傅右 阳明湿浊上升,鼻痔壅塞,头目不清,畏风怯冷,肢体作酸,肺胃气虚。拟营卫并调,兼肃肺胃。
潞党参(一钱五分) 全当归(二钱) 大白芍(一钱五分) 陈辛夷(八分) 苍耳子(一钱五分)
大川芎(八分) 藿香梗(一钱五分) 云茯苓(三钱) 生白术(一钱) 陈广皮(一钱) 煨姜(二片)
外用柳花散,麻油调揉。
贾左 肺胃积热,酿成鼻疳,迎香腐缺,鼻准已塌,内外之肿不消,防其崩陷。拟再造散加减。
羚羊尖(另煎汁冲服,一钱) 大麦冬(三钱) 天花粉(三钱) 京玄参(二钱) 京赤芍(二钱)
酒炒黄芩(一钱) 寒水石(三钱) 连翘壳(三钱) 大贝母(三钱) 夏枯草(二钱) 鲜竹叶(三十片)
干芦根(去节,一两)
外用治疳结毒灵药。
李右 掌心疔顶虽溃,未曾得脓,四围肿硬疼痛,湿火蕴结,血凝毒滞,症势非轻。急拟清解托毒。
甘菊花(五钱) 地丁草(三钱) 京赤芍(二钱) 薄荷叶(八分) 生草节(六分) 大贝母(三钱)
炙僵蚕(三钱) 金银花(三钱) 连翘壳(三钱) 草河车(一钱五分) 丝瓜络(二钱)
外科蟾酥丸(开水化服,二粒)
外用九黄丹、太乙膏,四周用玉露散、菊花露调敷。
徐左 湿瘰发于遍体,浸淫作痒,延今已久。血虚生热生风,脾弱生湿,风湿热蕴蒸于脾肺两经也。姑拟
清营祛风,而化湿热。
净蝉衣(八分) 小生地(四钱) 粉丹皮(一钱五分) 肥玉竹(三钱) 茯苓皮(三钱) 通草(八分)
六一散(包,三钱) 苦参片(一钱五分) 绿豆衣(三钱)
外用皮脂散,麻油调敷。
傅姓患者,右脉。阳明经湿浊之气上逆,导致鼻痔(鼻腔内赘生物)壅塞不通,头部和眼睛昏沉不清爽,怕风且畏寒,肢体感到酸楚,此为肺胃气虚之象。拟采用调和营卫、兼肃降肺胃之法治疗。
潞党参(一钱五分) 全当归(二钱) 大白芍(一钱五分) 陈辛夷(八分) 苍耳子(一钱五分)
大川芎(八分) 藿香梗(一钱五分) 云茯苓(三钱) 生白术(一钱) 陈广皮(一钱) 煨姜(两片)
外用柳花散,用麻油调和后揉搓患处。
贾姓患者,左脉。肺胃积热,酿成鼻疳(鼻部溃烂性疾病),迎香穴处皮肤腐烂缺损,鼻尖已经塌陷,内外肿胀不消,担心病情恶化导致组织崩陷。拟采用再造散加减方治疗。
羚羊尖(另煎取汁冲服,一钱) 大麦冬(三钱) 天花粉(三钱) 京玄参(二钱) 京赤芍(二钱)
酒炒黄芩(一钱) 寒水石(三钱) 连翘壳(三钱) 大贝母(三钱) 夏枯草(二钱) 鲜竹叶(三十片)
干芦根(去节,一两)
外用治疳结毒灵药。
李姓患者,右脉。掌心疔疮顶部虽然破溃,但未曾出脓,四周红肿坚硬疼痛,此为湿火蕴结,血凝毒滞,病势非轻。急拟采用清解托毒之法。
甘菊花(五钱) 地丁草(三钱) 京赤芍(二钱) 薄荷叶(八分) 生草节(六分) 大贝母(三钱)
炙僵蚕(三钱) 金银花(三钱) 连翘壳(三钱) 草河车(一钱五分) 丝瓜络(二钱)
外科蟾酥丸(开水化服,两粒)
外用九黄丹、太乙膏,四周用玉露散、菊花露调和敷贴。
徐姓患者,左脉。湿瘰(一种慢性淋巴结结核或类似皮肤病变)发于遍体,浸淫蔓延且瘙痒,病程已久。血虚生热生风,脾弱生湿,风湿热蕴蒸于脾肺两经。姑且拟采用清营祛风,化解湿热之法。
净蝉衣(八分) 小生地(四钱) 粉丹皮(一钱五分) 肥玉竹(三钱) 茯苓皮(三钱) 通草(八分)
六一散(包煎,三钱) 苦参片(一钱五分) 绿豆衣(三钱)
外用皮脂散,用麻油调和敷贴。
Patient Fu, right pulse. Damp-turbidity of the Yangming channel ascends, causing nasal polyps (nasal cavity growths) to obstruct, resulting in a heavy and unclear sensation in the head and eyes, aversion to wind and cold, and soreness of the limbs; this indicates deficiency of Qi in the Lung and Stomach. The proposed treatment is to harmonize Ying and Wei (Nutritive and Defensive levels), while simultaneously descending Lung and Stomach Qi.
Radix Codonopsis (Qidishen, 1.5 qian) Radix Angelicae Sinensis (Danggui, 2 qian) Radix Paeoniae Alba (Baishao, 1.5 qian) Flos Magnoliae Bungeanae (Xinyi, 0.8 fen) Fructus Xanthii (Cangerzi, 1.5 qian)
Rhizoma Chuanxiong (Chuanxiong, 0.8 fen) Rhizoma Zingiberis Recens cum Radice (Huoxiang geng, 1.5 qian) Sclerotium Poriae Cum Radix Pini (Fuling, 3 qian) Rhizoma Atractylodis Macrocephalae (Baizhu, 1 qian) Pericarpium Citri Reticulatae (Chenpi, 1 qian) Zingiberis Rhizoma Praeparatum (Wei Jiang, 2 slices)
Externally apply Liuhua San (Willow Flower Powder), mixed with sesame oil for rubbing.
Patient Jia, left pulse. Accumulated heat in the Lung and Stomach has brewed into bi-gan (nasal ulceration), with rotting and loss of tissue at the Yingxiang acupoint, and collapse of the nasal tip. Internal and external swelling persists, raising concern for further tissue destruction. The proposed treatment is Zaizao San modified.
Cornu Saigae Tataricae (Lingyang jian, decocted separately, juice taken orally, 1 qian) Radix Ophiopogonis (Maidong, 3 qian) Radix Trichosanthis (Tianhuafen, 3 qian) Radix Scrophulariae (Xuanshen, 2 qian) Radix Paeoniae Rubra (Chishao, 2 qian)
Radix et Rhizoma Scutellariae fried with wine (Huangqin, 1 qian) Gypsum Fibrosum (Hanshui shi, 3 qian) Fructus Forsythiae (Lianqiao, 3 qian) Bulbus Fritillariae Thunbergii (Beimu, 3 qian) Herba Prunellae (Xiakucao, 2 qian) Folium Bambusae in Taeniis (Zhuyeqian, 30 leaves)
Radix Phragmitis Communis (Lugen, nodes removed, 1 liang)
Externally apply Zhigan Jiedu Lingyao.
Patient Li, right pulse. Although the apex of the palm ding (carbuncle) has ulcerated, no pus has been discharged. The surrounding area is swollen, hard, and painful, indicating accumulation of damp-heat and stagnation of blood and toxin; the condition is serious. Urgent treatment requires clearing heat, resolving toxicity, and expelling pus.
Flos Chrysanthemi Indici (Juhua, 5 qian) Herba Violae (Didingcao, 3 qian) Radix Paeoniae Rubra (Chishao, 2 qian) Folium Menthae Haplocalycis (Boheye, 0.8 fen) Radix et Rhizoma Glycyrrhizae (Gancao, 0.6 fen) Bulbus Fritillariae Thunbergii (Beimu, 3 qian)
Bombyx Batryticatus roasted (Jiangcan, 3 qian) Flos Lonicerae Japonicae (Jinyinhua, 3 qian) Fructus Forsythiae (Lianqiao, 3 qian) Radix et Rhizoma Arisaematis cum Foliae (Caohuche, 1.5 qian) Retinervus Luffae Fructus (Sigualuo, 2 qian)
Waike Chansu Wan (Toad Venom Pills, dissolved in boiling water and taken orally, 2 pills)
Externally apply Jiuhuang Dan, Taiyi Gao, and around the periphery apply Yulu San mixed with Jujuhua Lu (Chrysanthemum Dew) for dressing.
Patient Xu, left pulse. Shilou (chronic lymphadenitis or similar skin lesion) appeared all over the body, spreading with itching, persisting for a long time. Blood deficiency generates heat and wind; spleen weakness generates dampness; wind-damp-heat steams and steeps in the Spleen and Lung channels. The proposed treatment is to clear the Ying level, dispel wind, and transform damp-heat.
Periostracum Cicadae (Chanyi, 0.8 fen) Radix Rehmanniae Preparata (Shengdi, 4 qian) Cortex Moutan (Danpi, 1.5 qian) Rhizoma Polygonati Odorati (Yuzhu, 3 qian) Pericarpium Trichosanthis (Fuling pi, 3 qian) Herba Tectariae (Tongcao, 0.8 fen)
Liuyi San (wrapped, 3 qian) Radix Sophorae Flavescentis (Kushen, 1.5 qian) Testa Phaseoli Radiati (Lvdouyi, 3 qian)
Externally apply Pizhi San, mixed with sesame oil for application.