叶 自五月间生产,将交白露,日泻五六次,每泻必先痛形寒战栗,气冲入脘欲呕,脉
来右濡,下坠入尺,以冷湿挟阴浊,致阻遏阳气流行(脉症如此,虚寒显然。)法当辛温宣通
阳痹。
炒黑川椒 煨广木香 天台乌药 川楝子 生益智仁 生香附
气浓味薄,专主温通,更妙川楝一味,阳中有阴。
沈(桐泾桥,四十五岁) 经漏已三年,淋漓带下黄白,视色脉不受温暖,固下汤散力量
难以直达冲任。古局方中有震灵丹,每早服六十粒,是固奇脉药,可使其缓。欲求全愈。非
大剂人参不可。
包(十八岁) 经阻三月,咳嗽失血,交夜蒸蒸身热,脉来左搏而促,是阳气烦蒸,致逆
诸络,血液不得汇集冲脉,秋深经水不来,必加寒热瘦削,称干血劳矣(老笔确凿。)
生鳖甲 全当归 生白芍 粉丹皮 原生地 茺蔚子 南查肉 生麦芽
仰(三十岁) 产后自乳,三年肉消,夜热咳嗽蓐劳,皆产伤真阴,阴虚生热,络中无血
,气入络,变化有形,为气聚之瘕。医攻瘕则谬,理嗽亦非。以下损之伤在肝肾,奇经之虚
,肺药寒凉,望其止嗽,嗽必不效,胃伤经阻则凶。
冯(十四岁) 室女经初至,必是畏热,因热受凉,致冲任伤,遂经漏不已。血色凝紫,
腹中仍痛,是从前经至失调所致。和血脉之中,必佐阴中之阳勿腻滞者,问痛得按姑缓者属
虚。
当归身 炒小茴香 甘枸杞 真沙苑 人参 鹿角霜 交桂心 紫石英
问及得按姑缓,用药温而不腻,何等细密。
陈(二十九岁) 产后二年,经水不转,呕涎沫不饥,喜酸味,肝阴久虚,伤损在下焦,
阳气逆乘,头巅晕痛(惟晕而痛,乃知阳气逆乘细极。)议用酸甘,化阴和阳。
原生地 白芍 乌梅肉 大麻仁 炙甘草 炒焦枸杞 漂淡天门冬
凡清阳主上升,浊阳主下伏,所谓逆乘,乃下焦浊阳耳。
蔡(四十四岁) 上年产后致损,所见皆由肝肾阴虚。忌与燥热,见崩漏虚热,骱肿寒热
,不必缕缕。
清阿胶 云茯神 细生地 生白芍 粗桂枝木 炙甘草
方(五泾庙前,二十六岁) 死胎至旬日乃下,必有尸秽浊气,留着冲任脉中,至今黄白
淋带,病患说腰已下冰冷,大便久溏,产后刚药难用,用朱南阳方法。
Case of Ye Tianshi: Since the patient gave birth in May, approaching the White Dew solar term, she has been experiencing diarrhea five to six times daily. Prior to each episode of diarrhea, she first experiences pain, aversion to cold, and shivering. Qi rebels upward into the epigastrium, causing nausea. The pulse is soft (Ru) on the right side, and when pressed deeply to the Chi position, there is a sensation of sinking. This is caused by cold-dampness mixed with yin turbidity, obstructing the smooth flow of yang qi (Based on the pulse and symptoms, deficiency-cold is evident). The treatment principle should be to use acrid-warm herbs to disperse and unblock yang obstruction.
Chao Hei Chuan Jiao (Blackened Sichuan Pepper), Wei Guang Mu Xiang (Baked Aucklandia Root), Tian Tai Wu Yao (Tiantai Lindera Fruit), Chuan Lian Zi (Sichuan Chinaberry Seed), Sheng Yi Zhi Ren (Raw Alpinia Oxyphylla Fruit), Sheng Xiang Fu (Raw Cyperus Rhizome).
These herbs have strong aromas but light textures, specifically functioning to warm and unblock. More ingeniously, the single herb Chuan Lian Zi embodies the characteristic of "yang containing yin."
Patient Shen (Tongjing Bridge, 45 years old): Vaginal bleeding (Jing Lou) has persisted for three years, dripping continuously, accompanied by yellowish-white leukorrhea. Observing her complexion and pulse indicates that the body cannot tolerate warming tonification; decoctions or powders for securing the lower jiao and stopping discharge lack the strength to directly reach the Chong and Ren meridians. In the ancient *Ju Fang* (Standard Formulas), there is a formula called Zhen Ling Dan (Shaking Spirit Pill). Taking sixty pills every morning is a method to secure the extraordinary vessels, which can alleviate the condition. To seek a complete cure, however, a large dose of Ren Shen (Ginseng Root) is indispensable.
Patient Bao (18 years old): Menstruation has ceased for three months, accompanied by coughing and hemoptysis. At night, the body feels steaming hot. The pulse on the left side is rapid and intermittent (Cu). This indicates yang qi is agitated and steaming, causing rebellion into the collaterals, preventing blood from gathering in the Chong vessel. By late autumn, menstruation still does not return, inevitably leading to alternating chills and fever and emaciation, a condition known as Gan Xue Lao (Dry Blood Consumption) (The veteran physician's judgment is accurate).
Sheng Bie Jia (Raw Turtle Shell), Quan Dang Gui (Whole Angelica Sinensis Root), Sheng Bai Shao (Raw White Peony Root), Fen Dan Pi (Powdered Moutan Cortex), Yuan Sheng Di (Raw Rehmannia Root), Chong Wei Zi (Leonurus Fructus), Nan Zha Rou (South Medlar Flesh), Sheng Mai Ya (Raw Sprouted Barley).
Patient Yang (30 years old): After childbirth, she breastfed naturally. For three years, her flesh has wasted away. Night fever and coughing constitute Ru Lao (Postpartum Consumption). These are all due to injury to true yin during childbirth. Yin deficiency generates internal heat. Without blood in the collaterals, qi enters the collaterals and transforms into tangible masses, forming a Jia (mass) due to qi accumulation. If physicians attack the Jia mass, it is erroneous; treating only the cough is also incorrect. Because the damage below lies in the Liver and Kidney, and the extraordinary vessels are deficient, using cold-cooling lung herbs to expect cessation of cough will fail; if stomach injury leads to menstrual obstruction, the prognosis is ominous.
Patient Feng (14 years old): An unmarried maiden’s menstruation just started. She must have felt heat, then caught cold due to heat, injuring the Chong and Ren meridians, resulting in persistent metrorrhagia. The blood color is coagulated and purplish, and abdominal pain persists. This was caused by improper regulation during previous menstrual cycles. When harmonizing the blood vessels, one must assist with yang within yin, avoiding cloying stagnation. Asking about the pain, relief upon pressure indicates a deficiency pattern.
Dang Gui Shen (Angelica Sinensis Root Head), Chao Xiao Hui Xiang (Stir-fried Fennel Fruit), Gan Gou Qi (Goji Berry), Zhen Sha Yuan (Aster Semen), Ren Shen (Ginseng Root), Lu Jiao Shuang (Deer Antler Frost), Jiao Gui Xin (Cinnamon Twig Heart), Zi Shi Ying (Purple Quartz).
Inquiring about relief upon pressure, the medication is warming yet non-cloying, demonstrating meticulous precision.
Patient Chen (29 years old): Two years postpartum, menstruation has not resumed. She vomits saliva/phlegm, lacks appetite, and craves sour flavors. Liver yin has been deficient for a long time, with damage located in the lower jiao. Yang qi rebels upward, causing dizziness and pain at the vertex (Only dizziness accompanied by pain reveals the subtle mechanism of yang rebellion). It is proposed to use sour and sweet methods to transform yin and harmonize yang.
Yuan Sheng Di (Raw Rehmannia Root), Bai Shao (White Peony Root), Wu Mei Rou (Mume Fruit Flesh), Da Ma Ren (Hemp Seed), Zhi Gan Cao (Honey-fried Licorice Root), Chao Jiao Gou Qi (Stir-fried Goji Berry), Piao Dan Tian Dong (Washed and Lightly Dried Asparagus Root).
Generally, clear yang governs ascending, while turbid yang governs descending/submerging. The so-called "rebellion" refers to turbid yang of the lower jiao.
Patient Cai (44 years old): Last year, postpartum injury led to depletion. All observed symptoms stem from Liver and Kidney yin deficiency. Dry-hot herbs are contraindicated. Regarding metrorrhagia, deficiency heat, joint swelling, and alternating chills and fever, there is no need to elaborate further.
Qing E Jiao (Clear Donkey-hide Gelatin), Yun Fu Shen (Cloud Poria Sclerotium), Xi Sheng Di (Fine Raw Rehmannia Root), Sheng Bai Shao (Raw White Peony Root), Cu Gui Zhi Mu (Coarse Cinnamon Twig Wood), Zhi Gan Cao (Honey-fried Licorice Root).
Patient Fang (Front of Wu Jing Temple, 26 years old): A dead fetus remained for ten days before being expelled. There must be putrefied turbid qi lingering in the Chong and Ren meridians. Until now, she suffers from yellowish-white leukorrhea. The patient reports icy coldness below the waist and chronic loose stools. Strong medicines are difficult to use immediately postpartum; therefore, the method of Zhu Nanyang is employed.