郁勃肝挹。右胁气逆。有形如瘕。腹痛身热经漏。急为调理。否则恐成郁损。
黑 豆皮 丹皮 香附 明润琥珀 泽兰 楂炭
带多身痛腹膨。法宜温养。
新鹿角霜 杜仲 白薇 沙苑蒺藜 杞子 当归
痰多恶心脘闷。
白旋复花 钩藤 黑栀 栝蒌仁霜 茯苓 橘红
有年阳微。饮逆咳嗽。
杏仁 茯苓 生姜 桂枝 炙草 大枣
冷物伤中。脘痛脉沉。
杏仁 藿梗 半夏 浓朴 枳壳 橘白
久嗽。肺气燥劫。食下不降。得饮则适。有年致此。恐噎格之患。
枇杷叶膏
两尺空大。鼻衄时发。脏阴亏矣。阳失其守。议仿虎潜意。
熟地 北五味 虎胫骨 黄柏 茯神 龟版 肉苁蓉 川石斛 牛膝 青盐
胸痹。
薤白 白茯苓 生姜汁 半夏 杏仁
脉弦长。木火偏亢。嗜酒更助其胆热矣。是以口糜味甜。法宜苦辛泄之。
金斛 黑山栀 白茯苓 桑叶 广皮白 半夏曲
先寒后热。是属伏邪。体质阴弱。未宜发表。伏邪者、乘虚伏于里也。当从里越之。春温篇
木火偏炽。宜存阴泄阳。虚则补其母。实则泻其子。与存阴泄阳相协。以是定方。
生地 天冬 柏仁 枣仁 豆皮 条参 茯神 丹参 川连 真阿胶
高年病后脉歇知饥。营血枯矣。勿以便艰而攻涤。
制首乌 火麻仁 肉苁蓉 白茯神 枸杞子 白牛膝
食下拒纳。此属噎格。
Liver Qi stagnates and erupts, invading the Stomach. Qi rebels in the right hypochondrium, with a palpable mass resembling *Jia* (abdominal mass) in the abdomen, accompanied by abdominal pain, fever, and metrorrhagia. Urgent regulation is required; otherwise, it may develop into consumptive disease due to depression.
*Heidoupi* (Black Bean Skin), *Danpi* (Moutan Cortex), *Xiangfu* (Cyperus Rhizome), *Mingrun Hupo* (Clear Amber), *Zelan* (Lycopus Herba), *Zhata* (Charred Hawthorn Fruit).
Leukorrhea is excessive, body aches, and abdominal distension. The method should be warming and nourishing.
*Xin Lu Jiaoshuang* (New Deer Antler Frost), *Duzhong* (Eucommia Bark), *Baiwei* (Anemarrhenae Rhizoma), *Shayuan Jili* (Astragali Complanati Semen), *Qizi* (Goji Berry), *Danggui* (Angelica Sinensis Radix).
Excessive phlegm, nausea, and epigastric oppression.
*Xuanfuhua* (Inula Flower), *Gouteng* (Uncaria Ramulus cum Uncis), *Hei Zhi* (Charred Gardenia Fruit), *Gualouren Shuang* (Powdered Trichosanthis Semen), *Fuling* (Poria), *Juhong* (Citri Reticulatae Pericarpium Rubrum).
Advanced age with deficient Yang, rebellious fluid retention causing cough.
*Xingren* (Prunus Seed), *Fuling* (Poria), *Shengjiang* (Fresh Ginger), *Guizhi* (Cinnamon Twig), *Zhi Cao* (Prepared Licorice Root), *Dazao* (Jujube).
Cold food injured the Middle Jiao, causing epigastric pain and a deep pulse.
*Xingren* (Prunus Seed), *Huogeng* (Agastache Stem), *Banxia* (Pinellia Tuber), *Nongpu* (Magnolia Bark), *Zhike* (Aurantii Fructus Immaturus), *Jubai* (Citri Reticulatae Pericarpium Album).
Chronic cough, Lung Qi dry and constrained. Food does not descend after eating, but feels comfortable after drinking water. This condition in the elderly suggests a fear of *Ye Ge* (dysphagia/obstruction).
*Pipayegao* (Loquat Leaf Paste).
Both Chi pulses are empty and large. Frequent epistaxis indicates deficiency of Zang Yin. Yang has lost its anchorage. It is proposed to imitate the intent of *Hujian Wan*.
*Shudi* (Prepared Rehmannia Root), *Bei Wuwei* (Schisandra Berry), *Hu Jinggu* (Tiger Tibia Bone - note: substitute legally), *Huangbai* (Phellodendron Bark), *Fushen* (Poria with Hostwood), *Gui Ban* (Tortoise Carapace), *Roucongrong* (Cistanche Stem), *Chuan Shihu* (Dendrobium Caulis), *Niuxi* (Achyranthes Root), *Qingyan* (Rock Salt).
*Xiongbi* (Chest Bi syndrome / Angina Pectoris).
*Xiebai* (Macrostemon Bulb), *Bai Fuling* (White Poria), *Shengjiangzhi* (Fresh Ginger Juice), *Banxia* (Pinellia Tuber), *Xingren* (Prunus Seed).
The pulse is wiry and long, indicating Liver Wood and Heart Fire hyperactivity. Alcohol consumption further aggravates Gallbladder heat. Hence, mouth ulcers and a sweet taste occur. The method should be bitter and acrid to drain.
*Jin Shihu* (Dendrobium Caulis), *Hei Shanzhi* (Charred Gardenia Fruit), *Bai Fuling* (White Poria), *Sangye* (Mulberry Leaf), *Guang Pi Bai* (Albedo of Citrus Reticulata), *Banxia Qu* (Pinellia Fermented Curd).
Initial chills followed by fever indicates latent pathogenic factors. The constitution is Yin-deficient; exterior-releasing methods are unsuitable. Latent pathogens hide inside when deficiency exists. They should be vented from the interior. Refer to the "Spring Warmth" chapter.
Wood and Fire are excessively blazing. Yin should be preserved, and Yang drained. Deficiency requires tonifying the Mother; Excess requires purging the Child. This aligns with preserving Yin and draining Yang. Based on this, the prescription is determined.
*Shengdi* (Rehmannia Root), *Tiantong* (Asparagus Tuber), *Bairen* (Platycladi Seed), *Zaoren* (Ziziphus Seed), *Doupi* (Soja Seed Coat), *Tiaoshen* (Codonopsis Root), *Fushen* (Poria with Hostwood), *Danshen* (Salvia Root), *Chuanlian* (Coptis Rhizome), *Zhen Ejiao* (Donkey-hide Gelatin).
Elderly patient post-illness with intermittent pulse, feeling hungry. Ying Blood is exhausted. Do not use purgatives for constipation.
*Zhi Shouwu* (Prepared Polygonum Multiflorum Root), *Huomaren* (Hemp Seed), *Roucongrong* (Cistanche Stem), *Bai Fushen* (White Poria with Hostwood), *Gouqizi* (Goji Berry), *Bai Niuxi* (White Achyranthes Root).
Food rejection after ingestion belongs to *Ye Ge* (dysphagia/obstruction).