左 两足肿胀,按之坚硬,肌肤麻木不仁,肢体头面亦觉微肿。脉弦微滑。此风与湿袭入脾脏。急宜疏泄。
苍术 大腹皮 广皮 香附 五加皮 猪苓 连皮苓 生熟薏仁 泽泻 汉防己
另 牡蛎七钱,葶苈五钱,商陆根七钱,蜀漆四钱,海藻五钱,泽泻五钱,栝蒌根五钱,七味研为细末,
每晨开水下三钱。(即牡蛎泽泻散)
钱(左) 两足肿胀,肌肤不红。脾虚而湿热下注。不能急切从事。
汉防己 炙绵 连皮苓 白术 生熟薏仁 五加皮 木猪苓 建泽泻 苍术 炒冬瓜子 上官桂(后入)
左 香港脚肿痛。
汉防己 生薏仁 川萆 全当归 泽泻 木瓜 茯苓 虎潜丸(五钱分二次服)
邵(左) 遍体风疹。营中郁热也。
粉丹皮(二钱) 稀 草(二钱) 当归(二钱酒炒) 白僵蚕(三钱炒打) 地骨皮(二钱) 海桐皮(二钱
炒) 杭菊花(一钱五分炒) 夏枯草(三钱) 白茅根(去心打七钱)
左 风疹时发时止者数月,节骱作痛。肝火游行于肌肉,而化风入络也。
全当归(二钱) 粉丹皮(二钱) 干菊花(一钱五分) 炒赤芍(一钱五分) 白僵蚕(二钱炒打) 黑山栀(三
钱) 秦艽(一钱五分) 独活(一钱) 羚羊片(一钱先煎) 地骨皮(二钱) 白茅根(去心打七钱) 三角胡
麻(三钱)
右 体发赤疹,肿痒难忍。此由风热袭入血分。宜凉营养血祛风。
白僵蚕 地骨皮 粉丹皮 香白芷 川郁金 全当归 淡黄芩 菊花叶(一钱五分) 白茅根(一两)
Patient, male. Both feet are swollen; upon pressure, the texture is hard. The skin and muscles are numb and insensible. The limbs, head, and face also feel slightly swollen. The pulse is wiry (Xian) and slightly slippery (Hua). This is caused by Wind and Dampness invading the Spleen. It is urgent to employ dispersing and draining methods.
Cangzhu (Atractylodis Rhizoma), Dafupi (Arecae Pericarpium), Guangpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma), Wujiaopi (Acanthopanacis Cortex), Zhuling (Polyporus), Lianpiling (Poria cum Risus), Shengshu Yiren (Raw and Prepared Coicis Semen), Zexie (Alismatis Rhizoma), Hanfangji (Stephaniae Tetrandrae Radix).
Separate prescription: Muli (Ostreae Concha) 7 qian, Tingli 5 qian, Shanglugen (Radix Phytolaccae) 7 qian, Shuqi (Herba Euphorbiae Humifusae) 4 qian, Haizao (Sargassum) 5 qian, Zexie (Alismatis Rhizoma) 5 qian, Gualougen (Trichosanthis Radix) 5 qian. Grind these seven ingredients into a fine powder. Take 3 qian each morning with boiled water. (This is Musi Zexie San / Ostrea and Alisma Powder).
Patient, surnamed Qian, male. Both feet are swollen, but the skin is not red. This is due to Spleen deficiency with Damp-Heat pouring downward. Treatment cannot be rushed; it requires gradual management.
Hanfangji (Stephaniae Tetrandrae Radix), Zhi Mian [Huangqi] (Prepared Astragali Radix), Lianpiling (Poria cum Risus), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengshu Yiren (Raw and Prepared Coicis Semen), Wujiaopi (Acanthopanacis Cortex), Mu Zhuling (Polyporus), Jian Zexie (Alismatis Rhizoma), Cangzhu (Atractylodis Rhizoma), Chao Dongguazi (Prepared Benincasae Semen), Shangguan Gui (Cinnamomi Ramulus, added later).
Patient, male. Hongjiao (Gout/Edema of the foot) with swelling and pain.
Hanfangji (Stephaniae Tetrandrae Radix), Sheng Yiren (Raw Coicis Semen), Chuan Bi (Dioscoreae Hypoglaucae Rhizoma), Quan Danggui (Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma), Mugua (Chaenomelis Fructus), Fuling (Poria), Huqian Wan (Tiger Crouching Pill, 5 qian, taken in two doses).
Patient, surnamed Shao, male. Generalized Fengzhen (Wind Rash/Urticaria). This is Heat stagnating in the Ying (Nutrient) level.
Fen Danpi (Moutan Cortex) 2 qian, Xi Cao [Gancao] (Licorice Root) 2 qian, Danggui (Angelicae Sinensis Radix) 2 qian (stir-fried with wine), Bai Jiangcan (Bombyx Batryticatus) 3 qian (stir-fried and crushed), Digupi (Lycii Cortex) 2 qian, Haitongpi (Saposhnikoviae Radix or related bark) 2 qian (stir-fried), Hang Juhua (Chrysanthemi Flos) 1.5 qian (stir-fried), Xiakucao (Prunellae Spica) 3 qian, Baimaogen (Imperatae Rhizoma, heart removed and crushed) 7 qian.
Patient, male. Fengzhen (Wind Rash) has come and gone intermittently for several months, accompanied by joint pain. This is Liver Fire wandering within the muscles, transforming into Wind and entering the collaterals.
Quan Danggui (Angelicae Sinensis Radix) 2 qian, Fen Danpi (Moutan Cortex) 2 qian, Gan Juhua (Chrysanthemi Flos) 1.5 qian, Chao Chi Shao (Paeoniae Radix Rubra, stir-fried) 1.5 qian, Bai Jiangcan (Bombyx Batryticatus) 2 qian (stir-fried and crushed), Hei Shanzhi (Gardeniae Fructus, charcoal-processed) 3 qian, Qin Jiao (Gentianae Macrophyllae Radix) 1.5 qian, Du Huo (Angelicae Pubescentis Radix) 1 qian, Lingyang Pian (Saiga Tataricae Cornu, sliced, decocted first) 1 qian, Digupi (Lycii Cortex) 2 qian, Baimaogen (Imperatae Rhizoma, heart removed and crushed) 7 qian, Sanjiao Huma (Sesami Fructus) 3 qian.
Patient, right side. Red rashes appear on the body, with severe swelling and itching that is unbearable. This is caused by Wind-Heat invading the Blood level. Cooling the Ying, nourishing the Blood, and dispelling Wind are indicated.
Bai Jiangcan (Bombyx Batryticatus), Digupi (Lycii Cortex), Fen Danpi (Moutan Cortex), Xiang Baizhi (Angelicae Dahuricae Radix), Chuan Yujin (Curcumae Radix), Quan Danggui (Angelicae Sinensis Radix), Dan Huangqin (Scutellariae Radix), Juhua Ye (Chrysanthemi Folium) 1.5 qian, Baimaogen (Imperatae Rhizoma) 1 liang.