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Pi Shui (Edema of the Skin), characterized by swelling of the four limbs, with water qi retained in the skin and slight tremors of the muscles in the four limbs, is primarily treated with Fangji Fuling Tang (Stephania and Poria Decoction).

Fangji Fuling Tang (Stephania and Poria Decoction)

Fangji (Stephiae Radix) 3 liang, Huangqi (Astragali Radix) 3 liang, Guizhi (Cinnamomi Ramulus) 3 liang, Fuling (Poria) 6 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted).

The above five herbs are decocted in 6 sheng of water to obtain 3 sheng of liquid, which is divided into three warm doses.

Li Shui (Internal Water Retention), characterized by generalized yellowish edema of the body and face, a deep pulse, and difficulty in urination, is primarily treated with Gancao Mahuang Tang (Licorice and Ephedra Decoction); Yuespi Jia Zhu Tang (Yuebi Plus Atractylodes Macrocephala Decoction) is also applicable.

Gancao Mahuang Tang (Licorice and Ephedra Decoction)

Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang, Mahuang (Ephedrae Herba) 4 liang.

The above two herbs are decocted in 5 sheng of water. First, boil Mahuang (Ephedrae Herba), remove the foam on the surface, then add Gancao (Glycyrrhizae Radix et Rhizoma), and boil to obtain 3 sheng of liquid. Strain and take 1 sheng warm. This should induce mild sweating. If sweating does not occur, administer another dose.

Yuespi Jia Zhu Tang (Yuebi Plus Atractylodes Macrocephala Decoction)

Mahuang (Ephedrae Herba) 6 liang, Shigao (Gypsum Fibrosum) half jin, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Shengjiang (Zingiberis Rhizoma Recens) 3 liang, Dazao (Jujubae Fructus) 15 pieces, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang.

The above six herbs are decocted in 6 sheng of water. First, boil Mahuang (Ephedrae Herba), remove the foam, then add the remaining herbs, and boil to obtain 3 sheng of liquid. Divide into three warm doses.

Question: The disease of Huang Han (Yellow Sweat) presents with body swelling and heaviness, sweating accompanied by fever and thirst, resembling Feng Shui (Wind-Water Edema). The sweat stains clothes yellow like cypress juice, and the pulse is naturally deep. How is this disease acquired? The Master said: It is acquired when one enters water for bathing while sweating, allowing water qi to enter through the sweat pores. It should be treated with Huangqi Shaoyao Guizhi Tang (Astragalus, Peony, and Cinnamon Twig Decoction).

Huangqi Shaoyao Guizhi Tang (Astragalus, Peony, and Cinnamon Twig Decoction)

Huangqi (Astragali Radix) 5 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Guizhi (Cinnamomi Ramulus) 3 liang.

The above three herbs are combined with 1 sheng of Ku Jiu (bitter wine/vinegar) and 7 sheng of water, boiled to obtain 3 sheng of liquid. Strain and take 1 sheng warm. One should experience mental restlessness after taking it, which resolves after 6-7 days. If mental restlessness persists, it is due to the obstruction by Ku Jiu; replace it with Mei Jiu Zao (wine lees from fine wine).

In the disease of Huang Han (Yellow Sweat), the calves feel cold. If they feel hot instead, it belongs to Li Jie (Joint Bi Syndrome). Sweating after eating and night sweats in the evening indicate heat in Ying Qi (Nutritive Qi). If fever persists after sweating, the body will eventually develop Jia Cuo (rough, scaly skin). If fever continues indefinitely, malignant sores will eventually develop. If the body feels heavy and lightens after sweating, but eventually leads to eyelid edema (Yun Yan) associated with chest pain, or if there is sweating above the waist and no sweating below, with flaccid pain in the loins and hips as if something is trapped in the skin, severe cases may involve inability to eat, body pain and heaviness, irritability, and difficulty in urination. This is Huang Han (Yellow Sweat), treated with Guizhi Jia Huangqi Tang (Cinnamon Twig Plus Astragalus Decoction).

Guizhi Jia Huangqi Tang (Cinnamon Twig Plus Astragalus Decoction)

Guizhi (Cinnamomi Ramulus) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Shengjiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Dazao (Jujubae Fructus) 15 pieces, Huangqi (Astragali Radix) 2 liang.

The above six herbs are decocted in 8 sheng of water to obtain 3 sheng of liquid. Strain and take 1 sheng warm, three times daily.

The Cun Kou (Radial) pulse is deep and weak. Deep indicates bone pathology, weak indicates tendon pathology. Deep corresponds to the Kidney, and weak corresponds to the Liver. Entering water while sweating allows water pathogen to damage the Heart, leading to Li Jie (Joint Bi Syndrome) pain and Huang Han (Yellow Sweat), hence named Li Jie.

Sour taste damages tendons; tendon damage leads to laxity, named Xie (Leakage). Salty taste damages bones; bone damage leads to atrophy, named Ku (Withered). The combination of Ku and Xie is named Duan Xie (Severed Leakage). When Ying Qi (Nutritive Qi) circulation is blocked and Wei Qi (Defensive Qi) cannot move independently, both Ying and Wei become deficient, the San Jiao (Triple Burner) loses its defense, and the four extremities are cut off from nourishment. The body becomes emaciated, while only the feet swell. With Huang Han (Yellow Sweat) and heat in the calves, it becomes Li Jie (Joint Bi Syndrome).

In Shao Yin (Lesser Yin) disease, the pulse is floating and weak. Weakness indicates blood deficiency, and floating indicates wind. Wind and blood fighting each other causes pulling pain.

In obese individuals, the pulse is choppy and small, accompanied by shortness of breath, spontaneous sweating, Li Jie (Joint Bi Syndrome) pain, and inability to flex or extend the joints. These are all caused by sweating after drinking alcohol and exposing oneself to wind.

For various joint pains, emaciation, swollen feet as if detached, dizziness, shortness of breath, and a feeling of warmth with nausea, Gui Zhi Shao Yao Zhi Mu Gan Cao Tang (Cinnamon Twig, Peony, Anemarrhena, and Licorice Decoction) is indicated.

Gui Zhi Shao Yao Zhi Mu Gan Cao Tang (Cinnamon Twig, Peony, Anemarrhena, and Licorice Decoction)

Guizhi (Cinnamomi Ramulus) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Zhi Mu (Anemarrhenae Rhizoma) 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang.

The above four herbs are decocted in 6 sheng of water to obtain 3 sheng of liquid. Strain and take 1 sheng warm, three times daily.

For Li Jie (Joint Bi Syndrome) with severe pain and inability to flex/extend, and a deep, weak pulse, Wu Tou Ma Huang Huang Qi Shao Yao Gan Cao Tang (Aconite, Ephedra, Astragalus, Peony, and Licorice Decoction) is indicated.

Wu Tou Ma Huang Huang Qi Shao Yao Gan Cao Tang (Aconite, Ephedra, Astragalus, Peony, and Licorice Decoction)

Wutou (Aconiti Lateralis Radix Preparata) 5 pieces (sliced), Mahuang (Ephedrae Herba) 3 liang, Huangqi (Astragali Radix) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 3 liang.

First, boil Wutou (Aconiti Lateralis Radix Preparata) in 2 sheng of honey to obtain 1 sheng, strain. Separately, decoct the other four herbs in 3 sheng of water to obtain 1 sheng, strain. Combine the honey liquid and boil for 1-2 boils. Take 7 ge. If ineffective, take the entire dose.

For Li Jie (Joint Bi Syndrome) with pain, swollen feet, difficulty in urination and defecation, and a deep, tight pulse, Gancao Mahuang Tang (Licorice and Ephedra Decoction) is indicated. For a deep, thin, and rapid pulse, Yuespi Jia Zhu Tang (Yuebi Plus Atractylodes Macrocephala Decoction) is indicated. (Both formulas are seen previously).

The Master said: The Cun Kou (Radial) pulse is slow and choppy. Slow indicates cold, choppy indicates blood deficiency. The Zu Yang (Dorsalis Pedis) pulse is faint and slow. Faint indicates Qi deficiency, slow indicates cold. Insufficient Stomach Qi leads to cold hands and feet. Disharmony of Ying and Wei leads to abdominal fullness and borborygmus, with Qi moving to the Bladder, causing exhaustion of Ying and Wei. Obstruction of Yang Qi causes body coldness; obstruction of Yin Qi causes bone pain. Anterior unblocking of Yang causes aversion to cold; anterior unblocking of Yin causes numbness and insensitivity. When Yin and Yang harmonize, Qi flows. When the Great Qi rotates, cold dissipates. Excess manifests as flatulence; deficiency manifests as urinary incontinence. This is named Qi Fen (Qi Division/Disease).

Qi Fen (Qi Disease) presents with hardness under the heart, large as a plate, with edges like a rotating cup. It is treated with Guizhi Gancao Mahuang Shengjiang Dazao Xixin Fuzi Tang (Cinnamon Twig, Licorice, Ephedra, Ginger, Jujube, Asarum, and Prepared Aconite Decoction).

Guizhi Gancao Mahuang Shengjiang Dazao Xixin Fuzi Tang (Cinnamon Twig, Licorice, Ephedra, Ginger, Jujube, Asarum, and Prepared Aconite Decoction)

Guizhi (Cinnamomi Ramulus) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Mahuang (Ephedrae Herba) 2 liang, Shengjiang (Zingiberis Rhizoma Recens) 2 liang (sliced), Dazao (Jujubae Fructus) 12 pieces, Xixin (Asari Radix et Rhizoma) 3 liang, Fuzi (Aconiti Lateralis Radix Preparata) 1 piece (prepared).

The above seven herbs are decocted in 7 sheng of water. First, boil Mahuang (Ephedrae Herba) to remove foam, then add other herbs, and boil to obtain 3 sheng of liquid. Divide into three warm doses. Recovery occurs with sweating.

Shui Yin (Water Fluid Retention) presents with hardness under the heart, large as a plate, with edges like a rotating cup. It is treated with Zhishi Baizhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction).

Zhishi Baizhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction)

Zhishi (Aurantii Fructus Immaturus) 7 pieces, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang.

The above two herbs are decocted in 5 sheng of water to obtain 3 sheng of liquid. Strain and divide into three warm doses.

For difficulty in urination with water retention and thirst, Gualou Qumei Shuyu Wan (Trichosanthes Root, Epimedium, and Dioscorea Pill) is indicated.

Gualou Qumei Shuyu Wan (Trichosanthes Root, Epimedium, and Dioscorea Pill)

Gualougen (Trichosanthis Radix) 2 liang, Qumei (Epimedii Folium) 1 liang, Shuyu (Dioscoreae Rhizoma) 2 liang, Fuzi (Aconiti Lateralis Radix Preparata) 1 piece (prepared), Fuling (Poria) 3 liang.

The above five herbs are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 2 pills with water, three times daily. If ineffective, increase to 7-8 pills. Effectiveness is confirmed by free urination and warmth in the abdomen.

For difficulty in urination with water retention in the Blood aspect, Huashi Luafa Baiyu San (Talc, Human Hair, and White Fish Powder) is indicated. Fuling Baizhu Rongyan Tang (Poria, Atractylodes Macrocephala, and Rock Salt Decoction) is also applicable.

Huashi Luafa Baiyu San (Talc, Human Hair, and White Fish Powder)

Huashi (Talcum) 1 jin, Luafa (Capilli Humani Carbonisatus) 1 jin (burned), Baiyu (Pis Holostei) 1 jin.

The above three herbs are pounded into powder. Take 1 cun chi spoonful with water, three times daily.

Fuling Baizhu Rongyan Tang (Poria, Atractylodes Macrocephala, and Rock Salt Decoction)

Fuling (Poria) half jin, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Rongyan (Sal Rupis) 2 pieces (bullet-sized).

First, decoct the first two herbs in 10 sheng of water to obtain 3 sheng, strain. Add Rongyan (Sal Rupis) and simmer gently until dissolved. Divide into three warm doses.

Chapter 15 of Shanghan Zabing Lun: Differentiation of Pulse, Symptoms, and Treatment for Blood Stasis, Hematemesis, Epistaxis, Hematochezia, and Carbuncles and Sores.

Patients with chest fullness, withered lips, blue tongue, dry mouth, desire to rinse mouth without swallowing, no chills or fever, and a pulse that is slightly large and delayed, yet claims abdominal fullness despite no visible distension, have Blood Stasis.

Patients presenting with symptoms resembling heat, irritability, dry mouth, and thirst, but with a pulse lacking heat signs, have hidden Yin heat due to Blood Stasis. They should be purged using Xiayu Xue Tang (Drain Below Blood Stasis Decoction).

Xiayu Xue Tang (Drain Below Blood Stasis Decoction)

Dahuang (Rhei Radix et Rhizoma) 3 liang, Taoren (Persicae Semen) 20 pieces, E Chong (Eupolyphaga Steleophaga) 20 pieces (legs removed).

The above three herbs are powdered, mixed with refined honey to form pills. Decoct in 1 sheng of wine and 1 sheng of water to obtain 8 he. Take in one dose. Recovery is indicated by the discharge of blood resembling pig liver.

For blood stasis retained in the diaphragm area, presenting with black vomited blood, Jiegeng Tang (Platycodon Decoction) is indicated.

Jiegeng Tang (Platycodon Decoction)

Jiegeng (Platycodonis Radix) 1 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang.

The above two herbs are decocted in 3 sheng of water to obtain 1 sheng. Strain and divide into two warm doses.

For continuous hematemesis, Baiye Tang (Cupressus Leaf Decoction) is indicated; Huangtu Tang (Yellow Earth Decoction) is also applicable.

Baiye Tang (Cupressus Leaf Decoction)

Baiye (Cupressi Cacumen) 3 liang, Ganjiang (Zingiberis Rhizoma) 3 liang, Aiye (Artemisiae Argyi Folium) 3 bundles.

Decoct the above three herbs in 5 sheng of water with 1 sheng of Matong Zhi (horse dung juice) to obtain 1 sheng. Strain and divide into two warm doses.

Huangtu Tang (Yellow Earth Decoction)

Zaozhong Huangtu (Caulis Fornacis) half jin, Gancao (Glycyrrhizae Radix et Rhizoma) 3 liang, Dihuang (Rehmanniae Radix) 3 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 liang, Fuzi (Aconiti Lateralis Radix Preparata) 3 liang (prepared), Ejiao (Colla Corii Asini) 3 liang, Huangqin (Scutellariae Radix) 3 liang.

The above seven herbs are decocted in 8 sheng of water to obtain 3 sheng. Strain and divide into three warm doses.

For insufficient Heart Qi causing hematemesis or epistaxis, Xie Xin Tang (Drain the Epigastrium Decoction) is indicated.

Xie Xin Tang (Drain the Epigastrium Decoction) Formula 1

Dahuang (Rhei Radix et Rhizoma) 2 liang, Huanglian (Coptidis Rhizoma) 1 liang.

The above two herbs are decocted in 3 sheng of water to obtain 1 sheng. Strain and take in one dose.

For hematochezia where stool precedes blood, this is distant bleeding, treated with Huangtu Tang (Yellow Earth Decoction). (Formula seen previously).

For hematochezia where blood precedes stool, this is proximal bleeding, treated Chidou Danggui San (Red Bean and Angelica Sinensis Powder).

Chidou Danggui San (Red Bean and Angelica Sinensis Powder)

Chixiaodou (Phaseoli Semen Rubrum) 3 sheng (soaked until sprouts appear, then dried), Danggui (Angelicae Sinensis Radix) 10 liang.

The above two herbs are pounded into powder. Take 1 cun chi spoonful mixed with Jiangshui (fermented grain wash), three times daily.

The Master said: Patients with pale complexion, no chills or fever, and a deep, string-taut pulse will likely suffer epistaxis. Those with a floating, weak pulse that disappears upon pressure will likely suffer lower bleeding. Those with irritability and cough will likely suffer hematemesis.

Epistaxis from spring to summer belongs to Tai Yang (Greater Yang). Epistaxis from autumn to winter belongs to Yang Ming (Bright Yang).

Floating Chi (Cubit) pulse and blurred vision with yellow tint indicate ongoing epistaxis. When the yellow tint disappears and vision clears, epistaxis has stopped.

Question: Cun Kou (Radial) pulse is slightly floating and choppy, indicating blood loss or sweating. If sweating does not occur, what is the cause? The Master said: If there is a wound from knives or axes, it is due to blood loss, named Jin Chuang (Metal Wound). Without pus, Wangbuliuxing San (Lycium Barbarum Seed Powder) is indicated. With pus, Painong San (Drain Pus Powder) is indicated, and Painong Tang (Drain Pus Decoction) is also applicable.

Wangbuliuxing San (Lycium Barbarum Seed Powder)

Wangbuliuxing (Vaccariae Semen) 10 parts (burned), Huoxi (Commelinae Herba) 10 parts (burned), Sangbaipipi (Mori Cortex) 10 parts (burned), Gancao (Glycyrrhizae Radix et Rhizoma) 18 parts, Huangqin (Scutellariae Radix) 2 parts, Shujiao (Zanthoxyli Pericarpium) 3 parts (eyes removed), Houpo (Magnoliae Officinalis Cortex) 2 parts, Ganjiang (Zingiberis Rhizoma) 2 parts, Shaoyao (Paeoniae Radix Alba) 2 parts.

The above nine herbs are powdered. Take 1 cun chi spoonful with water. For small wounds, apply powder externally; for large wounds, take internally. Also applicable postpartum.

Painong San (Drain Pus Powder)

Zhishi (Aurantii Fructus Immaturus) 16 pieces, Shaoyao (Paeoniae Radix Alba) 6 parts, Jiegeng (Platycodonis Radix) 2 parts.

The above three herbs are powdered. Mix with one egg yolk, kneading until uniform. Take mixed with water, once daily.

Painong Tang (Drain Pus Decoction)

Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang, Jiegeng (Platycodonis Radix) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) 1 liang, Dazao (Jujubae Fructus) 10 pieces.

The above four herbs are decocted in 3 sheng of water to obtain 1 sheng. Strain and take 5 he warm, twice daily.

Jinyin Chuang (Spreading Sore) flowing from the mouth to the four limbs is treatable; flowing from the limbs back to the mouth is untreatable.

Jinyin Chuang (Spreading Sore) is treated with Huanglian Fen (Coptis Powder).

Huanglian Fen (Coptis Powder)

Huanglian (Coptidis Rhizoma) 10 parts, Gancao (Glycyrrhizae Radix et Rhizoma) 10 parts.

The above two herbs are powdered. Take 1 cun chi spoonful with water and apply powder topically to the sore.

When all pulses are floating and rapid, fever is expected, but if there is chills and pain in a specific area, a carbuncle is about to erupt.

The Master said: To determine if a carbuncle has pus, press the swollen area. Heat indicates pus; lack of heat indicates no pus.

Chang Yong (Intestinal Carbuncle) presents with rough skin, tense abdominal wall, soft upon pressure, resembling swelling, no abdominal mass, no body fever, and a rapid pulse. This is an intestinal carbuncle, treated with Yiyi Fuzi Baijiang San (Coix Seed, Aconite, and Patrinia Powder).

Yiyi Fuzi Baijiang San (Coix Seed, Aconite, and Patrinia Powder)

Yiyiren (Coicis Semen) 10 parts, Fuzi (Aconiti Lateralis Radix Preparata) 2 parts, Baijiangcao (Patriniae Herba) 5 parts.

The above three herbs are powdered. Take 1 cun chi spoonful, decoct in 2 sheng of water until reduced by half. Strain and take in one dose. Blood should pass in urine.

Swelling and hardness in the lower abdomen, painful upon pressure resembling strangury, normal urination, intermittent fever, spontaneous sweating, and aversion to cold indicate an extraintestinal carbuncle. A deep, tight pulse means pus is not yet formed; purging should yield blood. A surging, rapid pulse means pus is formed; purging is indicated using Dahuang Mudan Tang (Rhubarb and Moutan Decoction).

Dahuang Mudan Tang (Rhubarb and Moutan Decoction)

Dahuang (Rhei Radix et Rhizoma) 4 liang, Mudanpi (Moutan Cortex) 1 liang, Taoren (Persicae Semen) 50 pieces, Dongguazi (Benincasae Semen) half sheng, Mangxiao (Natrii Sulfas) 3 he.

The above five herbs are decocted in 6 sheng of water to obtain 1 sheng. Strain and take in one dose. Pus is discharged if present; blood if not.

Differentiation of Pulse, Symptoms, and Treatment for Chest Bi Syndrome.

The Master said: Pulses should be assessed for excess and deficiency. Yang deficiency and Yin tension result in Chest Bi pain. This is due to extreme deficiency. Current Yang deficiency indicates pathology in the Upper Jiao. Chest Bi pain with a string-taut pulse confirms this.

In healthy individuals without chills or fever, Chest Bi with shortness of breath indicates excess.

Chest Bi with wheezing, sighing, coughing, spitting, chest and back pain, deep-slow Cun pulse, and slightly tight-rapid Guan pulse is treated with Gualou Xiebai Baijiu Tang (Trichosanthes Rhizome, Macrostemon Stem, and White Wine Decoction).

Gualou Xiebai Baijiu Tang (Trichosanthes Rhizome, Macrostemon Stem, and White Wine Decoction)

Gualoushi (Trichosanthis Fructus) 1 piece (crushed), Xiebai (Allii Macrostemonis Bulbus) half jin, Baijiu (White Wine) 7 sheng.

The above three herbs are boiled together to obtain 2 sheng. Divide into two warm doses.

Chest Bi preventing lying down, with heart pain radiating to the back, is treated with Gualou Xiebai Banxia Tang (Trichosanthes Rhizome, Macrostemon Stem, and Pinellia Decoction).

Xiebai Gualou Banxia Tang (Macrostemon Stem, Trichosanthes Rhizome, and Pinellia Decoction)

Gualoushi (Trichosanthis Fructus) 1 piece (crushed), Xiebai (Allii Macrostemonis Bulbus) 3 liang, Banxia (Pinelliae Rhizoma Preparatum) half sheng, Baijiu (White Wine) 1 dou.

The above four herbs are boiled together to obtain 4 sheng. Strain and take 1 sheng warm, three times daily.

Chest Bi with epigastric stagnation, Qi knotting in the chest, chest fullness, and rebellious Qi rushing from the hypochondrium to the heart is treated with Zhishi Xiebai Guizhi Houpo Gualou Tang (Immature Bitter Orange, Macrostemon, Cinnamon Twig, Magnolia Bark, and Trichosanthes Decoction). Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction) is also applicable.

Zhishi Xiebai Guizhi Houpo Gualou Tang (Immature Bitter Orange, Macrostemon, Cinnamon Twig, Magnolia Bark, and Trichosanthes Decoction)

Zhishi (Aurantii Fructus Immaturus) 4 pieces, Xiebai (Allii Macrostemonis Bulbus) half jin, Guizhi (Cinnamomi Ramulus) 1 liang, Houpo (Magnoliae Officinalis Cortex) 4 liang, Gualou (Trichosanthis Fructus) 1 piece (crushed).

Boil Zhishi and Houpo in 5 sheng of water to obtain 2 sheng, strain. Add other herbs, boil briefly, and divide into three warm doses.

Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction)

Guizhi (Cinnamomi Ramulus) 4 liang, Renshen (Ginseng Radix) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 3 liang, Ganjiang (Zingiberis Rhizoma) 3 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 liang.

Decoct the first four herbs in 1 dou of water to obtain 5 sheng. Add Guizhi, boil to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.

Chest Bi with chest oppression or shortness of breath indicates water Qi in the chest. Fuling Xingren Gancao Tang (Poria, Apricot Kernel, and Licorice Decoction) is indicated. Chupi Zhishi Shengjiang Tang (Tangerine Peel, Immature Bitter Orange, and Ginger Decoction) is also applicable.

Fuling Xingren Gancao Tang (Poria, Apricot Kernel, and Licorice Decoction)

Fuling (Poria) 2 liang, Xingren (Armeniacae Semen Amarum) 50 pieces, Gancao (Glycyrrhizae Radix et Rhizoma) 1 liang (roasted).

Decoct in 1 dou of water to obtain 5 sheng. Strain and take 1 sheng warm, three times daily. Repeat if necessary.

Chupi Zhishi Shengjiang Tang (Tangerine Peel, Immature Bitter Orange, and Ginger Decoction)

Chupi (Citri Reticulatae Pericarpium) 1 jin, Zhishi (Aurantii Fructus Immaturus) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) half jin.

Decoct in 5 sheng of water to obtain 2 sheng. Strain and divide into two warm doses.

Chest Bi with alternating relaxation and tension is treated with Yiyi Fuzi San (Coix Seed and Aconite Powder).

Yiyi Fuzi San (Coix Seed and Aconite Powder)

Yiyiren (Coicis Semen) 15 liang, Da Fuzi (Aconiti Lateralis Radix Preparata) 10 pieces (prepared).

Powder the above two herbs. Take 1 cun chi spoonful with white rice drink, three times daily.

Chest Bi with hanging pain in the heart is treated with Guizhi Shengjiang Zhishi Tang (Cinnamon Twig, Ginger, and Immature Bitter Orange Decoction).

Guizhi Shengjiang Zhishi Tang (Cinnamon Twig, Ginger, and Immature Bitter Orange Decoction)

Guizhi (Cinnamomi Ramulus) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) 3 liang, Zhishi (Aurantii Fructus Immaturus) 5 pieces.

Decoct in 6 sheng of water to obtain 3 sheng. Strain and divide into three warm doses.

Chest Bi with chest pain radiating to the back and back pain radiating to the chest is treated with Wutou Chishizhi Wan (Aconite and Halloysit Rubrum Pill).

Wutou Chishizhi Wan (Aconite and Halloysit Rubrum Pill)

Wutou (Aconiti Lateralis Radix Preparata) 1 liang, Shujiao (Zanthoxyli Pericarpium) 1 liang, Fuzi (Aconiti Lateralis Radix Preparata) 5 qian, Ganjiang (Zingiberis Rhizoma) 1 liang, Chishizhi (Halloysit Rubrum) 1 liang.

Powder the above five herbs, mix with honey to form pills the size of Sophora seeds. Take 1 pill before meals, three times daily. Increase slightly if ineffective, stopping when effective.

Chest Bi where the patient desires to tread on the chest, initially without pain but desiring hot drinks, is treated with Xuanfuhua Tang (Inula Flower Decoction).

Xuanfuhua Tang (Inula Flower Decoction)

Xuanfuhua (Inulae Flos) 3 liang, Congbai (Allii Fistulosi Bulbus) 14 stems, Xinjiang (Safflower Stamen) a little.

Decoct in 3 sheng of water to obtain 1 sheng. Take in one dose.

Chest Bi with palpitations under the heart is attributed to Phlegm. Banxia Mahuang Wan (Pinellia and Ephedra Pill) is indicated.

Banxia Mahuang Wan (Pinellia and Ephedra Pill)

Banxia (Pinelliae Rhizoma Preparatum) and Mahuang (Ephedrae Herba) in equal proportions.

Powder the above two herbs, mix with refined honey to form pills the size of soybeans. Take 3 pills with water, three times daily.

Chest Bi with pain under the heart, possibly due to evil blood and accumulated cold, is treated with Jiutong Wan (Nine-Pain Pill).

Jiutong Wan (Nine-Pain Pill)

Fuzi (Aconiti Lateralis Radix Preparata) 3 liang, Langdu (Stellerae Radix) 4 liang, Badou (Crotonis Fructus) 1 liang (skin and heart removed, fried and ground to paste), Renshen (Ginseng Radix) 1 liang, Ganjiang (Zingiberis Rhizoma) 1 liang, Wuzhuyu (Evodiae Fructus) 1 liang.

Powder the above six herbs, mix with honey to form pills the size of Sophora seeds. Take with wine. Strong individuals take 3 pills initially, three times daily; weak individuals take 2 pills.

Also treats sudden stroke with evil Qi, abdominal distension and pain, inability to speak, chronic accumulated cold, migrating pain, chest and heart pain, rising cold Qi, falls from horses, carriage accidents, and blood disorders. Follow usual dietary restrictions.

Chapter 16 of Shanghan Zabing Lun: Differentiation of Pulse, Symptoms, and Treatment for Various Women's Diseases.

The Master said: In women, a normal pulse with slightly weak Yin pulse, vomiting, inability to eat, and no chills or fever indicates pregnancy. Guizhi Tang (Cinnamon Twig Decoction) is indicated. According to method, these symptoms appear around 60 days. If improper treatment causes vomiting or purging after one month, stop such treatments.

Guizhi Tang (Cinnamon Twig Decoction)

Guizhi (Cinnamomi Ramulus) 3 liang (skin removed), Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang (roasted), Shengjiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Dazao (Jujubae Fructus) 12 pieces (split).

Decoct in 7 sheng of water to obtain 3 sheng. Strain and divide into three warm doses.

If a woman has a pre-existing mass (Zheng), stops menstruating for less than three months, and experiences continuous leakage bleeding with fetal movement above the umbilicus, this is Zheng Gu Hai (Mass Hindrance). Fetal movement at six months indicates normal pregnancy during previous regular menstruation. Bleeding after three months of amenorrhea resembles epistaxis. Continuous bleeding is due to the persistent mass. The mass should be resolved using Guizhi Fuling Wan (Cinnamon Twig and Poria Pill).

Guizhi Fuling Wan (Cinnamon Twig and Poria Pill)

Guizhi (Cinnamomi Ramulus), Fuling (Poria), Mudanpi (Moutan Cortex), Taoren (Persicae Semen), Shaoyao (Paeoniae Radix Alba) in equal proportions.

Powder the above five herbs, mix with refined honey to form pills the size of rabbit feces. Take 1 pill before meals daily. Increase to 3 pills if ineffective.

In pregnant women at 6-7 months, a string-taut pulse, fever, increased abdominal distension, abdominal pain, aversion to cold, and a sensation of wind in the lower abdomen indicate uterine opening. Treat with Fuzi Tang (Aconite Decoction) to warm.

Fuzi Tang (Aconite Decoction)

Fuzi (Aconiti Lateralis Radix Preparata) 2 pieces (prepared, skin removed, broken into 8 pieces), Fuling (Poria) 3 liang, Renshen (Ginseng Radix) 2 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang, Shaoyao (Paeoniae Radix Alba) 3 liang.

Decoct in 8 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.

The Master said: Women with leakage bleeding, continuous bleeding after miscarriage, or abdominal pain during pregnancy (Baomu/Zi Zu obstruction) are treated with Jiao'ai Tang (Donkey-hide Gelatin and Mugwort Decoction).

Jiao'ai Tang (Donkey-hide Gelatin and Mugwort Decoction)

Dihuang (Rehmanniae Radix) 6 liang, Chuanxiong (Ligustici Chuanxiong Rhizoma) 2 liang, Ejiao (Colla Corii Asini) 2 liang, Aiye (Artemisiae Argyi Folium) 3 liang, Danggui (Angelicae Sinensis Radix) 3 liang, Shaoyao (Paeoniae Radix Alba) 4 liang, Gancao (Glycyrrhizae Radix et Rhizoma) 2 liang.

Decoct the first six herbs in 5 sheng of water and 3 sheng of clear wine to obtain 3 sheng. Strain, dissolve Ejiao (Colla Corii Asini) in the hot liquid, and take 1 sheng warm, three times daily.

For abdominal pain during pregnancy, Danggui Shaoyao San (Angelica Sinensis and Peony Powder) is indicated.

Danggui Shaoyao San (Angelica Sinensis and Peony Powder)

Danggui (Angelicae Sinensis Radix) 3 liang, Shaoyao (Paeoniae Radix Alba) 1 jin, Fuling (Poria) 4 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang, Zexie (Alismatis Rhizoma) half jin, Chuanxiong (Ligustici Chuanxiong Rhizoma) 3 liang.

Powder the above six herbs. Take 1 cun chi spoonful mixed with warm wine, three times daily.

For incessant vomiting during pregnancy, Ganjiang Renshen Banxia Wan (Ginger, Ginseng, and Pinellia Pill) is indicated.

Ganjiang Renshen Banxia Wan (Ginger, Ginseng, and Pinellia Pill)

Ganjiang (Zingiberis Rhizoma) 1 liang, Renshen (Ginseng Radix) 1 liang, Banxia (Pinelliae Rhizoma Preparatum) 2 liang.

Powder the above three herbs, mix with fresh ginger juice to form pills the size of Sophora seeds. Take 5 pills with water, three times daily.

For difficulty in urination during pregnancy with normal diet, Danggui Beimu Kushen Wan (Angelica Sinensis, fritillaria, and Sophora Pill) is indicated.

Danggui Beimu Kushen Wan (Angelica Sinensis, Fritillaria, and Sophora Pill)