茅蓬陈 湿着经络，寒热交作，脉弦濡，舌黄滑，口渴，足跗冷彻骨中。宜宣明桂苓甘
露饮加减。（三月二十九日）
白茯苓（四钱） 绵茵陈（二钱） 滑石（四钱） 晚蚕砂（二钱，包） 桂枝（七分） 石膏
（三
钱） 光杏仁（三钱） 秦艽（钱半） 江西术（一钱） 防己（钱半） 栝蒌根（三钱） 泽泻（三钱
）
介按∶湿郁脾胃之阳，脾胃以膜相连，邪伏于此，则寒热交作。脾主四肢，故足多浮肿
。治以桂苓甘露饮，导湿分消而宣通其阳。
某 寒热不清，脉濡数，舌滑白，咳嗽稍减，湿热阻隔气分。宜治手太阴，佐淡渗。（
四月十八日）
绵茵陈（三钱） 光杏仁（三钱） 仙半夏（钱半） 炒青皮（八分） 白蔻仁（八分，冲） 茯
苓
（四钱） 炒条芩（钱半） 川贝（钱半） 滑石（四钱） 广橘红（一钱） 大腹皮（三钱） 淡竹茹
（一丸）
三帖。
介按∶湿热阻滞气分，寒热咳嗽。形同肺疟，故用半贝丸意，以退寒热。又以清肃肺气
而渗湿热。
某 咳逆已除，脉弦，舌白，根微黄，大便溏，溺赤涩。湿热蕴结。
栝蒌皮（三钱） 原滑石（四钱） 通草（钱半） 蔻壳（钱半） 赤苓（四钱） 广郁金（三钱）
枳壳（钱半） 光杏仁（三钱） 省头草（钱半） 新会皮（钱半） 炒谷芽（三钱）
清煎三帖。
介按∶湿热蕴结，脾弱便溏。治法于渗湿之中，参以芳香理气，则湿易下趋。惟杏仁善
泄肺气，肺气一降，未免与便溏有碍。
马安赵 湿热伤气，寒热交作，肢冷，呕逆，便利，脉沉弱，舌黄滑，两边微白，脘闷
。宜宣明桂苓甘露饮加减，尤防昏厥之变，候正。（六月十六日）
茯苓（三钱） 泽泻（三钱） 仙半夏（钱半） 藿香（二钱） 桂枝（八分） 猪苓（钱半） 条
芩（三钱） 焦曲（四钱） 苍术（钱半） 滑石（四钱） 大豆卷（三钱）
清煎二帖。
介按∶湿阻气分，凝遏清阳，郁而为热，治疗大忌发散，汗之则变痉厥。今仿桂苓甘露
饮意，藉渗湿清热以通阳，是为正治。
遗风庞 湿热寒热。脉弦濡，中痞气滞，腹痛便滑。姑宜和中利湿。
草果（五分） 生香附（三钱） 仙半夏（钱半） 炒青皮（八分） 川朴（一钱） 赤苓（四钱）
炒条芩（钱半） 原滑石（四钱） 大腹皮（三钱） 广木香（七分） 威灵仙（钱半）
清煎三帖。
介按∶脾失健运之职，胃失消化之权，湿热蕴于膈膜，致寒热交作，气机阻滞，腹痛便
泄。此方开达膜原，健脾和胃，理气渗湿。均臻稳妥。
盛陵徐 中焦未和，气冲脘闷，脉滞涩，湿热蕴蓄。宜顺气和中。
乌药（二钱） 绵茵陈（三钱） 生香附（三钱） 枳壳（钱半） 浓朴（一钱） 泽泻（三钱）
沉香曲（钱半） 玫瑰花（五朵） 生牡蛎（四钱） 鸡内金（三钱） 通草（钱半）
清煎四帖。
介按∶牡蛎泽泻散，为治腰以下水气不行之专方。盖以泽泻能启水中之清气上行，牡蛎
能化下焦
之湿浊阻滞。前清叶天士先生善用古方，至用牡蛎泽泻散，只取此二味，未曾尽用原方。今
此案亦宗此意，因其气冲脘闷，又佐鸡金散以理气，确治湿热蕴蓄之良剂。
盛陵徐 胃气稍振，湿犹未净，舌滑嫩黄，脉濡。腰坠。宜渗利为妥。
赤苓（四钱） 藿梗（二钱） 蔻壳（钱半） 仙半夏（钱半） 省头草（钱半） 焦栀子（三钱）
光杏仁（三钱） 谷芽（四钱） 绵茵陈（三钱） 通草（钱半） 大豆卷（三钱）
清煎三帖。
介按∶病后余湿流于下焦，治用辛泄，又佐清热，以存阳明之液，确有见地。其湿自上
中蔓延下焦。故方法仍是开泄上中，源清则流自洁之意。
安昌叶 湿热未清，脉濡细，舌薄滑，午后背寒乍热。宜宣明桂苓甘露饮加减治之。
桂枝（五分） 江西术（一钱） 绵茵陈（三钱） 淡竹叶（钱半） 茯苓（四钱） 寒水石（三
钱） 原滑石（四钱） 光杏仁（三钱） 泽泻（三钱） 猪苓（钱半） 钗斛（三钱）
清煎四帖。
介按∶湿热未清，脾阳被遏，甘露饮加减极妙。惟钗斛一味，虽滋胃液，未免有恋湿之
患。
漓渚吴 舌微黄，脉细数，背寒肢木，脘中窒痹。此属湿邪。宜温胆祛邪。
仙半夏（钱半） 枳实（钱半） 省头草（三钱） 广郁金（三钱） 陈皮（一钱） 焦山栀（三
钱）
二帖。
介按∶湿热蔓延三焦，气机阻塞而不流行，津液凝滞而为痰饮，脘中窒痹，良以痰阻气
机，
故其治法，于温胆汤加薤白、杏仁，以通胸中之阳，则背寒肢木自除。参以栀豉，泄其久郁
之热，佐以省头草，涤其陈腐之气而醒脾胃。此方从王孟英脱胎而来，深可为法。
遗风李 舌色黄滑，根浓，脉濡细，头晕肢楚，恶寒微热，溲数便结。宜甘露饮加减治
之。（五月二十三日）
茯苓（四钱） 炒条芩（钱半） 光杏仁（三钱） 枣儿槟榔（三钱） 桂枝（五分） 原滑石（
四钱） 防己（钱半） 炒谷芽（四钱） 泽泻（三钱） 猪苓（钱半） 大豆卷（三钱）
清煎二帖。
介按∶脾胃之阳，被湿热郁遏而不振。治以清湿热而扶脾。则诸恙自退。
安昌顾 湿阻肺卫，脉弦，舌微黄，呃逆频频，溲溺赤。症属重险。宜宣化肺气，候正
。（七月十八日）
栝蒌皮（三钱） 通草（钱半） 刀豆子（三钱） 省头草（三钱） 京川贝（钱半） 广郁金（
三钱
）赤苓（四钱） 射干（钱半） 广橘红（钱半） 光杏仁（三钱） 柿蒂（七个 引） 枇杷叶（去
毛，五片）
二帖。
介按∶湿阻肺卫，化痰而壅湿膈膜，以致溲赤呃逆。清宣肺气，治法极是。
遗风金 舌滑微黄，头胀肢懈，脉濡细，咳逆。此属湿热。宜保和丸加减治之。（六月
二十二号丙午初八日）
焦六曲（四钱） 山楂（三钱） 绵茵陈（三钱） 广藿梗（二钱） 连翘（三钱） 赤苓（四钱）
光杏仁（三钱） 大豆卷（三钱） 仙半夏（钱半） 省头草（钱半） 原滑石（四钱）
清煎三帖。
介按∶外受之湿，郁于气分，则咳逆头痛，内起之湿，由口腹不慎，而蕴伏中焦，致脾
胃失于消化。脾主四肢，今被湿热阻滞则肢懈。治以消积渗湿，是属湿热夹食之候。
渔庄沈 疟邪已除，脉弦濡，湿热犹存，舌滑白，屡次衄血。宜清利为稳。（五月十七
日）
绵茵陈（三钱） 藿梗（二钱） 大豆卷（三钱） 谷芽（四钱） 焦山栀（三钱） 淡条芩（钱
半） 光杏仁（三钱） 通草（钱半） 蔻仁（八分，冲） 原滑石（四钱） 省头草（钱半）
清煎三帖。
介按∶血行清道，从鼻而出，古名曰衄。此症系是阳明湿热，化火而逼血上溢，故仍以
清利湿热，是属根本疗法。
安昌徐 舌黄滑罩灰，脉弦濡，胃钝，跗肿溺赤。此属湿热。宜越鞠丸法加减治之。（
七月十二号丙午二十七日）
焦六曲（四钱） 白芷（八分） 绵茵陈（三钱） 藿梗（二钱） 香附（二钱） 茯苓（四钱）
滑石（四钱） 新会皮（钱半） 焦山栀（三钱） 鸡内金（三钱） 炒谷芽（四钱）
清煎三帖。
介按∶湿热蕴伏脾胃，而兼气郁食积，以致跗肿溺赤，故以治六郁主方之越鞠丸加减。
遗风胡 湿热内着，脘闷便结，骨热，脉涩滞，舌浓嫩黄，足肿冷。宜清利。（六月十
五日）
晚蚕砂（三钱） 栝蒌子（三钱） 焦六曲（四钱） 炒枳壳（钱半） 光杏仁（三钱） 赤苓（
四钱
）原滑石（四钱） 鸡内金（三钱） 仙半夏（钱半） 淡芩（钱半） 大腹皮（三钱） 路路通（七
个）
三帖。
介按∶舌苔黄浓，脘闷便结，是属湿热滞于阳明之证，徒事清热泄邪，只能散流走之热
，而不能除胃中蕴结之邪。故于清利方中，佐以蚕砂、蒌仁，兼导湿浊之下趋。
遗风徐 舌黄罩灰，身潮热，脉弦濡，湿热蕴于经络，便溏溺赤。姑宜清热利湿，慎恐
变幻。（八月九号丁未二十七日）
炒知母（钱半） 栝蒌皮（三钱） 仙半夏（钱半） 赤苓（四钱） 草果仁（钱半） 炒枳壳（
钱半） 条芩（钱半） 通草（钱半） 大腹皮（三钱） 原滑石（四钱） 光杏仁（三钱）
清煎二帖。
介按∶湿热蕴结膜原，膜原为脾胃相联之处，湿胜则便溏，热胜则潮热。案中用草果治
太阴之寒，知母除阳明之热，二味合用，为治湿伏膜原而致寒热交作之良品。
某 湿热未罢，脉涩滞，舌浓微黄，足跗酸楚，脘闷。姑宜和中清利。（五月十八日）
晚蚕砂（三钱） 焦六曲（四钱） 绵茵陈（三钱） 藿香梗（二钱） 赤苓（四钱） 浓朴（一
钱） 原滑石（四钱） 鸡内金（三钱） 防己（钱半） 枳壳（钱半） 香附（三钱）
清煎三帖。
介按∶夏季身痛属湿，宜用木防己、蚕砂，此叶香岩先生之言也。今以治足跗酸楚，洵
是对
症发药。其用六曲、鸡金，必系夹食。又用浓朴、枳壳，以除脘闷。余味均是淡渗之品，藉
除未罢之湿热。又藿梗、香附以理气，气机转运，则湿热自去矣。
湿热发黄，脉涩滞，舌滑，面跗浮。症属重极。宜清利，候正。（八月初三日）朱墅田
绵茵
陈（三钱） 大豆卷（三钱） 鸡内金（三钱） 冬瓜皮（三钱） 赤苓（四钱） 白蔻仁（八分） 新
会皮（钱半） 生米仁（四钱） 防己（钱半） 滑石（四钱） 光杏仁（三钱）
清煎三帖。
介按∶湿与热合，瘀郁不解，未能达表通里，势必蒸发为黄。兹用辛淡泄湿，使内瘀之
湿热下趋，则黄从小便而解。
西庄黄 跌仆伤筋，环跳肿痹作痛，脉濡左劲，舌黄滑，湿热作泻。姑宜和络、清热、
利湿。（八月十九号戊申初七日）
干地龙（钱半） 百叶煎（二钱） 炒米仁（四钱） 藿梗（二钱） 草（三钱） 茯苓（四
钱）
通草（钱半） 车前（三钱） 大腹皮（三钱） 木瓜（三钱） 新会皮（钱半） （引）桑枝（一尺许）
三帖。
介按∶因跌仆伤筋而湿郁肿痹，气窒络瘀，壅闭不宣，不通而痛，故用地龙、 、桑
枝，
以宣通脉络。又因湿胜便泄，而用健脾渗湿之剂，以清热止泻。且米仁、木瓜二味，为治湿
热阻滞，以致足筋酸痛之妙品。
遗风庞 舌滑白，脉濡细，脘闷，溲溺赤，汗出津津。宜和中清利。
焦六曲（四钱） 藿香梗（一钱） 炒谷芽（四钱） 新会皮（钱半） 赤苓（三钱） 蔻壳（钱
半
）枳壳（钱半） 省头草（三钱） 川朴（一钱） 通草（钱半） 淡竹叶（钱半） 荷叶（一角）
三帖。
介按∶湿浊上干则脘闷，胃热内蒸则汗出，病在中焦气分，故开中焦气分湿热，兼以和
胃为治。
Mao Peng Chen: Dampness obstructs the meridians, with alternating chills and fever. The pulse is wiry and soggy; the tongue coating is yellow and slippery. There is thirst, and coldness in the dorsum of the feet penetrates to the bone. It is appropriate to use Xuanming Guiling Ganlu Yin (Cassia Twig, Poria, Licorice, and Dew Drink Decoction modified). (March 29)
Poria (Bai Fuling, 4 qian), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 2 qian), Talcum (Huashi, 4 qian), Bombyx Batryticatus (Wan Can Sha, 2 qian, wrapped), Cinnamomi Ramulus (Guizhi, 7 fen), Gypsum Fibrosum (Shigao, 3 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Gentianae Macrophyllae Radix (Qinjiao, 1.5 qian), Atractylodis Rhizoma (Jiangshu, 1 qian), Stephaniae Tetrandrae Radix (Fangji, 1.5 qian), Trichosanthis Radix (Gualougen, 3 qian), Alismatis Rhizoma (Zexie, 3 qian).
Commentary by Shao Jie: Dampness stagnates the Yang Qi of the Spleen and Stomach. The Spleen and Stomach are connected by membranes; when pathogens lodge here, alternating chills and fever occur. The Spleen governs the four limbs, hence edema often appears in the feet. Treatment employs Guiling Ganlu Yin to guide the dispersion of dampness and unblock Yang Qi.
Certain Patient: Chills and fever persist without clearing. The pulse is soggy and rapid; the tongue coating is slippery and white. Cough has slightly decreased. This indicates Damp-Heat obstructing the Qi Level. It is appropriate to treat the Hand-Taiyin Lung Meridian, assisted by bland diuretics. (April 18)
Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Citri Reticulatae Pericarpium Viride (Chao Qingpi, 0.8 fen), Amomi Fructus Rotundus (Baikouren, 0.8 fen, taken with liquid), Poria (Fuling, 4 qian), Scutellariae Radix (Chao Tianqin, 1.5 qian), Fritillariae Cirrhosae Bulbus (Chuanbei, 1.5 qian), Talcum (Huashi, 4 qian), Citri Reticulatae Pericarpium (Guang Juhong, 1 qian), Arecae Pericarpium (Dafupi, 3 qian), Bambusae Folium (Danzhuru, 1 pill).
Take three doses.
Commentary by Shao Jie: Damp-Heat obstructs the Qi Level, causing chills, fever, and cough. The presentation resembles Pulmonary Malaria; thus, the intent of Banbei Wan (Pinellia and Fritillaria Pill) is borrowed to resolve chills and fever. Simultaneously, Lung Qi is cleared and肃ified to leach out Damp-Heat.
Certain Patient: Cough and upward reversal have ceased. The pulse is wiry; the tongue coating is white with a slight yellow root. Stool is loose; urine is red and dysuric. This indicates accumulation of Damp-Heat.
Trichosanthis Pericarpium (Gualoupi, 3 qian), Talcum (Yuanshuashi, 4 qian), Tectonae Herba (Tongcao, 1.5 qian), Amomi Pericarpium (Kequ, 1.5 qian), Red Poria (Chiling, 4 qian), Curcumae Radix (Guang Yujin, 3 qian), Aurantii Fructus Immaturus (Zhike, 1.5 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Pogostemonis Herba (Shengtoucao, 1.5 qian), Citri Reticulatae Pericarpium (Xinhuiqi, 1.5 qian), Cocted Hordeum Sprout (Chao Guya, 3 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: Damp-Heat accumulates; Spleen deficiency causes loose stools. In treatment, aromatic Qi-regulating herbs are added to damp-leaching methods so that dampness easily descends. However, Xingren (Prunus Armeniaca Seed) excels at draining Lung Qi; once Lung Qi descends, it may adversely affect loose stools.
Ma An Zhao: Damp-Heat injures Qi, with alternating chills and fever, cold limbs, vomiting and reflux, free passage of stool and urine, weak deep pulse, yellow slippery tongue coating with slight whiteness on sides, and epigastric stuffiness. It is appropriate to use Xuanming Guiling Ganlu Yin modified, especially guarding against syncope changes, pending stabilization. (June 16)
Poria (Fuling, 3 qian), Alismatis Rhizoma (Zexie, 3 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Pogostemonis Herba (Huoxiang, 2 qian), Cinnamomi Ramulus (Guizhi, 8 fen), Polyporus (Zhuling, 1.5 qian), Scutellariae Radix (Tianqin, 3 qian), Fermented Sorghum (Jiaoqu, 4 qian), Atractylodis Rhizoma (Cangzhu, 1.5 qian), Talcum (Huashi, 4 qian), Sojae Semen Praeparatum (Dadoujuan, 3 qian).
Decoct in clear water for two doses.
Commentary by Shao Jie: Dampness obstructs the Qi Level, condensing and suppressing Clear Yang, which stagnates and transforms into Heat. Diaphoresis is strictly contraindicated; sweating leads to spasms and syncope. Now imitating the intent of Guiling Ganlu Yin, using damp-leaching and heat-clearing to unblock Yang is the correct treatment.
Yifeng Pang: Damp-Heat causing chills and fever. The pulse is wiry and soggy; epigastric fullness with Qi stagnation, abdominal pain, and loose stools. Temporarily harmonize the middle and promote dampness drainage.
Areca Seed (Caoguo, 5 fen), Ligustici Rhizoma et Radix (Sheng Xiangfu, 3 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Citri Reticulatae Pericarpium Viride (Chao Qingpi, 0.8 fen), Magnoliae Officinalis Cortex (Chuanpu, 1 qian), Red Poria (Chiling, 4 qian), Scutellariae Radix (Chao Tianqin, 1.5 qian), Talcum (Yuanshuashi, 4 qian), Arecae Pericarpium (Dafupi, 3 qian), Aucklandiae Radix (Guangmuxiang, 7 fen), Saposhnikoviae Radix (Weilingxian, 1.5 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: The Spleen loses its function of transportation and transformation; the Stomach loses its digestive authority. Damp-Heat accumulates in the diaphragm, causing alternating chills and fever, Qi stagnation, abdominal pain, and diarrhea. This formula opens the Membrane Source, strengthens the Spleen, harmonizes the Stomach, regulates Qi, and leaches dampness, all being very safe and effective.
Shengling Xu: The Middle Jiao is not harmonized; Qi rushes causing epigastric stuffiness. The pulse is sluggish and choppy; Damp-Heat accumulates. It is appropriate to smooth Qi and harmonize the middle.
Linderae Radix (Wuyao, 2 qian), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Ligustici Rhizoma et Radix (Sheng Xiangfu, 3 qian), Aurantii Fructus Immaturus (Zhike, 1.5 qian), Magnoliae Officinalis Cortex (Nongpu, 1 qian), Alismatis Rhizoma (Zexie, 3 qian), Aquilariae Lignum Resinatum Fermentatum (Chenxiangqu, 1.5 qian), Rosae Rugosae Flos (Meiguahua, 5 flowers), Ostreae Concha (Sheng Muli, 4 qian), Endothelium Corneum Gigeriae Galli (Jineijin, 3 qian), Tectonae Herba (Tongcao, 1.5 qian).
Decoct in clear water for four doses.
Commentary by Shao Jie: Muli Zexie San (Oyster Shell and Alisma Powder) is a specialized formula for treating water qi stagnation below the waist. Zexie (Alismatis Rhizoma) can raise the clear Qi from water; Muli (Ostreae Concha) can resolve damp-turbidity obstruction in the Lower Jiao. Master Ye Tianshi made good use of ancient formulas; when using Muli Zexie San, he only took these two ingredients, not using the original formula entirely. This case also follows this intent. Because of Qi rushing and epigastric stuffiness, Jineijin (Endothelium Corneum Gigeriae Galli) is added to regulate Qi. It is indeed an excellent agent for treating accumulated Damp-Heat.
Shengling Xu: Stomach Qi has slightly revived, but dampness remains uncleared. The tongue coating is slippery, tender, and yellow; the pulse is soggy. Sensation of heaviness in the lower back. Leaching and draining are appropriate.
Red Poria (Chiling, 4 qian), Pogostemonis Caulis (Huogeng, 2 qian), Amomi Pericarpium (Kequ, 1.5 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Pogostemonis Herba (Shengtoucao, 1.5 qian), Gardeniae Fructus (Jiao Zhizi, 3 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Hordeum Vulgare Sprout (Guya, 4 qian), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Tectonae Herba (Tongcao, 1.5 qian), Sojae Semen Praeparatum (Dadoujuan, 3 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: Residual dampness flows into the Lower Jiao after illness. Treatment uses acrid dispersal, assisted by heat-clearing, to preserve the fluids of the Yangming. This shows profound insight. The dampness spreads from the Upper and Middle Jiao to the Lower Jiao. Thus, the method remains opening and dispersing the Upper and Middle Jiao; if the source is clear, the flow becomes clean naturally.
Anchang Ye: Damp-Heat is not yet cleared. The pulse is soggy and fine; the tongue coating is thin and slippery. Afternoon chills in the back and sudden fever. It is appropriate to treat with Xuanming Guiling Ganlu Yin modified.
Cinnamomi Ramulus (Guizhi, 5 fen), Atractylodis Rhizoma (Jiangshu, 1 qian), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Lophatheri Herba (Danzhuye, 1.5 qian), Poria (Fuling, 4 qian), Hypsorum (Hanshuishi, 3 qian), Talcum (Yuanshuashi, 4 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Alismatis Rhizoma (Zexie, 3 qian), Polyporus (Zhuling, 1.5 qian), Dendrobii Caulis (Chaihu, 3 qian).
Decoct in clear water for four doses.
Commentary by Shao Jie: Damp-Heat is not yet cleared; Spleen Yang is suppressed. The modification of Ganlu Yin is excellent. However, Chaihu (Dendrobii Caulis), while nourishing Stomach fluids, may risk retaining dampness.
Lizhu Wu: Tongue coating is slightly yellow; pulse is fine and rapid. Back chills and limb numbness; epigastric obstruction and bi-syndrome. This belongs to Damp Pathogen. It is appropriate to warm the Gallbladder and dispel pathogens.
Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Ziziphi Spinosae Semen (Zhishi, 1.5 qian), Pogostemonis Herba (Shengtoucao, 3 qian), Curcumae Radix (Guang Yujin, 3 qian), Citri Reticulatae Pericarpium (Chenpi, 1 qian), Gardeniae Fructus (Jiao Zhizi, 3 qian).
Two doses.
Commentary by Shao Jie: Damp-Heat spreads through the Triple Burner, blocking Qi mechanism and preventing circulation. Body fluids coagulate into phlegm-fluids, causing epigastric obstruction. Phlegm blocks the Qi mechanism. Therefore, the treatment adds Xiebai (Allii Macrostemonis Bulbus) and Xingren (Prunus Armeniaca Seed) to Wendan Tang (Warm the Gallbladder Decoction) to unblock Yang in the chest. Then back chills and limb numbness will be removed. Add Zhizi (Gardeniae Fructus) and Chi (Perilla Seed) to drain long-stagnated heat; add Shengtoucao (Pogostemonis Herba) to cleanse stale Qi and awaken the Spleen and Stomach. This formula derives from Wang Mengying’s teachings and is worthy of emulation.
Yifeng Li: Tongue color is yellow and slippery, root thick; pulse is soggy and fine. Dizziness and limb soreness, aversion to cold with slight fever, frequent urination, and constipation. It is appropriate to treat with Ganlu Yin modified. (May 23)
Poria (Fuling, 4 qian), Scutellariae Radix (Chao Tianqin, 1.5 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Areca Seed (Zaorebangle, 3 qian), Cinnamomi Ramulus (Guizhi, 5 fen), Talcum (Yuanshuashi, 4 qian), Stephaniae Tetrandrae Radix (Fangji, 1.5 qian), Cocted Hordeum Sprout (Chao Guya, 4 qian), Alismatis Rhizoma (Zexie, 3 qian), Polyporus (Zhuling, 1.5 qian), Sojae Semen Praeparatum (Dadoujuan, 3 qian).
Decoct in clear water for two doses.
Commentary by Shao Jie: The Yang Qi of the Spleen and Stomach is depressed by Damp-Heat and fails to rise. Treatment clears Damp-Heat and supports the Spleen. Then all ailments will recede.
Anchang Gu: Dampness obstructs the Lung and Wei (Defensive) levels. The pulse is wiry; the tongue coating is slightly yellow. Frequent hiccups; urine is red. The condition is severe and dangerous. It is appropriate to diffuse Lung Qi, pending stabilization. (July 18)
Trichosanthis Pericarpium (Gualoupi, 3 qian), Tectonae Herba (Tongcao, 1.5 qian), Dioscoreae Hypoglaucae Fructus (Daoudouzi, 3 qian), Pogostemonis Herba (Shengtoucao, 3 qian), Fritillariae Cirrhosae Bulbus (Jing Chuanbei, 1.5 qian), Curcumae Radix (Guang Yujin, 3 qian), Red Poria (Chiling, 4 qian), Belamcandae Radix (Shegan, 1.5 qian), Citri Reticulatae Pericarpium (Guang Juhong, 1.5 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Diospyroi Fructus (Shidi, 7 pieces as guide), Loquat Leaf (Pipaye, depilated, 5 leaves).
Two doses.
Commentary by Shao Jie: Dampness obstructs the Lung and Wei levels; phlegm formation congests the damp-diaphragm, leading to red urine and hiccups. Clearing and diffusing Lung Qi is the correct treatment.
Yifeng Jin: Tongue coating is slippery and slightly yellow; head distension and limb flaccidity; pulse is soggy and fine; cough and upward reversal. This belongs to Damp-Heat. It is appropriate to treat with Baohe Wan modified. (June 22, Bingwu Chuyi)
Fermented Sorghum (Jiao Liuqu, 4 qian), Crataegi Fructus (Shanzha, 3 qian), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Pogostemonis Caulis (Guang Huogeng, 2 qian), Forsythiae Fructum (Lianqiao, 3 qian), Red Poria (Chiling, 4 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Sojae Semen Praeparatum (Dadoujuan, 3 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Pogostemonis Herba (Shengtoucao, 1.5 qian), Talcum (Yuanshuashi, 4 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: Externally acquired dampness, stagnating in the Qi level, causes cough and headache. Internally generated dampness, due to careless diet, lodges in the Middle Jiao, causing Spleen and Stomach to lose digestion. The Spleen governs the four limbs; now blocked by Damp-Heat, limbs become flaccid. Treatment focuses on resolving accumulation and leaching dampness, belonging to the pattern of Damp-Heat with food retention.
Yuzhuang Shen: Malaria pathogen has been eliminated. The pulse is wiry and soggy; Damp-Heat remains. Tongue coating is slippery and white. Recurrent epistaxis. Clearing and draining is stable. (May 17)
Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Pogostemonis Caulis (Huogeng, 2 qian), Sojae Semen Praeparatum (Dadoujuan, 3 qian), Hordeum Vulgare Sprout (Guya, 4 qian), Gardeniae Fructus (Jiao Zhizi, 3 qian), Scutellariae Radix (Dan Tianqin, 1.5 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Tectonae Herba (Tongcao, 1.5 qian), Amomi Fructus Rotundus (Kouren, 0.8 fen, taken with liquid), Talcum (Yuanshuashi, 4 qian), Pogostemonis Herba (Shengtoucao, 1.5 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: Blood flowing through the clear orifices exits from the nose, anciently called "Nu" (epistaxis). This case is caused by Yangming Damp-Heat transforming into fire, forcing blood to overflow upwards. Thus, clearing and draining Damp-Heat remains the fundamental therapy.
Anchang Xu: Tongue coating is yellow, slippery, covered with gray; pulse is wiry and soggy. Stomach feels dull; dorsum of feet is swollen, urine is red. This belongs to Damp-Heat. It is appropriate to treat with Yueju Wan method modified. (July 12, Bingwu Ershiqi)
Fermented Sorghum (Jiao Liuqu, 4 qan), Angelica Dahurica Root (Baizhi, 0.8 fen), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Pogostemonis Caulis (Huogeng, 2 qian), Ligustici Rhizoma et Radix (Xiangfu, 2 qian), Poria (Fuling, 4 qian), Talcum (Huashi, 4 qian), Citri Reticulatae Pericarpium (Xinhuiqi, 1.5 qian), Gardeniae Fructus (Jiao Zhizi, 3 qian), Endothelium Corneum Gigeriae Galli (Jineijin, 3 qian), Cocted Hordeum Sprout (Chao Guya, 4 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: Damp-Heat lodges in the Spleen and Stomach, accompanied by Qi depression and food retention, causing foot swelling and red urine. Thus, Yueju Wan (Six Depression Pill), the main formula for treating six depressions, is modified.
Yifeng Hu: Damp-Heat attaches internally. Epigastric stuffiness and constipation, bone-steaming fever, sluggish pulse, thick tender yellow tongue coating, swollen and cold feet. Clearing and draining is appropriate. (June 15)
Bombyx Batryticatus (Wan Can Sha, 3 qian), Trichosanthis Seed (Gualouzi, 3 qian), Fermented Sorghum (Jiao Liuqu, 4 qian), Aurantii Fructus Immaturus (Chao Zhike, 1.5 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian), Red Poria (Chiling, 4 qian), Talcum (Yuanshuashi, 4 qian), Endothelium Corneum Gigeriae Galli (Jineijin, 3 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Scutellariae Radix (Dan Qin, 1.5 qian), Arecae Pericarpium (Dafupi, 3 qian), Liquidambaris Fructus (Lulutong, 7 pieces).
Three doses.
Commentary by Shao Jie: Thick yellow tongue coating, epigastric stuffiness, and constipation indicate Damp-Heat stagnating in the Yangming. Merely clearing heat and purging pathogens only scatters wandering heat but cannot remove the accumulated pathogens in the Stomach. Therefore, in the clearing-draining formula, Can Sha (Bombyx Batryticatus) and Lou Ren (Trichosanthis Seed) are added to guide damp-turbidity downward.
Yifeng Xu: Tongue coating is yellow covered with gray; tidal fever; pulse is wiry and soggy. Damp-Heat accumulates in the meridians; loose stools and red urine. Temporarily clear heat and drain dampness, fearing transformations. (August 9, Dingwei Ershiqi)
Anemarrhenae Rhizoma (Chao Zhimu, 1.5 qian), Trichosanthis Pericarpium (Gualoupi, 3 qian), Pinelliae Rhizoma Preparatum (Xian Banxia, 1.5 qian), Red Poria (Chiling, 4 qian), Areca Seed (Caoguoren, 1.5 qian), Aurantii Fructus Immaturus (Chao Zhike, 1.5 qian), Scutellariae Radix (Tianqin, 1.5 qian), Tectonae Herba (Tongcao, 1.5 qian), Arecae Pericarpium (Dafupi, 3 qian), Talcum (Yuanshuashi, 4 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian).
Decoct in clear water for two doses.
Commentary by Shao Jie: Damp-Heat accumulates in the Membrane Source. The Membrane Source is where the Spleen and Stomach connect. Excess dampness causes loose stools; excess heat causes tidal fever. Using Caoguo (Areca Seed) to treat Taiyin cold and Zhimu (Anemarrhenae Rhizoma) to clear Yangming heat, combined, they are excellent for treating alternating chills and fever caused by dampness lodging in the Membrane Source.
Certain Patient: Damp-Heat has not subsided. Pulse is sluggish; tongue coating is thick and slightly yellow. Foot dorsum soreness and epigastric stuffiness. Temporarily harmonize the middle and clear/drain. (May 18)
Bombyx Batryticatus (Wan Can Sha, 3 qian), Fermented Sorghum (Jiao Liuqu, 4 qian), Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Pogostemonis Caulis (Huoxiang geng, 2 qian), Red Poria (Chiling, 4 qian), Magnoliae Officinalis Cortex (Nongpu, 1 qian), Talcum (Yuanshuashi, 4 qian), Endothelium Corneum Gigeriae Galli (Jineijin, 3 qian), Stephaniae Tetrandrae Radix (Fangji, 1.5 qian), Aurantii Fructus Immaturus (Zhike, 1.5 qian), Ligustici Rhizoma et Radix (Xiangfu, 3 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: Summer body pain belongs to dampness; one should use Fangji (Stephaniae Tetrandrae Radix) and Can Sha (Bombyx Batryticatus), as stated by Master Ye Xiangyan. Using this for foot dorsum soreness is indeed symptomatic medication. The use of Liuqu (Fermented Sorghum) and Jijin (Endothelium Corneum Gigeriae Galli) implies food retention. Nongpu (Magnoliae Officinalis Cortex) and Zhike (Aurantii Fructus Immaturus) are used to relieve epigastric stuffiness. The remaining ingredients are bland diuretics, helping to eliminate lingering Damp-Heat. Huogeng (Pogostemonis Caulis) and Xiangfu (Ligustici Rhizoma et Radix) regulate Qi; once Qi mechanism turns, Damp-Heat departs naturally.
Damp-Heat Jaundice: Pulse is sluggish; tongue coating is slippery; face and foot dorsum are puffy. The condition is extremely severe. Clearing and draining is appropriate, pending stabilization. (August 3) Zhu Shutian
Yinchen Artemisiae Scopariae Herba (Mian Yichen, 3 qian), Sojae Semen Praeparatum (Dadoujuan, 3 qian), Endothelium Corneum Gigeriae Galli (Jineijin, 3 qian), Benincasae Exocarpium (Dongguapi, 3 qian), Red Poria (Chiling, 4 qian), Amomi Fructus Rotundus (Baikouren, 0.8 fen), Citri Reticulatae Pericarpium (Xinhuiqi, 1.5 qian), Coix Seed (Sheng Yiren, 4 qian), Stephaniae Tetrandrae Radix (Fangji, 1.5 qian), Talcum (Huashi, 4 qian), Prunus Armeniaca Seed (Guang Xingren, 3 qian).
Decoct in clear water for three doses.
Commentary by Shao Jie: When dampness and heat combine, stagnation and depression do not resolve. Unable to reach the exterior or penetrate the interior, they inevitably evaporate into jaundice. Here, acrid-bland herbs drain dampness, causing internal stagnant Damp-Heat to descend. The jaundice resolves through urination.
Xizhuang Huang: Trauma injuring sinews from falling/swelling. Swelling, obstruction, and pain at the Huantiao point. Pulse is soggy with strong left side; tongue coating is yellow and slippery. Damp-Heat causes diarrhea. Temporarily harmonize collaterals, clear heat, and drain dampness. (August 19, Wushen Chuyi)
Pheretima (Gan Dilong, 1.5 qian), Baidye Jian (2 qian), Coix Seed (Chao Yiren, 4 qian), Pogostemonis Caulis (Huogeng, 2 qian), Cao [Missing Character] (3 qian), Poria (Fuling, 4 qian), Tectonae Herba (Tongcao, 1.5 qian), Plantaginis Seed (Cheqian, 3 qian), Arecae Pericarpium (Dafupi, 3 qian), Chaenomelis Fructus (Muqua, 3 qian), Citri Reticulatae Pericarpium (Xinhuiqi, 1.5 qian as guide), Mori Ramulus (Sangzhi, approx. 1 chi).
Three doses.
Commentary by Shao Jie: Due to trauma injuring sinews, dampness stagnates causing swelling and obstruction. Qi stagnation and collateral blood stasis lead to blockage and pain. Thus, Dilong (Pheretima), [Missing Character], and Sangzhi (Mori Ramulus) are used to unblock collaterals. Because dampness excess causes diarrhea, spleen-strengthening and damp-leaching agents are used to clear heat and stop diarrhea. Moreover, Yiren (Coix Seed) and Muqua (Chaenomelis Fructus) are excellent for treating soreness and pain of leg sinews caused by Damp-Heat obstruction.
Yifeng Pang: Tongue coating is slippery and white; pulse is soggy and fine. Epigastric stuffiness, red urine, profuse sweating. Harmonize the middle and clear/drain is appropriate.
Fermented Sorghum (Jiao Liuqu, 4 qian), Pogostemonis Caulis (Huoxiang geng, 1 qian), Cocted Hordeum Sprout (Chao Guya, 4 qian), Citri Reticulatae Pericarpium (Xinhuiqi, 1.5 qian), Red Poria (Chiling, 3 qian), Amomi Pericarpium (Kequ, 1.5 qian), Aurantii Fructus Immaturus (Zhike, 1.5 qian), Pogostemonis Herba (Shengtoucao, 3 qian), Magnoliae Officinalis Cortex (Chuanpu, 1 qian), Tectonae Herba (Tongcao, 1.5 qian), Lophatheri Herba (Dan Zhuye, 1.5 qian), Nelumbinis Folium (Heye, 1 corner).
Three doses.
Commentary by Shao Jie: Turbid dampness rising causes epigastric stuffiness; stomach heat steaming internally causes sweating. The disease is in the Qi level of the Middle Jiao. Therefore, opening the Damp-Heat in the Middle Jiao Qi level, combined with harmonizing the Stomach, is the treatment.