范(无锡,二十九岁) 织梭身体皆动,过劳气血,偏倚左胁痛,失血呕血,肝络伤瘀,
久发则重。
炒桃仁 延胡 新绛屑 降香末 炒丹皮 钩藤
沈(湖州,二十九岁) 病伤不复元,壮失保养,延为劳嗽,胃气颇好,可与填精固下。
都气法去丹泽,加水陆二仙(金樱芡实)胡桃肉。
洪(吴江,二十七岁) 肌肉日瘦,竟夜内热,是内损阴虚,渐挨劳怯,安逸可久,天暖
气泄病加(阴损将及阳矣,故气暖病加。)
早服乳酪一杯,另服补阴丸。
王(宁波,四十八岁) 七疝肝病为多,有声响为气疝。寒入募络,积疝坚硬下坠,中年
不可从张子和用八味加大茴香、葫芦巴(声响乃气之所鼓,寒气凝阻正气渊乎微妙,不到中
年以后,那知病情如是耶?)
雍(枫桥,二十七岁) 眩晕呕水,心中热,神迷若痫,皆操持运机,易于升举,蒙冒清
神。生姜辛可通神,但气温先升,佐入凉降剂中乃可。
沈(南浔,三十三岁) 凡外邪入肺而咳嗽者,可用表散肺气。若内伤累及于肺致咳者,
必从内伤治(此系中虚咳嗽,用药纯粹以精。)汗之则泄阳气,肺痿食减音低,显然药误。
黄 米仁 黄精 白芨
痰饮乃积滞久留,吐出为安。若浊粘涎沫,是身中脏腑津液,所以奉养躯命者,倘被阴
火燔灼,上逼咽喉吐出,是肾脏不纳,乃为重病。
金(运漕,四十四岁) 冬藏失司,嗽吐涎沫,是肾病也(识力清老脉必两尺不固。)医见
嗽咸以肺药治之,年余无效。
Fan (Wuxi, 29 years old): The muscles of the whole body twitch like a weaving shuttle. Overwork has consumed Qi and Blood, causing pain in the left hypochondrium, hematemesis, and vomiting blood. This indicates injury to the Liver collaterals with blood stasis; prolonged occurrence leads to severe conditions.
Fried Peach Kernel (Persicae Semen), Corydalis Rhizome (Yanhusuo), Xinjiang powder, Powdered Aquilaria Lignum Resinatum (Xiang), Fried Moutan Cortex (Mudanpi), Uncaria Ramulus cum Uncis (Gouteng).
Shen (Huzhou, 29 years old): The body has not recovered its vitality after illness. Due to lack of preservation during his prime, it has dragged on into chronic cough with deficiency (Lao Sou). However, Stomach Qi is quite good, so one can employ methods to tonify Essence and secure the Lower Jiao.
Duqi Wan formula, removing Moutan Cortex (Danpi) and Alisma Rhizoma (Zexie), adding Shuilu Erxian Dan (Chamaerops fruit [Jinyingzi] and Euryale Seed [Qianshi]) and Walnut Meat (Hetao Rou).
Hong (Wujiang, 27 years old): Muscles are wasting away day by day, with internal heat throughout the night. This is internal damage with Yin deficiency, gradually advancing towards consumptive disease (Lao Qie). Rest and ease can sustain life for a long time; however, when the weather warms, the condition worsens (because Yin damage is approaching Yang deficiency, hence the condition aggravates with warm air).
Take a cup of milk and cheese in the morning, and separately take Buyin Wan.
Wang (Ningbo, 48 years old): Among the seven types of Hernia (Qi Shi), Liver diseases are most common. Those accompanied by sound are called Qi Hernia. Cold enters the Mu-collaterals, accumulating as hard hernias that hang down. In middle age, one should not follow Zhang Hezi's method of using Babai Wan plus Fennel Fruit (Dahuixiang) and Fenugreek Seed (Huluba) (The sound is driven by Qi; cold condenses and obstructs the righteous Qi, which is profound and subtle. Only after middle age does one realize how the condition is?)
Yong (Fengqiao, 27 years old): Vertigo, vomiting clear water, heat in the heart, and mental confusion resembling epilepsy. All these result from excessive mental exertion, causing Qi mechanism to easily ascend and cloud the clear Spirit. Ginger's pungency can unblock the Spirit, but its warmth ascends first; it must be assisted by cooling and descending agents to be effective.
Shen (Nanxun, 33 years old): For cough caused by external pathogens entering the Lung, dispersing the exterior and diffusing Lung Qi can be used. If cough results from internal injury affecting the Lung, it must be treated from the perspective of internal injury (This is cough due to Middle Deficiency; medication should purely nourish Essence). Sweating will leak Yang Qi, leading to Lung萎 (Fei Wei), reduced appetite, and low voice, which is clearly a medication error.
Astragali Radix (Huangqi), Coix Seed (Yiren), Polygonatum Rhizoma (Huangjing), Bletillae Rhizoma (Baiji).
Phlegm-fluid retention accumulates from long-standing stagnation; vomiting it out brings relief. If turbid, sticky saliva and foam are vomited, this is the body's Zong-Jin-Ye (body fluids) from organs and collaterals, which nourish the physique and life. If scorched by Yin-fire and forced up to the throat to be vomited, it indicates Kidney failing to grasp Qi, constituting a serious disease.
Jin (Yunchao, 44 years old): Failure of Winter storage function leads to cough and spitting of saliva/foam; this is a Kidney disease (Clear diagnostic insight: pulse must be unstable at both Chi positions). Physicians seeing cough always treat with Lung medicines, resulting in no effect for over a year.