脉∶内伤劳役，豁大不禁；若损胃气，隐而难寻；内伤饮食，滑疾浮沉；内伤饮食，数大涩侵；右关缓紧，
寒湿相寻，右关数缓，湿热兼临；数又微代，伤食感淫。
外伤内伤证辨∶
东垣曰∶人迎脉大于气口，为外伤；气口脉大于人迎，为内伤。外伤则寒热齐作而无间；内伤则寒热间作
而不齐。外伤恶寒，虽近烈火不除；内伤恶寒，得就温暖则解。外伤恶风，乃不禁一切风，内伤恶风，唯恶乎
些小贼风。外伤症显在鼻，故鼻气不利而壅盛有力；内伤则不然，内伤症显在口，故口不知味而腹中不和。外
伤则不然，外伤则邪气有余，故发言壮厉，且先轻而后重；内伤则元气不足，出言懒怯，且先重而后轻。外伤
手背热、手心不热；内伤手心热、手背不热。内伤头痛时作时止；外伤头痛常常有之，直须传里方罢。内伤则
怠惰嗜卧、四肢不收；外伤则得病之日即着床枕，非扶不能，筋挛骨痛。外伤不能食，然口则知味而不恶
食；内伤则恶食而口不知味。外伤三日以后，谷消水去，邪气传里必渴；内伤则邪气在血脉中有余，故不渴。
内伤不足者，饮食劳倦是也，温之、补之、调之、养之，皆为补也；外伤有余者，风寒暑湿是也，泻之、吐之、
汗之、利之，皆为泻也。
内伤劳役者，元气虚损也。
补中益气汤 治形神劳役，或饮食失节、劳役虚损、身
热而烦、脉洪大而虚、头痛、或恶寒而渴、自汗无力、气高而喘。
嫩黄 （蜜炙，一钱五分） 楝参（去芦，一钱） 白术（去芦油） 陈皮 甘草 当归（酒洗，各一钱）
柴胡 升麻（各五分） 少加黄柏酒炒，以救肾水，能泻阴中之伏火也。红花三分，入心养血。
上锉一剂，生姜三片、大枣一枚，水煎空心服。如汗多出去升麻、柴胡，加酸枣仁炒一钱，夜间不睡亦如之
；如头疼加蔓荆子五分、川芎一钱；如善嚏者，乃腠理不密，外邪所搏加白芷、川芎；如脑痛或头顶疼加 本一
钱、细辛五分；如口干或渴加葛根六分；如有痰加贝母、前胡各一钱，如泄泻加白芍煨、泽泻、茯苓各一钱；如
心胸觉痞闷去黄 、升麻、柴胡，加枳实六分、姜炒黄连五分；如嗽加桑白皮一钱、五味子十五粒；如额疼加白
芷一钱、葛根、升麻各五分；如用心太过，神思不宁，或怔忡惊悸加茯神一钱、远志七分、酸枣仁炒一钱、石菖
蒲七分、柏子仁一钱，如饮食少或伤饮食加神曲、麦芽、山楂、枳实各一钱；如心、脾二经舌干口燥加黄连五分、
山桅仁六分；如胃中湿痰加半夏一钱；如虚火上炎加玄参、黄柏、蜜水炒知母各一钱；如梦遗加牡蛎、龙骨各一
钱；如下部无力加牛膝、杜仲各一钱；如脚弱加木瓜一钱、汉防己五分；如有痰或兼脾胃不和加半夏、麦芽各一钱；
如阴虚内热有痰或上焦有火加贝母、天花粉各一钱；如有热。加枯芩八分、黄连六分；如血热壅盛或眼赤加龙胆
草八分；如感风寒、或头痛身热加防风、川芎、白芷各一钱、羌活七分；汗多加黄 一钱，眼痛加干菊花、熟地
黄；若身热加生地黄；如大病后，元气未复而胸满气短加橘皮、枳实、白芍。
升阳顺气汤 治因饮食劳役所伤，腹胁满闷气短，遇春则口淡无味，遇夏虽热犹寒，饥常如饱，不喜
食冷。
黄 （蜜炙，一两） 人参（一钱） 当归身（一钱） 半夏（二钱，姜制） 陈皮（一钱） 神曲（炒，一钱）
草豆蔻（二钱） 升麻 柴胡（各一钱） 黄柏（酒炒，五分） 甘草（炙，五分）
上锉，每剂一两，生姜三片，水煎服。
按论云∶脾胃不足之症，须用升麻、柴胡苦平，味之薄者，阴中之阳，引脾胃中清气行于阳道及诸经生发阴
阳之气，以滋春气之和也；又引黄 、人参、甘草甘温之气味上行，充实腠理，使阳气得卫外而为固也。凡治脾
胃之药，多以升阳补气名之者也。
升阳益胃汤 治肺及脾胃虚则怠惰嗜卧、四肢不收，时值秋燥令行，湿热少退，体重节痛、口燥舌干、
饮食无味、大便不调、小便频数、不欲食、食不消、兼见肺病，淅淅恶寒，惨惨不乐，面色恶而不和，乃阳气不
伸故也。当升阳益气，此药主之。
黄 （一钱） 人参（五分） 白术（二分） 半夏（五分） 橘红（二分半） 甘草（炙，五分） 白芍
（二分） 黄连（二分） 茯苓（二分，小便利而不渴者不用） 独活（三分） 柴胡（二分） 防风（三分）
羌活（二分） 泽泻（二分，不淋闭者不用）
上锉作一服，生姜五片、大枣二枚，水煎，早饭后温服。服药后而小便罢，而病加增剧，是不宜利小便，
当去茯苓、泽泻。如方喜食，一二日不可饱食，恐胃再伤。以药力尚少，脾胃之气不可转运升发也。须滋胃之食
，或美食助其药力，益
升阳之气而滋其胃气。慎不可淡食，以损药力而助邪气之降沉也。可以少役形体，使胃与药得转运升发。慎毋大
劳役，使气复伤。若脾胃得安静尤佳，若胃气稍强，少食佳果以助药力。经云“五果为助”是也。
补气汤 凡遇劳倦辛苦、用力过多，即服此二三剂，免生内伤发热之病。
黄 （蜜炙，一钱半） 人参 白术 陈皮（各一钱） 麦门冬（去心，一钱） 五味子（十个） 甘草（七分）
上锉一剂，生姜三片、枣一枚，水煎，食前服。劳倦甚，加熟附子五分。
补血汤 凡遇劳心思虑，损伤精神，头眩目昏、心虚气短、惊悸烦热并治。
当归（一钱） 川芎（五分） 白芍（炒，一钱） 生地黄（五分） 人参（一钱二分） 白茯神（去木，五钱）
酸枣仁（炒一钱） 陈皮（五分） 麦门冬（去心，一钱） 五味子（十五个） 栀子（炒，五分） 甘草（炙，五分）
上锉一剂，水煎温服。
参 汤 治脾胃虚弱、元气不足、四肢沉重、食后昏沉。
黄 （蜜炙，二钱） 人参（五分） 甘草（炙，一钱） 当归（三分） 柴胡（三分） 升麻（三分） 苍术（米
泔浸，一钱） 青皮（去瓤，五分） 神曲（炒，七分） 黄柏（酒炒，三分。）
上锉一剂，水煎，食远服。
参术调元膏 扶元气、健脾胃、进饮食、润肌肤、生精脉、补虚羸、固真气、救危急、活生命，真仙丹也。
雪白术一斤，净去芦油，楝参四两，俱锉成片，入砂锅内，将净水十大碗，熬汁二碗，滤去渣，又熬，取汁二碗，
去渣，将前汁共一处滤净，文武火熬至二碗，加蜜半斤、再煎至滴水成珠为度，埋土三日取出。每日服三四次，白米汤
下。如劳瘵阴虚火动者，去人参。
白雪糕
大米（一升） 糯米（二升） 山药（炒） 莲肉（去心） 芡实（各四两），为细末，入白砂糖一斤半，搅令匀，
入笼蒸熟，任意食之，其功如前。但内伤并虚劳泄泻者，宜当饭食之。
参苓白术丸 治病后元气虚弱，此药补助脾胃，进美饮食，壮健身体，充实四肢，清火化痰，解郁养
元气。
人参（去芦，一两） 白术（去芦油，土炒，二两半） 白茯苓（去皮，一两） 山药（炒，一两） 莲肉
（去心皮，一两） 陈皮（一两） 桔梗（去芦，二两） 薏苡仁（炒，一两） 半夏（汤泡七次，姜汁炒，
一两） 神曲（炒，一两） 香附（一两） 黄连（姜汁炒，一两） 砂仁（五钱） 白扁豆（姜汁炒，一两）
甘草（炙，一两） 当归（酒洗，一两） 黄 （蜜炙，一两） 远志（甘草水泡，去根，一两）
上为末，姜枣煎汤，打神曲糊为丸，如梧桐子大。每服百丸，食后白汤送下，忌生冷之物。
补真膏
人参（去芦，四两） 山药（蒸熟，去皮，一斤） 芡实（水浸三日，去壳皮，蒸熟，一斤） 莲肉（水浸去
心皮，一斤） 红枣（蒸熟去皮核，一斤） 杏仁（水泡去皮尖，蒸熟，一斤） 核桃肉（水浸去皮壳，一斤）
真沉香（三钱，另研为末，以上俱捣烂） 蜂蜜（六斤，用锡盆分作三分，入盆内滚水炼蜜如硬白糖为度，
只有三斤干净） 真酥油（一斤） 和蜜蒸化，将前八味和成一处，磨极细末，入酥油、蜜内搅匀如膏，入新瓷
罐内，以盛一斤为度，用纸封固，勿令透风。每日清晨用白滚水调服数匙，临卧时又一服，忌铁器。大补真元，其
功不能尽述。
云林润身丸 治肌肉怯弱，精神短少，饮食不甘。此药服后，饱则即饥，饥则即饱，可以当劳，可以耐
饥。久服，四肢充实，身体肥健，清火化痰开郁，健脾理胃，养血和气，宜常服。
当归（酒洗，六两） 白术（去芦，六两） 白茯苓（去皮，三两） 香附米（童便浸炒，三两） 陈皮（三两）
枳实（麸炒，三两） 黄连（姜汁炒，三两） 白芍药（酒炒，三两） 山楂肉（三两） 神曲（炒，三两）
人参（二两） 山药（炒，二两） 莲肉（去心，二两） 甘草（炙，五钱）
上为细末，荷叶煎汤，煮饭为丸，如梧桐子大。每服百余丸，米汤送下或酒下，百无所忌。劳役之士，不可
一日无此药也。
九仙王道糕 寻常用养精神、扶元气、健脾胃、进饮食、补虚损、生肌肉、除湿热。
莲肉（去皮心） 山药（炒） 白茯苓（去皮） 薏苡仁（各四两） 大麦芽（炒） 白扁豆 芡实（去壳，
各二两） 柿霜（一两） 白糖（二十两）
上为细末，入粳米粉五升蒸糕晒干，不拘时任意食之，米汤送下。
益气丸 治语言多损气，懒语，补土益气。
麦门冬（去心） 人参（各三钱） 橘皮 桔梗 甘草（炙，各五钱） 五味子（二十一个）
上为极细末，水浸油饼为丸，如鸡头大。每服一丸，细嚼津唾咽下，油饼和细烧饼也。
大凡大病后，谷消水去，精散卫亡，多致便利枯竭，宜当补中益气为要。盖脾为中州，浇灌四旁，与胃行其津
液者也。况大肠主津，小肠主液，亦皆禀气于胃。胃气一充，津液自行矣。燥甚者，别当以辛润之，以苦泄之。
太府水仙刘公，患因劳役太过，发热憎寒，头疼身痛、口干发渴，呕恶心烦。一医以羌活汤，一医以藿香正气散，
俱弗效，愈增酸困，手足无处着落，心慌神乱，昼夜不寐，坐卧不安，汤水不入，闻药亦吐。余诊六脉洪数，气
口紧盛，此内伤元气也。以补中益气汤加远志、酸枣仁、竹茹、麦门冬，一服即熟睡，半夜而醒曰∶云林妙哉！药用
当如通神，不知病之何所去也。次早又进一服，痊愈。
侍御及溪周公，患虚损、目不敢闭，闭则神魂飘散，无所知觉；且不敢言，言则气不接，饮食不思，昏昏沉沉，余
诊六脉虚微，此元气虚弱，心神虚损也。先以朱砂丸一服，稍安，后以补中益气汤倍用参、 加远志、茯神、
酸枣仁、白芍、生地黄、麦门冬，连前数剂，渐次寻愈。
脉象：内伤因劳役过度，脉象豁大而无约束；若损伤了胃气，脉象隐伏而难以寻得；内伤因饮食不节，脉象滑疾且浮沉不定；内伤饮食积滞，脉象数大而兼见涩象；右关脉缓紧，是寒湿相兼为病；右关脉数缓，是湿热同时侵袭；脉数又见微代脉，则是伤食并感受淫邪。
外伤与内伤的证候辨别：
李东垣说：人迎脉大于气口脉，属于外伤；气口脉大于人迎脉，属于内伤。外伤则恶寒发热同时发作且无间歇；内伤则恶寒发热交替发作且不整齐。外伤的恶寒，即使靠近烈火也不能缓解；内伤的恶寒，得到温暖即可解除。外伤的恶风，是对一切风都敏感不耐受；内伤的恶风，只是对轻微的小风敏感。外伤的症状表现在鼻部，所以鼻气不利且壅盛有力；内伤则不然，内伤的症状表现在口部，所以口不知味且腹中不和。外伤则不同，外伤是邪气有余，所以说话声音壮厉，且病情先轻后重；内伤是元气不足，说话懒怯无力，且病情先重后轻。外伤表现为手背热、手心不热；内伤表现为手心热、手背不热。内伤头痛时作时止；外伤头痛持续存在，直到传变入里才停止。内伤则倦怠嗜卧、四肢无力不收；外伤则是患病当天就卧床不起，非扶不能动，伴有筋挛骨痛。外伤不能进食，但口能知味且不厌恶食物；内伤则厌恶食物且口不知味。外伤三日以后，谷食消化水液代谢，邪气传入体内必然口渴；内伤则是邪气在血脉中有余，所以不口渴。
内伤属于不足之证，主要是饮食和劳倦所致，治疗用温补、调补、滋养的方法，都属于补法；外伤属于有余之证，主要是风寒暑湿所致，治疗用泻下、催吐、发汗、利小便的方法，都属于泻法。
补中益气汤：治疗形体和精神劳役过度，或饮食失节、劳役导致虚损，身体发热而烦躁、脉洪大而虚、头痛，或者恶寒而口渴、自汗无力、呼吸急促而喘。
药物组成：嫩黄芪（蜜炙，一钱五分）、党参（去芦头，一钱）、白术（去芦油）、陈皮、甘草、当归（酒洗，各一钱）、柴胡、升麻（各五分）。少加黄柏酒炒，以救肾水，能泻阴中的伏火。红花三分，入心养血。
以上锉为一剂，加生姜三片、大枣一枚，水煎，空腹服用。如果出汗多，去掉升麻、柴胡，加炒酸枣仁一钱；夜间睡不着也照此处理；如果头痛，加蔓荆子五分、川芎一钱；如果容易打喷嚏，这是腠理不密，外邪所搏，加白芷、川芎；如果脑痛或头顶疼，加藁本一钱、细辛五分；如果口干或渴，加葛根六分；如果有痰，加贝母、前胡各一钱；如果泄泻，加煨白芍、泽泻、茯苓各一钱；如果心胸觉得痞闷，去掉黄芪、升麻、柴胡，加枳实六分、姜炒黄连五分；如果咳嗽，加桑白皮一钱、五味子十五粒；如果额头疼，加白芷一钱、葛根、升麻各五分；如果用脑过度，神思不宁，或者怔忡惊悸，加茯神一钱、远志七分、炒酸枣仁一钱、石菖蒲七分、柏子仁一钱；如果饮食少或伤饮食，加神曲、麦芽、山楂、枳实各一钱；如果心、脾二经舌干口燥，加黄连五分、山栀仁六分；如果胃中湿痰，加半夏一钱；如果虚火上炎，加玄参、黄柏、蜜水炒知母各一钱；如果梦遗，加牡蛎、龙骨各一钱；如果下部无力，加牛膝、杜仲各一钱；如果脚弱，加木瓜一钱、汉防己五分；如果有痰或兼脾胃不和，加半夏、麦芽各一钱；如果阴虚内热有痰或上焦有火，加贝母、天花粉各一钱；如果有热，加枯芩八分、黄连六分；如果血热壅盛或眼赤，加龙胆草八分；如果感风寒、或头痛身热，加防风、川芎、白芷各一钱、羌活七分；出汗多加黄芪一钱，眼痛加干菊花、熟地黄；如果身热，加生地黄；如果大病后，元气未复而胸满气短，加橘皮、枳实、白芍。
升阳顺气汤：治疗因饮食劳役所伤，腹胁满闷气短，遇春季则口淡无味，遇夏季虽热却感觉寒冷，饥饿时常像吃饱一样，不喜欢吃冷的。
药物组成：黄芪（蜜炙，一两）、人参（一钱）、当归身（一钱）、半夏（二钱，姜制）、陈皮（一钱）、神曲（炒，一钱）、草豆蔻（二钱）、升麻、柴胡（各一钱）、黄柏（酒炒，五分）、甘草（炙，五分）。
以上锉碎，每剂一两，加生姜三片，水煎服。
按语论述：脾胃不足的病症，必须使用升麻、柴胡苦平、气味薄的药物，它们是阴中之阳，能引导脾胃中的清气行于阳道及诸经，生发阴阳之气，以滋助春气和畅；又能引导黄芪、人参、甘草甘温的气味上行，充实腠理，使阳气得以卫外而固护。凡是治疗脾胃的药物，多以升阳补气命名。
升阳益胃汤：治疗肺及脾胃虚弱则倦怠嗜卧、四肢无力不收，正值秋季燥令运行，湿热稍退，身体沉重关节疼痛、口燥舌干、饮食无味、大便不调、小便频数、不想吃东西、吃了不消化，兼见肺病症状，淅淅恶寒，心情惨淡不乐，面色恶劣不和，这是阳气不能伸展的缘故。应当升阳益气，此药主治。
药物组成：黄芪（一钱）、人参（五分）、白术（二分）、半夏（五分）、橘红（二分半）、甘草（炙，五分）、白芍（二分）、黄连（二分）、茯苓（二分，小便利而不渴者不用）、独活（三分）、柴胡（二分）、防风（三分）、羌活（二分）、泽泻（二分，不淋闭者不用）。
以上锉作一服，加生姜五片、大枣二枚，水煎，早饭后温服。服药后如果小便通利，而病情反而加剧，是不宜利小便，应当去掉茯苓、泽泻。如果方子适合喜好，一二日内不可饱食，恐怕再次损伤胃气。因为药力尚少，脾胃之气不可转运升发。需要滋养胃的食物，或用美食助其药力，提升升阳之气而滋养胃气。千万不要吃清淡食物，以免损伤药力而助长邪气降沉。可以稍微活动形体，使胃与药得以转运升发。千万不要过度劳役，使气再次受伤。如果脾胃得到安静尤其好，如果胃气稍强，少吃佳果以助药力。经云“五果为助”就是这个意思。
补气汤：凡遇到劳倦辛苦、用力过多，就服用此药二三剂，避免产生内伤发热的病。
药物组成：黄芪（蜜炙，一钱半）、人参、白术、陈皮（各一钱）、麦门冬（去心，一钱）、五味子（十个）、甘草（七分）。
以上锉为一剂，加生姜三片、枣一枚，水煎，饭前服用。劳倦严重，加熟附子五分。
补血汤：凡遇到劳心思虑，损伤精神，头晕目眩、心虚气短、惊悸烦热一并治疗。
药物组成：当归（一钱）、川芎（五分）、白芍（炒，一钱）、生地黄（五分）、人参（一钱二分）、白茯神（去木，五钱）、酸枣仁（炒一钱）、陈皮（五分）、麦门冬（去心，一钱）、五味子（十五个）、栀子（炒，五分）、甘草（炙，五分）。
以上锉为一剂，水煎温服。
参芪汤：治疗脾胃虚弱、元气不足、四肢沉重、食后昏沉。
药物组成：黄芪（蜜炙，二钱）、人参（五分）、甘草（炙，一钱）、当归（三分）、柴胡（三分）、升麻（三分）、苍术（米泔浸，一钱）、青皮（去瓤，五分）、神曲（炒，七分）、黄柏（酒炒，三分）。
以上锉为一剂，水煎，饭后很久服用。
参术调元膏：扶持元气、健脾胃、增进饮食、润泽肌肤、生精脉、补虚羸、固真气、救危急、活生命，真是仙丹。
雪白术一斤，净去芦油，党参四两，都锉成片，放入砂锅内，将净水十大碗，熬汁至二碗，滤去渣，再熬，取汁二碗，去渣，将前面的汁合在一起滤净，用文武火熬至二碗，加蜜半斤，再煎至滴水成珠为度，埋土中三日取出。每日服三四次，用白米汤送下。如果是劳瘵阴虚火动者，去掉人参。
白雪糕
大米（一升）、糯米（二升）、山药（炒）、莲肉（去心）、芡实（各四两），磨为细末，加入白砂糖一斤半，搅匀，放入笼蒸熟，任意食用，其功效如前所述。但内伤并虚劳泄泻者，适宜当饭食之。
参苓白术丸：治疗大病后元气虚弱，此药补助脾胃，增进美味饮食，壮健身体，充实四肢，清火化痰，解郁养元气。
药物组成：人参（去芦，一两）、白术（去芦油，土炒，二两半）、白茯苓（去皮，一两）、山药（炒，一两）、莲肉（去心皮，一两）、陈皮（一两）、桔梗（去芦，二两）、薏苡仁（炒，一两）、半夏（汤泡七次，姜汁炒，一两）、神曲（炒，一两）、香附（一两）、黄连（姜汁炒，一两）、砂仁（五钱）、白扁豆（姜汁炒，一两）、甘草（炙，一两）、当归（酒洗，一两）、黄芪（蜜炙，一两）、远志（甘草水泡，去根，一两）。
以上为末，用姜枣煎汤，打神曲糊为丸，如梧桐子大。每服百丸，食后白汤送下，忌生冷之物。
补真膏
人参（去芦，四两）、山药（蒸熟，去皮，一斤）、芡实（水浸三日，去壳皮，蒸熟，一斤）、莲肉（水浸去心皮，一斤）、红枣（蒸熟去皮核，一斤）、杏仁（水泡去皮尖，蒸熟，一斤）、核桃肉（水浸去皮壳，一斤）、真沉香（三钱，另研为末，以上俱捣烂）、蜂蜜（六斤，用锡盆分作三分，入盆内滚水炼蜜如硬白糖为度，只有三斤干净）、真酥油（一斤）。和蜜蒸化，将前面八味和成一处，磨极细末，入酥油、蜜内搅匀如膏，入新瓷罐内，以盛一斤为度，用纸封固，勿令透风。每日清晨用白滚水调服数匙，临卧时又一服，忌铁器。大补真元，其功效不能尽述。
云林润身丸：治疗肌肉怯弱，精神短少，饮食不甘。此药服后，饱则即饥，饥则即饱，可以当劳，可以耐饥。久服，四肢充实，身体肥健，清火化痰开郁，健脾理胃，养血和气，宜常服。
药物组成：当归（酒洗，六两）、白术（去芦，六两）、白茯苓（去皮，三两）、香附米（童便浸炒，三两）、陈皮（三两）、枳实（麸炒，三两）、黄连（姜汁炒，三两）、白芍药（酒炒，三两）、山楂肉（三两）、神曲（炒，三两）、人参（二两）、山药（炒，二两）、莲肉（去心，二两）、甘草（炙，五钱）。
以上为细末，荷叶煎汤，煮饭为丸，如梧桐子大。每服百余丸，米汤送下或酒下，百无所忌。劳役之士，不可一日无此药也。
九仙王道糕：寻常用养精神、扶元气、健脾胃、进饮食、补虚损、生肌肉、除湿热。
药物组成：莲肉（去皮心）、山药（炒）、白茯苓（去皮）、薏苡仁（各四两）、大麦芽（炒）、白扁豆、芡实（去壳，各二两）、柿霜（一两）、白糖（二十两）。
以上为细末，加入粳米粉五升蒸糕晒干，不拘时任意食之，米汤送下。
益气丸：治疗语言多损气，懒语，补土益气。
药物组成：麦门冬（去心）、人参（各三钱）、橘皮、桔梗、甘草（炙，各五钱）、五味子（二十一个）。
以上为极细末，水浸油饼为丸，如鸡头大。每服一丸，细嚼津唾咽下，油饼和细烧饼也。
大凡大病后，谷消水去，精散卫亡，多致便利枯竭，应当以补中益气为要。盖脾为中州，浇灌四旁，与胃行其津液者也。况大肠主津，小肠主液，亦皆禀气于胃。胃气一充，津液自行矣。燥甚者，别当以辛润之，以苦泄之。
太府水仙刘公，患因劳役太过，发热憎寒，头疼身痛、口干发渴，呕恶心烦。一医以羌活汤，一医以藿香正气散，俱弗效，愈增酸困，手足无处着落，心慌神乱，昼夜不寐，坐卧不安，汤水不入，闻药亦吐。余诊六脉洪数，气口紧盛，此内伤元气也。以补中益气汤加远志、酸枣仁、竹茹、麦门冬，一服即熟睡，半夜而醒曰∶云林妙哉！药用当如通神，不知病之何所去也。次早又进一服，痊愈。
侍御及溪周公，患虚损、目不敢闭，闭则神魂飘散，无所知觉；且不敢言，言则气不接，饮食不思，昏昏沉沉，余诊六脉虚微，此元气虚弱，心神虚损也。先以朱砂丸一服，稍安，后以补中益气汤倍用参、芪加远志、茯神、酸枣仁、白芍、生地黄、麦门冬，连前数剂，渐次寻愈。
Pulse: In internal injury due to overwork, the pulse is wide and uncontrolled; if the stomach qi is damaged, it is hidden and difficult to find; in internal injury due to diet, it is slippery, rapid, floating, and sinking; in internal injury due to food stagnation, it is rapid, large, and obstructed. The right Guan pulse being slow and tight indicates cold-dampness intertwining; the right Guan pulse being rapid and slow indicates damp-heat approaching together; if rapid and also showing a intermittent pulse (Dai Mai), it indicates food injury combined with pathogenic influence.
Differentiation of External and Internal Injury Symptoms:
Li Dongyuan said: When the Renying pulse is larger than the Qikou pulse, it is external injury; when the Qikou pulse is larger than the Renying pulse, it is internal injury. In external injury, aversion to cold and fever occur simultaneously without interruption; in internal injury, they alternate and are irregular. External injury's aversion to cold cannot be relieved even by proximity to fierce fire; internal injury's aversion to cold is resolved by warmth. External injury's aversion to wind is intolerance to all winds; internal injury's aversion to wind is only sensitivity to slight drafts. External injury symptoms manifest in the nose, so nasal qi is obstructed and forceful; internal injury does not work this way, its symptoms manifest in the mouth, so taste is lost and the abdomen is disharmonious. External injury differs thus: external injury has excess pathogenic qi, so speech is loud and vigorous, and severity increases from light to heavy; internal injury has deficient yuan qi, so speech is lazy and timid, and severity decreases from heavy to light. External injury presents with heat on the back of the hand and no heat in the palm; internal injury presents with heat in the palm and no heat on the back of the hand. Internal injury headache comes and goes; external injury headache is constant until it transmits to the interior. Internal injury leads to lethargy, desire to lie down, and flaccidity of the four limbs; external injury causes bedridden state from day one, requiring support to move, with muscle spasms and bone pain. External injury prevents eating, yet taste remains and there is no aversion to food; internal injury causes food aversion and loss of taste. After three days of external injury, grains are digested and fluids metabolized, pathogenic qi transmits inward causing thirst; in internal injury, pathogenic qi remains in the blood vessels as excess, so there is no thirst.
Internal injury belongs to deficiency syndromes, mainly caused by diet and fatigue; treatment involves warming, tonifying, regulating, and nourishing, all belonging to tonification methods. External injury belongs to excess syndromes, mainly caused by wind-cold, summer-heat, and dampness; treatment involves purging, vomiting, sweating, and diuresis, all belonging to draining methods.
Internal injury from overwork is yuan qi deficiency and damage.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): Treats physical and mental overwork, or irregular diet and fatigue leading to deficiency, body heat with irritability, pulse large and empty, headache, or aversion to cold with thirst, spontaneous sweating with weakness, rapid breathing with asthma.
Ingredients: Huangqi (Astragali Radix, honey-fried, 1.5 qian), Renshen (Ginseng Radix et Rhizoma, remove radicle, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, remove radicle and oil), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, wine-washed, each 1 qian), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma, each 0.5 qian). Add a small amount of Huangbai (Phellodendri Cortex) wine-fried to nourish kidney water and drain latent fire in the yin. Honghua (Carthami Flos) 0.3 qian enters the heart to nourish blood.
Crush these into one dose, add three slices of Shengjiang (Zingiberis Rhizoma Recens) and one Dazao (Jujubae Fructus), decoct in water, and take on an empty stomach. If sweating is excessive, remove Shengma and Chaihu, add Chao Suanzaoren (Ziziphi Spinosae Semen, fried) 1 qian; for insomnia at night, do the same. For headache, add Manjingzi (Vittariae Spora) 0.5 qian and Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian. For frequent sneezing, indicating loose cou li (pores) and external pathogen attack, add Baizhi (Angelicae Dahuricae Radix) and Chuanxiong. For brain or vertex headache, add Gaoben (Ligustici Wallichii Rhizoma) 1 qian and Xixin (Asari Radix et Rhizoma) 0.5 qian. For dry mouth or thirst, add Gegen (Puerariae Lobatae Radix) 0.6 qian. For phlegm, add Beimu (Fritillariae Cirrhosae Bulbus) and Qianhu (Peucedani Radix) each 1 qian. For diarrhea, add Wei Baishao (Paeoniae Radix Alba, baked), Zexie (Alismatis Rhizoma), and Fuling (Poria) each 1 qian. For chest fullness and oppression, remove Huangqi, Shengma, and Chaihu, add Zhishi (Aurantii Fructus Immaturus) 0.6 qian and Jiang Huanglian (Coptidis Rhizoma, ginger-fried) 0.5 qian. For cough, add Sangbaipi (Mori Cortex) 1 qian and Wubeizi (Schisandrae Chinensis Fructus) 15 grains. For frontal headache, add Baizhi 1 qian, Gegen, and Shengma each 0.5 qian. For excessive mental effort, restlessness, palpitations, or fright, add Fushen (Poria cum Radice) 1 qian, Yuanzhi (Polygalae Radix) 0.7 qian, Chao Suanzaoren 1 qian, Shichangpu (Acori Tatarinowii Rhizoma) 0.7 qian, and Baiziren (Biotae Semen) 1 qian. For poor appetite or food injury, add Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Shanzha (Crataegi Fructus), and Zhishi each 1 qian. For dry tongue and mouth due to Heart and Spleen meridian issues, add Huanglian 0.5 qian and Zhizi (Gardeniae Fructus) 0.6 qian. For damp-phlegm in the stomach, add Banxia (Pinelliae Rhizoma) 1 qian. For deficient fire flaming upward, add Xuanshen (Scrophulariae Radix), Huangbai, and Zhimu (Anemarrhenae Rhizoma, honey-water fried) each 1 qian. For nocturnal emission, add Muli (Concha Ostreae) and Longgu (Fossilia Ossis Mastodi) each 1 qian. For weakness in the lower body, add Niuxi (Achyranthis Bidentatae Radix) and Duzhong (Eucommiae Cortex) each 1 qian. For weak legs, add Mugua (Chaenomelis Fructus) 1 qian and Hanfangji (Stephaniae Tetrandrae Radix) 0.5 qian. For phlegm or spleen-stomach disharmony, add Banxia and Maiya each 1 qian. For yin deficiency with internal heat and phlegm, or fire in the upper jiao, add Beimu and Tianhuafen (Trichosanthis Radix) each 1 qian. For heat, add Kuqin (Scutellariae Radix) 0.8 qian and Huanglian 0.6 qian. For blood heat congestion or red eyes, add Longdancao (Gentianae Radix) 0.8 qian. For wind-cold invasion, or headache with body heat, add Fangfeng (Saposhnikoviae Radix), Chuanxiong, and Baizhi each 1 qian, and Qianghuo (Notopterygii Rhizoma et Radix) 0.7 qian. For excessive sweating, add Huangqi 1 qian; for eye pain, add Gan Juhua (Chrysanthemi Indici Flos) and Shudihuang (Rehmanniae Radix Preparata). For body heat, add Shengdihuang (Rehmanniae Radix). For post-major illness with incomplete recovery of yuan qi, chest fullness, and shortness of breath, add Ju pi (Citri Reticulatae Pericarpium), Zhishi, and Baishao (Paeoniae Radix Alba).
Shengyang Shunqi Tang (Raise Yang and Smooth Qi Decoction): Treats abdominal and hypochondriac fullness with shortness of breath due to diet and fatigue injury; in spring, taste is bland; in summer, feels cold despite heat; hunger feels like satiety; dislikes cold food.
Ingredients: Huangqi (Astragali Radix, honey-fried, 1 liang), Renshen (Ginseng Radix et Rhizoma, 1 qian), Danggui Shen (Angelicae Sinensis Radix, root body, 1 qian), Banxia (Pinelliae Rhizoma, 2 qian, ginger-prepared), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Shenqu (Massa Medicata Fermentata, fried, 1 qian), Caodoukou (Amomi Fructus Rotundus, 2 qian), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix, each 1 qian), Huangbai (Phellodendri Cortex, wine-fried, 0.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 qian).
Crush these, use 1 liang per dose, add three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, and take orally.
Commentary states: For spleen-stomach deficiency syndromes, one must use Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix), which are bitter-ping and thin in flavor, representing yang within yin. They guide clear qi from the spleen-stomach into the yang pathways and meridians to generate yin-yang qi, nourishing the harmony of spring qi; they also guide the sweet-warm aroma of Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma) upward to fill the cou li (pores), allowing yang qi to defend the exterior and consolidate. Most medicines treating spleen-stomach are named for raising yang and tonifying qi.
Shengyang Yizhe Tang (Raise Yang and Benefit Stomach Decoction): Treats lethargy, desire to lie down, and flaccidity of four limbs due to lung and spleen-stomach deficiency; during autumn dryness when damp-heat recedes slightly, heavy body and joint pain, dry mouth and tongue, loss of taste, irregular bowel movements, frequent urination, anorexia, indigestion, accompanied by lung disease symptoms, shivering aversion to cold, depression, unpleasant complexion, due to yang qi failing to extend. One should raise yang and benefit qi; this medicine governs.
Ingredients: Huangqi (Astragali Radix, 1 qian), Renshen (Ginseng Radix et Rhizoma, 0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.2 qian), Banxia (Pinelliae Rhizoma, 0.5 qian), Juhong (Citri Reticulatae Pericarpium Rubrum, 0.25 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 qian), Baishao (Paeoniae Radix Alba, 0.2 qian), Huanglian (Coptidis Rhizoma, 0.2 qian), Fuling (Poria, 0.2 qian, omit if urine is free and no thirst), Duohuo (Notopterygii Rhizoma et Radix, 0.3 qian), Chaihu (Bupleuri Radix, 0.2 qian), Fangfeng (Saposhnikoviae Radix, 0.3 qian), Qianghuo (Notopterygii Rhizoma et Radix, 0.2 qian), Zexie (Alismatis Rhizoma, 0.2 qian, omit if no strangury or retention).
Crush into one dose, add five slices of Shengjiang (Zingiberis Rhizoma Recens) and two Dazao (Jujubae Fructus), decoct in water, and take warm after breakfast. If urine becomes free but symptoms worsen, diuresis is inappropriate; remove Fuling (Poria) and Zexie (Alismatis Rhizoma). If the formula suits, avoid overeating for one or two days to prevent further stomach injury, as the medicinal power is insufficient to transport and raise spleen-stomach qi. Nourish the stomach with food or delicacies to assist medicinal power, enhancing yang-raising qi and nourishing stomach qi. Avoid bland food to prevent damaging medicinal power and aiding pathogenic sinking. Light physical activity can help stomach and medicine transport and rise. Avoid severe overwork to prevent qi injury again. Quietude for spleen-stomach is best; if stomach qi is slightly strong, eat some fruits to assist medicinal power. As the Classic says, "Five fruits serve as assistance."
Buqi Tang (Tonify Qi Decoction): Whenever encountering fatigue, hardship, or excessive exertion, take two or three doses to prevent internal injury fever.
Ingredients: Huangqi (Astragali Radix, honey-fried, 1.5 qian), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, each 1 qian), Maidong (Ophiopogonis Radix, remove heart, 1 qian), Wuweizi (Schisandrae Chinensis Fructus, 10 grains), Gancao (Glycyrrhizae Radix et Rhizoma, 0.7 qian).
Crush into one dose, add three slices of Shengjiang (Zingiberis Rhizoma Recens) and one Zao (Jujubae Fructus), decoct in water, and take before meals. For severe fatigue, add Shu Fuzi (Aconiti Lateralis Radix Preparata) 0.5 qian.
Buxue Tang (Tonify Blood Decoction): Treats mental labor and worry damaging spirit, dizziness, blurred vision, heart deficiency with shortness of breath, palpitations, and irritability/fever.
Ingredients: Danggui (Angelicae Sinensis Radix, 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.5 qian), Baishao (Paeoniae Radix Alba, fried, 1 qian), Shengdihuang (Rehmanniae Radix, 0.5 qian), Renshen (Ginseng Radix et Rhizoma, 1.2 qian), Baifushen (Poria cum Radice, remove wood, 5 qian), Suanzaoren (Ziziphi Spinosae Semen, fried, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 0.5 qian), Maidong (Ophiopogonis Radix, remove heart, 1 qian), Wuweizi (Schisandrae Chinensis Fructus, 15 grains), Zhizi (Gardeniae Fructus, fried, 0.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 qian).
Crush into one dose, decoct in water, and take warm.
Shenqi Tang (Ginseng and Astragalus Decoction): Treats spleen-stomach weakness, yuan qi deficiency, heavy limbs, and postprandial drowsiness.
Ingredients: Huangqi (Astragali Radix, honey-fried, 2 qian), Renshen (Ginseng Radix et Rhizoma, 0.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian), Danggui (Angelicae Sinensis Radix, 0.3 qian), Chaihu (Bupleuri Radix, 0.3 qian), Shengma (Cimicifugae Rhizoma, 0.3 qian), Cangzhu (Atractylodis Rhizoma, rice-water soaked, 1 qian), Qingpi (Citri Reticulatae Pericarpium Viride, remove pith, 0.5 qian), Shenqu (Massa Medicata Fermentata, fried, 0.7 qian), Huangbai (Phellodendri Cortex, wine-fried, 0.3 qian).
Crush into one dose, decoct in water, and take long after meals.
Shenzhu Tianyuan Gao (Ginseng and Atractylodes Nourishing Origin Paste): Supports yuan qi, strengthens spleen-stomach, promotes appetite, moistens skin, generates essence, tonifies emaciation, secures true qi, saves emergencies, revives life, truly an immortal elixir.
Xue Bai Zhu (Snow-white Atractylodis Macrocephalae Rhizoma) 1 jin, clean remove radicle and oil; Lishen (Codonopsis Radix) 4 liang, both cut into slices. Place in a clay pot, add ten bowls of clean water, boil down to two bowls, filter residue, boil again to get two bowls, filter residue. Combine previous juices, filter cleanly, boil with gentle and strong fire down to two bowls. Add half a jin of honey, boil until dripping water forms pearls. Bury in earth for three days, then retrieve. Take three to four times daily, washed down with white rice soup. For consumption with yin deficiency and fire movement, remove Renshen (Ginseng Radix et Rhizoma).
Baixue Gao (White Snow Cake)
Da Mi (Oryza Sativa, 1 sheng), Nuomi (Oryza Sativa Var. Glutinosa, 2 sheng), Shanyao (Dioscoreae Rhizoma, fried), Lianrou (Nelumbinis Semen, remove heart), Qianshi (Euryales Semen, each 4 liang), grind to fine powder. Add 1.5 jin of white sugar, mix well, steam in a steamer until cooked, eat as desired. Efficacy is as above. For internal injury and deficiency-consumption diarrhea, suitable to eat as staple food.
Shenling Baizhu Wan (Ginseng, Poria, and Atractylodes Pill)
Treats post-illness yuan qi weakness; this medicine assists spleen-stomach, improves appetite, strengthens body, fills limbs, clears fire, resolves phlegm, relieves depression, and nourishes yuan qi.
Ingredients: Renshen (Ginseng Radix et Rhizoma, remove radicle, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, remove radicle/oil, soil-fried, 2.5 liang), Baifuling (Poria, peel, 1 liang), Shanyao (Dioscoreae Rhizoma, fried, 1 liang), Lianrou (Nelumbinis Semen, remove heart/skin, 1 liang), Chenpi (Citri Reticulatae Pericarpium, 1 liang), Jiegeng (Platycodonis Radix, remove radicle, 2 liang), Yiyiren (Coicis Semen, fried, 1 liang), Banxia (Pinelliae Rhizoma, boiled seven times, ginger-juice fried, 1 liang), Shenqu (Massa Medicata Fermentata, fried, 1 liang), Xiangfu (Cyperi Rhizoma, 1 liang), Huanglian (Coptidis Rhizoma, ginger-juice fried, 1 liang), Sharen (Amomi Fructus, 5 qian), Baibian Dou (Dolichoris Semen, ginger-juice fried, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang), Danggui (Angelicae Sinensis Radix, wine-washed, 1 liang), Huangqi (Astragali Radix, honey-fried, 1 liang), Yuanzhi (Polygalae Radix, licorice-water soaked, remove root, 1 liang).
Grind to powder. Use ginger and jujube decoction to make Shenqu paste for pills, size of Sophora seeds. Take 100 pills per dose, wash down with white soup after meals. Avoid raw/cold foods.
Buzhen Gao (Tonify True Essence Paste)
Renshen (Ginseng Radix et Rhizoma, remove radicle, 4 liang), Shanyao (Dioscoreae Rhizoma, steamed/peeled, 1 jin), Qianshi (Euryales Semen, water-soaked 3 days/shelled/steamed, 1 jin), Lianrou (Nelumbinis Semen, water-soaked/remove heart/skin, 1 jin), Hongzao (Jujubae Fructus, steamed/pitted, 1 jin), Xingren (Armeniacae Semen Amarum, water-soaked/shelled/steamed, 1 jin), Hetao Rou (Juglandis Semen, water-soaked/shelled, 1 jin), Zhen Chenxiang (Aquilariae Lignum Resinatum, 3 qian, separately ground to powder, all others pounded). Honey (6 jin, refined in tin pot with boiling water to hard sugar consistency, net weight 3 jin pure), Zhen Suyou (True Butter/Oil, 1 jin). Melt honey and butter, mix eight ingredients finely, combine with butter/honey into paste. Store in new ceramic jar (max 1 jin capacity), seal with paper, keep airtight. Take several spoons mixed with boiling water every morning, and another dose before bed. Avoid ironware. Greatly tonifies true yuan; efficacy cannot be fully described.
Yunlin Runshen Wan (Yunlin Moistening Body Pill)
Treats weak muscles, scant spirit, unsatisfying diet. After taking, fullness turns to hunger quickly, hunger to fullness quickly; can withstand labor and hunger. Long-term use fills limbs, fattens/strengthens body, clears fire, resolves phlegm, opens depression, strengthens spleen/regulates stomach, nourishes blood/harmonizes qi. Suitable for regular use.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-washed, 6 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, remove radicle, 6 liang), Baifuling (Poria, peel, 3 liang), Xiangfum i (Cyperi Rhizoma, child's urine soaked/fried, 3 liang), Chenpi (Citri Reticulatae Pericarpium, 3 liang), Zhishi (Aurantii Fruc tus Immaturus, bran-fried, 3 liang), Huanglian (Coptidis Rhizoma, ginger-juice fried, 3 liang), Baishaoyao (Paeoniae Radix Alba, wine-fried, 3 liang), Shanzhourou (Crataegi Fructus flesh, 3 liang), Shenqu (Massa Medicata Fermentata, fried, 3 liang), Renshen (Ginseng Radix et Rhizoma, 2 liang), Shanyao (Dioscoreae Rhizoma, fried, 2 liang), Lianrou (Nelumbinis Semen, remove heart, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 5 qian).
Grind to fine powder. Use lotus leaf decoction to cook rice into pill base, size of Sophora seeds. Take over 100 pills per dose, wash down with rice soup or wine. No taboos. Those engaged in labor cannot do without this medicine for a day.
Jiuxian Wangdao Gao (Nine Immortals Royal Way Cake)
Commonly used to nourish spirit, support yuan qi, strengthen spleen-stomach, promote appetite, tonify deficiency, generate muscle, drain damp-heat.
Ingredients: Lianrou (Nelumbinis Semen, remove skin/heart), Shanyao (Dioscoreae Rhizoma, fried), Baifuling (Poria, peel), Yiyiren (Coicis Semen, each 4 liang), Dayamai (Hordei Fructus Germinatus, fried), Baibian Dou (Dolichoris Semen), Qianshi (Euryales Semen, shelled, each 2 liang), Shishuang (Diospyros Frost, 1 liang), Baixtang (White Sugar, 20 liang).
Grind to fine powder, add 5 sheng of Jingmi (Oryza Sativa) flour, steam into cake, sun-dry. Eat anytime as desired, wash down with rice soup.
Yiqi Wan (Augment Qi Pill)
Treats excessive speech damaging qi, reluctance to speak, tonifies earth and augments qi.
Ingredients: Maidong (Ophiopogonis Radix, remove heart), Renshen (Ginseng Radix et Rhizoma, each 3 qian), Jupi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 5 qian), Wuweizi (Schisandrae Chinensis Fructus, 21 grains).
Grind to extremely fine powder. Soak oil cakes in water to make pills, size of cockle. Take one pill per dose, chew finely with saliva and swallow. Oil cakes refer to fine fried dough cakes.
Generally, after major illness, grains digest, fluids go, essence scatters, and defensive qi perishes, often leading to dryness and constipation. Tonifying middle and augmenting qi is essential. The spleen is the central pivot, irrigating the four sides, transporting fluids with the stomach. Moreover, the Large Intestine governs fluids, and Small Intestine governs liquids, all receiving qi from the stomach. Once stomach qi is filled, fluids flow naturally. For severe dryness, use acrid to moisten and bitter to drain.
Official Liu of Taifu Shuixian suffered from excessive overwork, fever with aversion to cold, headache and body pain, dry mouth and thirst, nausea and vexation. One doctor used Qianghuo Tang (Notopterygi Decoction), another Huoxiang Zhengqi San (Patchouli Regulating Qi Powder), neither was effective. Acidic fatigue increased, hands and feet felt unsupported, heart panic and spirit chaos, insomnia day and night, restless sitting and lying, unable to take soup/water, vomiting upon smelling medicine. I diagnosed six pulses as large and rapid, Qikou pulse tight and full, indicating internal injury to yuan qi. Used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), Zhuru (Bambusae Caulis in Taeniam), and Maidong (Ophiopogonis Radix). One dose led to deep sleep; woke at midnight saying: "Yunlin is wonderful! Medicine acts like divine communication, unaware where the disease went." Next morning took another dose, fully recovered.
Censor Zhou of Jixi suffered from deficiency consumption, afraid to close eyes (closing causes spirit to scatter and lose perception); dared not speak (speaking causes qi disconnect), no desire for food, groggy. I diagnosed six pulses as empty and minute, indicating yuan qi weakness and heart-spirit deficiency. First gave Zhusha Wan (Cinnabar Pill) once, slightly relieved. Then used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) doubling Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix), adding Yuanzhi (Polygalae Radix), Fushen (Poria cum Radice), Suanzaoren (Ziziphi Spinosae Semen), Baishao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix), and Maidong (Ophiopogonis Radix). Combined with previous doses, gradually recovered.