲运其脾,当泄其湿,以脾为坤土,土恶湿也。特谋事在人,成事不在人耳。
上川朴 茵陈 光杏仁 广藿香 大腹皮 建泽泻
陈皮 赤猪苓 范志曲 焦麦芽 通草 小温中丸
二诊 胀势轻退,而中脘仍然痞满,食入不舒,溲少便阻。肠中之流行稍畅,而胃中之气湿结滞,不能
通降。虽略起色,尚难深恃。
川雅连 整砂仁 炙内金 广陈皮 上川朴 炒枳壳 制香附 淡干姜 连皮槟 越鞠丸
汤(左) 冬温之后,继以便血,旋即大腹胀大,二便涩少。此湿热内滞,流行不宣。鼓胀重症也,未可轻视。
上川朴(二钱) 木猪苓(二钱) 大腹皮(二钱) 西茵陈(二钱) 方通草(一钱) 陈皮(一钱)
杏仁(三钱) 范志曲(二钱) 桃仁(三钱) 建泽泻(二钱) 鸡内金(四个炙研细末调服)
二诊 胀势大减,溲亦稍利,然大腹仍然胀大。虽见转机,尚不足恃也。
杏仁 范志曲 茯苓皮 连皮槟 瞿麦 猪苓
桃仁 西茵陈 新会皮 川椒目 通草 小温中丸
Feng (Right) Facial edema and foot swelling; facial symptoms worsen in the morning, while foot symptoms worsen in the evening. Postpartum deficiency of Ying Blood (nutritive blood), with Yang Qi carrying Dampness upward. Treat the branch (symptoms) first.
Chao Su Zi (Perilla Seed, stir-fried) (3 qian) Xing Ren Ni (Almond Paste) (3 qian) Chao Zhi Qiao (Bitter Orange Peel, stir-fried) (1 qian) Fen Gui Shen (Angelica Sinensis Root Body, powdered) (2 qian) Qiang Huo (Notopterygium Rhizome) (1 qian) Mo Chen Xiang (Agarwood, ground) (3 fen, taken with decoction)
Yun Fu Ling (Poria, cloud variety) (3 qian) Chao Yu Qian Zhu (Atractylodes Macrocephala Rhizome from Yuqian, stir-fried) (2 qian) Qing Fang Feng (Saposhnikovia Root) (1 qian) Yue Ju Wan (Yueju Pill) (3 qian, taken first with boiling water)
Chu (Left) After the distension has slightly eased, coinciding with the arrival of Spring, the Qi of the Liver Organ erupts and rises vigorously. The mechanism of circulation is obstructed. The great abdomen remains distended; during Yin-Mao hours (3-7 AM), when Wood Qi is prosperous, there is a sensation of Qi attacking and stretching. Pulse is thin and wiry. Fear it will develop into severe Qi Distension.
Jiu Chao Bai Dang Gui (White Angelica Sinensis Root, wine-fried) (2 qian) Guang Pi (Tangerine Peel) (1 qian) Tu Chao Dong Bai Shao (White Peony Root, earth-fried) (2 qian) Chao Chuan Jiao (Sichuan Pepper, stir-fried) (4 fen) Zhi Xiang Fu (Cyperus Rhizome, processed) (2 qian) Jian Ze Xie (Alisma Rhizome) (1.5 qian) Zhu Ling (Polyporus) (2 qian) Jin Ling Zi (Chinese Medlar Fruit) (1.5 qian) Sha Ren (Amomum Fruit) (7 fen) Lian Pi Ling (Poria with skin) (4 qian) Shang Yao Gui (Cinnamon Twig from Yaozhou, 5 fen ground into powder, made into pills with rice paste, taken first)
Second Visit Using acrid-warm herbs to unblock Yang Qi, the distension sensation during Yin-Mao hours has slightly flattened. It is reported that the illness started after sitting exposed to cold outdoors. The Classics state: "Cold in the Zang organs generates fullness diseases." Continue with the method of warming the Zang organs.
Zhi Xiang Fu (Cyperus Rhizome, processed) (2 qian) Xin Hui Pi (Xinhui Tangerine Peel) (1 qian) Ze Xie (Alisma Rhizome) (1.5 qian) Yun Fu Ling (Poria, cloud variety) (4 qian) Mu Zhu Ling (Polyporus) (2 qian) Guang Yu Jin (Curcuma Aromatica Rhizome) (1.5 qian)
Shang Chen Xiang (Agarwood) (2 fen) Shang Yao Gui (Cinnamon Twig from Yaozhou) (3 fen) Mu Xiang (Costus Root) (4 fen) Sha Ren (Amomum Fruit) (4 grains) Jiu Chao Xiang Jun (Rhubarb, wine-fried) (4 fen, the latter five herbs ground into powder for pills)
Left Warming and tonifying Spleen and Kidney, distension and fullness have subsided in order, and mental spirit has also invigorated. Since the medicine is effective, further expansion of treatment is needed.
Xi Lu Dang (Codonopsis Root from Shanxi) (3 qian) Ye Yu Zhu (Atractylodes Macrocephala Rhizome, wild) (3 qian) Chuan Gui Mu (Cinnamon Twig) (5 fen) Pao Jiang (Prepared Ginger) (5 fen) Ze Xie (Alisma Rhizome) (1.5 qian) Zhi Mian Huang (Astragalus Root, honey-fried) (3 qian) Shu Fu Pian (Prepared Aconite Slice) (4 fen) Dan Wu Zhu Yu (Evodia Fruit) (4 fen) Fu Ling (Poria) (3 qian) Niu Xi (Achyranthes Root) (3 qian)
Second Visit Distributing Yang Qi of the five channels, distension has gradually receded, but pressing on Zhongwan (CV12) causes pain. This is due to food injury and stagnation. One should tonify Spleen deficiency and soothe Stomach excess.
Dang Shen (Codonopsis Root) Zhi Shi (Immature Bitter Orange) Zhu Ling (Polyporus) Shu Fu Pian (Prepared Aconite Slice) Gong Ding Xiang (Clove) Pao Jiang (Prepared Ginger) Ze Xie (Alisma Rhizome) Yu Zhu (Atractylodes Macrocephala Rhizome) Qing Pi (Green Tangerine Peel) Shang Guang Pi (Premium Tangerine Peel) Ji Nei Jin (Chicken Gizzard Lining)
Left Inability to eat at dusk; eating immediately causes distension, which only subsides by dawn. Pulse is deep and wiry. This is due to Spleen Yang failing to rise, so at dusk Yang cannot transform, causing distension to worsen. The root of Drum Distension must not be ignored.
Shang Chuan Po (Magnolia Bark) Lian Pi Ling (Poria with skin) Jian Ze Xie (Alisma Rhizome) Da Fu Pi (Areca Peel) Chao Yu Qian Zhu (Atractylodes Macrocephala Rhizome, stir-fried) Cao Guo Ren (Black Cardamom Seed) Chao Zhi Shi (Immature Bitter Orange, stir-fried) Shu Fu Pian (Prepared Aconite Slice) Mu Zhu Ling (Polyporus) Zhi Ji Nei Jin (Chicken Gizzard Lining, honey-fried) Lao Jiang Yi (Ginger Skin)
Feng (Left) Swelling neither increases nor decreases, shortness of breath with phlegm rales, loose stools, urine drops only, burning heat and vexation in the heart. Pulse is deep and wiry, slippery upon heavy pressure. This is Water Qi counter-flowing to attack the Lung, while Phlegm-Fire blazes intensely in the chest; fear impending asthma collapse.
Ting Li Zi (Lepidium Seed) (1 qian) Da Fu Pi (Areca Peel) (3 qian) Chao Su Zi (Perilla Seed, stir-fried) (3 qian) Hua Bing Lang (Betel Nut) (1 qian) Zhu Ling (Polyporus) (2 qian) Guang Xing Ren (Apricot Seed) (3 qian)
Sang Bai Pi (Mulberry Root Bark) (2 qian) Jian Ze Xie (Alisma Rhizome) (2 qian) Zhou Che Wan (Boat Journey Pill) (1.5 qian) Zhu Li Da Tan Wan (Bamboo Juice Expectoration-Expelling Pill) (1.5 qian, two pills mixed evenly, taken with Tongcao Decoction)
Zhou (Left) From limb weakness, gradually progressing to slow digestion after eating, abdominal distension, especially below the umbilicus, cough with much phlegm. Pulse form is deep and thin, coating white and lacking luster. This is due to Spleen and Kidney Yang decline, insufficient to rotate and inspire. Earth is the child of Fire; if True Yang is not managed, Earth Virtue declines further, and Wood Evil肆s. Tonifying Fire to generate Earth is a fixed principle, though the King's Way yields no quick results. Diet must be cautious, as storage is in the Stomach, transformation in the Spleen. Those who know can perceive this.
Bie Zhi Shen (Korean Ginseng) (2 qian) Zhi Ban Xia (Pinellia Tuber, processed) (3 qian) Chao Jiao Mu (Pepper Seeds, stir-fried) (5 fen) Pao Jiang (Prepared Ginger) (4 fen) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried) (1.5 qian) Tu Chao Ye Yu Zhu (Wild Atractylodes Macrocephala Rhizome, earth-fried) (2 qian)
Fu Ling (Poria) (7 qian) Chuan Gui Mu (Cinnamon Twig) (4 fen) Chao Su Zi (Perilla Seed, stir-fried) (3 qian) Ju Hong (Pomelo Peel) (1 qian) Shu Fu Pian (Prepared Aconite Slice) (8 fen) Ze Xie (Alisma Rhizome) (1.5 qian)
Certain Patient Damp-Heat spreads with Wind, Water-Damp Qi overflows to the High Source (Lung), face appears puffy. Should separate and drain Damp-Heat, slightly assisting Wind-dispelling.
Zhi Ban Xia (Pinellia Tuber, processed) Tong Cao (Tetrapanax Pith) Fang Feng (Saposhnikovia Root) Bai Jiang Can (Bombyx Batryticatus) Qiang Huo (Notopterygium Rhizome) Fu Ling (Poria) Sheng Yi Ren (Coix Seed, raw) Ze Xie (Alisma Rhizome) Chen Pi (Tangerine Peel)
Certain Patient Asthma slightly settled, but Water-Damp Evil still cannot be discharged, both feet are greatly swollen. Indeed belongs to Water Qi overflowing horizontally, situation is not minor.
Ting Li (Lepidium Seed) Da Fu Pi (Areca Peel) Qu Mai (Dianthus Herb) Jiao Cang Zhu (Atractylodes Lancea Rhizome, charred) Zhu Ling (Polyporus) Fu Ling Pi (Poria Skin) Ze Xie (Alisma Rhizome) Xin Hui Pi (Xinhui Tangerine Peel) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried) Che Qian Zi (Plantago Seed) Chao Dong Gua Pi (Winter Melon Peel, stir-fried)
Zhou (Left) Foot swelling slightly receded, face still puffy, abdomen bulging and urgent, but unconsciously not distended;可知 Damp-Heat overflows horizontally into skin and muscles. Above, much phlegm; below, constipation. Rotate Spleen, benefit dampness, drain turbidity, hope for effectiveness.
Da Fu Pi (Areca Peel) (2 qian) Fu Ling Pi (Poria Skin) (3 qian) Jian Ze Xie (Alisma Rhizome) (1.5 qian) Wu Jia Pi (Eucommia Bark) (2 qian) Zhu Ling (Polyporus) (2 qian) Fan Zhi Qu (Medicated Leaven) (1.5 qian)
Shang Guang Pi (Premium Tangerine Peel) (1 qian) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried) (1.5 qian) Lao Jiang Yi (Ginger Skin) (3 fen) Xiao Wen Zhong Wan (Minor Warming Middle Pill) (3 qian, taken first)
Second Visit Lower half body, swelling gradually dissipates, but upper half body, swelling remains unreceded. Pulse deep and thin, tongue coating yellow and slippery. Damp-Heat overflows into skin and muscles, use Jin Gui Yue Bi Tang (Golden Chamber Yuebi Decoction) to vent Damp-Evil of Spleen Earth.
Sheng Gan Cao (Licorice Root, raw) (3 fen) Fu Ling Pi (Poria Skin) (4 qian) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried) (1 qian) Wei Shi Gao (Gypsum, baked) (2 qian) Da Fu Pi (Areca Peel) (2 qian) Sheng Ma Huang (Ephedra Stem, raw, decocted separately, foam removed, added later) (5 fen) Chen Ju Pi (Aged Tangerine Peel) (1 qian) Lao Jiang (Old Ginger) (3 slices)
Third Visit Taiyang Bladder is the head of the Six Channels, governing skin and uniting Wei Qi (Defensive Qi). Thus, opening Taiyang Meridian Qi allows Bladder Fu Qi to naturally flow. Urination is smoother, facial puffiness and skin swelling slightly receded. Again use Wind to overcome Damp, bland to seep Damp, warm Spleen Earth to dry Damp.
Qing Fang Feng (Saposhnikovia Root) (1 qian) Chuan Xiong (Ligusticum Rhizome) (1 qian) Mu Zhu Ling (Polyporus) (2 qian) Ze Xie (Alisma Rhizome) (1.5 qian) Chuan Qiang Huo (Notopterygium Rhizome) (1 qian) Da Fu Pi (Areca Peel) (2 qian)
Lian Pi Ling (Poria with skin) (3 qian) Chuan Po (Magnolia Bark) (1 qian) Guang Pi (Tangerine Peel) (1 qian) Jiang Yi (Ginger Skin) (4 fen)
Zhu (Child) Whole body flaccid swelling, distension and fullness blocking, urination difficult, Qi counter-flow with panting. Pulse deep, coating yellow and greasy texture. This is Spleen deficiency with uncontrolled Damp-Heat overflow. Approaching asthma collapse.
Da Fu Pi (Areca Peel) (2 qian) Guang Chen Pi (Tangerine Peel) (1 qian) Chi Xiao Dou (Red Adzuki Bean) (3 qian) Xi Mu Tong (Akebia Stem) (1 qian) Qiang Huo (Notopterygium Rhizome) (1 qian) Zhi Chuan Po (Magnolia Bark, processed) (1 qian)
Chuan Jiao Mu (Sichuan Pepper Seeds) (7 fen) Yun Fu Ling Pi (Poria Skin, cloud variety) (3 qian) Jian Ze Xie (Alisma Rhizome) (2 qian) Zhou Che Wan (Boat Journey Pill) (3 qian, taken first with boiling water)
Second Visit Swelling reduced, but abdomen still distended, thighs and legs ulcerated with clear fluid, stomach dull with anorexia. Damp-Heat fills everywhere, still in dangerous territory.
Da Fu Pi (Areca Peel) (3 qian) Han Fang Ji (Stephania Root, wine-fried 3 qian) Sheng Yi Ren (Coix Seed, raw) (5 qian) Chuan Tong Cao (Tetrapanax Pith) (1 qian) Guang Pi (Tangerine Peel) (1 qian) Hei Shan Zhi (Gardenia Fruit, blackened) (3 qian) Lian Pi Ling (Poria with skin) (5 qian) Hua Shi Kuai (Talc Lump) (4 qian) Guang Xing Ren (Apricot Seed) (3 qian) Pi Pa Ye (Loquat Leaf) (4 leaves)
Master says: Ulceration will not endanger life; danger lies in abdominal distension and anorexia. Fried winter melon paste can be eaten. Fruits and sweets forbidden. Salt strictly forbidden, replace with Qiu Shi (Autumn Stone). (Recorded by Qing Ru)
Third Visit Edema has retreated, but Damp-Heat moves downward, both feet are eroded. Urgently consult Surgery department for treatment.
Xi Yin Chen (Artemisia Capillaris Herb) Chi Bai Ling (Red and White Poria) Ze Xie (Alisma Rhizome) Sheng Yi Ren (Coix Seed, raw) Che Qian Zi (Plantago Seed) Tai Bai Zhu (Atractylodes Macrocephala Rhizome, Tai origin) Zhi Ban Xia (Pinellia Tuber, processed) Guang Pi (Tangerine Peel) Mu Zhu Ling (Polyporus) Fen Dang Gui (Angelica Sinensis Root, powdered)
Fan (Left) Eye sockets swell first, gradually extending to legs and feet swelling, epigastric and abdominal discomfort. Pulse thin, deep, and slow. This is Damp-Cold overflowing, severe Water Qi condition, just beginning.
Chuan Po (Magnolia Bark) Ze Xie (Alisma Rhizome) Guang Pi (Tangerine Peel) Da Fu Pi (Areca Peel) Fang Feng (Saposhnikovia Root) Qiang Huo (Notopterygium Rhizome) Chuan Xiong (Ligusticum Rhizome) Zhu Ling (Polyporus) Fang Ji (Stephania Root) Wu Jia Pi (Eucommia Bark) Gui Zhi (Cinnamon Twig) Jiang Yi (Ginger Skin)
Zhi Nei Jin (Chicken Gizzard Lining, honey-fried, 1.5 qian ground, taken first mixed)
Classics say: When Water begins, eye sockets swell slightly, like newly risen from sleep. Observing this confirms it further. (Recorded by Qing Ru)
Second Visit Epigastric and abdominal distension relieved, foot swelling not retreated.
Cang Zhu (Atractylodes Lancea Rhizome) Chuan Po (Magnolia Bark) Wu Jia Pi (Eucommia Bark) Lian Pi Fu Ling (Poria with skin) Chao Dong Gua Pi (Winter Melon Peel, stir-fried) Guang Pi (Tangerine Peel) Yi Ren (Coix Seed) Da Fu Pi (Areca Peel) Jian Ze Xie (Alisma Rhizome) Mu Zhu Ling (Polyporus) Jiang Yi (Ginger Skin) Ji Nei Jin (Chicken Gizzard Lining, honey-fried ground, taken mixed)
Third Visit Swelling has retreated, right-sided headache. Damp gradually resolving, Wind not yet resolved.
Chao Dong Gua Pi (Winter Melon Peel, stir-fried) Qing Fang Feng (Saposhnikovia Root) Lian Pi Fu Ling (Poria with skin) Chuan Xiong (Ligusticum Rhizome) Bai Zhu (Atractylodes Macrocephala Rhizome) Sheng Shu Yi Ren (Raw and Prepared Coix Seeds) Chuan Qiang Huo (Notopterygium Rhizome) Bai Jiang Can (Bombyx Batryticatus) Zhu Ling (Polyporus) Ze Xie (Alisma Rhizome)
The above three prescriptions: initial dose reduces abdominal swelling, three doses completely cure. (Recorded by Qing Ru)
Wu (Left) Whole body flaccid swelling, Qi counter-flow making lying down difficult. Water Qi counter-flowing to attack Lung. Cannot be ignored.
Ting Li Zi (Lepidium Seed) (8 fen) Guang Xing Ren (Apricot Seed) (3 qian) Da Fu Pi (Areca Peel) (2 qian) Zhi Sang Pi (Mulberry Root Bark, honey-fried) (2 qian) Guang Pi (Tangerine Peel) (1 qian) Xiang Fu Zi (Cyperus Rhizome) (2 qian)
Chao Su Zi (Perilla Seed, stir-fried) (3 qian) Fu Ling Pi (Poria Skin) (4 qian) Chuan Po (Magnolia Bark) (1 qian) Sheng Jiang Yi (Fresh Ginger Skin) (4 fen) Ji Nei Jin (Chicken Gizzard Lining, 1.5 qian honey-fried ground, taken first mixed)
Second Visit Guiding Water downward, asthma and flaccid swelling do not retreat at all. Pulse deep and thin like a thread. This is due to Mingmen Fire declining, Water Qi overflowing, and counter-flowing to attack Lung. Fear excessive counter-flow leading to asthma, syncope, and collapse; must be cautious.
Shu Fu Pian (Prepared Aconite Slice) (5 fen) Chao Dong Gua Pi (Winter Melon Peel, stir-fried) (5 qian) Jiu Chao Hang Bai Shao (White Peony Root from Hangzhou, wine-fried) (1.5 qian) Yun Fu Ling (Poria, cloud variety) (3 qian) Chuan Gui Zhi (Cinnamon Twig) (5 fen)
Tai Bai Zhu (Atractylodes Macrocephala Rhizome, Tai origin) (1.5 qian) Chuan Po (Magnolia Bark) (1 qian) Xing Ren (Apricot Seed) (3 qian) Lao Jiang (Old Ginger) (1.5 qian)
Wang From foot swelling to whole body flaccid swelling, both calves red-hot, urination and defecation difficult. Pulse form deep and slippery. This is Spleen deficiency with Damp-Heat overflowing, severe Water Qi condition. Momentum is currently strong.
Cang Zhu (Atractylodes Lancea Rhizome) (1.5 qian) Fang Feng (Saposhnikovia Root) (1.5 qian) Fu Ling Pi (Poria Skin) (5 qian) Guang Pi (Tangerine Peel) (1.5 qian) Wu Jia Pi (Eucommia Bark) (3 qian) Da Fu Pi (Areca Peel) (3 qian) Chuan Xiong (Ligusticum Rhizome) (1 qian) Jiu Chao Han Fang Ji (Stephania Root, wine-fried) (1.5 qian) Hei Chou (Black Morning Glory Seed) (4 fen) Xiang Jun (Rhubarb) (1 qian) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried, one piece, latter three herbs ground fine, taken first mixed)
Rong (Right) Swelling during pregnancy, not resolved postpartum, now over three months later, instead feels facial puffiness and abdominal fullness. This is Spleen Yang deficiency unable to rotate, Water-Damp overflowing uncontrollably. Momentum is currently strong.
Tu Chao Yu Zhu (Atractylodes Macrocephala Rhizome, earth-fried) (1.5 qian) Da Fu Pi (Areca Peel) (2 qian) Zhi Hei Cao (Licorice Root, honey-blackened) (2 fen) Pao Jiang (Prepared Ginger) (5 fen) Guang Pi (Tangerine Peel) (1 qian) Chao Dong Gua Pi (Winter Melon Peel, stir-fried) (4 qian) Lian Pi Ling (Poria with skin) (4 qian) Sheng Shu Yi Ren (Raw and Prepared Coix Seeds, 2 qian each) Jian Ze Xie (Alisma Rhizome) (1.5 qian) Guan Gui (Cinnamon Bark) (5 fen, added later) Zhi Nei Jin (Chicken Gizzard Lining, 1.5 qian ground, taken mixed)
Second Visit Abdominal distension reduced, skin still swollen, slight choking cough. Postpartum Spleen deficiency, Damp not rotating. Again rotate Damp and warm Middle, use Ginseng to regulate Qi.
Tu Chao Yu Zhu (Atractylodes Macrocephala Rhizome, earth-fried) Zhu Ling (Polyporus) Fu Ling Pi (Poria Skin) Ze Xie (Alisma Rhizome) Ting Li Zi (Lepidium Seed) Sheng Shu Yi Ren (Raw and Prepared Coix Seeds) Pao Jiang (Prepared Ginger) Guang Pi (Tangerine Peel) Guang Xing Ren (Apricot Seed) Wu Jia Pi (Eucommia Bark) Guan Gui (Cinnamon Bark) Zhi Nei Jin (Chicken Gizzard Lining, ground, taken mixed)
Chao Dong Gua Pi (Winter Melon Peel, stir-fried)
Cao (Left) Epigastric pain, gradually leading to large abdomen, after diarrhea pain stops, but face, eyes, and limbs all swell; morning face worse, evening feet worse. Pulse thin, deep, wiry. This is Water-Drink Qi suppressing Spleen Yang, Water goes out via diarrhea, but Spleen becomes deficient from diarrhea. Leading to Water Qi overflowing. Root of Water Distension, cannot be slighted.
Cang Yu Zhu (Atractylodes Rhizomes, 2 qian each) Chuan Po (Magnolia Bark) (1 qian) Zhi Ban Xia (Pinellia Tuber, processed) (2 qian) Zhu Ling (Polyporus) (2 qian) Qiang Huo (Notopterygium Rhizome) (1 qian) Fang Feng (Saposhnikovia Root) (1 qian)
Lian Pi Ling (Poria with skin) (5 qian) Chen Pi (Tangerine Peel) (1 qian) Mo Chen Xiang (Agarwood, ground) (3 fen) Ze Xie (Alisma Rhizome) (1.5 qian) Huo Xiang (Patchouli Herb) (3 qian) Chuan Xiong (Ligusticum Rhizome) (1 qian) Du Su Zi (Perilla Seed) (3 qian)
Certain Patient Nourishing Liver Body, soothing Liver Function, adding bitter-acrid to drain Liver Turbidity, distension momentum still does not reduce. Previously worse on left, now worse at Zhongwan偏向 right, frequent nausea vomiting phlegm-water, rattling phlegm sound in throat. Left pulse thin and wiry, right pulse slippery and large. This is due to Liver Overacting excessively, Formless Qi carrying stagnant Phlegm and accumulated Water internally obstructing, causing Spleen-Lung ascending-descending pathways blocked. Again propose moving Water Qi, dispersing痞结 (masses), adding aromatic transformation to flow Qi mechanism and open depression obstruction.
Ju Pi (Tangerine Peel) Xuan Fu Hua (Inula Flower) Bai Jie Zi (White Mustard Seed) Fu Ling (Poria) Lao Jiang (Old Ginger) Yi Ren (Coix Seed) Zhi Ban Xia (Pinellia Tuber, processed) Da Fu Pi (Areca Peel) Yu Shu Dan (Yushu Pill) (5 fen ground, mixed)
Generally for swelling with Qi rising, should descend Qi. Only for foot swelling, should not descend Qi; Dai Zhe (Hematitum) should also be noted. (Recorded by Qing Ru)
Zou (Left) From Qi counter-flow and Phlegm rising, leading to facial puffiness and foot swelling; morning face worse, evening feet worse. Pulse slippery, coating white, greasy texture. This is external Wind Evil combining with internal Damp, resulting in Wind-Damp struggling. Wind spinning causes facial puffiness, Damp sinking causes foot swelling. Fear developing into Swelling disease.
Qiang Huo (Notopterygium Rhizome) (1 qian) Huo Xiang (Patchouli Herb) (1.5 qian) Ju Hong (Pomelo Peel) (1 qian) Fu Ling (Poria) (3 qian) Chuan Po (Magnolia Bark) (5 fen) Qian Hu (Peucedanum Root) (1 qian)
Fang Feng (Saposhnikovia Root) (1 qian) Xi Dang Shen (Codonopsis Root, Shanxi) (2 qian) Zhi Ban Xia (Pinellia Tuber, processed) (1.5 qian) Du Su Zi (Perilla Seed, stir-fried ground) (3 qian) Mao Zhu (Atractylodes Rhizome) (1.5 qian)
Second Visit Descending Qi and draining Damp combined formula, both calf swelling greatly reduced, but dorsal foot still swollen, face carries puffiness. Pulse soggy and slippery. Wind spins above, Damp sinks below, again cultivate Earth and benefit Damp.
Zhi Mian Huang (Astragalus Root, honey-fried) (2 qian) Han Fang Ji (Stephania Root) (1.5 qian) Chao Mu Gua Pi (Quince Peel, stir-fried) (1.5 qian) Sheng Shu Yi Ren (Raw and Prepared Coix Seeds) (4 qian) Shang Yao Gui (Cinnamon Twig from Yaozhou) (4 fen)
Bai Fu Ling (Poria, white) (3 qian) Chao Dong Gua Pi (Winter Melon Peel, stir-fried) (3 qian) Chao Yu Zhu (Atractylodes Macrocephala Rhizome, stir-fried) (1.5 qian) Da Fu Pi (Areca Peel) (2 qian)
Shao From foot swelling to whole body flaccid swelling, urination and defecation difficult. Pulse deep and wiry, tongue coating white and slippery. Spleen deficiency Damp Evil not transported, overflowing into skin-muscles, named Yin Swelling. Fear Water Qi counter-flow causing asthma. Propose Kai Gui Men (Open Ghost Gate) method.
Zhi Ma Huang (Ephedra Stem, prepared) (5 fen) Bei Xi Xin (Asarum Root, Northern) (3 fen) Wei Shi Gao (Gypsum, baked) (4 qian) Zhi Ban Xia (Pinellia Tuber, processed) (1.5 qian) Ju Hong (Pomelo Peel) (1 qian) Gui Zhi (Cinnamon Twig) (4 fen)
Dan Gan Jiang (Dried Ginger, pale) (4 fen) Guang Xing Ren (Apricot Seed) (3 qian) Sheng Gan Cao (Licorice Root, raw) (2 fen) Da Fu Pi (Areca Peel) (2 qian)
Chen Yuelin Normal person: Clear Qi ascends, Turbid Qi descends, Qi mechanism transformation never stops for a breath. Smoker's constitution, Damp-Phlegm must be abundant. Moreover eating Lily Bulb, Lily Bulb is cold and sticky; Cold injures Spleen, Stickiness aids Damp, Spleen Earth not transported, Damp stagnation not moving, Clear-Turbid ascending-descending thus loses control. Turbid Qi above generates distension, leading to great abdominal fullness, tense like drum, Zhongwan especially severe, often feeling hot because Damp stagnation generates Heat. Turbid Qi not descending, Clear Fluid not ascending, thus Damp-Heat severe turning into thirst. Urine red-hot, feeling hot pain, stool not smooth, thus distension worse, belching sour turbid odor. Good reason: Earth stagnation leads to Wood depression, Earth containing Wood can cause distension. Predecessors said swelling belongs to Spleen, distension belongs to Liver, this is why. Pulse form deep and depressed, moreover rapid. A scene of Damp-Heat closure depression, Drum Distension disease. For current plan, only drain-transform Damp-Heat to relieve Spleen distress, simultaneously drain Fu Turbidity, hoping for Qi mechanism flow.
Chuan Ya Lian (Coptis Rhizome, Chuan origin, 4 fen stir-fried with 1 fen Wu Zhu Yu) Yun Fu Ling (Poria, cloud variety) (3 qian) Chao Xing Ren (Apricot Seed, stir-fried) (3 qian) Da Fu Pi (Areca Peel) (2 qian) Fang Tong Cao (Tetrapanax Pith) (1 qian) Mian Yin Chen (Artemisia Capillaris Herb, cotton-like) (2 qian) Shang Chuan Po (Magnolia Bark, Shang origin) (1 qian) Sheng Yi Ren (Coix Seed, raw) (4 qian) Guang Pi (Tangerine Peel) (1 qian) Chao Shen Qu (Medicated Leaven, stir-fried) (2 qian) Hua Shi (Talc) (3 qian) Ji Nei Jin (Chicken Gizzard Lining, 1 qian honey-fried ground, taken mixed) Xiao Wen Zhong Wan (Minor Warming Middle Pill) (3 qian, taken first with boiling water)
Sun (Left) Emotional depression, Qi mechanism not transported, Damp-Heat thereby closed and obstructed, San Jiao ascending-descending loses control, leading to great abdominal distension, thigh-leg swelling, limb-face yellowing. Pulse muddy slippery, coating white covering gray. Drum Distension severe case. Tentatively propose Acrid Opening, Bland Seeping, Bitter Draining.
Shang Chuan Po (Magnolia Bark, Shang origin) (1 qian) Da Fu Pi (Areca Peel) (3 qian) Chao Xing Ren (Apricot Seed, stir-fried) (3 qian) Hai Jin Sha (Lygodium Spore) (3 qian) Mian Yin Chen (Artemisia Capillaris Herb, cotton-like) (2 qian) Shang Guang Pi (Premium Tangerine Peel) (1 qian)
Fan Zhi Qu (Medicated Leaven) (2 qian) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried) (2 qian) Jiao Mai Ya (Barley Sprout, charred) (3 qian)
Chu (Left) After malaria-like illness, Damp lingering not cleared, taking Flesh-Blood Great Tonifying agents, causing Damp-Heat congestion, pressing down Fu Qi, lower abdomen distends. Taking Blood-Nourishing again aids Damp, Sweet-Cold attacks Qi, thus Damp-Heat fills San Jiao, great abdomen expands, extending to chest-epigastrium, urination-defecation difficult. Pulse rapid, tongue red coating greasy. Drum Distension severe case. To stop distension, must soothe Qi; to soothe Qi, must transport Spleen; to transport Spleen, must drain Damp, for Spleen is Kun Earth, Earth hates Damp. Specifically, planning is up to man, success is not up to man.
Shang Chuan Po (Magnolia Bark, Shang origin) Yin Chen (Artemisia Capillaris Herb) Guang Xing Ren (Apricot Seed) Guang Huo Xiang (Patchouli Herb, Guangxi) Da Fu Pi (Areca Peel) Jian Ze Xie (Alisma Rhizome)
Chen Pi (Tangerine Peel) Chi Zhu Ling (Red Polyporus) Fan Zhi Qu (Medicated Leaven) Jiao Mai Ya (Barley Sprout, charred) Tong Cao (Tetrapanax Pith) Xiao Wen Zhong Wan (Minor Warming Middle Pill)
Second Visit Distension momentum lightly retreated, but Zhongwan still痞满 (fullness-blockage), eating uncomfortable, urine little stool obstructed. Intestinal flow slightly smooth, but Stomach Qi-Damp knot-stagnant, cannot descend-transmit. Although slight improvement, hard to rely deeply.
Chuan Ya Lian (Coptis Rhizome, Chuan origin) Zheng Sha Ren (Amomum Fruit, whole) Zhi Nei Jin (Chicken Gizzard Lining, honey-fried) Guang Chen Pi (Tangerine Peel, Guangxi) Shang Chuan Po (Magnolia Bark, Shang origin) Chao Zhi Qiao (Bitter Orange Peel, stir-fried) Zhi Xiang Fu (Cyperus Rhizome, processed) Dan Gan Jiang (Dried Ginger, pale) Lian Pi Bing (Areca Nut with skin) Yue Ju Wan (Yueju Pill)
Tang (Left) After Winter Warmth, followed by bloody stool, immediately great abdomen enlarges, urination-defecation scanty. This is Damp-Heat internal stagnation, flow not disseminated. Drum Distension severe case, cannot be slighted.
Shang Chuan Po (Magnolia Bark, Shang origin) (2 qian) Mu Zhu Ling (Polyporus) (2 qian) Da Fu Pi (Areca Peel) (2 qian) Xi Yin Chen (Artemisia Capillaris Herb, Western) (2 qian) Fang Tong Cao (Tetrapanax Pith) (1 qian) Chen Pi (Tangerine Peel) (1 qian)
Xing Ren (Apricot Seed) (3 qian) Fan Zhi Qu (Medicated Leaven) (2 qian) Tao Ren (Peach Kernel) (3 qian) Jian Ze Xie (Alisma Rhizome) (2 qian) Ji Nei Jin (Chicken Gizzard Lining, four pieces honey-fried ground fine, taken mixed)
Second Visit Distension momentum greatly reduced, urination also slightly facilitated, but great abdomen still enlarged. Although seeing turning point, still insufficient to rely on.
Xing Ren (Apricot Seed) Fan Zhi Qu (Medicated Leaven) Fu Ling Pi (Poria Skin) Lian Pi Bing (Areca Nut with skin) Qu Mai (Dianthus Herb) Zhu Ling (Polyporus)
Tao Ren (Peach Kernel) Xi Yin Chen (Artemisia Capillaris Herb, Western) Xin Hui Pi (Xinhui Tangerine Peel) Chuan Jiao Mu (Sichuan Pepper Seeds) Tong Cao (Tetrapanax Pith) Xiao Wen Zhong Wan (Minor Warming Middle Pill)