嗽而脉数。脏阴亏矣。金水同治。第参之色脉。恐延损怯。
熟地 甜北参 麦冬 茯神 川石斛 天冬
脉数咳嗽。盗汗形寒。营卫交虚矣。
脉数无序。阴亏阳亢之象。虽血来点粒。春夏木火炎炎。焉得保其不发。
生地 女贞实 丹皮 川斛 旱莲草 赤苓
脉弦且出鱼际。木火郁而不泄。阳明无有不受其戕。是以食下稍有不适。则为 胀。饥则嘈
杂难耐。自宜肝胃同治。肝木宜疏。胃府宜降。乃其治也。
归身 焦术 陈皮 柴胡 神曲 白芍 茯苓 炙草 香附 麦芽
阳微。阴浊泛逆。先为咳喘。继而腹满便溏。所谓喘必生胀是也。
脉细如丝。形神 羸。嗽而气逆。下焦阳气颇衰。最虑喘脱。延至春和日暖。始可无虞。
茯苓 炙黑甘草 制附子 桂枝 北五味子 胡桃肉
用泻白散颇效。但不能寐。舌心辣痛。阴亦亏矣。
生地 川贝 元参 麦冬 茯神 灯心
努力络瘀。入春气升激络。血欲外溢未泄。气还瘀凝。 胀腹膨。心中烙热。古谓治血莫如
理气。气宣血降。良有以也。
黑栀 苏子 牛膝 桃仁 丹皮 茜草
形寒心悸头旋身如溶溶。此二维任带病也。由带中血液下渗。奇经失灌溉之源。日久有怔忡
腰折之患。极早图之。
熟地 牡蛎 桂心 巴戟 茯神 杞子 白芍 白薇
气痹不宣。食不运。
半夏 枳实 橘白 姜汁 茯苓 浓朴
Coughing with a rapid pulse indicates the deficiency of Zang Yin (Yin substances of the Zang organs). Treatment should address both Metal (Lung) and Water (Kidney). However, observing the patient's complexion and pulse, there is fear that the condition may progress to consumptive weakness (Xu Lao).
Shu Di Huang (Prepared Rehmannia Root), Tian Bei Shen (Ginseng Radix et Rhizoma Sweet Type), Mai Dong (Ophiopogon Tuber), Fu Shen (Poria with Hostwood), Chuan Shi Hu (Dendrobium Officinale Stem), Tian Dong (Asparagus Tuber).
Rapid pulse with coughing, night sweats, and aversion to cold indicate the deficiency of Ying (Nutritive Qi) and Wei (Defensive Qi).
A rapid and disordered pulse is a sign of Yin deficiency with Yang hyperactivity. Although only a few drops of blood are expectorated, during the spring and summer seasons when Wood and Fire energies are blazing, how can one ensure it will not recur?
Sheng Di Huang (Rehmannia Root), Nv Zhen Zi (Ligustrum Lucidum Fruit), Dan Pi (Moutan Cortex), Chuan Hu (Dendrobium Officinale Stem), Han Lian Cao (Eclipta Herba), Chi Ling (Poria with Red Coir).
A wiry pulse reaching the Yuji point indicates stagnant Wood and Fire that cannot be vented. The Yangming channel inevitably suffers damage from this; thus, slight discomfort after eating leads to abdominal distension, and hunger causes unbearable epigastric burning. It is appropriate to treat both the Liver and Stomach. The Liver Wood should be soothed, and the Stomach Fu organ should descend; this is the treatment method.
Gui Shen (Angelica Sinensis Root), Jiao Zhu (Fried Atractylodes Macrocephala Rhizome), Chen Pi (Citrus Reticulata Peel), Chai Hu (Bupleurum Root), Shen Qu (Medicated Leaven), Bai Shao (White Peony Root), Fu Ling (Poria), Zhi Cao (Licorice Root Prepared with Honey), Xiang Fu (Cyperus Rotundus Rhizome), Mai Ya (Hordeum Vulgare Sprout).
Yang is weak, and Yin turbidity rebels upward, initially causing cough and wheezing, followed by abdominal fullness and loose stools. This is what is meant by "wheezing must generate distension."
A fine pulse like a thread, emaciated form and spirit, cough with rebellious Qi, and significant decline of Lower Jiao Yang. The greatest concern is wheezing collapse. If the condition persists until the mild warmth of spring arrives, then safety can be assured.
Fu Ling (Poria), Zhi Hei Gan Cao (Prepared Black Licorice Root), Zhi Fu Zi (Prepared Aconite Lateralis Radix), Gui Zhi (Cinnamon Twig), Bei Wu Wei Zi (Schisandra Chinensis Fruit), Hu Tao Rou (Walnut Seed).
Using Xie Bai San (Drain White Powder) was quite effective, but insomnia persists, and there is a burning pain in the center of the tongue, indicating Yin deficiency as well.
Sheng Di Huang (Rehmannia Root), Chuan Bei Mu (Fritillaria Cirrhosa Bulb), Yuan Shen (Scrophularia Ningpoensis Root), Mai Dong (Ophiopogon Tuber), Fu Shen (Poria with Hostwood), Deng Xin Cao (Juncus Effusus Pith).
Effortful exertion has caused collateral stasis. In spring, ascending Qi agitates the collaterals; blood desires to overflow externally but fails to do so, while Qi returns and stagnates, causing abdominal distension and a burning sensation in the heart. Ancient texts state that treating blood disorders is best done by regulating Qi; when Qi is free-flowing, Blood descends. This is indeed sound reasoning.
Hei Zhi Zi (Black Gardenia Fruit), Su Zi (Perilla Fructus), Niu Xi (Achyranthes Bidentata Root), Tao Ren (Peach Kernel), Dan Pi (Moutan Cortex), Qian Cao (Rubia Cordifolia Root).
Aversion to cold, palpitations, dizziness, and a feeling of bodily flaccidity indicate pathology involving the Wei, Ren, and Dai vessels. Due to blood seeping downward from the Dai vessel, the Extraordinary Vessels lose their source of irrigation. Over time, this leads to palpitations and lumbar spine issues. Early intervention is crucial.
Shu Di Huang (Prepared Rehmannia Root), Mu Li (Oyster Shell), Gui Xin (Cinnamon Bark Heart), Ba Ji Tian (Morinda Officinalis Root), Fu Shen (Poria with Hostwood), Qi Zi (Goji Berry), Bai Shao (White Peony Root), Bai Wei (Cynanchum Auriculatum Root).
Qi obstruction prevents free flow, leading to failure of food digestion.
Ban Xia (Pinellia Ternata Tuber), Zhi Shi (Immature Bitter Orange), Ju Bai (Tangerine Albedo), Jiang Zhi (Ginger Juice), Fu Ling (Poria), Hou Po (Magnolia Bark).