第三节妇儿科
崩漏
曾治患者姜××，女，成。崩漏下血两个多月。某医始见其腹部冷痛，予胶艾四物汤而崩血反剧，继见其口苦口干，舌苔黄，而认为系血热妄行，予清热泻火之剂而腹痛如绞，且崩血不减；不得已，易医治之。医云：脾不统血，予归脾汤治之，不效，又以升阳举经汤加棕炭治之，仍不效。求治于余。审视其证，面色皓白无华，神疲乏力，食纳几废，经血淡而兼有血块，腹部冷痛，口苦尿黄，肢厥苔黄，脉沉细而涩。证脉合参，诊为寒热夹杂，虚实并见，脾不统血之证。因思李翰卿先生曾云：虚实、寒热夹杂证的处理最难，难的是如何处理寒、热、虚、实的比例关系和如何分辨它们的多少。他说：衡量寒热多少的方法，一般可采用症状、舌象、脉象对比法，即脉象为热者为热多寒少，脉象寒多者为寒多热少，脉象虚多者为虚多，脉象实者多为实多。余宗其意，予黄土汤加味。处方：伏龙肝30克(另煎)，阿胶10克(烊化)，黄芩9克，生地9克，白术9克，附子9克，甘草6克，炒灵脂6克。药进2剂，果然崩血大减，继服8剂，崩血停止，食纳大增，腹痛消失。
患者李××，女，成。突然经血大下，血块甚多，某医始以独参汤治之不效，继以收敛固涩之法治之，仍无功。乃易另一医治之，医云：血热兼有瘀血所致，急予清热凉血，活血止血法治之，3剂后，诸证不减。不得已，至某院妇科诊治，查血色素5克％，输血500毫升，并配用其他西药三天仍不效。邀治于余。审其脉证，面色皓白无华，气短息微，腹胀腹痛，苔黄干，大便秘结，数日未行，脉沉滑数。因思其证，面色皓白，气短息微，可谓之虚，虚者当补，然前医屡用补益而不效。腹胀腹痛，舌苔黄干，大便秘结，可谓之实，实者当泻，然前医曾以寒凉而无功，余久久不能决断，偶忆李翰卿先生曾云：虚实夹杂难断其比例者，当求之于脉。思之，本病脉见沉滑而数，沉滑而数之脉为实为热，故此证乃实热所致。实热者，为什么清热凉血而不效?乃但清热凉血而未通腑耳。阳明经为多气多血之经，实热炽盛者，多见吐、衄、下血、崩漏，故必通腑始可有效。处方：生地9克，丹皮9克，黄芩9克，香附9克，木香6克，大黄4克。服药1剂，经血即止。
乳少
曾治患者张××，女，成。产后一月来乳汁分泌尚能够乳儿吃用，近几天来，突然乳少，小儿哭啼不已，求某医以生乳之剂治之，乳汁更少。审其脉沉，询其证见胸满心烦，再询其病因，云：生气以后突然如此。证脉相参，云：肝郁气滞所致耳。与逍遥散加青皮治之，3剂后，乳汁分泌如常。
产后身痛
曾治患者刘××，女，24岁。产后2个月来，头痛身痛，关节疼痛。某医以祛风散寒除湿之剂治之，疼痛更甚，伸屈各个关节时均感疼痛难忍，疲乏无力，自汗盗汗。审其证见，除上述者外，并见五心烦热，面色皓白，舌苔薄白，舌质淡，脉虚大滑数。证脉相参，云：气血俱虚，湿热不化耳。治宜益气养血，燥湿清热，芪脉三妙汤加减。处方：黄芪15克，当归10克，党参10克，麦冬10克，五味子10克，石斛10克，苍术10克，黄柏10克，木瓜10克，怀牛膝9克。处方完毕，某医云：何不加防风、羌活、秦艽?答曰：仲景云：亡血家，不可发汗。产后血虚感受外邪，当补正以祛邪，不可再用风药、燥药以伤其血，否则血虚更甚，疼痛必增。药后4剂，疼痛果减，继服30剂疼痛消失。
郅××，女，35岁。3年前产后出现身痛畏风。医予祛风解表药治之，汗出后身痛即减，汗止后身痛又作。前后服药800余剂，身痛畏风反而日渐加剧。审视其证，除上证外，见其酷暑之季犹闭门窗，并以蚊帐、布团盖于上，掀其蚊帐、布团、棉被视之，汗臭扑鼻，问其食欲，云：一日约吃两碗面条，且口淡乏味，问其盖棉被、穿棉衣热否?答云：怕风至甚，然夜间时感烦热。舌质淡，舌苔白，脉弦细。证脉相参，云：气血阴阳不足耳，宜十四味建中汤。处方：黄芪15克，肉桂10克，当归10克，川芎10克，熟地10克，白芍10克，党参10克，白术10克，茯苓10克，甘草10克，半夏10克，大云15克，附子10克，生姜3片，大枣5个。药进10剂，诸证俱减，继进40剂愈。
发热
1963年在旅途中，偶遇一小儿，1岁左右，高热抽搐，戴眼反折，众旅客均感措手。家长求余施术救治之，余赤手空空，不敢就前，旅客亦求之，不得已，勉强采用指针法治疗之。先用拇指点风门、大椎两穴，继而以拇食指提拿颈项部肌肉、缺盆至风门问肌肉各十几次，不久，患儿大哭而汗出全身，热退，病解而愈。
朱××，男，5个月。高热不退一昼夜，体温40．1℃，时见神昏谵语。医予输液、青霉素、链霉素等治之不效。察其舌苔微黄，脉滑数，大便两日不行，手心较手背为热。诊为表热里实，予升降散加减。蝉蜕6克，僵蚕6克，片姜黄6克，大黄3克，薄荷4克。服药3个小时后，热微减，体温38．9qC；4小时后，微汗出，体温38．1℃，神志转清；5小时后，大便泄下1次，体温恢复正常，次日病解而愈。
腹泻
曾治一小儿，1周岁。患腹泻，一日数次至十数次不等，先请某院儿科以西药治之，两个多月，不效。继请中医儿科医生治之，仍不效。审思其证，前医之与燥湿止痢，健脾消食，固涩止泻，温中健脾，温补脾肾等法，久久不效者，乃因小儿稚阴稚阳，温则生火，寒则阳伤之故耳。又思神阙之穴与脾。肾之气相通也，何不与外治之法救之。取丁香、肉桂各等分，共研细末，置放于脐中以温脾肾之阳，伤湿止痛膏外贴以散其寒次日大便转为三行。三日后大便正常，食欲恢复而愈。
顿咳
《素问·宣明五气篇》说：“肺为咳”，因此咳嗽一病常常以宣肺化痰，降气止咳之剂治之而愈。但是久久不愈者，常常及于其他脏腑，形成所谓五脏六腑咳。《素问·咳论》说：‘‘五脏六腑皆令人咳，非独肺也”，“肺咳之状，咳而喘息有音，甚则唾血。心咳之状，咳则心痛，喉中介介如梗状，甚则咽肿、喉痹。肝咳之状，咳则两胁下痛，甚则不可以转，转则两胠下满。脾咳之状，咳则右胁下痛，阴阴引肩背，甚则不可以动，动则咳剧。肾咳之状，咳则腰背相引而痛，甚则咳涎。”又说：“五脏之久咳，乃移于六腑。脾咳不已，则胃受之，胃咳之状，咳而呕，呕甚则长虫出。肝咳不已，则胆受之，胆咳之状，咳呕胆汁。肺咳不已，则大肠受之，大肠咳状，咳而遗失。心咳不已，则小肠受之，小肠咳状，咳而失气，气与咳俱失。肾咳不已，则膀胱受之，膀胱咳状，咳而遗溺。久咳不已，则三焦受之，三焦咳状，咳而腹满，不欲食饮。”顿咳，又称百日咳，百日嗽，鹭鹚咳。是小儿的常见传染病之一。中药止咳化痰之剂与鸡苦胆制剂常有效果，但反复应用亦有不效者。例如：韩××，男，1岁。咳嗽两个多月，曾在某院住院两次，前后60多天不效。细审其证，咳嗽阵作，咳而有音，面部浮肿，腹满而胀，食纳甚差，有时咳甚痰食俱出，大便干燥。证脉合参，此正三焦咳也。乃拟疏通三焦，调理肺胃治之。处方：紫苏6克，半夏6克，陈皮6克，黄芩6克，薄荷6克，杏仁6克，紫菀6克，大黄3克，丝瓜络9克，百部12克。服药2剂后，咳嗽大减，6剂霍然而愈。后该院托儿所小儿4人，患百日咳久治不愈，仍以上法治之而愈。始知“五脏六腑皆令人咳”的意义关键在于非独肺也。
痴呆
曾治一小儿，3周岁，男。自生下以后就发现其痴呆，3周岁后，走路仍然不稳，说话迟涩，嘱其叫爸爸、妈妈时，仍然不能说出，让其走路，因走路不稳而走二十步后即摔倒在地，吃饭时常常不知饥饱。询其家族中有无此类疾病，其母云：小孩的两个舅舅，两个舅爷均是此病，其舅爷已50多岁，不能料理生活，舅舅二三十岁也不会料理生活。又说：恐怕此儿也成为傻子，不得不求治。审视其证，除痴呆、语迟，走路不稳外，并见舌苔薄白，脉弦细。综合脉证，因思此证发于先天，其病在肾，又思语迟，神明昏乱，其病在心。乃拟补心肾，化痰涎，地黄饮子加减。处方：生地12克，山萸肉4克，石斛3克，麦冬4克，五味子3克，菖蒲3克，远志3克，茯苓3克，大云5克，附子1克，肉桂1克，巴戟天4克，薄荷1克。服药40剂后，走路较前有力，有时跑步亦不栽跟头，说话也较前多而灵活，问其为什么母亲没有来，他说：有病了。继服40剂，已能自由的跑步，并能说很多话。现为了继续提高疗效，仍在服药治疗中。
第三节 妇儿科
崩漏（非经期阴道大量出血或淋漓不断）
曾治疗患者姜××，女性，成年。崩漏下血两个多月。某医生起初见她腹部冷痛，给予胶艾四物汤（具有养血止血、调经安胎功效的方剂），结果崩血反而加剧；随后见她口苦口干，舌苔黄，便认为是血热妄行（血液因热邪而溢出脉外），给予清热泻火的药剂，结果腹痛如绞，且崩血不止；无奈之下，更换医生诊治。医生说：脾不统血（脾气虚弱不能控制血液在脉内运行），给予归脾汤（益气补血、健脾养心的方剂）治疗，无效，又用升阳举经汤加棕榈炭治疗，仍然无效。于是来求治于我。审视她的证候，面色苍白无光泽，精神疲倦乏力，饮食几乎废绝，经血颜色淡且夹杂血块，腹部冷痛，口苦尿黄，四肢厥冷，舌苔黄，脉象沉细而涩。综合症状与脉象诊断，诊断为寒热夹杂，虚实并见，属于脾不统血的证候。想起李翰卿先生曾说：处理虚实、寒热夹杂的证候最难，难点在于如何处理寒、热、虚、实的比例关系以及如何分辨它们的多少。他说：衡量寒热多少的方法，一般可采用症状、舌象、脉象对比法，即脉象表现为热者为热多寒少，脉象表现为寒多者为寒多热少，脉象表现为虚多者为虚多，脉象表现为实者多为实多。我遵循他的意思，给予黄土汤（温阳健脾、养血止血的方剂）加味。处方：伏龙肝30克（另煎），阿胶10克（烊化），黄芩9克，生地9克，白术9克，附子9克，甘草6克，炒灵脂6克。服药2剂后，果然崩血大减，继服8剂，崩血停止，食欲大增，腹痛消失。
患者李××，女性，成年。突然经血大下，血块甚多。某医生起初以独参汤（单味人参的大补元气方剂）治疗，无效；继以收敛固涩之法治疗，仍无功效。于是换另一位医生诊治，医生说：这是血热兼有瘀血所致，急予清热凉血、活血止血法治之，3剂后，诸证不减。无奈之下，到某院妇科诊治，查血色素5克%，输血500毫升，并配用其他西药三天仍不效。邀请我诊治。审视其脉证，面色苍白无光泽，气短息微，腹胀腹痛，苔黄干，大便秘结，数日未行，脉沉滑数。思考其证候，面色皓白，气短息微，可谓之虚，虚者当补，然而前医屡用补益而不效。腹胀腹痛，舌苔黄干，大便秘结，可谓之实，实者当泻，然而前医曾以寒凉而无功，我久久不能决断，偶然想起李翰卿先生曾说：虚实夹杂难断其比例者，当求之于脉。思考之后，本病脉见沉滑而数，沉滑而数的脉象为实为热，故此证乃实热所致。既然是实热，为什么清热凉血而不效？是因为只清热凉血而未通腑（疏通肠道积滞）。阳明经为多气多血之经，实热炽盛者，多见吐、衄、下血、崩漏，故必通腑始可有效。处方：生地9克，丹皮9克，黄芩9克，香附9克，木香6克，大黄4克。服药1剂，经血即止。
乳少（产后乳汁分泌不足）
曾治疗患者张××，女性，成年。产后一个月来乳汁分泌尚能够供婴儿食用，近几天来，突然乳少，小儿哭啼不已，求某医生以生乳之剂治疗，乳汁更少。审视其脉沉，询问其证见胸满心烦，再询问其病因，说：生气以后突然如此。症状与脉象相参，说是肝郁气滞（肝气郁结，气机阻滞）所致耳。给予逍遥散（疏肝解郁、养血健脾的方剂）加青皮治疗，3剂后，乳汁分泌如常。
产后身痛（产后肢体疼痛）
曾治疗患者刘××，女性，24岁。产后2个月来，头痛身痛，关节疼痛。某医生以祛风散寒除湿之剂治疗，疼痛更甚，伸屈各个关节时均感疼痛难忍，疲乏无力，自汗盗汗。审视其证候，除上述者外，并见五心烦热（两手心、两足心及心胸烦热），面色苍白，舌苔薄白，舌质淡，脉虚大滑数。症状与脉象相参，说是气血俱虚，湿热不化耳。治宜益气养血，燥湿清热，芪脉三妙汤加减。处方：黄芪15克，当归10克，党参10克，麦冬10克，五味子10克，石斛10克，苍术10克，黄柏10克，木瓜10克，怀牛膝9克。处方完毕，某医生说：为什么不加防风、羌活、秦艽？回答说：仲景说：亡血家（失血过多的人），不可发汗。产后血虚感受外邪，当补正以祛邪，不可再用风药、燥药以伤其血，否则血虚更甚，疼痛必增。药后4剂，疼痛果减，继服30剂疼痛消失。
郅××，女性，35岁。3年前产后出现身痛畏风。医生给予祛风解表药治疗，汗出后身痛即减，汗止后身痛又作。前后服药800余剂，身痛畏风反而日渐加剧。审视其证候，除上证外，见其酷暑之季犹闭门窗，并以蚊帐、布团盖于上，掀开蚊帐、布团、棉被视之，汗臭扑鼻，问其食欲，说：一日约吃两碗面条，且口淡乏味，问其盖棉被、穿棉衣热否？回答说：怕风至甚，然夜间时感烦热。舌质淡，舌苔白，脉弦细。症状与脉象相参，说是气血阴阳不足耳，宜十四味建中汤。处方：黄芪15克，肉桂10克，当归10克，川芎10克，熟地10克，白芍10克，党参10克，白术10克，茯苓10克，甘草10克，半夏10克，大云15克，附子10克，生姜3片，大枣5个。服药10剂，诸证俱减，继进40剂痊愈。
1963年在旅途中，偶遇一小儿，1岁左右，高热抽搐，戴眼反折（眼睛上翻，身体向后反张），众旅客均感措手（不知如何是好）。家长求我施术救治之，我赤手空空，不敢就前，旅客亦求之，不得已，勉强采用指针法（用手指代替针具进行刺激的治疗法）治疗之。先用拇指点风门、大椎两穴，继而以拇食指提拿颈项部肌肉、缺盆至风门间肌肉各十几次，不久，患儿大哭而汗出全身，热退，病解而愈。
朱××，男性，5个月。高热不退一昼夜，体温40.1℃，时见神昏谵语（意识模糊，胡言乱语）。医生给予输液、青霉素、链霉素等治疗不效。察其舌苔微黄，脉滑数，大便两日不行，手心较手背为热。诊为表热里实（体表有热邪，体内有实邪积聚），给予升降散加减。蝉蜕6克，僵蚕6克，片姜黄6克，大黄3克，薄荷4克。服药3个小时后，热微减，体温38.9℃；4小时后，微汗出，体温38.1℃，神志转清；5小时后，大便泄下1次，体温恢复正常，次日病解而愈。
曾治一小儿，1周岁。患腹泻，一日数次至十数次不等，先请某院儿科以西药治疗，两个多月，不效。继请中医儿科医生治疗，仍不效。审思其证候，前医之与燥湿止痢，健脾消食，固涩止泻，温中健脾，温补脾肾等法，久久不效者，乃因小儿稚阴稚阳（小儿脏腑娇嫩，形气未充，阴阳均未成熟），温则生火，寒则阳伤之故耳。又思神阙之穴（肚脐）与脾、肾之气相通也，何不与外治之法救之。取丁香、肉桂各等分，共研细末，置放于脐中以温脾肾之阳，伤湿止痛膏外贴以散其寒次日大便转为三行。三日后大便正常，食欲恢复而愈。
《素问·宣明五气篇》说：“肺为咳”，因此咳嗽一病常常以宣肺化痰，降气止咳之剂治疗而愈。但是久久不愈者，常常及于其他脏腑，形成所谓五脏六腑咳。《素问·咳论》说：“五脏六腑皆令人咳，非独肺也”，“肺咳之状，咳而喘息有音，甚则唾血。心咳之状，咳则心痛，喉中介介如梗状，甚则咽肿、喉痹。肝咳之状，咳则两胁下痛，甚则不可以转，转则两胠下满。脾咳之状，咳则右胁下痛，阴阴引肩背，甚则不可以动，动则咳剧。肾咳之状，咳则腰背相引而痛，甚则咳涎。”又说：“五脏之久咳，乃移于六腑。脾咳不已，则胃受之，胃咳之状，咳而呕，呕甚则长虫出。肝咳不已，则胆受之，胆咳之状，咳呕胆汁。肺咳不已，则大肠受之，大肠咳状，咳而遗失。心咳不已，则小肠受之，小肠咳状，咳而失气，气与咳俱失。肾咳不已，则膀胱受之，膀胱咳状，咳而遗溺。久咳不已，则三焦受之，三焦咳状，咳而腹满，不欲食饮。”顿咳，又称百日咳，百日嗽，鹭鹚咳。是小儿的常见传染病之一。中药止咳化痰之剂与鸡苦胆制剂常有效果，但反复应用亦有不效者。例如：韩××，男性，1岁。咳嗽两个多月，曾在某院住院两次，前后60多天不效。细审其证候，咳嗽阵作，咳而有音，面部浮肿，腹满而胀，食纳甚差，有时咳甚痰食俱出，大便干燥。症状与脉象合参，此正三焦咳也。乃拟疏通三焦，调理肺胃治之。处方：紫苏6克，半夏6克，陈皮6克，黄芩6克，薄荷6克，杏仁6克，紫菀6克，大黄3克，丝瓜络9克，百部12克。服药2剂后，咳嗽大减，6剂霍然而愈。后该院托儿所小儿4人，患百日咳久治不愈，仍以上法治之而愈。始知“五脏六腑皆令人咳”的意义关键在于非独肺也。
曾治一小儿，3周岁，男性。自生下以后就发现其痴呆，3周岁后，走路仍然不稳，说话迟涩，嘱其叫爸爸、妈妈时，仍然不能说出，让其走路，因走路不稳而走二十步后即摔倒在地，吃饭时常常不知饥饱。询问其家族中有无此类疾病，其母说：小孩的两个舅舅，两个舅爷均是此病，其舅爷已50多岁，不能料理生活，舅舅二三十岁也不会料理生活。又说：恐怕此儿也成为傻子，不得不求治。审视其证候，除痴呆、语迟，走路不稳外，并见舌苔薄白，脉弦细。综合脉证，因思此证发于先天，其病在肾，又思语迟，神明昏乱，其病在心。乃拟补心肾，化痰涎，地黄饮子加减。处方：生地12克，山萸肉4克，石斛3克，麦冬4克，五味子3克，菖蒲3克，远志3克，茯苓3克，大云5克，附子1克，肉桂1克，巴戟天4克，薄荷1克。服药40剂后，走路较前有力，有时跑步亦不栽跟头，说话也较前多而灵活，问其为什么母亲没有来，他说：有病了。继服40剂，已能自由的跑步，并能说很多话。现为了继续提高疗效，仍在服药治疗中。
Section 3: Gynecology and Pediatrics
Beng Lou (Metrorrhagia and Metrostaxis)
I once treated a patient, Jiang XX, female, adult. She had suffered from metrorrhagia and metrostaxis for over two months. Initially, a physician observed her cold pain in the abdomen and prescribed Jiao Ai Si Wu Tang (Cinnamon Twig and Moxa Four Substances Decoction), but this exacerbated the bleeding. Subsequently, observing bitter taste in the mouth, dry mouth, and a yellow tongue coating, he diagnosed it as reckless bleeding due to blood heat and administered heat-clearing and fire-purging agents. This resulted in severe colic-like abdominal pain without cessation of bleeding. Reluctantly, she sought another doctor. The second doctor diagnosed "Spleen failing to control blood" and prescribed Gui Pi Tang (Restore the Spleen Decoction), which was ineffective. He then tried Sheng Yang Ju Jing Tang (Raise Yang and Raise Menses Decoction) with Zong Tan (Charred Palm Fruit Spine), also without effect. She came to me for treatment. Upon examination, her complexion was pale and lusterless, she appeared fatigued and weak, had almost lost her appetite, her menstrual blood was pale with clots, she experienced cold abdominal pain, bitter taste, yellow urine, cold limbs, a yellow tongue coating, and a deep, fine, and choppy pulse. Integrating symptoms and pulse, I diagnosed a syndrome of mixed cold and heat, deficiency and excess, specifically Spleen failing to control blood. Recalling Mr. Li Hanqing's statement: "Handling syndromes of mixed deficiency/excess and cold/heat is most difficult; the challenge lies in determining the proportion of cold, heat, deficiency, and excess, and distinguishing their quantities." He stated: "To measure the degree of cold and heat, one generally uses a comparative method of symptoms, tongue, and pulse. A pulse indicating heat suggests more heat than cold; a pulse indicating cold suggests more cold than heat; a pulse indicating deficiency suggests more deficiency; a pulse indicating excess suggests more excess." Following his principle, I prescribed Huang Tu Tang (Yellow Earth Decoction) with modifications. Prescription: Long Gu (Fossilized Earth) 30g (decocted separately), E Jiao (Donkey-hide Gelatin) 10g (melted), Huang Qin (Scutellaria Root) 9g, Sheng Di Huang (Rehmannia Root) 9g, Bai Zhu (Atractylodes Rhizome) 9g, Fu Zi (Aconite Lateral Root) 9g, Gan Cao (Licorice Root) 6g, Chao Ling Zhi (Stir-fried Liquidambar Resin) 6g. After two doses, the bleeding decreased significantly. After eight additional doses, bleeding stopped, appetite increased greatly, and abdominal pain disappeared.
Patient Li XX, female, adult. Suddenly experienced heavy menstrual bleeding with many clots. A physician initially treated her with Du Shen Tang (Single Ginseng Decoction) without effect, then used astringent methods, still without success. Another physician diagnosed it as caused by blood heat combined with blood stasis and urgently applied heat-clearing, blood-cooling, blood-activating, and hemostatic methods. After three doses, symptoms did not improve. Reluctantly, she went to a hospital gynecology department. Her hemoglobin was 5g%, she received 500ml of blood transfusion, and other Western medicines were used for three days, all without effect. She invited me for consultation. Examining her pulse and symptoms, her complexion was pale and lusterless, she had shortness of breath and faint breathing, abdominal distension and pain, a dry yellow tongue coating, constipation for several days, and a deep, slippery, and rapid pulse. Reflecting on the syndrome: pale complexion and faint breathing indicate deficiency, which should be tonified, yet previous physicians' tonifying attempts failed. Abdominal distension/pain, dry yellow coating, and constipation indicate excess, which should be purged, yet previous physicians' cooling attempts failed. I hesitated for a long time until I recalled Mr. Li Hanqing saying: "When the proportion of mixed deficiency and excess is hard to determine, seek guidance from the pulse." Considering this case, the pulse is deep, slippery, and rapid. A deep, slippery, and rapid pulse indicates excess and heat; thus, this syndrome is caused by excess heat. If it is excess heat, why did heat-clearing and blood-cooling fail? Because they cleared heat and cooled blood but did not unblock the bowels (Fu organs). The Yangming Channel is rich in Qi and Blood. When excess heat is blazing, it often manifests as vomiting, epistaxis, lower bleeding, or metrorrhagia. Therefore, unblocking the bowels is essential for effectiveness. Prescription: Sheng Di Huang (Rehmannia Root) 9g, Mu Dan Pi (Moutan Bark) 9g, Huang Qin (Scutellaria Root) 9g, Xiang Fu (Cyperus Rhizome) 9g, Mu Xiang (Vladimiria Root) 6g, Da Huang (Rhubarb Root) 4g. After one dose, menstrual bleeding stopped.
Insufficient Lactation
I once treated patient Zhang XX, female, adult. For one month postpartum, her milk secretion was sufficient for the infant. Recently, lactation suddenly decreased, causing the infant to cry incessantly. A physician prescribed galactagogues, but milk production decreased further. Her pulse was deep. Symptoms included chest fullness and irritability. The cause was identified as sudden anger. Integrating symptoms and pulse, I diagnosed Liver Qi Stagnation. I prescribed Xiao Yao San (Free and Easy Wanderer Powder) with Qing Pi (Citrus Aurantium Peel). After three doses, lactation returned to normal.
Postpartum Body Pain
I once treated patient Liu XX, female, 24 years old. For two months postpartum, she suffered from headache, body pain, and joint pain. A physician treated her with wind-dispelling, cold-scattering, and damp-draining agents, which worsened the pain. Extension and flexion of joints were unbearable. She felt fatigued and weak, with spontaneous sweating and night sweats. Besides these, she exhibited five-center heat (heat in palms, soles, and chest), pale complexion, thin white tongue coating, pale tongue body, and a deficient, large, slippery, and rapid pulse. Integrating symptoms and pulse, I diagnosed dual deficiency of Qi and Blood, with damp-heat failing to transform. Treatment should involve boosting Qi and nourishing Blood, drying dampness and clearing heat. I prescribed Qi Mai San Miao Tang (Four Ingredient Decoction for Qi and Pulse) with modifications. Prescription: Huang Qi (Astragalus Root) 15g, Dang Gui (Angelica Sinensis Root) 10g, Dang Shen (Codonopsis Root) 10g, Mai Dong (Ophiopogon Tuber) 10g, Wu Wei Zi (Schisandra Fruit) 10g, Shi Hu (Dendrobium Stem) 10g, Cang Zhu (Atractylodes Lancea Rhizome) 10g, Huang Bo (Phellodendron Bark) 10g, Mu Gua (Chaenomeles Fruit) 10g, Huai Niu Xi (Achyranthes Root) 9g. The previous physician asked why Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), and Qin Jiao (Gentiana Macrophylla Root) were not added. I replied: Zhang Zhongjing stated, "Those who have lost blood should not be induced to sweat." Postpartum blood deficiency with external pathogenic invasion requires tonifying Zheng Qi (Upright Qi) to expel pathogens. Using wind-dispersing or drying herbs would injure the blood, worsening deficiency and increasing pain. After four doses, pain decreased. After thirty additional doses, pain disappeared.
Zhi XX, female, 35 years old. Three years postpartum, she developed body pain and aversion to wind. Physicians treated her with wind-dispelling and exterior-releasing drugs. Pain subsided after sweating but returned when sweating stopped. She took over 800 doses, yet pain and aversion to wind intensified. Examination revealed that even in summer, she kept windows and doors closed, covered herself with mosquito nets and cloth bundles. Removing these revealed a strong odor of sweat. Appetite was poor, eating only about two bowls of noodles daily, with a bland taste. She feared wind severely but felt irritability at night. Tongue body was pale, coating white, pulse string-taut and fine. Integrating symptoms and pulse, I diagnosed insufficiency of Qi, Blood, Yin, and Yang. I prescribed Shi Si Wei Jian Zhong Tang (Fourteen Ingredient Middle-Building Decoction). Prescription: Huang Qi (Astragalus Root) 15g, Rou Gui (Cinnamon Bark) 10g, Dang Gui (Angelica Sinensis Root) 10g, Chuan Xiong (Ligusticum Rhizome) 10g, Shu Di Huang (Prepared Rehmannia Root) 10g, Bai Shao (White Peony Root) 10g, Dang Shen (Codonopsis Root) 10g, Bai Zhu (Atractylodes Rhizome) 10g, Fu Ling (Poria) 10g, Gan Cao (Licorice Root) 10g, Ban Xia (Pinellia Tuber) 10g, Da Yun (Cistanche Stem) 15g, Fu Zi (Aconite Lateral Root) 10g, Sheng Jiang (Fresh Ginger) 3 slices, Da Zao (Jujube Fruit) 5 pieces. After ten doses, all symptoms reduced. After forty additional doses, she recovered.
Fever
In 1963, during travel, I encountered an infant, about one year old, suffering from high fever and convulsions, with eyes rolling back and opisthotonos. Passengers were helpless. The parents begged me to help. Having no tools, I hesitated, but under pressure, I reluctantly used Finger Pointing Therapy (acupressure). I first pressed Feng Men (BL12) and Da Zhui (GV14) acupoints with my thumb. Then, using thumb and index finger, I kneaded muscles of the neck and from Que Pen (ST12) to Feng Men (BL12) repeatedly. Soon, the infant cried loudly, sweated profusely, fever subsided, and the illness resolved.
Zhu XX, male, 5 months old. High fever persisted for a day and night, temperature 40.1°C, with occasional confusion and delirium. Intravenous fluids, penicillin, and streptomycin were ineffective. Tongue coating was slightly yellow, pulse slippery and rapid, no bowel movement for two days, palms hotter than backs. Diagnosed as Exterior Heat with Interior Excess. I prescribed Sheng Jiang San (Ascending-Descending Powder) with modifications. Chan Tui (Cicada Slough) 6g, Jiang Can (Bombyx Batryticatus) 6g, Pian Jiang Huang (Turmeric) 6g, Da Huang (Rhubarb Root) 3g, Bo He (Mint) 4g. After 3 hours, fever slightly decreased to 38.9°C. After 4 hours, slight sweating occurred, temperature dropped to 38.1°C, consciousness cleared. After 5 hours, one bowel movement occurred, temperature normalized, and the infant recovered the next day.
Diarrhea
I treated a 1-year-old infant with diarrhea, occurring several to over ten times daily. Western medicine treatment at a pediatric department for over two months was ineffective. Traditional Chinese Medicine pediatric treatment was also ineffective. Reflecting on previous treatments—drying dampness, stopping dysentery, strengthening Spleen, digesting food, astringing intestines, warming Middle Jiao, warming and tonifying Spleen and Kidney—I realized these failed because infants have "tender Yin and tender Yang." Warming generates fire, while cooling injures Yang. I considered that the Shen Que (CV8, Umbilicus) acupoint connects with Spleen and Kidney Qi. I decided to use external therapy. Equal parts of Ding Xiang (Clove) and Rou Gui (Cinnamon Bark) were ground into powder, placed in the umbilicus to warm Spleen and Kidney Yang, and Shang Shi Zhi Tong Gao (Cold-Dampness Pain-Stopping Plaster) was applied externally to disperse cold. The next day, bowel movements reduced to three times. By the third day, stools were normal, appetite returned, and the infant recovered.
Whooping Cough (Tun Ke)
The *Su Wen: Xuan Ming Wu Qi Pian* states: "The Lung governs cough." Thus, cough is often cured by formulas that diffusing Lung Qi, resolving phlegm, descending Qi, and stopping cough. However, chronic coughs often affect other Zang-Fu organs, forming the so-called "Cough of the Five Zang and Six Fu Organs." The *Su Wen: Ke Lun* states: "All Five Zang and Six Fu organs can cause cough, not just the Lung." It describes symptoms: "Lung cough presents with coughing, wheezing with sound, and expectoration of blood in severe cases. Heart cough presents with heart pain, a sensation of obstruction in the throat, and severe swelling/bi-syndrome of the throat. Liver cough presents with pain under both hypochondria, inability to turn, and fullness under the flanks. Spleen cough presents with pain under the right hypochondrium radiating to the shoulder/back, inability to move, and worsening cough upon movement. Kidney cough presents with pulling pain between waist and back, and expectoration of saliva." It further states: "Chronic cough of the Five Zang transfers to the Six Fu. Unresolved Spleen cough affects the Stomach (Stomach cough: cough with vomiting, expulsion of parasites if severe). Unresolved Liver cough affects the Gallbladder (Gallbladder cough: cough with bile vomiting). Unresolved Lung cough affects the Large Intestine (Large Intestine cough: cough with fecal incontinence). Unresolved Heart cough affects the Small Intestine (Small Intestine cough: cough with flatus loss). Unresolved Kidney cough affects the Bladder (Bladder cough: cough with urinary incontinence). Chronic cough affecting the San Jiao presents with cough, abdominal fullness, and lack of desire to eat/drink." Whooping cough, also known as Hundred-Day Cough or Egret Cough, is a common infectious disease in children. Herbal antitussives and chicken gall preparations are often effective, but repeated use may fail. Example: Han XX, male, 1 year old. Coughing for over two months, hospitalized twice, ineffective for 60+ days. Symptoms: paroxysmal cough with sound, facial edema, abdominal distension, poor appetite, expectoration of phlegm and food during severe coughing, dry stool. Integrating symptoms and pulse, this is San Jiao Cough. I prescribed to unblock the San Jiao and regulate Lung and Stomach. Prescription: Zi Su Ye (Perilla Leaf) 6g, Ban Xia (Pinellia Tuber) 6g, Chen Pi (Tangerine Peel) 6g, Huang Qin (Scutellaria Root) 6g, Bo He (Mint) 6g, Xing Ren (Apricot Seed) 6g, Zi Wan (Aster Root) 6g, Da Huang (Rhubarb Root) 3g, Si Gua Luo (Luffa Reticulate Fiber) 9g, Bai Bu (Stemona Root) 12g. After two doses, cough decreased significantly. After six doses, recovery was swift. Later, four children in the hospital nursery with chronic whooping cough were cured using the same method. This confirmed the significance of "All Five Zang and Six Fu organs can cause cough, not just the Lung."
Dementia
I treated a 3-year-old male infant. Dementia was noted since birth. At age three, walking was still unstable, speech was delayed and hesitant. He could not say "Dad" or "Mom." Walking twenty steps led to falling due to instability. During meals, he did not know hunger or satiety. Family history revealed both maternal uncles and granduncles suffered from the same condition; the granduncle (over 50) and uncles (20-30s) could not care for themselves. The mother feared her son would become similarly disabled and sought treatment. Examination showed dementia, delayed speech, unstable gait, thin white tongue coating, and string-taut, fine pulse. Integrating pulse and symptoms, I reasoned this congenital condition involves the Kidney. Delayed speech and confused spirit involve the Heart. I prescribed tonifying Heart and Kidney, resolving phlegm, using Di Huang Yin Zi (Rehmannia Decoction) with modifications. Prescription: Sheng Di Huang (Rehmannia Root) 12g, Shan Yu Rou (Cornus Fruit) 4g, Shi Hu (Dendrobium Stem) 3g, Mai Dong (Ophiopogon Tuber) 4g, Wu Wei Zi (Schisandra Fruit) 3g, Shi Chang Pu (Acorus Rhizome) 3g, Yuan Zhi (Polygala Root) 3g, Fu Ling (Poria) 3g, Da Yun (Cistanche Stem) 5g, Fu Zi (Aconite Lateral Root) 1g, Rou Gui (Cinnamon Bark) 1g, Ba Ji Tian (Morinda Root) 4g, Bo He (Mint) 1g. After 40 doses, walking strength improved, running became stable, speech became more frequent and flexible. When asked why his mother wasn't there, he said, "She is sick." After another 40 doses, he could run freely and speak extensively. To further improve efficacy, he continues medication.