陈(二十七岁) 精血夺,足痿。
人参 茯苓 大茴 当归 锁阳 精羊肉
龚(无锡,六十三岁) 老年嗜蟹介,咸寒伤血,上下皆溢,当理其中。
杨(无锡,三十一岁) 胁痛失血,以柔剂缓肝之急。
桃仁(炒) 丹皮(炒) 归尾 柏子仁 钩藤
杜(凤阳,三十八岁) 疟后脾弱,肝乘中气不舒,易生嗔怒。
生益智仁 檀香末 茯苓块 新会皮 枳实皮
为末,水泛丸。
汪(徽州,三十五岁) 仲景云∶厥阴病气上撞心,明示木中风火上行,都因血少阴虚,
以痫症痰火有余,大谬。
女贞 茯神 萸肉 天冬 细生地 建莲 赤金箔
气上撞心之所以然,发挥明确。
钱(淮安,二十二岁) 露姜饮止疟,是益中气以祛邪,虚人治法皆然。脾胃未醒,忌腥
酒浊味。
大半夏加橘红、益智,姜汁丸。
汤(胥门,五十六岁) 酒客大便久溏,世俗谓聚湿脾伤损肾,脾病入肾,有久泻久痢为
肾病矣。失血用滋阴凉降者,十居七八,以少年阴虚火炎为多。如中年积劳走动欲喘,久立
肛坠后重,所宜在乎摄肾固纳(察症细密已精,而益求其精。盖少年所虑在阴虚,老年所虑
阳虚耳。)理中汤劫胃水,能止上下失血。王损庵法立见,非是杜撰,不效之所以然,以肾
虚恶燥耳(以酸味固纳,兼以酸甘化阴)。
人参 萸肉 茯苓 石莲子 木瓜 炙草 五味子
肾气乃先天真阳,主收摄一身之元气,肾气充足,既不上升逆冲,亦不下坠后重。一经
散漫,上下交失,冲气既有咳呛之虞,二便时有欲出之势,葆真者免夫。
罗(二十三岁) 壮年述冬季夜汗,入春吐血,问纳颇旺,无力举动,但喉痒发呛,此阴
虚龙火上灼。议用虎潜去牛膝、当归,加五味、二冬。
沈(昆山,六十一岁) 老人形寒足痿呛痰,男子下元肝肾先衰,其真阴少承,五液化痰
,倘情怀暴怒,内风突来,有中痱之累。戒酒节劳,务自悦怡养,壮其下以清上(壮其下则
浊阴不升,五液渐化精微,而神明之地不为浊蒙而清矣。)
熟地 萸肉 苁蓉 川斛 戎盐 牛膝 枸杞 鹿筋胶
任(山西,三十岁) 夏季吐血,深秋入冬频发,右脉弦实,左濡,是形神并劳,络血不
得宁静,经营耗费,气血不化少壮矣。
Chen (27 years old): Essence and blood are depleted, leading to flaccidity of the lower limbs.
Ren Shen (Ginseng Radix), Fu Ling (Poria), Da Hui Xiang (Foeniculum Vulgare Fruit), Dang Gui (Angelicae Sinensis Radix), Suo Yang (Cynomorii Folii), Jing Yang Rou (Lamb Meat).
Gong (Wuxi, 63 years old): The elderly person has a fondness for consuming crab and shellfish; the salty and cold nature damages the blood, causing bleeding in both upper and lower parts. It is necessary to regulate and warm the Middle Jiao (Middle Burner/Spleen-Stomach).
Yang (Wuxi, 31 years old): Hypochondriac pain with blood loss; use soft and moistening agents to relieve the urgency of the Liver.
Chao Tao Ren (Processed Peach Seed), Chao Dan Pi (Processed Moutan Cortex), Gui Wei (Dang Gui Tail), Bai Zi Ren (Biota Seed), Gou Teng (Uncaria Rhynchophylla).
Du (Fengyang, 38 years old): After malaria, Spleen Qi is weak; Liver Qi overacts on the Middle Qi causing stagnation, leading to irritability and anger.
Sheng Yi Zhi Ren (Raw Alpinia Oxyphylla Fruit), Tan Xiang Mu (Sandalwood Powder), Fu Ling Kuai (Poria Cube), Xin Hui Pi (Xinhui Tangerine Peel), Zhi Shi Pi (Immature Bitter Orange Peel).
Grind into powder, and form pills using water as a binder.
Wang (Huizhou, 35 years old): Zhang Zhongjing stated: "In Jueyin disease, Qi rushes upward striking the Heart." This clearly indicates that Wood pathogenic wind-fire ascends due to deficiency of blood and Yin. (The belief that this is caused by excess phlegm-fire in epilepsy) is a great fallacy.
Nu Zhen Zi (Ligustrum Lucidum Fruit), Fu Shen (Poria with Hostwood), Yu Rou (Cornus Officinalis Fruit), Tian Dong (Asparagus Cochinchinensis Root), Jian Lian (Nelumbo Nucifera Seed), Chi Jin Bo (Gold Leaf).
The explanation of the mechanism behind "Qi rushing upward striking the Heart" is clear and explicit.
Qian (Huai'an, 22 years old): Using Lu Jiang Yin (Dew Ginger Decoction) to stop malaria is a method of benefiting Middle Qi to dispel pathogens; this applies to treating deficient patients generally. If the Spleen and Stomach have not yet awakened, avoid fishy, alcoholic, and turbid flavors.
Da Ban Xia (Large Pinellia Tuber) added with Ju Hong (Tangerine Red Pericarp) and Yi Zhi (Alpinia Oxyphylla Fruit), formed into pills with Ginger Juice.
Tang (Xumen, 56 years old): A wine drinker suffers from chronic loose stools. Secular views attribute this to dampness accumulation damaging the Spleen and Kidney, believing that Spleen disease entering the Kidney means chronic diarrhea and dysentery constitute Kidney disease. For treating blood loss, seven or eight out of ten cases use nourishing Yin and cooling descending methods, mostly because young people suffer from Yin deficiency with flaming fire. If middle-aged individuals suffer from accumulated fatigue leading to panting when walking, and anal prolapse with heaviness after standing for a long time, the appropriate treatment lies in grasping the Kidney and consolidating reception (Observation of symptoms is meticulous and refined, seeking further refinement. Generally, what young people worry about is Yin deficiency, while what the elderly worry about is Yang deficiency). Li Zhong Tang (Regulate the Middle Decoction) can deplete Stomach fluids but can stop upper and lower bleeding. Wang Sun'an's methods show immediate efficacy; they are not fabricated. The reason for ineffectiveness is that Kidney deficiency dislikes dryness (Use sour flavors to consolidate and receive, combined with sour-sweet methods to transform Yin).
Ren Shen (Ginseng Radix), Yu Rou (Cornus Officinalis Fruit), Fu Ling (Poria), Shi Lian Zi (Stone Lotus Seed), Mu Gua (Chaenomelis Fructus), Zhi Cao (Honey-fried Licorice Root), Wu Wei Zi (Schisandra Berry).
Shen Qi Wan (Kidney Qi Pill) represents the True Yang of the congenital foundation, governing the consolidation of the Yuan Qi of the whole body. When Kidney Qi is sufficient, it neither rebels upward nor sinks downward with heaviness. Once scattered, both upper and lower aspects lose control; rebellious Qi brings the risk of coughing and wheezing, and bowel/bladder movements often feel like they are about to escape. Those who preserve truth (vitality) avoid this.
Luo (23 years old): In his prime, he describes night sweats in winter and hemoptysis in spring. Appetite is good, but there is weakness and inability to move. There is only throat itching triggering coughs. This is Yin deficiency with Dragon Fire (Ministerial Fire) scorching upwards. Propose using Hu Qian Wan (Tiger Crouching Pill), removing Niu Xi (Achyranthes Root) and Dang Gui (Angelicae Sinensis Radix), adding Wu Wei Zi (Schisandra Berry), Shuang Dong (Tian Dong and Mai Dong).
Shen (Kunshan, 61 years old): The elderly person presents with aversion to cold, flaccidity of legs, and coughing with phlegm. In men, the Lower Yuan (Liver and Kidney) declines first; True Yin lacks support, and the Five Fluids condense into phlegm. If emotions become violently angry, internal wind suddenly arises, leading to the burden of stroke (Fei syndrome). Abstain from alcohol and labor; strive for self-joy and nurturing. Strengthen the Lower Jiao to clear the Upper Jiao (Strengthening the Lower prevents turbid Yin from ascending; the Five Fluids gradually transform into essence and subtle nutrients, so the residence of Spirit remains clear and unmuddled by turbidity).
Shu Di Huang (Prepared Rehmannia Root), Yu Rou (Cornus Officinalis Fruit), Cong Rong (Cistanche Stem), Chuan Hu (Dendrobium Nobile Stem), Rong Yan (Sea Salt), Niu Xi (Achyranthes Root), Gou Qi (Goji Berry), Lu Jin Jiao (Deer Tendon Gelatin).
Ren (Shanxi, 30 years old): Hemoptysis in summer, frequent recurrence from late autumn to winter. Right pulse is wiry and excess; Left pulse is soggy and deficient. This indicates simultaneous physical and mental exhaustion, collateral blood failing to remain tranquil. Business endeavors consume energy, and Qi and Blood fail to regenerate youthful vigor.