Library

It must involve the Chong (Penetrating) and Ren (Conception) vessels. Currently, Qi is obstructed and water accumulates; blood also transforms into water causing swelling. The chest is high and the abdomen is large. Water nature tends downward, agitation can reach the throat; the lower orifices have been closed for a long time, resembling an urn mouth. Why not emulate Yu the Great's method of controlling water? If one merely adheres to cold/heat and tonification/reduction as methods, it is no wonder that long-term medication yields no effect.
Shizao Wan (Ten Date Pill).

Menstruation does not arrive; the congenital constitution has always been weak. Due to frequent depression and anger, Liver Wood fails in its dispersing and draining function; fluid retention spreads laterally causing swelling, which is most difficult to treat.
Yiyi Ren (Coix Seed), Muli (Oyster Shell), Fangji (Stephania Root), Fuling (Poria), Zexie (Alisma), Bibi (Dioscorea Hypoglauca Rhizome).

Multiple births have depleted the five fluids. Now sixty years old, yet suffering from continuous leukorrhea, daily increasing dryness and constipation of stool, and distension of the lower abdomen. Since blood has been lost and Qi scatters without gathering, using Qi-moving and Qi-breaking drugs accelerates the fatal outcome.
Chao Jiao Shenqi Tang (Scorched and Charred Kidney Qi Decoction).

Lower back pain feels like being bound; abdominal distension suggests swelling. This is a disease of the Eight Extraordinary Vessels.
Lujiao (Deer Antler), Xiaohui (Fennel), Fuling (Poria), Duzhong (Eucommia Bark), Danggui (Angelica Sinensis).

The fundamental constitution is extremely deficient, with much worry and accumulated depression. As spring deepens into summer, Yang Qi exerts itself. Spleen weakness leads to loss of transportation; food intake gradually decreases. Earthly Yang declines, dampness generates, and Liver Wood attacks. Swelling worsens daily. Blood deteriorates and transforms into congealed water; urination becomes increasingly short and scanty. Dampness sinks into the intestines, causing loose stools. Yang Qi fails to connect with the lower part; knees and below are cold and unwarmed. Pulse is choppy and menstruation is absent, clearly indicating Blood Gu (Blood Disturbance). Turbid Qi rises to interfere, inevitably causing panting; sitting upright at night unable to lie down. Symptoms are extremely dangerous and critical; do not underestimate them. Use methods to unblock Yang and manage deficiency, hoping Yin turbidity will not become sealed.
Renshen (Ginseng), Dan Ganjiang (Light Dried Ginger), Fuling (Poria), Dan Fuzi (Light Processed Aconite), Zhu Danzhi (Pig Bile), Zexie (Alisma).

Sudden heart and abdominal pain after anger, with a palpable mass, indicates Qi aggregation forming a Jia (mass). This is Liver deficiency with rebellious Qi; use pungent herbs to tonify the substance and function.
Renshen (Ginseng), Zhi Cao (Honey-fried Licorice), Danggui (Angelica Sinensis), Chuanlianzi Pi (Pericarpium Toosendan), Fushen (Poria with Hostwood), Baishao (White Peony Root), Taoren (Peach Kernel).

Liver fails in dispersing and draining; urination and defecation are difficult. There is a pre-existing Jia mass in the lower abdomen; rebellious Qi causes Jue (reversal) syndrome. Treatment uses pungent-moistening methods.
Danggui (Angelica Sinensis), Congguan (Green Onion Tube), Baizeren (Platycladus Seed), Xiaohui (Fennel), Taoren (Peach Kernel), Fuling (Poria).

Abdominal distension in winter, loose stools. Unblock Yang and drain turbidity; initially effective, but ineffective over time. Long-term widowhood implies solitary Yin without Yang; depression and anxiety lead to lower abdominal masses. The disease is in the Liver. After fifty, Zheng Qi declines daily; pathogens cannot be attacked vigorously.
Liuyi Wan (Six-Ingredient Pill) plus Xiaohui (Fennel) and Chuanlianzi (Toosendan Fruit), made into pills with water.

Deficiency of Chong and Ren vessels causes leukorrhea; lower abdominal Jia masses; limb numbness.
Guishen (Angelica Sinensis Root Body), Sangye (Mulberry Leaf), Muli (Oyster Shell), Chongweizi (Leonurus Fruit), Fushen (Poria with Hostwood), Jianlian (Chinese Lotus Seed).

Lower abdominal Jia masses cause attacking pain; continuous dysuria.
Congbai Wan (Green Onion White Pill), taken with Ai (Mugwort) and Zao (Jujube) decoction.

Liver Yang rises; Yin fails to hold internally. Heart pain with rising fire; leukorrhea.
Shengdi Tan (Charred Rehmannia), Tiandong (Asparagus Tuber), Duzhong (Eucommia Bark), Guishen (Angelica Sinensis Root Body), Nvzhenzi (Privet Fruit), Fushen (Poria with Hostwood), Chuanhu (Dendrobium), Bairan (Platycladus Seed).

Eight Extraordinary Vessels are empty; Chong Yang rebels upward. Upper heat, lower cold; muscle twitching. Leukorrhea changes color; morning Jia diarrhea. This is not suitable for nourishing and clearing Yin moistening.
Sangpiaoxiao (Mantis Egg Case), Sheng Duzhong (Raw Eucommia), Hulian (Lake Lotus), Tusizi (Cuscuta), Shajili (Tribulus), Fuling (Poria).

Poor appetite, loose stools, leukorrhea.
Renshen (Ginseng), Sheng Zhu (Raw Atractylodes), Xiaohui (Fennel), Lujiaoshuang (Deer Antler Frost), Duzhong (Eucommia Bark), Fuling (Poria), Pao Jiang (Baked Ginger), Chao Danggui (Stir-fried Angelica), Sangpiaoxiao (Mantis Egg Case), Ai Tan (Charred Mugwort).
Made into pills with Red Date flesh.

Qi circulation in the epigastrium is smooth; leukorrhea is red and white. This is chronic blood deficiency; recently, seasonal pathogens injured Yang. Six pulses are powerless; downward slipping is uncontrollable. Having been bedridden for a long time, blocking methods will not cure. Imitate Li Dongyuan's method of securing truth and regulating ascending/descending.
Renshen (Ginseng), Sheng Ganjiang (Raw Dried Ginger), Chaihu (Bupleurum), Yuliren (Apricot Kernel), Guangpi (Broad Peel/Tangerine Peel), Zhi Gancao (Honey-fried Licorice), Huangqin (Scutellaria), Bai Kuizi (White Plantain Seed).

Rapid pulse, night sweats, heart discomfort, cough, abdominal pain, loose stools, daily emaciation, painful dysuria. This is severe deficiency of True Yin of Liver and Kidney, progressing toward Lao Qie (Consumptive Disease).
Shudi (Prepared Rehmannia), Qianshi (Euryale Seed), Zhi Cao (Honey-fried Licorice), Nvzhenzi (Privet Fruit), Wuwei Zi (Schisandra), Shanyao (Dioscorea), Fushen (Poria with Hostwood).

Yin deficiency with dysuria and retention has not decreased; recently abdominal pain, vomiting, and diarrhea, preferring cold drinks. Summer-dampness must be lodged in Taiyin Spleen. This differs from the main disease; first, separate and eliminate while regulating the middle. Wait until pain and diarrhea subside before discussing further.
Huangqin (Scutellaria), Yizhiren (Alpinia Oxyphylla), Hei Shanzha (Black Hawthorn), Baishao (White Peony Root), Chenpi Bai (Tangerine Peel White), Mugua (Chaenomeles).

Severe heat in Lower Jiao; leakage of Yin and Yang Qi. Abdominal pain persists. Use methods to harmonize the middle and firm the Yin.
Shudi (Prepared Rehmannia), Chao Guishen (Stir-fried Angelica Root Body), Huangbo (Phellodendron Bark), Chao Zha (Stir-fried Hawthorn), Chao Baishao (Stir-fried White Peony), Bibi (Dioscorea Hypoglauca Rhizome).

Shock, worry, and anger cause Liver dysfunction, leading to dysuria and retention.
Dangguishen (Angelica Sinensis Root Body), Bairan (Platycladus Seed), Cheqian (Plantago Seed), Yuliren (Apricot Kernel), Niuxi (Achyranthes Root), Huangbo (Phellodendron Bark).

Living alone without joy, Liver and Gallbladder contain stagnant rebellious Qi and fire, rising and falling directly, uncontrollable. Loss of dispersing function causes urinary dribbling, as Jueyin Liver meridian surrounds the genitalia. Propose administering Longdan Xiegan Tang (Gentian Liver-Draining Decoction).

Ghost spirits and dead souls belong to Yin demons. Widowhood implies solitary Yin without Yang. Illness started with fright; likely caused by Kidney and Liver organ damage. Menstruation still arrives. Calm and collect the soul and spirit; adopt Han Zhihe's method.
Dangguishen (Angelica Sinensis Root Body), Yangrou (Mutton), Longgu (Dragon Bone), Rouguixin (Cinnamon Heart), Shengjiang (Fresh Ginger), Muli (Oyster Shell).

Ren and Du vessels lose control; essence fluid secretly consumes. Bawei Wan (Eight-Ingredient Pill) can be taken regularly; discuss methods to secure the Extraordinary Vessels to assist.
Renshen (Ginseng), Tusizi (Cuscuta), Fupenzi (Rubus Fruit), Lurong (Deer Antler Luojing), Suoyang (Cynomorium), Guboji (Drynaria Rhizome).

Postpartum Jue syndrome is mostly due to Lower Deficiency. Fear of wind and cold, facial swelling, muscles feeling like insects crawling, diarrhea, flaccid limbs. This formula addresses deficiency wind and harmonizes the Eight Extraordinary Vessels.
Gouqi (Goji Berry), Xiaohui (Fennel), Lujiaoshuang (Deer Antler Frost), Tusizi (Cuscuta), Duzhong (Eucommia Bark), Danggui (Angelica Sinensis), Shayuan (Astragalus Complanatus), Fuling (Poria).
Made into pills with Ginger and Jujube decoction.

Pulse is deep. Pregnant eight months, chronic cough with cold sensation, rebellious Qi prevents lying down. Due to depression, Yang loses rotation; turbidity condenses and fluid gathers. Treat the fluid...
Guizhi (Cinnamon Twig), Dan Jiang (Light Ginger), Baishao (White Peony Root), Fuling (Poria), Wuwei Zi (Schisandra).

Complexion and pulse lack spirit; deficiency irritability and chronic cough; unremitting chills and fever. Due to sorrow and fright, condition worsens; Stomach Qi gradually decreases; stools are loose; menstruation is overdue. Fear of Lower damage affecting Middle; propose Jianzhong (Build the Middle) method.
Renshen (Ginseng), Baishao (White Peony Root), Guizhi (Cinnamon Twig), Fushen (Poria with Hostwood), Huangqi (Astragalus), Zhi Cao (Honey-fried Licorice), Muli (Oyster Shell), Nanzao (Southern Jujube).

Pulse is fine and weak; aversion to cold, chronic cough; frequent chills and fever; prone to fright; menstruation is pale and scanty; intolerant of fatigue. Internal damage to Yin and Yang; Ying and Wei are imbalanced. Zhang Zhongjing states that when Yuan Qi is injured, sweet herbs should be given. Knowing that cooling methods for cough are not the pure orthodox path.
Huangqi (Astragalus), Jianzhong Tang (Build the Middle Decoction) minus Jiang (Ginger).

Deficiency with chronic cough and blood loss; chills by day, fever by night; amenorrhea, poor appetite, loose stools. Condition worsens entering Spring; Shaoyang Sheng Qi does not arrive; after mid-Spring, Liver Wood is vigorous. How long can it last!
Chao Shengdi (Stir-fried Raw Rehmannia), Ejiao (Donkey-hide Gelatin), Zhi Gancao (Honey-fried Licorice), Lianrou (Lotus Seed Flesh), Chao Maidong (Stir-fried Ophiopogon), Fushen (Poria with Hostwood), Sheng Baishao (Raw White Peony Root).

Another prescription: Renshen (Ginseng), Qianshi (Euryale Seed), Shengdi Tan (Charred Rehmannia), Fushen (Poria with Hostwood), Lianrou (Lotus Seed Flesh), Chuan Shihu (Dendrobium).

Depression causes internal damage and menstrual obstruction; bones and sinews all hurt. Damage does not recover, becoming Lao Qie (Consumptive Disease). Warm, nourish, and circulate, hoping for melting and harmonizing of stagnant Bi Qi and blood. But treating with clearing heat, stopping bleeding, and managing cough yields no survival.
Danggui (Angelica Sinensis), Sheng Lujiao (Raw Deer Antler), Sangjisheng (Taxillus), Gouqi (Goji Berry), Sheng Duzhong (Raw Eucommia).

Widowhood and overwork relate to emotional injury; herbs struggle to achieve efficacy. Recently, fire rises and lower body is cold; temporarily advance Jiawei Zhenyuan Yin (Modified Zhenyuan Drink) to control Dragon and Minister Fire...
Shudi (Prepared Rehmannia), Baishao (White Peony Root), Qingqian (Blue Lead), Niuxi Tan (Charred Achyranthes), Fuling (Poria).

Deficient constitution with fright leads to epilepsy and Jue. Propose calming Liver and extinguishing wind, nourishing Yin and balancing Yang method.
Sheng Longgu (Raw Dragon Bone), Shengdi (Raw Rehmannia), Sheng Baishao (Raw White Peony Root), Sheng Muli (Raw Oyster Shell), Ejiao (Donkey-hide Gelatin), Wumei Rou (Dark Plum Flesh).

Blood is exhausted; Liver wind overturns. Postpartum extreme deficiency body; Jue reversal and fainting are all Liver Yin about to perish, with Yang Qi carrying internal wind upward clouding clear orifices. Yesterday proposed calming Liver and extinguishing wind; quite peaceful in the morning, Jue recurrence at night. Yin exhaustion is revealed; difficult to regulate, no doubt?
Zhi Shouwu (Processed Polygonum Multiflorum), Tiandong (Asparagus Tuber), Shengdi (Raw Rehmannia), Heidoupi (Black Soybean Skin), Fuling (Poria), Chuan Hu (Dendrobium).

Liver wind and Yang Qi rise to the clear cavity; throat obstruction; heart like a hanging banner. Because mid-spring earth qi adds to upper body; postpartum lower deficiency; storage not solid; follows seasonal timing to overflow. Propose stabilizing Yang and guarding Yin formula.
Longgu (Dragon Bone), Ejiao (Donkey-hide Gelatin), Sheng Baishao (Raw White Peony Root), Muli (Oyster Shell), Jizihuang (Chicken Egg Yolk), Mi Cu (Rice Vinegar).

Another prescription: Renshen (Ginseng), Xiaomai (Wheat), Sheng Baishao (Raw White Peony Root), Ejiao (Donkey-hide Gelatin), Fushen (Poria with Hostwood), Chuanliann Rou (Toosendan Fruit Flesh).

Another prescription: Dan Tiandong (Light Asparagus Tuber), Chen Ejiao (Aged Donkey-hide Gelatin), Zhi Shouwu (Processed Polygonum Multiflorum), Fushen (Poria with Hostwood), Heidoupi (Black Soybean Skin), Sheng Baishao (Raw White Peony Root).

Pulse is choppy and rapid; upper excess, lower sagging. True Yin of Liver and Kidney deficient below; Yang Qi and internal wind rise above. Tongue and gums desire rotting; dorsal foot swelling. Advance Shenqi Wan (Kidney Qi Pill) for three days; intestinal bleeding; evening heat steaming; morning sweat discharge; stool often has loose, dribbling symptoms. Manage the Three Foot Yin meridians; still assist with securing truth and capturing lower.
Shui Zhi Shudi (Water-processed Prepared Rehmannia), Nvzhenzi (Privet Fruit), Fushen (Poria with Hostwood), Baishao (White Peony Root), Wuweizi (Schisandra), Yuyuliang (Haematitum), Qianshi (Euryale Seed), Qiushi (Sea Salt).
Nuodaogenxu (Glutinous Rice Root Hair) and Shanyao Fen (Dioscorea Powder) made into pills.

Pulse is deep, right string-like. Menstruation gradually decreases and stops; swelling moves from lower to upper. This is blood transforming into water, Qi congesting meridians; chronic diarrhea, urination difficult; six Fu organs blocked. Guide from Taiyang to drain water.
Wuling San (Five-Ingredient Powder), add Houpo (Magnolia Bark), mix in Hupo Mo (Amber Powder).

Epigastric pain starts, having passed through leukorrhea, dysuria, vomiting, and inability to eat. Doctors mostly used opening/draining to regulate Liver, and Ginseng, Coptis, Ginger, Cinnamon. Treated for three months, nearly fatal. June 24th consultation: propose following Neijing regarding Yin Wei vessel disease for efficacy. Autumn dryness and Winter warmth add to condition; cough causes hemoptysis. Si Luo (Thought Collaterals) air invasion; not treatable by partial cold or heat. Women's Liver is congenital;首要 is regulating menstruation. Adhering to this proposal is correct.
Wuguji Jiao (Black Chicken Gelatin), Shengdi (Raw Rehmannia), Nvzhen (Privet), Jianlian (Chinese Lotus Seed), Guiyuan Gao (Longan Paste), Bai Guishen (White Angelica Root Body), Ejiao (Donkey-hide Gelatin), Bairan (Platycladus Seed), Fushen (Poria with Hostwood).
Gelatin and paste made into pills.

Overwork followed by sorrow; menstrual obstruction for three months. This is Er Yang (Yangming and Taiyang) disease originating in Heart and Spleen.
Danggui (Angelica Sinensis), Chuanxiong (Ligusticum), Zexie (Alisma), Baishao (White Peony Root), Xiangfu (Cyperus), Zharou (Hawthorn Flesh).
Continue taking Baizeren Wan (Platycladus Seed Pill).

Pregnancy eight to nine months; fetus absorbs mother's fluids; Yang disturbs and steams; heart pain radiates to lower abdomen, called Zixuan (Fetal Suspension). Untreated leads to Three Rushes and Three Agitations complications.
Shengdi (Raw Rehmannia), Tiandong (Asparagus Tuber), Bairan (Platycladus Seed), Ejiao (Donkey-hide Gelatin), Nvzhen (Privet), Fushen (Poria with Hostwood).

Initial Postpartum: Yimucao (Motherwort), Chao Zharou (Stir-fried Hawthorn Flesh), Yanhusuo (Corydalis), Zexie (Alisma), Chao Maidong (Stir-fried Ophiopogon), Heidoupi (Black Soybean Skin).

An Tai (Calming Fetus): Sangjisheng (Taxillus), Renshen (Ginseng), Shike Jianlian (Stone-shell Chinese Lotus Seed), Chuanduan (Dipsacus), Sharen (Amomum), Taizhou Qingzhu (Taizhou Green Ramie).

Postpartum: Follow Wang Sun'an's method of robbing Stomach water, use Lizhong Tang (Regulate the Middle Decoction).
Renshen (Ginseng), Jiao Zhu (Scorched Atractylodes), Chao Jiang (Stir-fried Ginger), Zhi Cao (Honey-fried Licorice).

Robbing Stomach water has responded; propose raising Yin's Yang, mutually entering to capture and secure.
Renshen (Ginseng), Chao Danggui (Stir-fried Angelica), Wuweizi (Schisandra), Fushen (Poria with Hostwood), Mirong (Elk Antler).

Puerperal labor chronic damage does not recover; tongue collaterals and jaw pull. Yin lacks upward support; floating Yang and internal fire rage upward. Give quiet herbs to nourish Yin and harmonize Yang.
Shengdi (Raw Rehmannia), Tiandong (Asparagus Tuber), Dangguishen (Angelica Sinensis Root Body), Guiyuan Gao (Longan Paste), Ejiao (Donkey-hide Gelatin), Maidong (Ophiopogon), Nvzhenzi (Privet Fruit), Wuji Jiao (Black Chicken Gelatin).
Pill Formula.

Pulse rapid, left string-like, right choppy. One year postpartum; right limb painful, unable to walk. Although said to be Liver injury from labor and anger, Ying Yin secretly deficient, unable to nourish. However, long-term damage to Yangming meridian, how can it bind bones and benefit joints? Muscles gradually thin; unremitting chills and fever. This is Three Foot Yin intersection deficiency becoming damage, extending to Stomach Fu organ. Medication should primarily tonify and unblock. But disease lingers, roots already deficient; fear endless entanglement, disease increases daily. Dare not lightly speak of ease.
Lingyangjiao (Antelope Horn), Zhi Shouwu (Processed Polygonum Multiflorum), Nvzhenzi (Privet Fruit), Sheng Duzhong (Raw Eucommia), Baijili (Tribulus), Dahuma (Sesame), Jin Shihu (Dendrobium), Huangqi (Astragalus).

Pulse left string-like, right rapid. Five years ago menstrual leakage and Jia mass; then childbirth; followed by continuous leukorrhea. In recent years, complexion faded, Qi short, poor appetite, external cold, spine/lower back/thigh soreness and heaviness, often touching for slight relief. Zhongjing says postpartum damage diseases mostly arise from Lower Jiao Liver and Kidney. Zang Yin deficiency gradually affects Yang division; Chong, Ren, Du, Dai extraordinary vessels injured. Formative essence and blood hard to quickly form; Lower Jiao empty, tunnels distant. Although tonics frequently applied, cannot reach, thus difficult to take effect. If sudden severe bleeding, warming meridians and securing astringency can be used. Now, years of leukorrhea and dysuria, essence fluid secretly consumed, Yin branch severely injured. How can warm-hot rigid-violent herbs again rob Yin? Should draw Yin from Yang, support and cultivate. Treating disease by disease, what is the benefit? Long days marrow dries; there will be damage unable to recover, becoming Lao Qie (Consumptive Disease).
Lujiaoshuang (Deer Antler Frost), Rongrong (Cistanche), Danggui (Angelica Sinensis), Shudi (Prepared Rehmannia), Shayuan (Astragalus Complanatus), Duzhong (Eucommia Bark), Xiaohui (Fennel), Fuling (Poria).

Symptom is damage/consumption amenorrhea; diagnose left pulse soft and small. Previously used warm-unblocking decoctions, epigastrium slightly comfortable; subsequently used paste/gelatin soft-greasy, loose stools, lower abdomen hard, urination difficult. All distension belongs to Qi stagnation; deficient constitution absolutely cannot force menstruation regulation. Propose morning Wuling San (Five-Ingredient Powder), evening Yuyuliang Wan (Haematitum Pill), strengthen Water organ to separate and drain urination; this is Qi stagnation distension-blockage treatment method.
Baizhu (Atractylodes Macrocephala), Lie Ling (Poria - Note: Text says 'Lie Ling', likely variant/error for Fuling), Guixin (Cinnamon Heart), Fuling (Poria), Zexie (Alisma).