补阴丸滋阴补肾。养血生精。
黄柏（炒） 知母（炒） 龟板（各三两酥炙） 熟地（五两） 白芍药（酒炒） 枸杞子 锁阳 天
门冬（去心各二两） 五味（一两） 干姜（三钱冬五钱）
上为末。加猪脊髓三条。和药捣匀。炼蜜丸如梧桐子大。每服七十丸。渐加至九十丸。空心
盐汤送下。
牛膝膏治便血。血淋。
牛膝（去芦二两）以水五钟。煎至一钟。入射少许。空心服。
豁痰汤治一切痰疾。此方与滚痰丸相表里。用治痰之圣药也。
柴胡（去苗一钱五分） 半夏（制一钱五分） 片黄芩（一钱五分） 甘草（五分） 人参（八分有
火不用） 苏叶（带梗） 浓朴（姜制） 南星（各八分） 薄荷 姜活 枳壳（各五分） 木香（
二分）
上作一服。姜三片。煎服。
滚痰丸治一切痰火。
大黄（酒蒸） 黄芩（酒炒各八两） 青礞石（ 一两） 沉香（五钱）
上用薄糊丸。如梧桐子大。每服五七十丸。食后滚白汤下。
四磨饮治一切郁气。痞闷不快。
木香 槟榔 枳实（各一钱） 沉香（减半）
上四味。以滚水一碗。作一次磨服。酒磨亦妙。
先鲁大父春严公性嗜医少从平湖陆声野先生游尽发其秘活人指不胜屈每遇奇疾而奏奇效者则
笔之以示子弟十余年间存案千余条自比游遭大医之嫉遂散失无存近从所遗残书帙中仅搜获
数十条因附梓以公 同好是亦江海之一勺耳然其全味从可知矣曾孙象先百拜谨识
一男子素酒色过度、患伤寒、初用发散得汗稍解、继而大热六七日昼轻夜剧
、六脉沉细而数。无力。此阳症得阴脉法所难治。遂告以该用附子。彼家惊讶请他医用石膏
并芩连等药、更甚、群议欲用大黄、予急走告曰。仲晾书云。承。气。入。胃。阴。盛。
乃。亡敢用大黄以杀人乎。彼家自谓必死。哀泣求救。于予。予遂用浓姜汁探之。以安众心
。服下稍静。遂用附子五钱。干姜五钱。以葱白汁转送。一服后。大汗热退。身凉而愈。吁
若用大黄。立刻毙。矣生杀之机。反掌喑耳。可不慎哉。
一女人年三十余、经不调已半载矣、忽夫经商远归、狂遂不行、三四月后、腹大如盘、几医
皆云是孕、彼家亦自谓是孕无疑、但日渐黄瘦、晡时潮热、请予诊视、两寸细数。两关微弦而
涩。两尺短涩而微。或见敬伏。予告曰。非孕脉。乃血聚结成气块之症。若是孕、两尺当
往来不绝。诀云、尺按不绝。此为有孕。叔和云、涩
脉如如刀刮竹女人得之乃败血为病彼不信至秋七八月间。腹如双胎状。至一年不生。渐大如豉
。复请予诊视。其脉如旧。更加瘦弱。遂用调脾胃补元气药二十余剂。待稍健再用桃仁承气
汤加归尾赤芍药五灵脂之类。三大剂行下黑物如水浸木耳状。竟能走动。调理半年而安。后
复经调受孕。次年冬生一子。壮健倍常。
一男子素过饮酒、常患内痔、出脓血不止、请医用峻药熏搽、内服寒凉躁药、痔虽少愈、而
咳嗽声哑、潮热、喉痛叠作、饮食不思、遂致危笃、请余诊视、六脉细涩而紧。右寸独大。
面青辱赤。谓其家人曰。此痔患流毒而然也。盖肺与大肠为表里肺移热于大肠。大肠积热而
生痔。此时则大肠热复归于肺故有此诸症以麦冬清肺饮。间以人参养荣汤。各十余剂。晚用
犀角一钱。柏枝汤下。月余全好。
一妇人年五十余、素自奉甚浓、常有脾泄病、忽患胸胁胀痛、口干、烦渴、虚汗如雨、舌上时
有黑胎、大小便遗出不知、初用黄连人参白虎汤二帖。而烦渴止舌胎去再用麻黄根散加归
参术。大剂数服虚汗止。胸胁宽而痛减再用十全大补汤。去桂加麦冬。调理二十剂而安。
一妇年四十四五、两胁胃脘、更换作痛、胀满、胁止则胃脘痛、胃脘止则胁痛、每痛则虚汗
如雨、水浆不入、口不能呼、惟扬手掷足而已、六脉沉伏。初延医用理中汤，加青皮柴胡枳
壳愈痛、或云∶诸痛不宜补以其有火故也、遂更医用越鞠二陈，加青皮柴胡藿香枳桔苍术倍
山栀、一服愈剧、六脉愈虚弱如蛛丝之状。予视之曰。事急矣。非参 不可。遂用大剂参
归术陈皮、一服而痛减半、遂饮食继用补中益气。去升麻。调理得痊。至四年上。又因
忧虑病发。大痛如初。虚汗恶食呕吐。再根据前用参 一剂。其痛愈甚。又加喘急。气壅。此
参助火也。乃用桂枝大黄汤一剂。已宽十之三。再用白术茯苓陈皮甘草青皮柴胡藿香桂枝
黄芩香附山栀仁、二三剂。仍用十全大补汤调汤调理二月而安吁。同是病也同是治也何先后
之效不同盖先病者虚也后病者郁火也苟不察此。宁免虚虚实实之祸哉。
一男子因劳力饮食不节、复感寒、头痛发热、肢节痛无汗、恶寒、遂用麻黄汤加干葛白芷一
服。汗出热退头痛体痛未除。又加胸胁胀。呕吐。再以小柴胡加枳桔木香陈皮。胁胀呕吐稍
定。虚汗烦躁渴甚。用人参白虎汤。烦渴虽止。又复头疼发热。小腹急痛。询之大小便利。
意必是外减去而内伤。未除再用大柴胡汤下二三行。诸症悉去后用补中益气汤数服而安。
一妇人年三十余、因乍洗澡胃风、患头痛、发热、自汗、恶风、烦躁而渴、先因自用姜葱煎
醋表汗、重虚腠理、愈加冷汗不止、请予治、诊其六脉、细数无力。两寸略大初用桂枝汤。
加川芎白芷黄芩石膏。烦躁略安。而冷汗与渴未止。续用人参白虎汤。而渴止。头疼冷汗反
甚知其荣卫俱虚遂用十全大补汤。去桂加麻黄根二钱。数帖而安。
一男子年近四十、因官事奔走受热、患血痢、日夜十五六次、中脘连小腹痛如刀割、水不入
者二日、诊其六脉、弦细而数。遂用四物汤。加黄连枳壳地榆。二服而痛稍止。痢亦减三五
行。仍然不食。知其热毒积深。再用枳壳大黄三倍大黄汤。兼用盒脐法大利死血一桶许。痛
略止。能食薄粥一二盏。续用豆蔻香连丸一二两而痢俱止。后用苓参白术散一料。方得全安。
一男子年五十余，因食冷肥肉数片又食冷粥二碗次早 头看木匠。因感胃寒邪，遂头痛发热、
恶寒、无汗，此内伤外感俱重。先用麻黄汤。加川芎白芷葱白，一服而汗出。头痛发热仍旧。又加胸膈胀满。知其表已
解
。而里未消复用大柴胡下之。而前症略宽。其燥渴反剧。再用白虎汤一服。而烦渴止。病全愈。
一童子年十五。禀弱。患胃脘当心而痛。发作有时。夜重日轻，初因食猪舌一片，遂痛起，医家遂用藿香
正气散，加消导之药、一剂不效、又用桂枝芍药汤，加干姜乌梅川椒亦不效、请余视余因记丹
溪心痛条云∶始痛宜以温散。久则郁热宜以寒凉药治之。再用桂枝大黄汤。痢三四行。遂痛
止。后用调脾胃药得痊。
一女年十一、患胃脘阵痛、六脉沉涩、初时医者用桂枝芍药汤，加青皮藿香柴胡半夏等药不效
、又用木香分气丸、其痛愈剧、如请余治、余细询之、因久坐石凳看戏、故得此痛、遂用茅
氏五积散。二剂而安。此女先一年冬月。曾因食
生冷胃脘痛。用藿香正气散下木香丸五六丸而安。吁、病同而感受各略治之安可执定一方一
法耶。
一小儿上吐下泻、日夜无度、用钱氏白术散。去木香。加扁豆。一服而止。后连治数人皆效
。
又一小儿年未适、急惊垂死、以荆芥薄荷灯心竹叶。金银煎。下玉枢丹半粒而愈。
一妇人年六十余、素有气痛之症。每恼怒必发、近因劳役、过食面伤、兼有恼怒、忽大痛、
久水不纳、初用藿香半夏曲陈皮香附扁豆芍药桂枝枳实等药、服下不多时、大痛、药皆尽吐
、饮食不进、虽少进亦吐、后于前方加黄连五分、方解石二钱、滑石八分、入银一块、同煎
、用作三次徐徐服。遂不吐。亦少进饮食。后用宽中下气药数服而安。盖此症有火填塞胃口
。故用连膏去其火假银性使下。行是以药食皆得进而病安也。
一妇人年四十五六、因与人相争投水、患身热头痛、胸闷呕恶、手足不能动履、身如被杖、
诊之六脉洪大。重按皆濡。初用五积散二剂、热痛皆正。但湿未去。故手足未利。身体仍痛
。再用川芎、当归、赤芍、熟地、浓朴、苍术、陈皮甘草、半夏枳壳、香附、乌药、真桑寄
生、续断、羌活、独活、防风、蕲蛇、每剂二两、作大剂十帖而安。再用六味地黄丸。加木
瓜苍术一料除根。
一男子患伤寒、因劳役而得、初起如疟状、发热头痛、呕连恶寒、六脉弦数而紧。无汗。初
用柴截散一服不效、再用小柴胡加枳桔、继以胸蒲而痞、呕不止、大渴、见水就吐、余视之
、知其邪火在膈上。作吐。遂以人参白虎汤。加黄连。一剂热退膈宽。呕吐即除。后以两尺脉
弱。右关沉濡。以补中益气加麦冬黄柏知数剂全愈。
一妇人年四十八九、三年前因恼怒患吐酸水、嘈杂、上膈膨闷、中脘隐痛、呕恶、六脉弦涩
。此气膈也。初用四物。去地黄、二陈，加白术扁豆、黄连、香附、八剂后。加人参粟米。
食后用黄连干炒一两、白术二两、枳实一两、木香五钱、半夏、橘红、萝卜子、姜汁浸蒸饼
、丸服、食前用。人参一两、白术一两、茯苓八钱、甘草三钱、白芍一两、当归一两、御米
一两、山药一两、莲子一两、芦根汁、人乳、姜汁、童便、蜜少许熬膏丸、各服一斤。相间
服。三月全愈。
一男子年五十、因忧郁、继因劳役、患胸膈胀闷、饮食少进、每食必屈曲而下、大便闭结、
口臭舌干、诊之六脉弦涩。予曰∶此火盛燥血脾土受伤若不治必成膈也。遂用大剂四物。加
白术桃仁、间以二陈。加姜炒黄连山栀、二十剂而大便润。五十剂而胸膈宽。食前用养胃丹
人参一两、白术一两、茯苓一两、陈皮一两五钱，去白、当归、白芍、半夏曲、黄连、扁豆
、山药、御米、粟米、各一两、甘草五钱、外用芦根自然汁、姜汁、竹沥、童便、人乳牛乳
、羊乳、蜜各一盏。共和为丸。空心服下。午用保和丸。加木香黄连、吴萸、同炒枳实老米
糊丸、食后服调理半年全愈。
一妇人患崩一日忽下一物如猪肚状。大小腹急痛。下午发热、呕恶不食、诊之六脉沉涩。予
云此阴 。也因崩久气血虚而脱下遂用八物汤。去地黄。加升提药。外用疏风药熏洗。三日
全收。再用十全大补汤。去桂、并用紫石英丸。调理至一月复元。此病往往产后亦有之。治
法当与此同。
一妇人年五十余、素善饮、患心膈一块胀满作痛、又无块形、饮食急不能下、必屈曲乃下、
诊其脉浮大而数右三部略弦。多作痰膈治、二陈加连术枳壳等药不效。忽一日头大痛、请余
治、余用头痛药遂止。鼻内又出血。再用清肺药二帖。鼻血不出。数日口内又吐紫黑血数口
。予再诊之、前浮大而数细。诊两头实。中央虚。乃芤脉也。右三部亦然。遂悟其必积。血
在胸中也。再用桃仁承气汤大剂服。一日一夜。下黑血十余次。膈遂十宽其九。再用和脾胃
并疏气养血药。调理二月而安。
一少妇年十九、经未通、诸药不效、诊之六脉沉滑、观其人肥而白、知其下焦有结痰塞血海
隧道以此不通遂用茅氏大通经散。三帖而通。仍不甚多。继用四物二陈。加南星苍术红花。
服至下五剂而全通利也。
一男子年四十余、因下冷水洗澡、久浸水中、患头痛发热、身重如被杖、无汗、六脉洪数。
初令服九味羌活汤倍苍术、二服微汗、而病未解、遂更朱医用麻黄发表药、大汗、热虽小退
、头痛愈剧、越五日、再请予视、予曰、先六脉洪数。故用微汗。今则脉沉数。又见胸腹胀
大。是里症也。宜急下之。今反汗之。是重竭其阳也。用大承气汤下之。入大黄五钱。乃得
通利。热退身凉。而干呕大作。再用半下汤。加黄连入姜汁。一服乃止。予再教服调理脾胃
药。彼不听。予曰、余邪未尽。正气未回。不服调脾胃药。必有他疾出。后经半月。果患赤
痢。用黄芩芍药汤。加槟榔枳壳术香肉果二服痢止。再用参苓白术散煎服数帖而安。
一男子年二十八九、家贫以备工为活、因劳役饮食失节、患头痛发热、呕吐无汗、初用九味
羌活汤、一剂、微汗出、头痛半止、热亦稍退、越
五日、彼再用猪油煎醋吃、复头痛发热、胸膈胀闷、大渴大汗、诊其脉滑数。再以大柴胡入
大黄、三钱不动。渣内又三钱。遂得四五次。膈宽热退。惟小腹痛。群谓是用大黄太过故也
。予不以为然。再用桂枝大黄汤。其家坚不肯服。予告曰。彼因下焦有火兼有积食。留滞作
痛、若不涤去、终为后患。若有疏虞。余可力保。遂服一大剂。复痢黑色秽物半桶。其痛遂止
。众皆赧然。后用调理脾胃药数剂而安。
一男子年近三十、先患伤寒、其人素虚、医者以药酒煎强发其汗、外用绳札其十指刺血、遂
至汗多亡阳、更医以平补药剂调半月略好、后因过食熟牛肉并汁、遂成食后发热、冷汗如雨
、四肢厥冷、上下过于肘膝、每厥则阴茎连囊俱缩尽。厥回缓则渐伸一日夜三五发。又且梦
泄无度。日间小解后若阳举其精随泄出。昼则略安。夜卧不寐。予诊其脉。六部皆虚豁如指
Bu Yin Wan (Nourish Yin Pill) nourishes yin and tonifies the kidneys, enriches blood and generates essence.
Ingredients: Huangbai (Phellodendri Cortex, stir-fried), Zhi Mu (Anemarrhenae Rhizome, stir-fried), Guiban (Testudinis Carapax et Plastrum, each 3 liang, roasted with lard), Shudi (Rehmanniae Radix Praeparata, 5 liang), Baishao (Paeoniae Radix Alba, wine-stir-fried), Gouqi (Lycii Fructus), Suoyang (Cynomorii Herba), Tianmendong (Asparagi Radix, heart removed, each 2 liang), Wuwei (Schisandrae Fructus, 1 liang), Ganjiang (Zingiberis Rhizoma, 3 qian, 5 qian in winter).
Preparation and Administration: Grind the above ingredients into powder. Add three pig spinal cords, mix evenly with the powder, and make pills using refined honey, sized like paulownia seeds. Take 70 pills per dose, gradually increasing to 90 pills. Administer on an empty stomach with salt water.
Niuxi Gao (Achyranthes Paste) treats hematochezia and painful urinary dysfunction with blood.
Preparation: Take Niuxi (Achyranthis Bidentatae Radix, remove the radicle) 2 liang. Boil in five zhong of water until reduced to one zhong. Add a small amount of Shegan (Belamcandae Rhizome) or specific adjuvant. Take on an empty stomach.
Huo Tan Tang (Expel Phlegm Decoction) treats all kinds of phlegm diseases. This formula is complementary to Gun Tan Wan and is considered a sacred medicine for treating phlegm.
Ingredients: Chaihu (Bupleuri Radix, remove sprouts, 1.5 qian), Banxia (Pinelliae Rhizoma Praeparatum, 1.5 qian), Pian Huangqin (Scutellariae Radix, 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian), Renshen (Ginseng Radix, 0.8 qian; do not use if there is fire), Suye (Perillae Folium, with stem), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Xing (Arisaematis Rhizoma, each 0.8 qian), Bohe (Menthae Haplocalycis Herba), Qianghuo (Notopterygii Rhizoma et Radix), Zhike (Aurantii Fructus Immaturus, each 0.5 qian), Muxiang (Aucklandiae Radix, 0.2 qian).
Preparation and Administration: Use the above as one dose. Add three slices of fresh ginger, decoct, and take.
Gun Tan Wan (Rolling Phlegm Pill) treats all kinds of phlegm-fire syndromes.
Ingredients: Dahuang (Rhei Radix et Rhizoma, steamed with wine), Huangqin (Scutellariae Radix, stir-fried with wine, each 8 liang), Qingmengshi (Calcarata Oligistone, 1 liang), Chenxiang (Aquilariae Lignum Resinatum, 5 qian).
Preparation and Administration: Make pills using thin paste, sized like paulownia seeds. Take 50-70 pills after meals, washed down with boiling plain water.
Si Mo Yin (Four Fragments Infusion) treats all kinds of qi stagnation causing epigastric fullness and discomfort.
Ingredients: Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Zhishi (Aurantii Fructus Immaturus, each 1 qian), Chenxiang (Aquilariae Lignum Resinatum, half dosage).
Preparation and Administration: Grind these four herbs in one bowl of boiling water until liquid, and take at once. Using wine for grinding is also excellent.
My late grandfather, Mr. Chunyan, had a passion for medicine. In his youth, he studied under Master Lu Shengye from Pinghu, mastering all its secrets. He saved countless lives. Whenever he encountered rare diseases and achieved miraculous effects, he recorded them to instruct his descendants. Over ten years, he preserved over a thousand cases. Later, due to jealousy from wandering physicians, these records were lost. Recently, I retrieved only dozens of fragments from the remaining damaged manuscripts. Therefore, I have them printed to share with enthusiasts. This is but a drop in the ocean, yet it reveals the whole picture. Great-grandson Xiangxian respectfully records this.
A man who was previously excessive in alcohol and sexual activity contracted Shanghan (Cold Damage). Initially, dispersing agents were used; sweating occurred, and symptoms slightly resolved. Subsequently, high fever persisted for six or seven days, lighter during the day and severe at night. The six pulses were deep, fine, rapid, and weak. This is a Yang syndrome presenting with Yin pulses, which is difficult to treat according to method. I advised using Fuzi (Aconiti Lateralis Radix Praeparata). The family was astonished and consulted other physicians who used Shigao (Gypsum Fibrosum) along with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma). The condition worsened. The group discussed using Dahuang (Rhei Radix et Rhizoma). I rushed to warn them: "Jingui Yaolue states that if Chengqi Tang enters the stomach and Yin is excessive, death ensues. How dare you use Dahuang to kill him?" The family believed he would surely die and cried for help. I used strong ginger juice to induce vomiting to calm the crowd. After taking it, he calmed slightly. Then I used Fuzi (5 qian) and Ganjiang (5 qian), delivered with scallion white juice. After one dose, profuse sweating occurred, fever subsided, body cooled, and he recovered. Alas, if Dahuang had been used, he would have died immediately. The difference between life and death is like turning a hand; one must be cautious.
A woman in her thirties had irregular menstruation for half a year. Suddenly, after her husband returned from business travel, she became emotionally agitated, and menstruation stopped. Three or four months later, her abdomen enlarged like a plate. Many doctors said it was pregnancy, and the family was convinced. However, she became increasingly yellow and thin, with tidal fever in the afternoon. Upon my examination, the two Cun pulses were fine and rapid, the two Guan pulses were slightly wiry and choppy, and the two Chi pulses were short, choppy, and faint, sometimes appearing suppressed. I told her: "This is not a pregnancy pulse, but a syndrome of blood accumulation forming a qi mass. If pregnant, the Chi pulses should flow continuously without interruption. The classic says: 'Pressing the Chi pulse and it does not cease indicates pregnancy.' Hehe said: 'Choppy pulse like a knife scraping bamboo; in women, it indicates disease from failed blood.'" She did not believe me. By the seventh or eighth month of autumn, her abdomen was like twins, but no birth occurred after a year, growing only to the size of a soybean. Upon re-examination, the pulse remained the same, and she was even thinner. I prescribed herbs to regulate the spleen and stomach and tonify primordial qi for over twenty doses. Once slightly stronger, I used Tao Ren Cheng Qi Tang (Peach Kernel Order the Colon Decoction) added with Dangguiwei (Angelicae Sinensis Radix tail), Chishao (Paeoniae Radix Rubra), and Wulingzhi (Trogopterori Faeces). After three major doses, black matter resembling soaked wood ear fungus was discharged, and she could walk. After half a year of regulation, she stabilized. Later, her menstruation regularized, and she conceived. In the winter of the following year, she gave birth to a son, who was exceptionally robust.
A man who was previously excessive in drinking often suffered from internal hemorrhoids with continuous pus and blood discharge. Physicians used harsh topical applications and internal cold-drying herbs. Although the hemorrhoids improved slightly, he developed hoarseness, cough, tidal fever, sore throat, and loss of appetite, leading to a critical state. Upon my examination, the six pulses were fine, choppy, and tight, with the right Cun pulse being particularly large. His face was blue with red spots. I told his family: "This is caused by the toxin from the hemorrhoid spreading. The Lung and Large Intestine are exterior-interior partners. Lung heat transfers to the Large Intestine, where accumulated heat generates hemorrhoids. Now, Large Intestine heat returns to the Lung, causing these symptoms." I used Maidong Qingfei Yin (Ophiopogon Clear Lung Infusion) alternated with Renshen Yangrong Tang (Ginseng Nourish Ying Decoction) for over ten doses each. At night, I used Xijiao (Rhinocerotis Cornu, now substituted with Water Buffalo Horn) 1 qian, taken with Bai Zhi Tang (Platycladi Twig Decoction). He recovered completely within a month.
A woman in her fifties, accustomed to rich food, often suffered from Spleen diarrhea. Suddenly, she developed chest and hypochondriac distending pain, dry mouth, irritability and thirst, profuse deficiency sweating, and occasional black coating on the tongue. She lost control of urination and defecation. Initially, I used Huanglian Renshen Baihu Tang (Coptis Ginseng White Tiger Decoction) for two doses, which stopped irritability/thirst and removed the tongue coating. Then I used Mahuang Gen San (Ephedra Root Powder) added with Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma). Several large doses stopped the sweating, relieved chest/hypochondriac pain. Then I used Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction), removing Guizhi (Cinnamomi Ramulus) and adding Maidong (Ophiopogonis Radix). After twenty doses of regulation, she stabilized.
A woman aged forty-four or forty-five experienced alternating pain in the hypochondrium and epigastrium, with distension. When hypochondriac pain ceased, epigastric pain began, and vice versa. Each pain episode caused profuse sweating, inability to swallow liquids, inability to speak, and only thrashing limbs. The six pulses were deep and suppressed. Initially, a physician used Lizhong Tang (Regulate the Middle Decoction) added with Qingpi (Citri Reticulatae Pericarpium Viride), Chaihu (Bupleuri Radix), and Zhike (Aurantii Fructus Immaturus), which worsened the pain. Others said: "All pains should not be treated with tonification because there is fire." So, another physician used Yueju Wan (Resolve Depression Pill) and Erchen Tang (Two Aged Substances Decoction) added with Qingpi, Chaihu, Huoxiang (Agastaches Herba), Zhike, Zhujie (Naringini Fructus), Cangzhu (Atractylodis Rhizoma), and doubled Shanzhi (Gardeniae Fructus). One dose made it worse, and the six pulses became weaker than spider silk. I said: "The situation is urgent; Ginseng is indispensable." I used a large dose of Renshen, Danggui, Baizhu, and Chenpi. Pain halved after one dose, and diet resumed. Then I used Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction), removing Shengma (Cimicifugae Rhizoma), and she recovered. Four years later, stress triggered a recurrence with severe pain, sweating, aversion to food, and vomiting. I used Renshen again as before. Pain worsened, accompanied by wheezing and qi congestion. This indicated Renshen aided fire. I used Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction) for one dose, relieving three-tenths of symptoms. Then I used Baizhu, Fuling (Poria), Chenpi, Gancao, Qingpi, Chaihu, Huoxiang, Guizhi, Huangqin, Xiangfu (Cyperi Rhizoma), and Shanzhiren (Gardeniae Semen). After two or three doses, I returned to Shiquan Dabu Tang for two months of regulation, and she stabilized. Alas, the same disease, same treatment, yet different results? The initial illness was deficiency; the subsequent illness was stagnant fire. Without discerning this, how can one avoid the disaster of reinforcing deficiency and draining excess?
A man suffered headache, fever, joint pain, anhidrosis, and aversion to cold due to labor, irregular diet, and cold invasion. I used Mahuang Tang (Ephedra Decoction) added with Ge Gen (Puerariae Lobatae Radix) and Baizhi (Angelicae Dahuricae Radix). Sweating occurred, fever subsided, but headache and body pain persisted. Chest/hypochondriac distension and vomiting appeared. I used Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Zhike, Zhujie, Muxiang, and Chenpi. Distension and vomiting slightly settled. Deficiency sweating, irritability, and severe thirst appeared. I used Renshen Baihu Tang (Ginseng White Tiger Decoction). Irritability/thirst stopped, but headache, fever, and lower abdominal urgency/pain recurred. Bowels/bladder were clear. I suspected external pathogen had retreated but internal injury remained. I used Da Chaihu Tang (Major Bupleurum Decoction) to purge. Two or three bowel movements cleared all symptoms. Then I used Buzhong Yiqi Tang for several doses, and he stabilized.
A woman in her thirties caught wind while bathing suddenly, suffering headache, fever, spontaneous sweating, aversion to wind, irritability, and thirst. Previously, she used ginger/scallion vinegar to sweat, damaging the couli (pores) further, causing continuous cold sweating. My examination showed six pulses fine, rapid, and weak, with two Cun pulses slightly large. I initially used Guizhi Tang (Cinnamon Twig Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi, Huangqin, and Shigao. Irritability slightly eased, but cold sweating and thirst persisted. I then used Renshen Baihu Tang. Thirst stopped, but headache and cold sweating worsened. Knowing Ying and Wei were both deficient, I used Shiquan Dabu Tang, removing Guizhi and adding Mahuanggen (Ephedrae Caulis) 2 qian. After several doses, she stabilized.
A man near forty suffered bloody dysentery from heat generated by running errands. He had fifteen to sixteen stools daily, with mid-epigastric pain radiating to the lower abdomen like knife cuts, unable to drink water for two days. Pulses were wiry, fine, and rapid. I used Siwu Tang (Four Substances Decoction) added with Huanglian (Coptidis Rhizoma), Zhike, and Diyu (Sanguisorbae Radix). Pain stopped slightly after two doses, dysentery reduced by three to five stools. Still unable to eat, knowing heat-toxin was deeply accumulated, I used Zhike Dahuang Sanbei Dahuang Tang (Zhike and Rhubarb Triple-Rhubarb Decoction) combined with a navel-box method to vigorously purge dead blood (about one bucket). Pain slightly stopped, and he could eat thin porridge. Then I used Doukou Xianglian Wan (Cardamom and Coptis Pill) for one to two taels, stopping dysentery completely. Finally, Ling Shen Baizhu San (Poria, Ginseng, and Atractylodes Powder) cured him completely.
A man in his fifties ate cold fatty meat and cold porridge, then worked outdoors in the cold next morning. He developed headache, fever, aversion to cold, and anhidrosis, indicating severe internal injury and external contraction. I first used Mahuang Tang added with Chuanxiong, Baizhi, and Scallion White. Sweating occurred, but headache/fever persisted. Chest/diaphragm distension appeared. Knowing the exterior was resolved but interior pathogens remained, I used Da Chaihu Tang to purge. Symptoms slightly eased, but dryness/thirst worsened. I used Baihu Tang (White Tiger Decoction) for one dose, stopping irritability/thirst and curing the disease.
A fifteen-year-old boy with weak constitution suffered epigastric pain centered below the heart, occurring at intervals, heavier at night. It started after eating a piece of pig tongue. Doctors used Huoxiang Zhengqi San (Agastache Regulate Qi Powder) with digestion-promoting herbs, ineffective. Then Guizhi Shaoyao Tang (Cinnamon Twig and Peony Decoction) added with Ganjiang, Wumei (Mume Fructus), and Chuanjiao (Zanthoxyli Pericarpium), also ineffective. I recalled Danxi's rule: "Initial pain should be dispersed with warmth; long-standing pain involves stagnant heat and should be treated with cold-cooling herbs." I used Guizhi Dahuang Tang. After three or four loose stools, pain stopped. Regulation with spleen/stomach herbs led to recovery.
An eleven-year-old girl suffered episodic epigastric pain with deep, choppy pulses. Initial doctors used Guizhi Shaoyao Tang added with Qingpi, Huoxiang, Chaihu, Banxia, etc., ineffective. Then Muxiang Fenqi Wan (Aucklandia Distribute Qi Pill) worsened the pain. I asked carefully and learned she sat on a stone bench watching a play. I used Mao Shi Wuji San (Mao’s Five Accumulations Powder) for two doses, and she stabilized. Previously, in winter, she had epigastric pain from cold/raw food, cured by Huoxiang Zhengqi San with Muxiang Wan. Alas, same disease, different causes; how can one stick to one formula/method?
A child suffered severe vomiting and diarrhea day and night. I used Qian Shi Baizhu San (Master Qian’s Atractylodes Powder), removing Muxiang and adding BianDou (Dolichoris Semen). Stopped after one dose. Effective for several subsequent cases.
Another young child suffered acute convulsions nearing death. I used Jingjie (Schizonepetae Herba), Bohe, Dengxin Cao (Junci Medullae), Zhuye (Bambusae Folium), and Jinyinhua (Lonicerae Japonicae Flos) decoction, administered with half a pill of Yushu Dan (Jade Pivot Pill). He recovered.
A woman in her sixties had chronic Qi pain triggered by anger. Recently, due to labor and overeating noodles, plus anger, she had sudden severe pain, unable to keep water down. Initially, I used Huoxiang, Banxiaqu, Chenpi, Xiangfu, BianDou, Shaoyao, Guizhi, Zhishi, etc. Shortly after ingestion, severe pain caused vomiting of all medicine and food. I added Huanglian (0.5 qian), Fangjieshi (Calcitum, 2 qian), Huashi (Depressum, 0.8 qian), and a piece of silver to the decoction. Taken slowly in three parts, vomiting stopped, and she could eat slightly. Then, Qi-regulating herbs stabilized her. This case involved fire blocking the stomach opening; the bitter-cold herbs cleared fire, and silver facilitated downward movement, allowing medicine and food to enter.
A woman aged forty-five or forty-six jumped into water after an argument. She suffered fever, headache, chest stuffiness, nausea, immobility of limbs, and body pain like being beaten. Pulses were surging and large, but soft upon heavy pressure. I used Wuji San (Five Accumulations Powder) for two doses. Fever/pain resolved, but dampness remained, so limbs were stiff and body hurt. I then used Chuanxiong, Danggui, Chishao, Shudi, Houpo, Cangzhu, Chenpi, Gancao, Banxia, Zhike, Xiangfu, Wuyao (Litseae Fructus), Sangjisheng (Taxilli Herba), Xuduan (Dipsaci Radix), Qianghuo, Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), and Qishe (Deinagkistrodon Acutus). Each dose 2 liang, ten large doses, and she stabilized. Then Liuwei Dihuang Wan (Six Ingredient Pill with Rehmannia) added Mugua (Chaenomelis Fructus) and Cangzhu for one course to eradicate the root.
A man contracted Shanghan due to labor. Initially like malaria: fever, headache, vomiting, aversion to cold. Pulses were wiry, rapid, tight, with anhidrosis. Chaijie San (Stop Malaria Powder) failed. Xiao Chaihu Tang added Zhike/Zhujie followed by chest fullness, persistent vomiting, extreme thirst, and vomiting water. I saw evil fire in the upper diaphragm causing vomiting. I used Renshen Baihu Tang added with Huanglian. One dose stopped fever, widened the diaphragm, and stopped vomiting. Later, weak Chi pulses and deep/soggy right Guan pulse indicated deficiency. I used Buzhong Yiqi Tang added with Maidong, Huangbai, and Zhimu for several doses, achieving full recovery.
A woman aged forty-eight or forty-nine had acid regurgitation, stomach rumbling, upper diaphragm bloating, mid-epigastric dull pain, and vomiting due to anger three years prior. Pulses were wiry and choppy. This is Qi Ge (Qi Obstruction). I used Siwu Tang, removing Dihuang, plus Erchen Tang, added Baizhu, BianDou, Huanglian, Xiangfu. After eight doses, added Renshen and Sumi (Coeli Fructus). After meals: Huanglian (stir-fried, 1 liang), Baizhu (2 liang), Zhishi (1 liang), Muxiang (0.5 liang), Banxia, Juhong (Citri Reticulatae Pericarpium), Luobozhongzi (Brassicae Semium), steamed with ginger juice and steamed cake, taken before meals. Before meals: Renshen (1 liang), Baizhu (1 liang), Fuling (0.8 liang), Gancao (0.3 liang), Baishao (1 liang), Danggui (1 liang), Yumi (Papaveris Fructus, 1 liang), Shanyao (Dioscoreae Rhizoma, 1 liang), Lianzi (Nelumbinis Semen, 1 liang), Luzhigen juice, human milk, ginger juice, infant urine, and little honey, boiled into a paste for pills. Take one jin of each, alternating. Recovered in three months.
A fifty-year-old man suffered chest/diaphragm fullness, poor appetite, bent posture when eating, constipation, bad breath, and dry tongue due to depression and labor. Pulses were wiry and choppy. I said: "Excessive fire dries blood, injuring Spleen earth. If untreated, it becomes Ge syndrome." I used large Siwu Tang added with Baizhu and Taoren (Pruni Semen), alternating with Erchen Tang added with ginger-stir-fried Huanglian and Shanzhi. Twenty doses moistened bowels; fifty doses widened chest/diaphragm. Before meals: Yangwei Dan (Stomach-Nourishing Pill): Renshen, Baizhu, Fuling, Chenpi (peeled), Danggui, Baishao, Banxiaqu, Huanglian, BianDou, Shanyao, Yumi, Sumi (each 1 liang), Gancao (0.5 liang). External juices: Luzhigen, ginger juice, Zhuli (Bambusa Sap), infant urine, human/milk/cow/goat milk, honey (each 1 cup). Made into pills, taken on empty stomach. Noon: Baohe Wan (Harmonize and Preserve Pill) added Muxiang, Huanglian, Wuyu (Evodiae Fructus) stir-fried with Zhishi, old rice paste, taken after meals. Regulated for half a year, fully recovered.
A woman suffered sudden bleeding (Beng Lou). Suddenly passed an object like a pig stomach. Severe lower abdominal pain, afternoon fever, nausea, anorexia. Pulses were deep and choppy. I said this is Yin collapse. Due to prolonged bleeding, Qi and Blood were deficient, causing prolapse. I used Bayi Tang (Eight Substances Decoction), removing Dihuang, added lifting herbs. Externally, wind-dispersing herbs for fumigation/washing. Fully retracted in three days. Then Shiquan Dabu Tang, removing Guizhi, plus Zi Shiyun Wan (Purple Quartz Pill). Regulated for one month, restored. This often occurs postpartum; treatment is similar.
A woman in her fifties, prone to drinking, had a lump in the heart/diaphragm causing distension/pain, though no palpable mass. Food could not go down quickly, requiring bending. Pulses were floating, large, rapid, with right Guan/Chi slightly wiry. Treated as Phlegm Ge with Erchen Tang added Huanglian, Baizhu, Zhike, etc., ineffective. Suddenly severe headache, cured with headache herbs. Then nasal bleeding, stopped with lung-clearing herbs. Days later, vomited purple-black blood. Re-examination: Floating/large/rapid/fine, ends solid, center hollow—Kou (Hollow) pulse. Right Guan/Chi similar. Realized blood accumulation in the chest. Used large dose Tao Ren Cheng Qi Tang. Overnight, discharged black blood over ten times. Diaphragm relief nine-tenths. Then harmonized spleen/stomach, moved Qi, enriched blood. Regulated for two months, stabilized.
A nineteen-year-old maiden had no menstruation; drugs failed. Pulses were deep and slippery. She was fat and pale, indicating phlegm-blocked Lower Jiao and Sea of Blood. Used Mao Shi Datong Jing San (Mao’s Major Unblocking Menstruation Powder). Three doses opened menstruation, flow slight. Then Siwu Tang + Erchen Tang added Nanxing (Arisaematis Rhizoma), Cangzhu, Honghua (Carthami Flos). After five doses, flow became smooth.
A man in his forties bathed in cold water for a long time. Suffered headache, fever, heavy body like beaten, anhidrosis. Pulses were surging and rapid. Initially Jiwei Qianghuo Tang (Nine Flavor Notopterygium Decoction) with doubled Cangzhu. Two doses slight sweat, unresolved. Then Zhu Yi used Ma Huang to release exterior. Profuse sweating, fever slightly down, headache worse. Five days later, pulses deep and rapid, chest/abdomen distended. Interior syndrome. Should purge, but sweating was used, exhausting Yang. Used Da Chengqi Tang (Major Order the Qi Decoction) with 5 qian Dahuang. Bowels opened, fever/body cooled, but severe dry retching. Banxia Tang (Pinellia Decoction) added Huanglian and ginger juice stopped it. Advised spleen/stomach regulation, ignored. Half month later, bloody dysentery. Huangqin Shaoyao Tang added Binglang, Zhike, Baizhu, Muxiang, Rougu (Myristicae Semen). Two doses stopped dysentery. Shenling Baizhu San cured him.
A man aged twenty-eight or twenty-nine, poor laborer, suffered headache, fever, vomiting, anhidrosis from labor/diet irregularity. Jiwei Qianghuo Tang one dose, slight sweat, headache half gone, fever down. Five days later, ate pork fat vinegar. Headache/fever recurred, chest distension, extreme thirst/sweat. Pulses slippery/rapid. Da Chaihu Tang with 3 qian Dahuang didn't move. Added 3 qian to dregs. Four to five stools, chest widened, fever down, only lower abdominal pain. Others blamed too much Dahuang. I disagreed. Used Guizhi Dahuang Tang. Family refused. I promised safety. One large dose, discharged half bucket black foul matter, pain stopped. Crowd ashamed. Spleen/stomach regulation cured him.
A man near thirty, previously Shanghan, constitution weak. Doctor used medicinal wine to force sweat, tied fingers to bleed. Resulted in profuse sweating and Yang collapse. Another doctor used mild tonics for half a month, slightly better. Then overcooked beef/broth. Post-prandial fever, cold sweating like rain, cold limbs extending beyond elbows/knees. During cold episodes, penis and scrotum retract completely; return slowly. Occurs 3-5 times/day. Nocturnal emissions frequent. Daytime urination leads to emission upon erection. Sleeps poorly at night. Pulse: Six positions empty/hollow like...