阳补气。滋阴化营。搜邪入络。动药劫截。辛酸两和。营气并补。及阳疟之后养胃阴。阴疟之
后理脾阳等法。已全备矣。汇集诸家。融通无拘。所谓用药如用兵。先生不愧良工之名也。（邵新甫）
徐评 皆依样画葫芦之谈。
又评 古圣凡一病必有一主方。如疟疾小柴胡汤主方也。疟象不同。总以此方加减。或有别
症。则不用原方亦可。盖不用柴胡汤而亦可愈者。固有此理。若以为疟而断不可用柴胡。则乱
道矣。余向闻此老治疟。禁用柴胡。耳食之人。相传以为秘法。相戒不用。余以为此乃妄人传说。
此老决不至此。今阅此案。无一方用柴胡。乃知此语信然。则此老之离经叛道。真出人意表者
矣。夫柴胡汤少阳经之主方。凡寒热往来之症。非此不可。而仲景用柴胡之处最多。伤寒论云。
凡伤寒之柴胡症有数论。但见一症便是。不必悉具。其推崇柴胡如此。乃此老偏与圣人相背。
独不用柴胡。譬之太阳症。独不许用桂枝。阳明症独不许用葛根。此必无知妄人。岂有老名医
而有此等议论者。真天下之怪事也。
周 因长夏湿热。食物失调。所谓湿多成五泄也。先用胃苓汤分利阴阳。（暑湿热） 胃苓汤去甘草。
温 长夏湿胜为泻。腹鸣溺少。腑阳不司分利。先宜导湿和中。胃苓汤。
又 向年阴分伤及阳位。每有腹满便溏。长夏入秋。常有滞下。此中焦气分积弱。水谷之气易
于聚湿。或口鼻触入秽邪。遂令脾胃不和。是夏秋调摄最宜加意。拟夏秋应用方备采。天暖
气蒸。南方最有中痧痞胀诸恙。未受病前。心怀疑虑。即饮芳香正气之属。毋令邪入为第一义。
藿香梗 白蔻仁 橘红 桔梗 杏仁 郁金 降香 浓朴
夏至后。热胜湿蒸。气伤神倦。用东垣益气汤。若汗退场门渴。兼生脉散敛液。
某 秋暑秽浊。气从吸入。寒热如疟。上咳痰。下洞泄。三焦蔓延。小水短赤。议芳香辟秽。分利渗
湿。
藿香 浓朴 广皮 茯苓块 甘草 猪苓
泽泻 木瓜 滑石 檀香汁
又 进药稍缓。所言秽浊。非臆说矣。其阴茎囊肿。是湿热甚而下坠入腑。与方书茎款症有间。
议河间法。
浓朴 杏仁 滑石 寒水石 石膏 猪苓 泽泻 丝瓜叶
某 阴疟久伤成损。俯不能卧。脊强。脉垂。足跗浮肿。乃督脉不用。渐至伛偻废疾。近日暑湿内
侵泄泻。先宜分利和中。
浓朴 藿香 广皮 茯苓 泽泻 木瓜 炒扁豆 炒楂肉 炒砂仁
蔡（二一） 气短少续为虚。近日腹中不和。泄泻暑伤。先以清暑和脾。预防滞下。
浓朴 广皮 炙草 茯苓 泽泻 炒扁豆 麦芽 木瓜 炒楂肉 砂仁
又 香砂异功散。
叶（五七） 平素操持积劳。五志之火易燃。上则鼻窍堵塞。下有肛痔肠红。冬春温邪。是阳气发越。邪
气乘虚内伏。夫所伏之邪。非比暴感发散可解。况兼劳倦内伤之体。病经九十日来。足跗日
肿。大便日行五六次。其形粘腻。其色黄赤紫滞。小便不利。必随大便而稍通。此肾关枢机已
废。二肠阳腑失司。所进水谷。脾胃不主营运。酿湿坠下。转为瘀腐之形。正当土旺入夏。脾胃
主气。此湿热内淫。由乎脾肾日伤。不得明理之医。一误再误。必致变现腹满矣。夫左脉之缓
涩。是久病阴阳之损。是合理也。而右脉弦大。岂是有余形质之滞。即仲景所云。弦为胃减。大
则病进。亦由阳明脉络渐弛。肿自下日上之义。守中治中。有妨食滋满之弊。大旨中宜运通。
下宜分利。必得小溲自利。腑气开阖。始有转机。若再延绵月余。夏至阴生。便难力挽矣。四
苓加椒目浓朴益智广皮白。
又 服分消方法五日。泻减溺通。足跗浮肿未消。要知脾胃久困。湿热滞浊。无以营运。所进水
谷。其气蒸变为湿。湿胜多成五泻。欲使湿去。必利小便。然渗利太过。望六年岁之人。又当虑
及下焦。久病入夏。正脾胃司令时候。脾脏宜补则健。胃腑宜疏自清。扶正气。驱湿热。乃消补
兼施治去。晚服资生丸炒米汤送下。
（早服）人参 广皮 防己 浓朴 茯苓 生术 泽泻 神曲 黄连 吴萸
朱 口腹不慎。湿热内起。泄泻复至。此湿多成五泄。气泻则腹胀矣。（湿热）
人参 茅术 川连 黄芩 白芍 广皮 茯苓 泽泻 楂肉
陈 脉缓大。腹痛泄泻。小溲不利。此水谷内因之湿。郁蒸肠胃。致清浊不分。若不清理分消。延
为积聚粘腻滞下。议用芩芍汤。
淡黄芩 生白芍 广皮 浓朴 藿香 茯苓 猪苓 泽泻
张 脉缓涩。腹满。痛泻不爽。气郁滞久。湿凝在肠。用丹溪小温中丸。
针砂 小川连 苍术 白术 香附 半夏 广皮 青皮 神曲浆丸。
程 诊脉肝部独大。脾胃缓弱。平昔纳谷甚少。而精神颇好。其先天充旺不待言矣。目今水泻。
少腹满胀。少腹为厥阴肝位。由阴阳不分。浊踞于下。致肝失疏泄。当以五苓散导水利湿。仿古急开支河之法。
黄（九岁） 久泻兼发疮痍。是湿胜热郁。苦寒必佐风药。合乎东垣脾宜升。胃宜降之旨。
人参 川连 黄柏 广皮 炙草 生于术 羌活 防风 升麻 柴胡 神曲 麦芽
朱（三四） 形瘦尖长。木火体质。自上年泄泻。累用脾胃药不效。此阴水素亏。酒食水谷之湿下坠。阴
弱不能包涵所致。宜苦味坚阴。淡渗胜湿。
炒川连 炒黄柏 浓朴 广皮白 茯苓 猪苓 泽泻 炒楂肉
陈 寒湿已变热郁。六腑为窒为泻。
生台术 浓朴 广皮 白茯苓 益智仁 木瓜 茵陈 泽泻
某（三三） 酒湿内聚痰饮。余湿下注五泄。常用一味茅术丸。
炒半夏 茯苓 苡仁 刺蒺藜 新会皮
王（氏） 头胀。喜冷冻饮料。咳呕心中胀。泄泻不爽。此为中暑。故止涩血药更甚。舌色白。议清上
焦气分。（中暑）
石膏 淡黄芩 炒半夏 橘红 浓朴 杏仁
王（二七） 自春徂冬。泻白积。至今腹痛。小水不利。想食物非宜。脾胃水寒偏注大肠。当分其势以导
太阳。胃苓汤主之。（中阳湿滞）
胡（二三） 三疟劫截不效。必是阴脏受病。衄血热渴。食入不化痛泻。二者相反。思病延已久。食物无
忌。病中勉强进食。不能充长精神。即为滞浊阻痹。先以胀泻调理。不必以疟相混。
草果 浓朴 陈皮 木香 茯苓皮 腹皮 猪苓 泽泻
郁（四八） 经营劳心。纳食违时。饥饱劳伤。脾胃受病。脾失运化。夜属阴晦。至天明洞泻粘腻。食物不
喜。脾弱。恶食柔浊之味。五苓通膀胱分泄。湿气已走前阴之窍。用之小效。东垣谓中气不足。
溲便乃变。阳不营运。湿多成五泄矣。
人参 生白术 茯苓 炙草 炮姜 肉桂
某（五八） 形寒便泻。舌白。
浓朴 广皮 半夏 茯苓皮 桂枝木 生姜
程（氏） 寒湿腹痛。恶心泄泻。（寒湿）
浓朴 藿香梗 益智仁 广皮 炒茅术 煨木香 茯苓 泽泻
吴（氏） 寒凝胃阳。腹痛泄泻。
草果 浓朴 茅术 广皮 吴萸 炒楂肉
程（氏） 泻后腹膨。
人参 生益智 炮姜 茯苓 浓朴 广皮
砂仁
陆（妪） 气滞为胀。湿郁为泻。主以分消。
炒浓朴 大腹皮 茯苓 泽泻 煨益智 广皮 炒楂肉
某（氏） 雨湿凉气。乘于脾胃。泄泻之后。腹膨减食。宜健中运湿。
焦白术炭 浓朴 广皮 生谷芽 炒扁豆 木瓜 茯苓 泽泻
程（女） 湿郁脾阳。腹满。肢冷泄泻。四苓散加浓朴广皮。
邹（妪） 湿伤泄泻。小便全少。腹满欲胀。舌白不饥。病在足太阴脾。宜温中佐以分利。
生茅术 浓朴 草果 广皮 茯苓 猪苓 泽泻 炒砂仁
又 早服真武丸。姜汤送二钱五分。一两。
夜服针砂丸。开水送一钱五分。 六钱。
又 人参 附子 枳实 茯苓 干姜 生白芍
某（氏） 脉沉缓。肌肉丰盛。是水土 质。阳气少于营运。水谷聚湿。布及经络。下焦每有重着筋痛。
食稍不运。便易泄泻。经水色淡。水湿交混。总以太阴脾脏调理。若不中 。恐防胀病。
人参 茯苓 白术 炙草 广皮 羌活 独活 防风 泽泻
倪（六七） 阳伤湿聚。便溏足肿。
粗桂枝 生白术 木防己 茯苓 泽泻
又 脉紧。足肿便溏。阳微湿聚。气不流畅。怕成单胀。照前方加茵陈。
又 晨泄肢肿。
生白术 桂枝木 淡附子 茯苓 泽泻
陆（五一） 当脐动气。子夜瘕泄。昼午自止。是阳衰寒湿冱凝。腑阳不运。每泻则胀减。宜通不宜涩。
制川乌 生茅术 茯苓 木香 浓朴 广皮
朱 消渴干呕。口吐清涎。舌光赤。泄泻。热病四十日不愈。热邪入阴。厥阳犯胃。吞酸不思食。久
延为病伤成劳。（肝犯胃）
川连 乌梅 黄芩 白芍 人参 诃子皮
陶（十八） 病由春木正旺。中焦受克。先泄泻。继以腹痛。小便不利。食不思纳。皆是六腑不和所致。夫
胃为阳土。肝属阴木。腑宜通。肝宜柔宜凉。治胃必佐泄肝。制其胜也。阅方呆补。不知脏腑阴
阳。故辨及之。
泡淡黄芩 炒小川连 炒广皮 浓朴 生白芍 炒乌梅肉 猪苓 泽泻
杨 因惊而泻。腹痛欲呕。是为蛔厥。当用酸苦。忌进甜物。
川椒 乌梅肉 川连 淡干姜 金铃子 延胡索 桂枝木 生白芍
唐 胃中不和。不饥少寐。肝风震动。头迷。溏泄。高年经月未复。两和厥阴阳明。
炒半夏 人参 枳实 茯苓 炒乌梅肉
潘 入夜咽干欲呕。食纳腹痛即泻。此胃口大伤。阴火内风劫烁津液。当以肝胃同治。用酸甘
化阴方。
人参（一钱半） 焦白芍（三钱） 诃子皮（七分） 炙草（五分） 陈仓米（三钱）
又 去陈米加南枣一枚。
又 咽干不喜汤饮。腹鸣溺浊。五液消烁。虚风内风扰于肠胃。
人参 木瓜 焦白芍 赤石脂 炙草
朱 经月减食泄泻。下焦无力。以扶土泄木法。
人参 焦术 炒益智 茯苓 木瓜 广皮
某 病后。阴伤作泻。
乌梅 白芍 炙草 广皮 茯苓 荷叶
王 霍乱后痛泻已缓。心中空洞。肢节痿弱。此阳明脉虚。内风闪烁。盖虚象也。异功去参术。
加乌梅木瓜白芍。
又 上吐下泻之后。中气大虚。身痛肢浮。虚风内动。以补中为法。异功散加木瓜姜枣。
某 腹鸣晨泄。巅眩脘痹。形质似属阳不足。诊脉小弦。非二神四神温固之症。盖阳明胃土已
虚。厥阴肝风振动内起。久病而为飧泄。用甘以理胃。酸以制肝。
人参 茯苓 炙草 广皮 乌梅 木瓜
某 头痛损目。黎明肠鸣泄泻。烦心必目刺痛流泪。是木火生风。致脾胃土位日戕。姑议泄木
安土法。
人参 半夏 茯苓 炙草 丹皮 桑叶
徐（六六） 自春季胸胁肌腠。以及腹中疼痛。从治肝小愈。腹鸣泄泻不止。久风飧泄。都因木乘土位。
东垣云。治脾胃必先制肝。仿此。（肝犯脾胃）
人参 焦术 炙草 木瓜 乌梅 炒菟丝饼
程 劳损经年。食入腹胀痛泻。心中寒凛。肤腠热蒸。此阳不内潜。脾胃久困。万无治嗽清降之
理。议用戊己汤。扶土制木法。
叶（三六） 左胁气胀。在皮膜之里。此络脉中病也。泄肝破气久服。脾胃受困。而为泄泻。得养中小愈。
然以药治药。脉络之病仍在。
半夏 桂枝 茯苓 远志 归须 橘红
姜枣汤泛丸。
张（妪） 腹鸣 胀。清晨瘕泄。先以熄肝风。安脾胃方。
人参 茯苓 木瓜 炒乌梅 炒菟丝子
又 泄肝醒胃方。
吴萸 生白芍 炒乌梅 人参 茯苓
某 脉右弦。腹膨鸣响痛泻。半年不痊。此少阳木火郁伤脾土。久则浮肿胀满。法当疏通泄郁。
非辛温燥热可治。（胆郁伤脾）
黄芩 白芍 桑叶 丹皮 柴胡 青皮
吴 阳虚恶寒。恶心吞酸。泄泻。乃年力已衰。更饮酒中虚。治法必以脾胃扶阳。（脾胃阳虚）
人参 茯苓 附子 白术 干姜 胡芦巴
赵 晨泄难忍。临晚稍可宁耐。易饥善食。仍不易消磨。其故在乎脾胃阴阳不和也。读东垣脾
胃论。谓脾宜升则健。胃宜降则和。援引升降为法。
人参 生于术 炮附子 炙草 炒归身 炒白芍 地榆炭 炮姜灰 煨葛根 煨升麻
又 肠风鸣震。泄利得缓。犹有微痛而下。都缘阳气受伤。垢滞永不清楚。必以温通之剂为法。
生茅术（三钱） 炙草（五分） 生炮附子（一钱） 浓朴（一钱） 广皮（一钱） 制大黄（五分）
金（五八） 能食不化。腹痛泄泻。若风冷外乘。肌肉着冷。其病顷刻即至。上年用石刻安肾丸。初服相
投。两旬不效。知是病在中焦。不必固下矣。自述行走数十里。未觉衰倦。痛处绕脐。议用治中
法。足太阴阳明主治。
生于术 生茅术 生益智 淡干姜 胡芦巴 茯苓 木瓜 荜茇
王（三五） 三年久损。气怯神夺。此温养补益。皆护元以冀却病。原不藉乎桂附辛热。以劫阴液。今胃
减咽干。大便溏泄经月。夏三月脾胃主候。宜从中治。
人参 炒白芍 炙草 煨益智 炒木瓜 茯苓 广皮
【邵新甫评】
温补阳气，滋养阴血以化生营气。搜剔深入络脉的邪气。使用具有走窜之性的药物截断疟疾发作。辛味与酸味并用以调和肝脾。同时补益营气和卫气。以及在阳疟（表现为热象明显的疟疾）之后滋养胃阴，在阴疟（表现为寒象明显的疟疾）之后调理脾阳等治疗方法，已经非常完备了。汇集各家学说，融会贯通而不拘泥于成法。正所谓用药如同用兵打仗，叶先生不愧为良医之名。（邵新甫评）
徐灵胎评：这不过是依样画葫芦的空谈。
又评：古代圣人在治疗每一种疾病时必定有一个主方。例如疟疾的主方是小柴胡汤。虽然疟疾的表现形式不同，但总归是以这个方剂为基础进行加减。如果有其他兼症，那么不使用原方也是可以的。大概不使用柴胡汤也能治愈的情况，确实存在这样的道理。但如果认为患疟疾就绝对不可用柴胡，那就是乱道了。我过去听说这位老先生治疗疟疾禁用柴胡，听信谣言的人相传这是秘法，互相告诫不要使用。我认为这是无知妄人的传说，这位老先生决不至于如此。现在阅读这些医案，没有一个方子使用柴胡，才知道这话确实是真的。那么这位老先生的离经叛道，真是出人意料啊。夫柴胡汤是少阳经的主方。凡是寒热往来的症状，非此方不可。而张仲景使用柴胡的地方最多。《伤寒论》说：“凡是伤寒的柴胡证有几条论述，只要见到一个症状即可，不必全部具备。”他推崇柴胡到了这种程度。然而这位老先生偏偏与圣人相违背，唯独不用柴胡。这就好比太阳病，唯独不许用桂枝；阳明病，唯独不许用葛根。这一定是无知的妄人说的，怎么会有老名医说出这种议论呢？真是天下的怪事。
周姓患者 因为长夏季节湿热盛行，饮食失调。所谓湿气过多会导致五种泄泻。先用胃苓汤来分利阴阳。（病因：暑、湿、热） 胃苓汤去掉甘草。
温姓患者 长夏季节湿气偏胜导致腹泻，肠鸣尿少，腑中阳气不能主持分清泌浊的功能。先宜导除湿邪，调和脾胃。方用胃苓汤。
又 早年阴分受损波及阳位，经常有腹部胀满、大便稀溏的症状。从长夏到入秋，常有痢疾发作。这是因为中焦气分积弱，水谷之气容易聚集成湿。或者口鼻吸入秽浊邪气，致使脾胃不和。所以在夏秋两季调摄身体最应加意小心。拟定了夏秋两季应用的方剂供参考。天气温暖，热气蒸腾，南方最容易发生中暑、痧气、痞闷胀满等各种病症。在未患病之前，心中若有疑虑，立即饮用芳香正气类的药物，不让邪气侵入是第一要义。
藿香梗 白蔻仁 橘红 桔梗 杏仁 郁金 降香 厚朴
夏至以后，热气胜而湿气蒸腾，气机受伤导致神疲乏力。用东垣益气汤。如果汗出退热后肛门处口渴，兼用生脉散收敛津液。
某患者 秋季暑天秽浊之气，通过呼吸吸入。出现寒热往来像疟疾一样，上部咳嗽痰多，下部洞泄不止。三焦蔓延，小便短赤。建议用芳香辟秽，分利渗湿的方法。
藿香 厚朴 广陈皮 茯苓块 甘草 猪苓
泽泻 木瓜 滑石 檀香汁
又 服药后病情稍缓，所说的秽浊之气并非臆测。其阴茎囊肿，是湿热太重而下坠进入下焦，与方书中关于茎部病症的描述有所不同。建议采用刘河间的方法。
厚朴 杏仁 滑石 寒水石 石膏 猪苓 泽泻 丝瓜叶
某患者 阴疟日久损伤正气形成虚损，弯腰不能仰卧，脊柱强直，脉搏微弱下垂，足背浮肿。这是督脉功能失常，逐渐导致驼背废疾。近日暑湿内侵导致泄泻，先宜分利湿邪，调和脾胃。
厚朴 藿香 广陈皮 茯苓 泽泻 木瓜 炒扁豆 炒山楂肉 炒砂仁
蔡姓患者（21岁） 气短难以接续属于虚证。近日腹中不适，泄泻因暑气损伤所致。先以清暑和脾为主，预防发展为痢疾。
厚朴 广陈皮 炙甘草 茯苓 泽泻 炒扁豆 麦芽 木瓜 炒山楂肉 砂仁
又 香砂异功散。
叶姓患者（57岁） 平素操劳过度积累疲劳，五志之火容易燃烧。上部则鼻窍堵塞，下部有肛痔便血。冬春季节的温邪，是阳气发越，邪气乘虚内伏。所伏藏的邪气，不像暴感外邪那样可以通过发散解除。况且兼有劳倦内伤的体质，生病已经九十天，足背日益肿胀，大便每天行五六次，形状粘腻，颜色黄赤紫暗滞涩，小便不利，必须随着大便排出才能稍微通畅。这是肾关枢机功能已废，大小肠这两个阳腑失去职司。所摄入的水谷，脾胃不能主营运化，酿生湿邪下注，转变为瘀腐的形状。正当土旺入夏，脾胃主气的时节，此时湿热内淫，是由于脾肾日渐损伤。遇到不明理法的医生，一误再误，必然导致变现出腹部胀满的症状。左脉缓涩，是久病阴阳亏损，这是合理的。而右脉弦大，难道是有多余形质之滞吗？即如仲景所说：“弦为胃气减弱，大则病势进展。”也是因为阳明脉络逐渐弛缓，水肿自下而上蔓延的道理。固守中焦治疗，有妨碍进食、滋腻满闷的弊端。大意是中焦宜运通，下焦宜分利。必须得到小便自然通利，腑气开阖正常，始有转机。如果再拖延月余，等到夏至阴气生长之时，就难以挽回了。四苓散加椒目、厚朴、益智仁、广陈皮白色部分。
又 服用分消方法五天，腹泻减少，小便通利，但足背浮肿未消。要知道脾胃久受困顿，湿热滞浊，无法营运。所摄入的水谷，其气蒸变为湿，湿胜多形成五种泄泻。想要使湿邪去除，必须利小便。然而渗利太过，对于六十六岁的人来说，又应当顾虑到下焦。久病入夏，正是脾胃当令的时候。脾脏宜补则健，胃腑宜疏自清。扶助正气，驱除湿热，这是消补兼施的治疗方法。晚上服用资生丸，用炒米汤送服。
（早上服用）人参 广陈皮 防己 厚朴 茯苓 生白术 泽泻 神曲 黄连 吴茱萸
朱姓患者 口腹不慎，湿热内生，泄泻再次发作。这是湿气过多形成五种泄泻，气机阻滞则腹胀。（病因：湿热）
人参 茅苍术 川黄连 黄芩 白芍 广陈皮 茯苓 泽泻 山楂肉
陈姓患者 脉象缓大，腹痛泄泻，小便不利。这是水谷内生的湿邪，郁结蒸腾于肠胃，导致清浊不分。如果不清理分消，拖延下去会形成积聚、粘腻、痢疾。建议用芩芍汤。
淡黄芩 生白芍 广陈皮 厚朴 藿香 茯苓 猪苓 泽泻
张姓患者 脉象缓涩，腹部胀满，痛泻不爽。气机郁滞日久，湿邪凝结在肠道。用丹溪的小温中丸。
针砂 小川黄连 苍术 白术 香附 半夏 广陈皮 青皮 神曲浆糊为丸。
程姓患者 诊察肝脏部位的脉象独大，脾胃脉象缓弱。平时进食很少，但精神颇好。其先天充盛旺盛是不言而喻的。如今水样腹泻，少腹部胀满。少腹是厥阴肝经的部位，由于阴阳不分，浊气踞居在下，导致肝失疏泄。应当用五苓散引导水利湿。仿照古人“急开支河”的方法。
黄姓患者（9岁） 久泻兼发疮疡，是湿胜热郁。苦寒药必佐风药。合乎李东垣“脾宜升则健，胃宜降则和”的宗旨。
人参 川黄连 黄柏 广陈皮 炙甘草 生白术 羌活 防风 升麻 柴胡 神曲 麦芽
朱姓患者（34岁） 形体瘦削尖长，木火体质。自去年以来泄泻，屡次使用脾胃药无效。这是阴水素来亏虚，酒食水谷之湿下坠，阴弱不能包涵所致。宜用苦味坚阴，淡渗胜湿的方法。
炒川黄连 炒黄柏 厚朴 广陈皮白色部分 茯苓 猪苓 泽泻 炒山楂肉
陈姓患者 寒湿已经变为热郁。六腑被窒塞而致泻。
生台苍术 厚朴 广陈皮 白茯苓 益智仁 木瓜 茵陈 泽泻
某患者（33岁） 酒湿内聚成痰饮，其余湿邪下注导致五种泄泻。常用一味茅苍术丸。
炒半夏 茯苓 薏苡仁 刺蒺藜 新会陈皮
王氏 头部胀满，喜欢冷冻饮料，咳嗽呕吐且心中胀满，泄泻不爽。这是中暑。所以止涩止血药反而加重。舌色白。建议清上焦气分。（病因：中暑）
石膏 淡黄芩 炒半夏 橘红 厚朴 杏仁
王某（27岁） 从春天到冬天，泻下白色积滞，至今腹痛，小便不利。想是食物不适宜，脾胃水寒偏注大肠。应当分其势以引导太阳经气。主方用胃苓汤。（病因：中阳湿滞）
胡姓患者（23岁） 三次疟疾发作，截疟无效。必然是阴脏受病。衄血、热渴，食入不化、腹痛泄泻。这两种症状相反。思考病程已久，饮食无忌讳，病中勉强进食，不能充养精神，即为滞浊阻痹。先以调理胀泻为主，不必将疟疾混为一谈。
草果 厚朴 陈皮 木香 茯苓皮 大腹皮 猪苓 泽泻
郁姓患者（48岁） 经营劳心，进食违反规律，饥饱劳伤，脾胃受病。脾失运化。夜晚属阴晦，直到天明洞泻粘腻，不喜欢食物。脾弱，厌恶柔浊的味道。五苓散通利膀胱分泄湿气，湿气已从前面阴窍走出，用了有一点小效。李东垣说中气不足，大小便就会改变。阳气不营运，湿气多形成五种泄泻。
人参 生白术 茯苓 炙甘草 炮姜 肉桂
某患者（58岁） 形寒便泻，舌苔白。
厚朴 广陈皮 半夏 茯苓皮 桂枝木 生姜
程氏 寒湿腹痛，恶心泄泻。（病因：寒湿）
厚朴 藿香梗 益智仁 广陈皮 炒茅苍术 煨木香 茯苓 泽泻
吴氏 寒凝胃阳，腹痛泄泻。
草果 厚朴 茅苍术 广陈皮 吴茱萸 炒山楂肉
程氏 泻后腹部膨隆。
人参 生益智 炮姜 茯苓 厚朴 广陈皮
砂仁
陆氏（老年妇女） 气滞导致胀满，湿郁导致泄泻。主治以分消为主。
炒厚朴 大腹皮 茯苓 泽泻 煨益智 广陈皮 炒山楂肉
某氏 雨湿凉气，侵袭脾胃。泄泻之后，腹部膨隆，食欲减退。宜健脾运湿。
焦白术炭 厚朴 广陈皮 生谷芽 炒扁豆 木瓜 茯苓 泽泻
程女 湿郁脾阳，腹部胀满，四肢冷泄泻。四苓散加厚朴、广陈皮。
邹氏（老年妇女） 湿邪损伤导致泄泻，小便全少，腹部胀满欲胀，舌苔白且不思饮食。病在足太阴脾经。宜温中佐以分利。
生茅苍术 厚朴 草果 广陈皮 茯苓 猪苓 泽泻 炒砂仁
又 早上服用真武丸，姜汤送服二钱五分，一两。
晚上服用针砂丸，开水送一钱五分，六钱。
又 人参 附子 枳实 茯苓 干姜 生白芍
某氏 脉象沉缓，肌肉丰盛，是水土体质。阳气少于营运，水谷聚湿，布散及经络。下焦常有沉重筋痛。食物稍不运化，就容易泄泻。月经颜色淡，水湿交混。总以太阴脾脏调理。如果不中肯，恐怕防止胀病。
人参 茯苓 白术 炙甘草 广陈皮 羌活 独活 防风 泽泻
倪姓患者（67岁） 阳气损伤湿邪聚集，大便稀溏足肿。
粗桂枝 生白术 木防己 茯苓 泽泻
又 脉紧，足肿便溏，阳微湿聚，气不流畅。怕发展成单胀。照前方加茵陈。
又 晨起泄泻，肢体浮肿。
生白术 桂枝木 淡附子 茯苓 泽泻
陆姓患者（51岁） 肚脐周围动气，半夜瘕积泄泻，白天中午自行停止。这是阳衰寒湿凝固，腑阳不运。每次泻后胀减。宜通不宜涩。
制川乌 生茅苍术 茯苓 木香 厚朴 广陈皮
朱姓患者 消渴干呕，口吐清涎，舌光赤，泄泻。热病四十日不愈。热邪入阴，厥阳犯胃，吞酸不思食。久延成为病伤成劳。（肝犯胃）
川黄连 乌梅 黄芩 白芍 人参 诃子皮
陶姓患者（18岁） 病由春季木气正旺，中焦受克。先泄泻，继以腹痛，小便不利，食不思纳。皆是六腑不和所致。胃为阳土，肝属阴木。腑宜通，肝宜柔宜凉。治胃必佐泄肝，制约其克制太过。看方子呆补，不知脏腑阴阳，故辨析至此。
泡淡黄芩 炒小川黄连 炒广陈皮 厚朴 生白芍 炒乌梅肉 猪苓 泽泻
杨姓患者 因惊吓而泻，腹痛欲呕。这是蛔厥。当用酸苦之法，忌进甜物。
川椒 乌梅肉 川黄连 淡干姜 金铃子 延胡索 桂枝木 生白芍
唐姓患者 胃中不和，不饥少寐。肝风震动，头晕，溏泄。高龄之人经过一个月未恢复。两和厥阴、阳明。
炒半夏 人参 枳实 茯苓 炒乌梅肉
潘姓患者 入夜咽干欲呕，食纳腹痛即泻。这是胃口大伤，阴火内风劫烁津液。当以肝胃同治。用酸甘化阴方。
人参（一钱半） 焦白芍（三钱） 诃子皮（七分） 炙甘草（五分） 陈仓米（三钱）
又 去掉陈米加南枣一枚。
又 咽干不喜欢汤饮，腹鸣溺浊，五液消烁，虚风内风扰于肠胃。
人参 木瓜 焦白芍 赤石脂 炙甘草
朱姓患者 经期减少食欲泄泻，下焦无力。以扶土泄木法。
人参 焦白术 炒益智 茯苓 木瓜 广陈皮
某患者 病后，阴伤作泻。
乌梅 白芍 炙甘草 广陈皮 茯苓 荷叶
王姓患者 霍乱后痛泻已缓，心中空洞，肢节痿弱。这是阳明脉虚，内风闪烁。盖是虚象。异功散去参、术。
加乌梅、木瓜、白芍。
又 上吐下泻之后，中气大虚，身痛肢浮，虚风内动。以补中为法。异功散加木瓜、姜、枣。
某患者 腹鸣晨泄，巅眩脘痹。形质似乎属阳不足，诊脉小弦，不是二神、四神丸温固的症候。盖阳明胃土已虚，厥阴肝风振动内起。久病而为飧泄。用甘以理胃，酸以制肝。
人参 茯苓 炙甘草 广陈皮 乌梅 木瓜
某患者 头痛损目，黎明肠鸣泄泻，烦心必目刺痛流泪。是木火生风，致脾胃土位日戕。姑议泄木安土法。
人参 半夏 茯苓 炙甘草 丹皮 桑叶
徐姓患者（66岁） 自春季胸胁肌腠，以及腹中疼痛，从治肝小愈，腹鸣泄泻不止。久风飧泄，都因木乘土位。李东垣说：治脾胃必先制肝。仿此。（肝犯脾胃）
人参 焦白术 炙甘草 木瓜 乌梅 炒菟丝饼
程姓患者 劳损经年，食入腹胀痛泻，心中寒凛，肤腠热蒸。这是阳不内潜，脾胃久困。万无治嗽清降之理。议用戊己汤。扶土制木法。
叶姓患者（36岁） 左胁气胀，在皮膜之里。这是络脉中病也。泄肝破气久服，脾胃受困，而为泄泻。得养中小愈。然以药治药，脉络之病仍在。
半夏 桂枝 茯苓 远志 归须 橘红
姜枣汤泛丸。
张氏（老年妇女） 腹鸣胀。清晨瘕泄。先以熄肝风，安脾胃方。
人参 茯苓 木瓜 炒乌梅 炒菟丝子
某患者 脉右弦，腹膨鸣响痛泻，半年不痊。这是少阳木火郁伤脾土，久则浮肿胀满。法当疏通泄郁。非辛温燥热可治。（胆郁伤脾）
黄芩 白芍 桑叶 丹皮 柴胡 青皮
吴姓患者 阳虚恶寒，恶心吞酸，泄泻。乃年力已衰，更饮酒中虚。治法必以脾胃扶阳。（脾胃阳虚）
人参 茯苓 附子 白术 干姜 胡芦巴
赵姓患者 晨泄难忍，临晚稍可宁耐。易饥善食，仍不易消磨。其故在乎脾胃阴阳不和也。读东垣脾胃论，谓脾宜升则健，胃宜降则和。援引升降为法。
人参 生于术 炮附子 炙甘草 炒归身 炒白芍 地榆炭 炮姜灰 煨葛根 煨升麻
又 肠风鸣震，泄利得缓，犹有微痛而下。都缘阳气受伤，垢滞永不清楚。必以温通之剂为法。
生茅苍术（三钱） 炙甘草（五分） 生炮附子（一钱） 厚朴（一钱） 广陈皮（一钱） 制大黄（五分）
金姓患者（58岁） 能食不化，腹痛泄泻。若风冷外乘，肌肉着冷，其病顷刻即至。上年用石刻安肾丸，初服相投，两旬不效。知是病在中焦，不必固下矣。自述行走数十里，未觉衰倦。痛处绕脐。议用治中法。足太阴阳明主治。
生于术 生茅苍术 生益智 淡干姜 胡芦巴 茯苓 木瓜 荜茇
王某（35岁） 三年久损，气怯神夺。此温养补益，皆护元以冀却病。原不藉乎桂附辛热，以劫阴液。今胃减咽干，大便溏泄经月。夏三月脾胃主候，宜从中治。
人参 炒白芍 炙甘草 煨益智 炒木瓜 茯苓 广陈皮
[Commentary by Shao Xinpu]
Warming and tonifying Yang Qi (Yang Energy). Nourishing Yin to transform Ying (Nutritive) Qi. Searching out pathogens entering the collaterals. Using moving drugs to intercept [malaria]. Harmonizing with both acrid and sour flavors. Simultaneously tonifying Ying and Wei (Defensive) Qi. And methods such as nourishing Stomach Yin after Yang-type malaria (malaria presenting with heat signs), and regulating Spleen Yang after Yin-type malaria (malaria presenting with cold signs). These methods are already fully prepared. Collecting various schools of thought, integrating them without rigidity. As the saying goes, using medicine is like using soldiers; Mr. Ye deserves the reputation of a skilled physician. (Commentary by Shao Xinpu)
Xu Lingtai's Commentary: This is merely talk of copying others blindly.
Another Commentary: The ancient sages believed that for every disease, there must be a principal formula. For example, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the principal formula for malaria. Although the manifestations of malaria differ, one generally adds or subtracts from this formula. If there are other concurrent symptoms, it is also acceptable not to use the original formula. There is indeed logic in cases where malaria can be cured without using Chai Hu (Bupleuri Radix). However, to claim that Chai Hu must absolutely never be used for malaria is to spread erroneous doctrines. I previously heard that this old master prohibited the use of Chai Hu in treating malaria. Those who believe rumors passed down as secret methods have mutually warned against its use. I believe this is the fabrication of ignorant people; this old master would certainly not go to such lengths. Now, reading these medical cases, none of the formulas use Chai Hu, so I know this statement is true. Then this old master's deviation from orthodox teachings is truly surprising. Chai Hu Tang is the principal formula for the Shaoyang (Lesser Yang) channel. For symptoms of alternating chills and fever, this formula is indispensable. Zhang Zhongjing used Chai Hu most frequently. The Shanghan Lun (Treatise on Cold Damage) states: "Regarding the Chai Hu patterns of cold damage, if even one symptom is present, it suffices; it is not necessary for all to be present." He revered Chai Hu to such an extent. Yet this old master deliberately opposes the sage, uniquely avoiding Chai Hu. It would be like prohibiting Guizhi (Cinnamomi Ramulus) for Taiyang (Greater Yang) patterns, or prohibiting Gegen (Puerariae Lobatae Radix) for Yangming (Yang Brightness) patterns. This must be the words of an ignorant fool; how could an experienced famous doctor make such remarks? Truly a strange event in the world.
Patient Zhou: Due to damp-heat prevalent in the late summer and dietary irregularity. As stated, excessive dampness leads to the five types of diarrhea. First, use Weiling Tang (Gastrointestinal Regulation Decoction) to separate and drain Yin and Yang. (Etiology: Summerheat, Dampness, Heat) Remove Gancao (Licorice Root) from Weiling Tang.
Patient Wen: In late summer, excess dampness causes diarrhea, with borborygmus and scanty urination. The Yang of the Fu organs fails to govern the separation of clear and turbid. First, guide out dampness and harmonize the Middle Jiao. Use Weiling Tang.
Again: In previous years, injury to the Yin aspect affected the Yang position, often resulting in abdominal fullness and loose stools. From late summer into autumn, dysentery often occurred. This is due to accumulated weakness in the Qi aspect of the Middle Jiao, making it easy for the Qi of water and grain to gather into dampness. Or, foul pathogens enter via the mouth and nose, causing disharmony between the Spleen and Stomach. Therefore, care in regulation during summer and autumn is most important. Prescribed formulas for summer and autumn application for reference. When warm weather steams, Southern regions are most prone to various ailments such as summerheat, sha qi (toxic heat),痞胀 (stagnant distension). Before illness strikes, if there is suspicion or worry, immediately drink aromatic agents that rectify Qi, preventing pathogen entry is the primary principle.
Huoxiang Geng (Aucklandiae Caulis) Bai Kou Ren (Amomi Fructus Rotundus) Juhong (Citri Reticulatae Pericarpium Rubrum) Jiegeng (Platycodonis Radix) Xingren (Armeniacae Semen Amarum) Yujin (Curcumae Longae Rhizoma) Jiangxiang (Dalbergiae Odoriferae Lignum) Houpo (Magnoliae Officinalis Cortex)
After the Summer Solstice, heat prevails and dampness steams, injuring Qi and causing spiritual fatigue. Use Dongyuan Yiqi Tang (Dongyuan's Qi-Supplementing Decoction). If thirst occurs at the anus after sweat subsides, combine with Shengmai San (Generate Pulse Powder) to astringe fluids.
Patient Mou: Autumnal summerheat and foul turbidity are inhaled. Symptoms include alternating chills and fever resembling malaria, coughing with phlegm above, and profuse diarrhea below. The Three Jiao spreads the pathogen, urine is short and red. Propose aromatic methods to repel foulness, separating and draining dampness.
Huoxiang (Agastaches Herba) Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium) Fuling (Poria) Gancao (Glycyrrhizae Radix et Rhizoma) Zhuling (Polyporus)
Zexie (Alismatis Rhizoma) Mugua (Chaenomelis Fructus) Huashi (Talcum) Tanxiang Zhi (Santalum Album Juice)
Again: Medication took slightly longer to act, confirming that the mentioned foul turbidity was not imaginary. The penile cyst is due to severe damp-heat sinking downward into the lower Jiao, differing from descriptions of genital diseases in formularies. Propose methods of Liu Hejian.
Houpo (Magnoliae Officinalis Cortex) Xingren (Armeniacae Semen Amarum) Huashi (Talcum) Hanshuishi (Calcitum) Shigao (Gypsum Fibrosum) Zhuling (Polyporus) Zexie (Alismatis Rhizoma) Siguye (Fici Folium)
Patient Mou: Chronic Yin malaria has long injured the body, leading to consumptive disease. Cannot lie face down, spine is stiff, pulse sinks and weak, dorsum of foot is edematous. This is dysfunction of the Du Mai (Governing Vessel), gradually leading to kyphosis and disability. Recently, summer-dampness invaded internally causing diarrhea. First, separate and drain dampness and harmonize the Middle Jiao.
Houpo (Magnoliae Officinalis Cortex) Huoxiang (Agastaches Herba) Guangpi (Citri Reticulatae Pericarpium) Fuling (Poria) Zexie (Alismatis Rhizoma) Mugua (Chaenomelis Fructus) Chao Bian Dou (Stir-fried Dolichos Lablab Seed) Chao Zha Rou (Stir-fried Hawthorn Meat) Chao Sharen (Stir-fried Amomi Fructus)
Patient Cai (21): Shortness of breath requiring frequent pauses indicates deficiency. Recently, abdominal discomfort and diarrhea due to summerheat injury. First, clear summerheat and harmonize the Spleen to prevent progression to dysentery.
Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium) Zhi Cao (Prepared Licorice) Fuling (Poria) Zexie (Alismatis Rhizoma) Chao Bian Dou (Stir-fried Dolichos Lablab Seed) Maiya (Hordei Fructus Germinatus) Mugua (Chaenomelis Fructus) Chao Zha Rou (Stir-fried Hawthorn Meat) Sharen (Amomi Fructus)
Again: Xiangsha Yigong San (Aromatic-Amomum Yi-Gong Powder).
Patient Ye (57): Usually overworked and fatigued, fire from the five zang emotions ignites easily. Above, nasal passages are blocked; below, hemorrhoids and intestinal bleeding occur. Spring and winter warm pathogens represent the outward expansion of Yang Qi, allowing pathogens to hide inside when deficiency exists. The hidden pathogens cannot be resolved simply by dispersing acute exterior conditions. Moreover, the constitution involves internal injury from fatigue. The illness has lasted ninety days. The dorsum of the foot swells daily, bowel movements occur five to six times daily, stool is sticky, yellow-red-purple and stagnant, urination is difficult, only passing slightly upon defecation. The kidney gate pivot mechanism is abolished, and the two Intestines (Fu organs) fail in their duties. Water and grain ingested are not managed by the Spleen and Stomach, brewing dampness that sinks downward, transforming into putrefied forms. Just as Earth Qi peaks entering summer, when the Spleen and Stomach govern Qi, internal damp-heat flourishes due to daily injury to the Spleen and Kidney. Unclear physicians, making mistakes again and again, will inevitably lead to abdominal fullness. The left pulse being slow and choppy reflects long-term Yin-Yang depletion, which is reasonable. But why is the right pulse wiry and large? Is it due to excess physical stagnation? As Zhongjing said: "Wiry indicates decreased Stomach Qi, large indicates disease progression." This is also due to the gradual relaxation of Yangming meridians and edema spreading upward from below. Adhering to middle-jiao treatment hinders food intake and causes stifling fullness. The main idea is to promote movement in the middle and separation/drainage in the lower. Only when urination becomes natural and Fu organ opening/closing functions normally is there a turning point. If delayed for another month, when Yin generates at the Summer Solstice, it will be hard to reverse. Si Ling San (Four-Poria Decoction) plus Jiaomu (Spermacoce Seed), Houpo, Yizhi, Guangpi white part.
Again: After five days of separation-drainage methods, diarrhea reduced and urination通畅, but foot edema remains. Know that the Spleen and Stomach have been trapped for a long time, damp-heat stagnates turbidity, unable to circulate. Ingested food transforms into dampness through steaming; excess dampness forms the five diarrheas. To remove dampness, one must promote urination. However, excessive diuresis concerns the Lower Jiao for a sixty-six-year-old. During summer, when the Spleen and Stomach command, the Spleen should be tonified to become healthy, and the Stomach should be dispersed to become clear. Supporting righteous Qi and driving out damp-heat is the method of combining elimination and tonification. Take Zisheng Wan (Nourishing Life Pill) at night, sent down with stir-fried rice soup.
(Morning) Renshen (Ginseng Radix et Rhizoma) Guangpi (Citri Reticulatae Pericarpium) Fangji (Stephaniae Tetrandrae Radix) Houpo (Magnoliae Officinalis Cortex) Fuling (Poria) Sheng Zhu (Raw Atractylodis Macrocephalae Rhizoma) Zexie (Alismatis Rhizoma) Shenqu (Massa Medicata Fermentata) Huanglian (Coptidis Rhizoma) Wuzhu Yu (Evodiae Fructus)
Patient Zhu: Carelessness in diet and mouth led to internal damp-heat, recurrence of diarrhea. Excess dampness forms the five diarrheas; Qi stagnation causes abdominal distension. (Etiology: Damp-Heat)
Renshen (Ginseng Radix et Rhizoma) Mao Zhu (Atractylodis Rhizoma) Chuan Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix) Bai Shao (Paeoniae Radix Alba) Guangpi (Citri Reticulatae Pericarpium) Fuling (Poria) Zexie (Alismatis Rhizoma) Zha Rou (Crataegi Fructus)
Patient Chen: Pulse is slow and large, abdominal pain and diarrhea, scanty urination. This is dampness generated internally from water and grain,郁蒸 (stagnating and steaming) in the intestines and stomach, causing confusion of clear and turbid. If not cleared and separated, it will extend into accumulation, sticky dysentery. Propose Qin Shao Tang (Scutellaria and Peony Decoction).
Dan Huang Qin (Light Scutellariae Radix) Sheng Bai Shao (Raw Paeoniae Radix Alba) Guangpi (Citri Reticulatae Pericarpium) Houpo (Magnoliae Officinalis Cortex) Huoxiang (Agastaches Herba) Fuling (Poria) Zhuling (Polyporus) Zexie (Alismatis Rhizoma)
Patient Zhang: Pulse is slow and choppy, abdominal fullness, painful diarrhea that is unsatisfactory. Qi stagnation for a long time, dampness congeals in the intestines. Use Danxi Xiao Wen Zhong Wan (Danxi's Minor Warming Center Pill).
Zhen Sha (Magnetum) Xiao Chuan Lian (Minor Coptidis Rhizoma) Cang Zhu (Atractylodis Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Xiang Fu (Cyperi Rhizoma) Ban Xia (Pinelliae Tuber) Guangpi (Citri Reticulatae Pericarpium) Qing Pi (Citri Reticulatae Pericarpium Viride) Shenqu (Massa Medicata Fermentata) pill with malt paste.
Patient Cheng: Palpating the Liver area, the pulse is uniquely large, while Spleen and Stomach pulses are slow and weak. Normally eats little but spirit is good. Innate vitality is abundant. Currently watery diarrhea, lower abdomen full. The lower abdomen is the location of the Jueyin Liver. Due to failure to distinguish Yin and Yang, turbidity occupies the lower, causing Liver loss of free flow. Should use Wu Ling San (Five-Ingredient Poria Pill) to guide water and drain dampness, imitating the ancients' method of "opening branch rivers urgently."
Patient Huang (9 years old): Chronic diarrhea accompanied by sores indicates dampness prevailing with heat stagnation. Bitter-cold herbs must be assisted by wind-dispersing drugs, aligning with Dongyuan's principle: "The Spleen benefits from ascending to be healthy; the Stomach benefits from descending to be harmonious."
Renshen (Ginseng Radix et Rhizoma) Chuan Lian (Coptidis Rhizoma) Huang Bo (Phellodendri Cortex) Guangpi (Citri Reticulatae Pericarpium) Zhi Cao (Prepared Licorice) Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma) Qiang Huo (Notopterygii Rhizoma et Radix) Fang Feng (Saposhnikoviae Radix) Sheng Ma (Ephedrae Herba - *Note: Context implies Cimicifugae Rhizoma based on 'ascending', usually Sheng Ma is Cimicifugae, text says Sheng Ma but lists Ephedrae in herb list earlier? Standard TCM Sheng Ma is Cimicifugae. I will translate as Cimicifugae Rhizoma*) Chai Hu (Bupleuri Radix) Shenqu (Massa Medicata Fermentata) Mai Ya (Hordei Fructus Germinatus)
Patient Zhu (34): Thin and pointed shape, Wood-Fire constitution. Since last year, diarrhea, ineffective treatments with Spleen/Stomach drugs. This is inherent deficiency of Yin Water, dampness from alcohol/food sinking, Yin weakness failing to contain. Should use bitter flavor to firm Yin, light-draining to overcome dampness.
Chao Chuan Lian (Stir-fried Coptidis Rhizoma) Chao Huang Bo (Stir-fried Phellodendri Cortex) Houpo (Magnoliae Officinalis Cortex) Guangpi Bai (White part of Citri Reticulatae Pericarpium) Fuling (Poria) Zhuling (Polyporus) Zexie (Alismatis Rhizoma) Chao Zha Rou (Stir-fried Crataegi Fructus)
Patient Chen: Cold-damp has transformed into heat stagnation. Six Fu organs are obstructed causing diarrhea.
Sheng Tai Zhu (Raw Tai Cang Zhu) Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium) Bai Fu Ling (White Poria) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) Mugua (Chaenomelis Fructus) Yin Chen (Artemisiae Scopariae Herba) Zexie (Alismatis Rhizoma)
Patient Mou (33): Internal accumulation of wine-dampness forming phlegm-fluid, remaining dampness sinks downward causing the five diarrheas. Commonly uses a single-ingredient Mao Zhu Wan (Atractylodes Pill).
Chao Ban Xia (Stir-fried Pinelliae Tuber) Fuling (Poria) Yi Ren (Coicis Semen) Ci Ji Li (Tribuli Fructus) Xin Hui Pi (Xinhui Tangerine Peel)
Ms. Wang: Head distension, preference for cold drinks, cough/vomiting with chest fullness, unsatisfactory diarrhea. This is summerheat. Thus, astringent/hemostatic drugs worsen it. Tongue is white. Propose clearing Upper Jiao Qi level. (Etiology: Summerheat)
Shi Gao (Gypsum Fibrosum) Dan Huang Qin (Light Scutellariae Radix) Chao Ban Xia (Stir-fried Pinelliae Tuber) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Houpo (Magnoliae Officinalis Cortex) Xing Ren (Armeniacae Semen Amarum)
Patient Wang (27): From spring to winter, white discharge diarrhea, now abdominal pain, scanty urination. Likely unsuitable food, Spleen-Stomach cold-water pouring into Large Intestine. Should divide the pathogenic force to guide Taiyang. Principal formula: Weiling Tang. (Etiology: Middle Yang Damp Stagnation)
Patient Hu (23): Malaria interception failed three times. Must be disease in Yin Zang. Epistaxis, heat-thirst, undigested food, painful diarrhea. These two are contradictory. Considering the disease has prolonged, food is unrestricted, forced eating during illness does not nourish spirit but creates stagnation/turbidity obstruction. First regulate distension and diarrhea, do not mix with malaria.
Cao Guo (Tsao-ko Fruit) Houpo (Magnoliae Officinalis Cortex) Chen Pi (Citri Reticulatae Pericarpium) Mu Xiang (Aucklandiae Radix) Fuling Pi (Poria Peel) Fu Pi (Arecae Pericarpium) Zhuling (Polyporus) Zexie (Alismatis Rhizoma)
Patient Yu (48): Mental labor from business, irregular eating, hunger/fullness fatigue injures Spleen-Stomach. Spleen loses transformation. Night belongs to Yin darkness, until dawn profuse sticky diarrhea, dislike food. Spleen weak, dislikes soft/turbid flavors. Wu Ling San opens Bladder to separate/drain dampness, dampness exits via anterior orifice, slight effect. Dongyuan said: Insufficient Middle Qi leads to changes in urination/defecation. Yang fails to circulate, dampness forms five diarrheas.
Renshen (Ginseng Radix et Rhizoma) Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Zhi Cao (Prepared Licorice) Pao Jiang (Prepared Ginger) Rou Gui (Cinnamomi Cortex)
Patient Mou (58): Chills and diarrhea, white tongue.
Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium) Ban Xia (Pinelliae Tuber) Fuling Pi (Poria Peel) Guizhi Mu (Cinnamomi Ramulus Wood) Sheng Jiang (Fresh Ginger)
Cheng Shi: Cold-damp abdominal pain, nausea, diarrhea. (Etiology: Cold-Damp)
Houpo (Magnoliae Officinalis Cortex) Huoxiang Geng (Aucklandiae Caulis) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) Guangpi (Citri Reticulatae Pericarpium) Chao Mao Zhu (Stir-fried Atractylodis Rhizoma) Wei Mu Xiang (Baked Aucklandiae Radix) Fuling (Poria) Zexie (Alismatis Rhizoma)
Wu Shi: Cold congealing Stomach Yang, abdominal pain, diarrhea.
Cao Guo (Tsao-ko Fruit) Houpo (Magnoliae Officinalis Cortex) Mao Zhu (Atractylodis Rhizoma) Guangpi (Citri Reticulatae Pericarpium) Wu Zhu Yu (Evodiae Fructus) Chao Zha Rou (Stir-fried Crataegi Fructus)
Cheng Shi: Abdominal distension after diarrhea.
Renshen (Ginseng Radix et Rhizoma) Sheng Yi Zhi (Raw Alpiniae Oxyphyllae Fructus) Pao Jiang (Prepared Ginger) Fuling (Poria) Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium)
Sha Ren (Amomi Fructus)
Lu Shi (Elderly Woman): Qi stagnation causes distension, dampness stagnation causes diarrhea. Main treatment: Separation and drainage.
Chao Houpo (Stir-fried Magnoliae Officinalis Cortex) Da Fu Pi (Arecae Pericarpium) Fuling (Poria) Zexie (Alismatis Rhizoma) Wei Yi Zhi (Baked Alpiniae Oxyphyllae Fructus) Guangpi (Citri Reticulatae Pericarpium) Chao Zha Rou (Stir-fried Crataegi Fructus)
Mou Shi: Rain-damp and cool air invade Spleen-Stomach. After diarrhea, abdominal distension decreases appetite. Should strengthen Middle and transport dampness.
Jiao Bai Zhu Tan (Charred Raw Atractylodis Macrocephalae Rhizoma Carbonized) Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium) Sheng Gu Ya (Raw Hordei Fructus Germinatus) Chao Bian Dou (Stir-fried Dolichos Lablab Seed) Mugua (Chaenomelis Fructus) Fuling (Poria) Zexie (Alismatis Rhizoma)
Cheng Girl: Dampness stagnating Spleen Yang, abdominal fullness, cold limbs, diarrhea. Si Ling San plus Houpo, Guangpi.
Zou Shi (Elderly Woman): Dampness injury causing diarrhea, complete lack of urination, abdominal fullness wanting to swell, white tongue, no appetite. Disease in Foot-Taiyin Spleen. Should warm Middle assisting separation/drainage.
Sheng Mao Zhu (Raw Atractylodis Rhizoma) Houpo (Magnoliae Officinalis Cortex) Cao Guo (Tsao-ko Fruit) Guangpi (Citri Reticulatae Pericarpium) Fuling (Poria) Zhuling (Polyporus) Zexie (Alismatis Rhizoma) Chao Sha Ren (Stir-fried Amomi Fructus)
Again: Morning take Zhen Wu Wan (True Warrior Pill), sent down with Ginger Soup, 2.5 qian, total 1 liang.
Night take Zhen Sha Wan (Magnetum Pill), sent down with boiling water, 1.5 qian, total 6 qian.
Again: Renshen (Ginseng Radix et Rhizoma) Fu Zi (Aconiti Lateralis Radix Praeparata) Zhi Shi (Aurantii Fructus Immaturus) Fuling (Poria) Gan Jiang (Dried Ginger) Sheng Bai Shao (Raw Paeoniae Radix Alba)
Mou Shi: Pulse deep and slow, flesh abundant, Earth-Water constitution. Yang Qi is insufficient for circulation, water/grain gathers dampness, spreading to collaterals. Lower Jiao often has heavy tendon pain. Slight failure in food digestion leads easily to diarrhea. Menstrual blood is pale, water-damp mixed. Total regulation via Taiyin Spleen. If not appropriate, fear distension disease.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Zhi Cao (Prepared Licorice) Guangpi (Citri Reticulatae Pericarpium) Qiang Huo (Notopterygii Rhizoma et Radix) Du Huo (Angelicae Pubescentis Radix) Fang Feng (Saposhnikoviae Radix) Zexie (Alismatis Rhizoma)
Ni (67): Yang injury, dampness gathering, loose stools, foot swelling.
Cu Gui Zhi (Coarse Cinnamomi Ramulus) Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma) Mu Fang Ji (Stephaniae Membranaceae Radix) Fuling (Poria) Zexie (Alismatis Rhizoma)
Again: Pulse tight, foot swelling, loose stools, slight Yang, dampness gathering, Qi not flowing smoothly. Fear developing into single distension. Follow previous formula adding Yin Chen.
Again: Morning diarrhea, limb swelling.
Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma) Gui Zhi Mu (Cinnamomi Ramulus Wood) Dan Fu Zi (Light Aconiti Lateralis Radix Praeparata) Fuling (Poria) Zexie (Alismatis Rhizoma)
Lu (51): Qi movement at umbilicus, midnight mass diarrhea, stops spontaneously at noon. This is Yang decline, cold-damp freezing, Fu Yang not transporting. Each diarrhea reduces distension. Should unblock, not astringe.
Zhi Chuan Wu (Processed Sichuan Aconite Root) Sheng Mao Zhu (Raw Atractylodis Rhizoma) Fuling (Poria) Mu Xiang (Aucklandiae Radix) Houpo (Magnoliae Officinalis Cortex) Guangpi (Citri Reticulatae Pericarpium)
Zhu: Xiao Ke (Wasting-Thirst) dry vomiting, spitting clear saliva, smooth red tongue, diarrhea. Heat disease forty days unresolved. Heat pathogen enters Yin, Jue Yang invades Stomach, acid regurgitation, no desire to eat. Prolonged leads to injury-consumption. (Liver invading Stomach)
Chuan Lian (Coptidis Rhizoma) Wu Mei (Mume Fructus) Huang Qin (Scutellariae Radix) Bai Shao (Paeoniae Radix Alba) Renshen (Ginseng Radix et Rhizoma) He Zi Pi (Terminalia Chebulae Pericarpium)
Tao (18): Disease due to Spring Wood flourishing, overcoming Middle Jiao. First diarrhea, then abdominal pain, scanty urination, no desire to eat. All caused by disharmony of Six Fu. Stomach is Yang Earth, Liver is Yin Wood. Fu should be unblocked, Liver should be softened/cooled. Treating Stomach must assist draining Liver to control excessive overcoming. Reading the prescription shows rigid tonification, unaware of Zang-Fu Yin-Yang, hence this analysis.
Pao Dan Huang Qin (Soaked Light Scutellariae Radix) Chao Xiao Chuan Lian (Stir-fried Small Coptidis Rhizoma) Chao Guang Pi (Stir-fried Citri Reticulatae Pericarpium) Houpo (Magnoliae Officinalis Cortex) Sheng Bai Shao (Raw Paeoniae Radix Alba) Chao Wu Mei Rou (Stir-fried Mume Fructus Flesh) Zhuling (Polyporus) Zexie (Alismatis Rhizoma)
Yang: Diarrhea due to fright, abdominal pain wanting to vomit. This is Hui Jue (Roundworm Convulsion). Should use Sour-Bitter method, avoid sweet foods.
Chuan Jiao (Zanthoxyli Fructus) Wu Mei Rou (Mume Fructus Flesh) Chuan Lian (Coptidis Rhizoma) Dan Gan Jiang (Light Dried Ginger) Jin Ling Zi (Meliosmae Fructus) Yan Hu Suo (Corydalis Rhizoma) Gui Zhi Mu (Cinnamomi Ramulus Wood) Sheng Bai Shao (Raw Paeoniae Radix Alba)
Tang: Stomach disharmony, no hunger, little sleep. Liver Wind shaking, dizziness, loose stool. Elderly, not recovered for months. Harmonize Jueyin and Yangming.
Chao Ban Xia (Stir-fried Pinelliae Tuber) Renshen (Ginseng Radix et Rhizoma) Zhi Shi (Aurantii Fructus Immaturus) Fuling (Poria) Chao Wu Mei Rou (Stir-fried Mume Fructus Flesh)
Pan: Night throat dry wanting to vomit, eating causes abdominal pain then diarrhea. Great injury to Stomach Gate, Yin Fire and Internal Wind scorching fluids. Should treat Liver and Stomach together. Use Sour-Sweet to generate Yin formula.
Renshen (1.5 qian) Jiao Bai Shao (3 qian) He Zi Pi (0.7 fen) Zhi Cao (0.5 fen) Chen Cang Mi (3 qian)
Again: Remove Chen Mi, add one Southern Date.
Again: Throat dry, dislike hot drinks, borborygmus, turbid urine, Five Fluids consumed, Deficient Wind and Internal Wind disturbing Intestines/Stomach.
Renshen (Ginseng Radix et Rhizoma) Mugua (Chaenomelis Fructus) Jiao Bai Shao (Stir-fried Paeoniae Radix Alba) Chi Shi Zhi (Halloysitum Rubrum) Zhi Cao (Prepared Licorice)
Zhu: Monthly reduction in appetite and diarrhea, Lower Jiao weakness. Use Tonify Earth Drain Wood method.
Renshen (Ginseng Radix et Rhizoma) Jiao Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) Chao Yi Zhi (Stir-fried Alpiniae Oxyphyllae Fructus) Fuling (Poria) Mugua (Chaenomelis Fructus) Guangpi (Citri Reticulatae Pericarpium)
Mou: Post-illness, Yin injury causing diarrhea.
Wu Mei (Mume Fructus) Bai Shao (Paeoniae Radix Alba) Zhi Cao (Prepared Licorice) Guangpi (Citri Reticulatae Pericarpium) Fuling (Poria) He Ye (Nelumbinis Folium)
Wang: After Huoluan (Cholera-like disorder), painful diarrhea eased, empty feeling in heart, flaccid limbs. This is Yangming Meridian deficiency, internal flickering wind. It is a deficiency image. Yigong San minus Renshen, Bai Zhu.
Add Wu Mei, Mugua, Bai Shao.
Again: After vomiting and diarrhea, Middle Qi greatly deficient, body pain, limb edema, internal movement of deficient wind. Method: Tonify Middle. Yigong San plus Mugua, Ginger, Jujube.
Mou: Borborygmus morning diarrhea, vertex vertigo, epigastric blockage. Physical form seems Yang insufficient, pulse small-wiry, not Er Shen/Si Shen warming-consolidation pattern. Yangming Stomach Earth already deficient, Jueyin Liver Wind vibrating internally. Long-term illness becoming Sundry Diarrhea. Use Sweet to regulate Stomach, Sour to control Liver.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Zhi Cao (Prepared Licorice) Guangpi (Citri Reticulatae Pericarpium) Wu Mei (Mume Fructus) Mugua (Chaenomelis Fructus)
Mou: Headache damaging eyes, dawn borborygmus diarrhea, irritability causes eye stabbing pain/tearing. Wood-Fire generating Wind, daily damaging Spleen-Stomach Earth position. Tentatively propose Draining Wood Calming Earth method.
Renshen (Ginseng Radix et Rhizoma) Ban Xia (Pinelliae Tuber) Fuling (Poria) Zhi Cao (Prepared Licorice) Dan Pi (Moutan Cortex) Sang Ye (Mori Folium)
Xu (66): Since spring, chest/flank/muscle-skin and abdominal pain, improved slightly treating Liver, but borborygmus diarrhea persists. Long-term wind sundry diarrhea, all due to Wood overcoming Earth. Dongyuan said: Treating Spleen-Stomach must first control Liver. Imitate this. (Liver invading Spleen-Stomach)
Renshen (Ginseng Radix et Rhizoma) Jiao Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) Zhi Cao (Prepared Licorice) Mugua (Chaenomelis Fructus) Wu Mei (Mume Fructus) Chao Tu Si Bing (Stir-fried Cuscutae Semen Cake)
Cheng: Consumptive disease for years, eating causes abdominal distension/pain/diarrhea, cold chill in heart, heat steaming skin. Yang fails to submerge internally, Spleen-Stomach trapped long-term. No logic for treating cough/clearing-descending. Propose Wu Ji Tang. Tonify Earth Control Wood method.
Ye (36): Left flank Qi distension, inside the membrane. This is Collateral pathology. Long-term use of draining Liver/breaking Qi drugs traps Spleen-Stomach, causing diarrhea. Improves slightly with nourishing Middle. However, treating disease with drugs, collateral pathology remains.
Ban Xia (Pinelliae Tuber) Gui Zhi (Cinnamomi Ramulus) Fuling (Poria) Yuan Zhi (Polygalae Radix) Gui Xu (Rosae Rugosae Radix) Ju Hong (Citri Reticulatae Pericarpium Rubrum)
Pill made with Ginger-Jujube decoction.
Zhang Shi (Elderly Woman): Borborygmus distension. Dawn mass diarrhea. First use extinguish Liver Wind, calm Spleen-Stomach formula.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Mugua (Chaenomelis Fructus) Chao Wu Mei (Stir-fried Mume Fructus) Chao Tu Si Zi (Stir-fried Cuscutae Semen)
Again: Drain Liver Awaken Stomach formula.
Wu Zhu Yu (Evodiae Fructus) Sheng Bai Shao (Raw Paeoniae Radix Alba) Chao Wu Mei (Stir-fried Mume Fructus) Renshen (Ginseng Radix et Rhizoma) Fuling (Poria)
Mou: Right pulse wiry, abdominal distension/borborygmus/painful diarrhea, half-year unresolved. Shaoyang Wood-Fire stagnation injuring Spleen Earth, eventually floating/swollen distension. Method: Unblock and drain stagnation. Not treatable with Acrid-Warm Dry-Hot. (Gallbladder Stagnation Injuring Spleen)
Huang Qin (Scutellariae Radix) Bai Shao (Paeoniae Radix Alba) Sang Ye (Mori Folium) Dan Pi (Moutan Cortex) Chai Hu (Bupleuri Radix) Qing Pi (Citri Reticulatae Pericarpium Viride)
Wu: Yang deficiency aversion to cold, nausea acid regurgitation, diarrhea. Age declining, further weakened by alcohol. Treatment must support Yang of Spleen-Stomach. (Spleen-Stomach Yang Deficiency)
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Fu Zi (Aconiti Lateralis Radix Praeparata) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Gan Jiang (Dried Ginger) Hu Lu Ba (Trigonellae Semen)
Zhao: Morning diarrhea unbearable, evening slightly tolerable. Easy hunger/good appetite, yet hard to digest. Reason lies in Spleen-Stomach Yin-Yang disharmony. Reading Dongyuan's Treatise on Spleen and Stomach, stating Spleen benefits from ascending to be healthy, Stomach from descending to be harmonious. Adopt Ascending-Descending method.
Renshen (Ginseng Radix et Rhizoma) Sheng Yu Zhu (Raw Atractylodis Macrocephalae Rhizoma) Pao Fu Zi (Prepared Aconiti Lateralis Radix Praeparata) Zhi Cao (Prepared Licorice) Chao Gui Shen (Stir-fried Angelicae Sinensis Radix) Chao Bai Shao (Stir-fried Paeoniae Radix Alba) Di Yu Tan (Sanguisorbae Radix Charcoal) Pao Jiang Hui (Prepared Ginger Ash) Wei Ge Gen (Baked Puerariae Lobatae Radix) Wei Sheng Ma (Baked Cimicifugae Rhizoma)
Again: Intestinal wind borborygmus, diarrhea eased, still slight pain downward. All due to Yang Qi injury, filth/stagnation never clear. Must use Warm-Unblocking agents.
Sheng Mao Zhu (3 qian) Zhi Cao (0.5 fen) Sheng Pao Fu Zi (1 qian) Houpo (1 qian) Guang Pi (1 qian) Zhi Da Huang (0.5 fen)
Jin (58): Can eat but not digest, abdominal pain diarrhea. If wind-cold externally attacks, muscles touching cold, disease arrives instantly. Last year used Shi Ke An Shen Wan (Stone-Carved Kidney-Anchoring Pill), initially matched, ineffective after twenty days. Know disease is in Middle Jiao, no need to consolidate lower. Self-reported walking dozens of li without fatigue. Pain around umbilicus. Propose Zhi Zhong method. Foot-Taiyin and Yangming governing.
Sheng Yu Zhu (Raw Atractylodis Macrocephalae Rhizoma) Sheng Mao Zhu (Raw Atractylodis Rhizoma) Sheng Yi Zhi (Raw Alpiniae Oxyphyllae Fructus) Dan Gan Jiang (Light Dried Ginger) Hu Lu Ba (Trigonellae Semen) Fuling (Poria) Mugua (Chaenomelis Fructus) Bi Bo (Piperis Longi Fructus)
Wang (35): Three-year chronic consumption, Qi timid, Spirit robbed. This warming/nourishing tonification protects Yuan Qi hoping to drive out disease. Originally does not rely on Gui/Fu Acrid-Hot to rob Yin fluids. Now Stomach Qi decreased, throat dry, loose diarrhea for a month. Summer three months Spleen-Stomach command, should treat from Middle.
Renshen (Ginseng Radix et Rhizoma) Chao Bai Shao (Stir-fried Paeoniae Radix Alba) Zhi Cao (Prepared Licorice) Wei Yi Zhi (Baked Alpiniae Oxyphyllae Fructus) Chao Mugua (Stir-fried Chaenomelis Fructus) Fuling (Poria) Guang Pi (Citri Reticulatae Pericarpium)