Library

First, differentiate the Sha disease (Sha disease, a condition characterized by skin eruptions and systemic toxicity often associated with heat-toxin) to treat its branch (manifestations); subsequently, examine the internal injury to treat its root (etiology). (Formula Tu Qi).

An elderly woman engaged in a dispute over property inheritance, resulting in physical altercation. She presented with fever, cough with sputum, and chest distension and oppression. The diagnosis revealed an internal injury complicated by Sha disease. Twenty-plus needles were applied for bloodletting at the Sha veins (superficial dilated veins used for bloodletting in Sha disease treatment). After administering Shi Er Fang (Stone Two Formula), symptoms slightly relieved. Subsequently, Tu Qi Fang was used to treat the internal injury. Upon ingestion, black stool was passed, indicating the elimination of blood stasis and resolution of the condition. Later, Mu Liu Fang was administered, resolving previous deficiency syndromes as well.

Patients with Sha disease typically dislike hot drinks; however, some may prefer hot soup. This presentation makes the condition difficult to recognize, leading to slow Sha disease gradually evolving into Lao Zhai (consumptive disease/tuberculosis). When toxin enters the Qi level and damages the Lung, it causes wheezing, cough, expectoration, and fever.

A patient suffering from Sha distension refused medication and underwent bloodletting three times only. A hard mass formed in the epigastrium, accompanied by cough, expectoration, fever, anorexia, and progressive emaciation. The pulse at the right Guan position was hollow (Kou) and tight, while other positions showed rapid (Shu) pulses. This indicated internal blood stasis, which must be expelled via vomiting to resolve. An decoction of Tao Ren (Persicae Semen), Su Mu (Lignum Sappan), Ze Lan (Herba Lycopi), Bai Ji Li (Tribuli Fructus), Xiang Fu (Cyperi Rhizoma), and Wu Yao (Linderae Radix) was prepared with wine. Approximately one bowl of dark purple-black blood was vomited. Thereafter, a formula promoting blood circulation and guiding downward was administered, added with Tong Bian (Urine of a healthy child), and taken with wine, resulting in recovery.

When Sha toxin rushes to the Heart, it causes coma; when rushing to the Lung, it causes wheezing and phlegm obstruction, potentially leading to epistaxis; when entering the Liver, it causes hypochondriac pain and inability to turn or lie on the side, potentially leading to hematemesis; when flowing into the Large Intestine, it causes hematochezia; when flowing into the Bladder, it causes hematuria. Treatment should first clear the Sha toxin, following the pathway of its exit, so that Qi will naturally flow smoothly and Blood will calm down (Refer to Tu Ba Fang, Ge Yi Fang).

A patient underwent bloodletting but took no medicine, developing bone and joint pain. Ten days later, severe hemoptysis occurred, and pain persisted. The pulse was hollow (Kou), indicating residual blood stasis after the dissipation of Sha. Pao Si Fang was prescribed.

A toddler suffered from Sha pain and red stools. Bloodletting was performed, and Tu Ba Fang was administered.

A female patient suffered from severe Sha pain and hematuria. After bloodletting failed to cure her, Ge Yi Fang was used with additions of Yin Hua (Flos Lonicerae), Lian Qiao (Fructus Forsythiae), Niu Xi (Achyranthis Bidentatae Radix), and Yi Mu Cao (Herba Leonuri) for recovery.

A patient with Sha distension experienced epistaxis. This indicates that Sha Qi is venting through the nose. Jin Liu Fang was prescribed.

Sha macules are merely red spots. However, if widespread ulcerative patches appear on the body accompanied by fever and dizziness, Jin Wu Fang is the primary prescription.

If Sha disease causes urinary retention due to toxin accumulation in the Bladder, leading to difficulty in urination and unbearable lower abdominal distension and pain, Tu Si Fang is used.

An eight-year-old boy presented with fever, upward deviation of the eyes, and muteness. Treatments for Wind Stroke (Jing Feng) and Cold Damage (Shang Han) were ineffective. I administered Di Sha San (Sha-Cleansing Powder) mixed with Deng Xin Tang (Junci Medulla Decoction) and forced it down. The patient began groaning. Having been constipated for ten days with lower abdominal distension and tenderness unyielding to touch, Run Xia Wan (Moistening-Down Pill) was given in a dose of 5 fen. Several sheng of urine were passed. A subsequent dose of 1 qian resulted in the passage of accumulated feces, leading to recovery.