充旺。肝血肾精受戕。致奇经八脉中乏运用之力。乃筋骨间病。内应精血之损伤也。
人参（一钱） 鹿茸（二钱） 杞子（炒黑三钱） 当归（一钱） 舶茴香（炒黑一钱） 紫衣胡桃肉（二枚）
生雄羊内肾（二枚）
夫精血皆有形。以草木无情之物为补益。声气必不相应。桂附刚愎。气质雄烈精血主脏。
脏体属阴。刚则愈劫脂矣。至于丹溪虎潜法。潜阳坚阴。用知柏苦寒沉着。未通奇脉。余以
柔剂阳药。通奇脉不滞。且血肉有情。栽培身内之精血。但王道无近功。多用自有益。
朱（三六） 辛温咸润。乃柔剂通药。谓肾恶燥也。服有小效。是劳伤肾真。而八脉皆以废弛失职。议进
升阳法。（阳虚奇脉兼病）
鹿茸 苁蓉 归身 杞子 柏子仁 杜仲 菟丝子 沙苑
范（二一）父母弱症早丧。禀质不克充旺。年二十岁未娶。见病已是损怯。此寒热遇劳而发。即内经
阳维脉衰。不司维续。护卫包举。下部无力。有形精血。不得充涵筋骨矣。且下元之损。必累八
脉。此医药徒补无用。
鹿茸 杞子 归身 巴戟 沙苑 茯苓 舶茴香 羊肉胶丸
施 冲气贯胁上咽。形体日渐枯槁。此劳伤肝肾。而成损怯。由乎精气不生。厥气上逆耳。议以
通阳摄阴。冀其渐引渐收。非见病治病之方法矣。（阴阳并虚）
苁蓉 熟地 五味 枸杞 柏子霜 茯苓 桑椹子 砂仁 青盐 羊肉胶丸。
王（三十）阳虚背寒肢冷。阴虚火升烦惊。宿病偏伤不复。总在虚损一门。镇摄之补宜商。
早用薛氏八味丸。晚归脾。去 木香。
某 肝肾损伤。八脉无气。未老衰惫大着。姑议通阳守阴一法。俟明眼裁之。
淡苁蓉 熟地炭 鹿角霜 五味子肉 柏子仁 茯苓
王（二九）摇精惊恐。肝肾脏阴大泄。阳不附和。阴中百脉之气。自足至巅。起自涌泉。以少阴之脉始
此。欲使阴阳翕阖。譬诸招集溃散卒伍。所谓用药如用兵。
熟地 枸杞 当归 五味 远志 龟版 鹿鞭 羊肉
某 脉虚细。夜热晨寒。烦倦口渴。汗出。脏液已亏。当春气外泄。宗内经凡元气有伤。当与甘药
之例。阴虚者用复脉汤。
炙甘草（七分） 人参（一钱） 阿胶（二钱） 火麻仁（一钱） 生地（二钱） 麦冬（一钱）
桂枝（三分） 生白芍（一钱半）
某（二四）阴伤及阳。加以春夏大地阳气主泄。真无内聚。形神痿靡。大凡热必伤气。固气。正以迎夏
至一阴来复。
人参 熟地 五味 炒山药 芡实 建莲
张（二四）脏阴久亏。八脉无力。是久损不复。况中脘微痛。脐中动气。决非滋腻凉药可服。仿大建中
之制。温养元真。壮其奇脉。为通纳方法。
人参 生于术 炙草 茯苓 熟地 淡苁蓉 归身 白芍 真浔桂 枸杞 五味
蜜丸。服四钱。
许（十九）善嗔食减无味。大便溏泻。三年久病。内伤何疑。但清内热。润肺理嗽。总是妨碍脾胃。思人
身病损。必先阴阳致偏。是太阴脾脏日削。自然少阳胆木来侮。宗内经补脏通腑一法。 四
君子加桑叶炒丹皮。
又 虚劳三年。形神大衰。食减无味。大便溏泻。寒起背肢。热从心炽。每咳必百脉动掣。间或胁
肋攻触。种种见症。都是病深传遍。前议四君子汤。以养脾胃冲和。加入桑叶丹皮。和少阳木
火。使土少侵。服已不应。想人身中二气致偏则病。今脉症乃损伤已极。草木焉得振顿。见病
治病。谅无 益。益气少灵。理从营议。食少滑泄。非滋腻所宜。暂用景岳理阴煎法。参入镇逆
固摄。若不胃苏知味。实难拟法。
又 人参 秋石 山药 茯苓 河车胶丸。
张 汗多亡阳。是医人不知劳倦受寒。病兼内伤。但以风寒外感发散致误。淹淹半年。乃病伤
不复。能食者以气血兼补。
人参 白术 茯苓 沙苑 苁蓉 归身 枸杞
张（十九）阴伤成劳。因减食便溏寒热。姑从中治者。以脾为营。胃主卫也。异功加五味子。
吴（三六）虚损至食减。腹痛。便溏。中宫后天为急。不必泥乎痰嗽缕治。异功散去术加炒白芍煨益智仁。
杨（氏）背寒心热。胃弱少餐。经期仍至。此属上损。（上损及胃）
生地 茯神 炒麦冬 生扁豆 生甘草
仲 久嗽。神衰肉消。是因劳倦内伤。医不分自上自下损伤。但以苦寒沉降。气泄汗淋。液耗夜。
热。胃口得苦伤残。食物从此顿减。老劳缠绵。讵能易安。用建中法。 黄 建中汤去姜。
又 照前方加五味子。
又 平补足三阴法。
人参 炒山药 熟地 五味 女贞子 炒黑杞子
时（二十）脉细属脏阴之损。平素畏寒怯冷。少年阳气未得充长。夏令暴泻。是时令湿热。未必遽然
虚损若此。今谷减形瘦。步履顿加喘息。劳怯显然。当理脾肾。（下损及中）
早服加减八味丸。晚服异功散。
某 由阴损及乎阳。寒热互起。当调营卫。参 建中汤去姜糖。
某 入夏发泄主令。由下损以及中焦。减谷形衰。阴伤及阳。畏冷至下。春季进河车羊肉温养
固髓方法。积损难充。不禁时令之泄越耳。古人减食久虚。必须胃药。晚进参术膏。早用封固
佐升阳法。长夏不复奈何。
鹿茸（生研一两） 鹿角霜（一两） 熟地（二两） 生菟丝子（一两） 人参（一两）
茯苓（一两） 韭子（二两） 补骨脂（胡桃蒸一两） 枸杞子（一两） 柏子霜（一两）
蜜丸。早服四钱。参汤送。
参术膏方 人参四两。另用泉水熬。九蒸于术四两。另用泉水熬。各熬膏成以炭火浓掩干
灰。将药罐炖收至极老为度。每用膏二钱五分。开水化服。
李（二九）劳怯。形色夺。肌肉消。食减便滑。兼痰呛喉痛。知医理者。再无清咽凉肺滋阴矣。病患述心
事操持病加。显然内损。关系脏真。冬寒藏阳。人身之阳。升腾失交。收藏失司。岂见病治病肤
浅之见识。据说食进超时。必有痛泻。经言食至小肠变化。屈曲肠间有阻。常有诸矣。凡汤药
气升。宜丸剂疏补。资生丸食后服。（脾肾兼虚）
（晨服） 人参 坎 茯苓 黑壳建莲 五味 芡实 山药浆丸。
杨 发堕于少壮之年。能食不化。噫气。小溲淋浊。便粪渐细。少年脾肾损伤。宜暖下焦以醒中
阳。济生丸三钱。开水送下。
陈（十八）阴损于下。中焦运阳亦弱。见症少年损怯。先天不充。以后天维续。但食少难化。腻滞勿用。
由阴损及阳。用双补丸。
某 久劳。食减。便溏不爽。气短促。异功加五味子。
王（二四）脉如数。垂入尺泽。病起肝肾下损。廷及脾胃。昔秦越人云。自下焦损伤。过中焦则难治。
知有形精血难复。急培无形之气为旨。食少便溏。与钱氏异功散。
蔡 久嗽气浮。至于减食泄泻。显然元气损伤。若清降消痰。益损真气。大旨培脾胃以资运纳。
暖肾脏以助冬藏。不失带病延年之算。异功散兼服。
熟地炭 茯神 炒黑枸杞 五味 建莲肉 炒黑远志 山药粉丸。早上服。
叶（三一）病损不复。八脉空虚。不时寒热。间或便溏。虽步履饮食如常。周身气机。尚未得雍和。倘调
摄失慎。虑其反复。前丸药仍进。煎方宗脾肾双补法。
人参（一钱） 茯苓（三钱） 广皮（一钱） 炒沙苑（一钱） 益智仁（煨研一钱） 炒菟丝饼（二钱）
华（二八）劳损。加以烦劳。肉消形脱。潮热不息。胃倒泄泻。冲气上攻。则呕。当此发泄主令。难望久延。（胃虚
呕泻）
人参 诃子皮 赤石脂 蒸熟乌梅肉 新会皮 炒白粳米
吕 冲年久坐诵读。五志之阳多升。咽干内热。真阴未能自旺于本宫。诊脉寸口动数。怕有见
红之虑。此甘寒缓热为稳。不致胃枯耳。（阴虚阳浮兼胃阴虚）
生地 天冬 女贞 茯神 炙草 糯稻根须
杜（二一）阴精久损。投以填纳温润。入夏至晚火升。食物少减。仍属阴亏。但夏三月。必佐胃药。
参须 麦冬 五味 茯神 建莲 芡实
许 脉左坚。上下直行。精损。热自升降。
细生地 玄参心 女贞 川斛 糯稻根须
又 甜北沙参 天冬 炒麦冬 茯神 阿胶 秋石
又 人参 麦冬 生甘草 扁豆
胡（四三）补三阴脏阴。是迎夏至生阴。而晕逆欲呕吐痰。全是厥阳犯胃上巅。必静养可制阳光之
动。久损重虚。用甘缓方法。金匮麦门冬汤去半夏。
王 春半寐则盗汗。阴虚。当春阳发泄。胃口弱极。六黄苦味未宜。用甘酸化阴法。
人参 熟地 五味 炙草 湖莲 茯神
某（二一）诵读身静心动。最易耗气损营。心脾偏多。不时神烦心悸。头眩脘闷。故有自来也。调养溉
灌营阴。俾阳不升越。恐扰动络血耳。（营虚）
淮小麦（三钱） 南枣肉（一枚） 炒白芍（一钱） 柏子仁（一钱半） 茯神（三钱） 炙草（四分）
某（四十）脉弦。胁痛引及背部。食减。此属营损传劳。
桂枝木（四分） 生白芍（一钱半） 炙草（四分） 归身（一钱半） 茯神（三钱） 生牡蛎（三钱）
煨姜（一钱） 南枣（三钱）
某（三十）脉 。不嗜食。腰酸无力。咳烦劳。营虚所致。
当归 生白芍 桂枝木 茯苓 炙草 饴糖 煨姜 南枣
汪 脉左小右虚。背微寒。肢微冷。痰多微呕。食减不甘。此胃阳已弱。卫气不得拥护。时作微寒
微热之状。小便短赤。大便微溏。非实邪矣。当创建中气以维营卫。东垣云。骨为卫之本。营乃
脾之源。偏热偏寒。犹非正治。
人参 归身（米拌炒） 桂枝木 白芍（炒焦） 南枣
陆 劳伤阳气。不肯复元。秋冬之交。余宗东垣甘温为法。原得小效。众楚交咻柴葛枳朴是饵。
二气散越。交纽失固。闪气疼痛。脘中痞结。皆清阳凋丧。无攻痛成法。唯以和补。使营卫之
行。冀其少缓神苏而已。
人参 当归 炒白芍 桂心 炙草 茯神
又 右脉濡。来去涩。辛甘化阳。用大建中汤。
人参 桂心 归身 川椒 茯苓 炙草 白芍 饴糖 南枣
汪 劳倦阳伤。形寒骨热。脉来小弱。非有质滞着。与和营方。
当归 酒炒白芍 炙草 广皮 煨姜 大枣
程 脉左甚倍右。病君相上亢莫制。都因操持劳思所伤。若不山林静养。日药不能却病。（劳伤心神）
鲜生地 玄参心 天冬 丹参 茯神 鲜莲肉
颜（三四）操持思虑。心营受病。加以劳力泄气。痰带血出。脉形虚小。右部带弦。议用归脾汤。减桂圆。
木香。白术。加炒白芍。炒麦冬。
又 劳心营液既耗。气分之热自灼。手足心热。咽干烦渴。多是精液之损。非有余客热。前议归
脾加减。乃子母同治法。今以滋清制亢之剂。理心之用。以复五液。
人参 生地 天冬 麦冬 丹参 茯神 灯心 竹叶心
某 神伤精败。心肾不交。上下交损。当治其中。（中虚）参术膏米饮汤调送。
华（三七）春深地气升。阳气动。有奔驰饥饱。即是劳伤。内经劳者温之。夫劳则形体震动。阳气先伤。
此温字。乃温养之义。非温热竞进之谓。劳伤久不复元为损。内经有损者益之之文。益者。补
益也。凡补药气皆温。味皆甘。培生生初阳。是劳损主治法则。春病入秋不愈。议从中治。据述
晨起未纳水谷。其咳必甚。胃药坐镇中宫为宜。 金匮麦门冬汤去半夏。
徐（二七）虚损四年。肛疡成漏。食物已减什三。形瘦色黄。当以甘温培中固下。断断不可清热理嗽。
人参 茯苓 山药 炙草 芡实 莲肉
某 积劳。神困食减。五心热。汗出。是元气虚。阴火盛。宜补中。生脉四君子汤。
杨（二八）内损。阴及阳分。即为劳怯。胃弱少纳。当以建中汤加人参。
朱（二七）既暮身热。汗出早凉。仍任劳办事。食减半。色脉形肉不足。病属内损劳怯。人参小建中汤。
杨（三二）知饥减食。外寒忽然。久病行走喘促。坐卧稍安。此劳伤不复。议从中以益营卫。
九蒸冬术 炙甘草 煨姜 南枣
汪（三九）此劳力伤阳之劳。非酒色伤阳之劳也。胃口消惫。生气日夺。岂治嗽药可以奏功。 黄
建中汤去姜。
仲（三八）久劳内损。初春已有汗出。入夏食减。皆身中不耐大气泄越。右脉空大色痿黄。衰极难复。
无却病方法。议封固一法。
人参 黄 熟于术 五味
严（二八）脉小右弦。久嗽晡热。着左眠稍适。二气已偏。即是损怯。无逐邪方法。清泄莫进。当与甘
缓。黄 建中去姜。
又 建中法颇安。理必益气以止寒热。
人参 黄 焦术 炙草 归身 广皮白 煨升麻 煨柴胡
王（二六）脉大而空。亡血失精。午食不运。入暮反胀。阴伤已及阳位。缠绵反复至矣。 归芍异功散。
刘（女）年十六。天癸不至。颈项瘿痰。入夏寒热咳嗽。乃先天禀薄。生气不来。夏令发泄致病。真气
不肯收藏。病属劳怯。不治。 戊己汤去白术。
某 阳伤背寒。胃伤谷减。 小建中汤。
某 畏风面冷。卫外阳微。 参 建中去姜加茯神。
华（二十）此劳怯损伤不复之病。已经食减。便溏。欲呕。腹痛。二气交伤。然后天为急。舍仲景建中法。
充旺。肝血肾精受戕。致奇经八脉中乏运用之力。乃筋骨间病。内应精血之损伤也。
人参（一钱） 鹿茸（二钱） 杞子（炒黑三钱） 当归（一钱） 舶茴香（炒黑一钱） 紫衣胡桃肉（二枚）
生雄羊内肾（二枚）
夫精血皆有形。以草木无情之物为补益。声气必不相应。桂附刚愎。气质雄烈精血主脏。
脏体属阴。刚则愈劫脂矣。至于丹溪虎潜法。潜阳坚阴。用知柏苦寒沉着。未通奇脉。余以
柔剂阳药。通奇脉不滞。且血肉有情。栽培身内之精血。但王道无近功。多用自有益。
朱（三六） 辛温咸润。乃柔剂通药。谓肾恶燥也。服有小效。是劳伤肾真。而八脉皆以废弛失职。议进
升阳法。（阳虚奇脉兼病）
鹿茸 苁蓉 归身 杞子 柏子仁 杜仲 菟丝子 沙苑
范（二一）父母弱症早丧。禀质不克充旺。年二十岁未娶。见病已是损怯。此寒热遇劳而发。即内经
阳维脉衰。不司维续。护卫包举。下部无力。有形精血。不得充涵筋骨矣。且下元之损。必累八
脉。此医药徒补无用。
鹿茸 杞子 归身 巴戟 沙苑 茯苓 舶茴香 羊肉胶丸
施 冲气贯胁上咽。形体日渐枯槁。此劳伤肝肾。而成损怯。由乎精气不生。厥气上逆耳。议以
通阳摄阴。冀其渐引渐收。非见病治病之方法矣。（阴阳并虚）
苁蓉 熟地 五味 枸杞 柏子霜 茯苓 桑椹子 砂仁 青盐 羊肉胶丸。
王（三十）阳虚背寒肢冷。阴虚火升烦惊。宿病偏伤不复。总在虚损一门。镇摄之补宜商。
早用薛氏八味丸。晚归脾。去 木香。
某 肝肾损伤。八脉无气。未老衰惫大着。姑议通阳守阴一法。俟明眼裁之。
淡苁蓉 熟地炭 鹿角霜 五味子肉 柏子仁 茯苓
王（二九）摇精惊恐。肝肾脏阴大泄。阳不附和。阴中百脉之气。自足至巅。起自涌泉。以少阴之脉始
此。欲使阴阳翕阖。譬诸招集溃散卒伍。所谓用药如用兵。
熟地 枸杞 当归 五味 远志 龟版 鹿鞭 羊肉
某 脉虚细。夜热晨寒。烦倦口渴。汗出。脏液已亏。当春气外泄。宗内经凡元气有伤。当与甘药
之例。阴虚者用复脉汤。
炙甘草（七分） 人参（一钱） 阿胶（二钱） 火麻仁（一钱） 生地（二钱） 麦冬（一钱）
桂枝（三分） 生白芍（一钱半）
某（二四）阴伤及阳。加以春夏大地阳气主泄。真无内聚。形神痿靡。大凡热必伤气。固气。正以迎夏
至一阴来复。
人参 熟地 五味 炒山药 芡实 建莲
张（二四）脏阴久亏。八脉无力。是久损不复。况中脘微痛。脐中动气。决非滋腻凉药可服。仿大建中
之制。温养元真。壮其奇脉。为通纳方法。
人参 生于术 炙草 茯苓 熟地 淡苁蓉 归身 白芍 真浔桂 枸杞 五味
蜜丸。服四钱。
许（十九）善嗔食减无味。大便溏泻。三年久病。内伤何疑。但清内热。润肺理嗽。总是妨碍脾胃。思人
身病损。必先阴阳致偏。是太阴脾脏日削。自然少阳胆木来侮。宗内经补脏通腑一法。 四
君子加桑叶炒丹皮。
又 虚劳三年。形神大衰。食减无味。大便溏泻。寒起背肢。热从心炽。每咳必百脉动掣。间或胁
肋攻触。种种见症。都是病深传遍。前议四君子汤。以养脾胃冲和。加入桑叶丹皮。和少阳木
火。使土少侵。服已不应。想人身中二气致偏则病。今脉症乃损伤已极。草木焉得振顿。见病
治病。谅无 益。益气少灵。理从营议。食少滑泄。非滋腻所宜。暂用景岳理阴煎法。参入镇逆
固摄。若不胃苏知味。实难拟法。
又 人参 秋石 山药 茯苓 河车胶丸。
张 汗多亡阳。是医人不知劳倦受寒。病兼内伤。但以风寒外感发散致误。淹淹半年。乃病伤
不复。能食者以气血兼补。
人参 白术 茯苓 沙苑 苁蓉 归身 枸杞
张（十九）阴伤成劳。因减食便溏寒热。姑从中治者。以脾为营。胃主卫也。异功加五味子。
吴（三六）虚损至食减。腹痛。便溏。中宫后天为急。不必泥乎痰嗽缕治。异功散去术加炒白芍煨益智仁。
杨（氏）背寒心热。胃弱少餐。经期仍至。此属上损。（上损及胃）
生地 茯神 炒麦冬 生扁豆 生甘草
仲 久嗽。神衰肉消。是因劳倦内伤。医不分自上自下损伤。但以苦寒沉降。气泄汗淋。液耗夜。
热。胃口得苦伤残。食物从此顿减。老劳缠绵。讵能易安。用建中法。 黄 建中汤去姜。
又 照前方加五味子。
又 平补足三阴法。
人参 炒山药 熟地 五味 女贞子 炒黑杞子
时（二十）脉细属脏阴之损。平素畏寒怯冷。少年阳气未得充长。夏令暴泻。是时令湿热。未必遽然
虚损若此。今谷减形瘦。步履顿加喘息。劳怯显然。当理脾肾。（下损及中）
早服加减八味丸。晚服异功散。
某 由阴损及乎阳。寒热互起。当调营卫。参 建中汤去姜糖。
某 入夏发泄主令。由下损以及中焦。减谷形衰。阴伤及阳。畏冷至下。春季进河车羊肉温养
固髓方法。积损难充。不禁时令之泄越耳。古人减食久虚。必须胃药。晚进参术膏。早用封固
佐升阳法。长夏不复奈何。
鹿茸（生研一两） 鹿角霜（一两） 熟地（二两） 生菟丝子（一两） 人参（一两）
茯苓（一两） 韭子（二两） 补骨脂（胡桃蒸一两） 枸杞子（一两） 柏子霜（一两）
蜜丸。早服四钱。参汤送。
参术膏方 人参四两。另用泉水熬。九蒸于术四两。另用泉水熬。各熬膏成以炭火浓掩干
灰。将药罐炖收至极老为度。每用膏二钱五分。开水化服。
李（二九）劳怯。形色夺。肌肉消。食减便滑。兼痰呛喉痛。知医理者。再无清咽凉肺滋阴矣。病患述心
事操持病加。显然内损。关系脏真。冬寒藏阳。人身之阳。升腾失交。收藏失司。岂见病治病肤
浅之见识。据说食进超时。必有痛泻。经言食至小肠变化。屈曲肠间有阻。常有诸矣。凡汤药
气升。宜丸剂疏补。资生丸食后服。（脾肾兼虚）
（晨服） 人参 坎 茯苓 黑壳建莲 五味 芡实 山药浆丸。
杨 发堕于少壮之年。能食不化。噫气。小溲淋浊。便粪渐细。少年脾肾损伤。宜暖下焦以醒中
阳。济生丸三钱。开水送下。
陈（十八）阴损于下。中焦运阳亦弱。见症少年损怯。先天不充。以后天维续。但食少难化。腻滞勿用。
由阴损及阳。用双补丸。
某 久劳。食减。便溏不爽。气短促。异功加五味子。
王（二四）脉如数。垂入尺泽。病起肝肾下损。廷及脾胃。昔秦越人云。自下焦损伤。过中焦则难治。
知有形精血难复。急培无形之气为旨。食少便溏。与钱氏异功散。
蔡 久嗽气浮。至于减食泄泻。显然元气损伤。若清降消痰。益损真气。大旨培脾胃以资运纳。
暖肾脏以助冬藏。不失带病延年之算。异功散兼服。
熟地炭 茯神 炒黑枸杞 五味 建莲肉 炒黑远志 山药粉丸。早上服。
叶（三一）病损不复。八脉空虚。不时寒热。间或便溏。虽步履饮食如常。周身气机。尚未得雍和。倘调
摄失慎。虑其反复。前丸药仍进。煎方宗脾肾双补法。
人参（一钱） 茯苓（三钱） 广皮（一钱） 炒沙苑（一钱） 益智仁（煨研一钱） 炒菟丝饼（二钱）
华（二八）劳损。加以烦劳。肉消形脱。潮热不息。胃倒泄泻。冲气上攻。则呕。当此发泄主令。难望久延。（胃虚
呕泻）
人参 诃子皮 赤石脂 蒸熟乌梅肉 新会皮 炒白粳米
吕 冲年久坐诵读。五志之阳多升。咽干内热。真阴未能自旺于本宫。诊脉寸口动数。怕有见
红之虑。此甘寒缓热为稳。不致胃枯耳。（阴虚阳浮兼胃阴虚）
生地 天冬 女贞 茯神 炙草 糯稻根须
杜（二一）阴精久损。投以填纳温润。入夏至晚火升。食物少减。仍属阴亏。但夏三月。必佐胃药。
参须 麦冬 五味 茯神 建莲 芡实
许 脉左坚。上下直行。精损。热自升降。
细生地 玄参心 女贞 川斛 糯稻根须
又 甜北沙参 天冬 炒麦冬 茯神 阿胶 秋石
又 人参 麦冬 生甘草 扁豆
胡（四三）补三阴脏阴。是迎夏至生阴。而晕逆欲呕吐痰。全是厥阳犯胃上巅。必静养可制阳光之
动。久损重虚。用甘缓方法。金匮麦门冬汤去半夏。
王 春半寐则盗汗。阴虚。当春阳发泄。胃口弱极。六黄苦味未宜。用甘酸化阴法。
人参 熟地 五味 炙草 湖莲 茯神
某（二一）诵读身静心动。最易耗气损营。心脾偏多。不时神烦心悸。头眩脘闷。故有自来也。调养溉
灌营阴。俾阳不升越。恐扰动络血耳。（营虚）
淮小麦（三钱） 南枣肉（一枚） 炒白芍（一钱） 柏子仁（一钱半） 茯神（三钱） 炙草（四分）
某（四十）脉弦。胁痛引及背部。食减。此属营损传劳。
桂枝木（四分） 生白芍（一钱半） 炙草（四分） 归身（一钱半） 茯神（三钱） 生牡蛎（三钱）
煨姜（一钱） 南枣（三钱）
某（三十）脉 。不嗜食。腰酸无力。咳烦劳。营虚所致。
当归 生白芍 桂枝木 茯苓 炙草 饴糖 煨姜 南枣
汪 脉左小右虚。背微寒。肢微冷。痰多微呕。食减不甘。此胃阳已弱。卫气不得拥护。时作微寒
微热之状。小便短赤。大便微溏。非实邪矣。当创建中气以维营卫。东垣云。骨为卫之本。营乃
脾之源。偏热偏寒。犹非正治。
人参 归身（米拌炒） 桂枝木 白芍（炒焦） 南枣
陆 劳伤阳气。不肯复元。秋冬之交。余宗东垣甘温为法。原得小效。众楚交咻柴葛枳朴是饵。
二气散越。交纽失固。闪气疼痛。脘中痞结。皆清阳凋丧。无攻痛成法。唯以和补。使营卫之
行。冀其少缓神苏而已。
人参 当归 炒白芍 桂心 炙草 茯神
又 右脉濡。来去涩。辛甘化阳。用大建中汤。
人参 桂心 归身 川椒 茯苓 炙草 白芍 饴糖 南枣
汪 劳倦阳伤。形寒骨热。脉来小弱。非有质滞着。与和营方。
当归 酒炒白芍 炙草 广皮 煨姜 大枣
程 脉左甚倍右。病君相上亢莫制。都因操持劳思所伤。若不山林静养。日药不能却病。（劳伤心神）
鲜生地 玄参心 天冬 丹参 茯神 鲜莲肉
颜（三四）操持思虑。心营受病。加以劳力泄气。痰带血出。脉形虚小。右部带弦。议用归脾汤。减桂圆。
木香。白术。加炒白芍。炒麦冬。
又 劳心营液既耗。气分之热自灼。手足心热。咽干烦渴。多是精液之损。非有余客热。前议归
脾加减。乃子母同治法。今以滋清制亢之剂。理心之用。以复五液。
人参 生地 天冬 麦冬 丹参 茯神 灯心 竹叶心
某 神伤精败。心肾不交。上下交损。当治其中。（中虚）参术膏米饮汤调送。
华（三七）春深地气升。阳气动。有奔驰饥饱。即是劳伤。内经劳者温之。夫劳则形体震动。阳气先伤。
此温字。乃温养之义。非温热竞进之谓。劳伤久不复元为损。内经有损者益之之文。益者。补
益也。凡补药气皆温。味皆甘。培生生初阳。是劳损主治法则。春病入秋不愈。议从中治。据述
晨起未纳水谷。其咳必甚。胃药坐镇中宫为宜。 金匮麦门冬汤去半夏。
徐（二七）虚损四年。肛疡成漏。食物已减什三。形瘦色黄。当以甘温培中固下。断断不可清热理嗽。
人参 茯苓 山药 炙草 芡实 莲肉
某 积劳。神困食减。五心热。汗出。是元气虚。阴火盛。宜补中。生脉四君子汤。
杨（二八）内损。阴及阳分。即为劳怯。胃弱少纳。当以建中汤加人参。
朱（二七）既暮身热。汗出早凉。仍任劳办事。食减半。色脉形肉不足。病属内损劳怯。人参小建中汤。
杨（三二）知饥减食。外寒忽然。久病行走喘促。坐卧稍安。此劳伤不复。议从中以益营卫。
九蒸冬术 炙甘草 煨姜 南枣
汪（三九）此劳力伤阳之劳。非酒色伤阳之劳也。胃口消惫。生气日夺。岂治嗽药可以奏功。 黄
建中汤去姜。
仲（三八）久劳内损。初春已有汗出。入夏食减。皆身中不耐大气泄越。右脉空大色痿黄。衰极难复。
无却病方法。议封固一法。
人参 黄 熟于术 五味
严（二八）脉小右弦。久嗽晡热。着左眠稍适。二气已偏。即是损怯。无逐邪方法。清泄莫进。当与甘
缓。黄 建中去姜。
又 建中法颇安。理必益气以止寒热。
人参 黄 焦术 炙草 归身 广皮白 煨升麻 煨柴胡
王（二六）脉大而空。亡血失精。午食不运。入暮反胀。阴伤已及阳位。缠绵反复至矣。 归芍异功散。
刘（女）年十六。天癸不至。颈项瘿痰。入夏寒热咳嗽。乃先天禀薄。生气不来。夏令发泄致病。真气
不肯收藏。病属劳怯。不治。 戊己汤去白术。
某 阳伤背寒。胃伤谷减。 小建中汤。
某 畏风面冷。卫外阳微。 参 建中去姜加茯神。
华（二十）此劳怯损伤不复之病。已经食减。便溏。欲呕。腹痛。二气交伤。然后天为急。舍仲景建中法。
Chongwang. The liver blood and kidney essence are damaged, resulting in a lack of power to function within the Eight Extraordinary Vessels (Qi Jing Ba Mai). This is a disease between the sinews and bones, internally corresponding to the damage of essence and blood.
Ren Shen (Ginseng Radix) (1 qian), Lu Rong (Cervus Nippon Antler Glue/Deer Antler) (2 qian), Qi Zi (Lycium Fruit) (stir-fried black, 3 qian), Dang Gui (Angelica Sinensis Root) (1 qian), Bo Hui Xiang (Fennel Fruit) (stir-fried black, 1 qian), Zi Yi Hu Tao Rou (Walnut Kernel with purple skin) (2 pieces), Sheng Xiong Yang Nei Shen (Raw Male Sheep Kidney) (2 pieces).
Essence and blood are tangible substances. Using plants, which are lifeless things, for tonification will surely not resonate in sound and qi. Gui Zhi (Cinnamon Twig) and Fu Zi (Aconite Lateral Root) are rigid and obstinate; their temperament is vigorous and fierce. The organs governing essence and blood belong to Yin. Rigidity will further deplete body fat. As for Dan Xi's Tiger Hidden Method (Hu Qian Fa), which subdues Yang and solidifies Yin, using Zhi Mu (Anemarrhena Rhizome) and Bai Zhu (Phellodendron Bark) with bitter-cold and heavy properties does not unblock the Extraordinary Vessels. I use soft agents and Yang-tonifying herbs to unblock the Extraordinary Vessels without stagnation. Moreover, flesh-and-blood substances have affectionate qualities; they cultivate the essence and blood within the body. However, the royal way (Wang Dao) yields no quick results; frequent use brings benefits.
Zhu (36 years old): Pungent-warm and salty-moistening agents are soft regulators. It is said that the Kidney dislikes dryness. Taking them yielded slight effect. This indicates that labor injury has damaged the Kidney's true essence, and all Eight Vessels have become lax and failed in their duties. We propose advancing the method of raising Yang. (Yang deficiency with concurrent disease of the Extraordinary Vessels)
Lu Rong (Deer Antler), Cong Rong (Cistanche Stem), Gui Shen (Angelica Sinensis Root tip), Qi Zi (Lycium Fruit), Bai Zi Ren (Biota Seed), Du Zhong (Eucommia Bark), Tu Si Zi (Cuscuta Seed), Sha Yuan (Astragalus Complanatus Seed).
Fan (21 years old): Parents died early from weak conditions. His constitution could not become robust. At twenty years old, unmarried, seeing the illness already shows depletion and timidity. This alternating cold and heat occurs upon labor. As stated in the *Nei Jing* (Inner Canon), the Yang Linking Vessel (Yang Wei Mai) declines and cannot manage continuity, protection, and encompassing. Lower body lacks strength. Tangible essence and blood cannot nourish the sinews and bones. Furthermore, damage to the lower origin must affect the Eight Vessels. Medicine merely tonifying is useless here.
Lu Rong (Deer Antler), Qi Zi (Lycium Fruit), Gui Shen (Angelica Sinensis Root tip), Ba Ji (Morinda Officinalis Root), Sha Yuan (Astragalus Complanatus Seed), Fu Ling (Poria), Bo Hui Xiang (Fennel Fruit), Yang Rou Jiao Wan (Mutton Gelatin Pills).
Shi: Rushing Qi penetrates the hypochondrium and rises to the throat. The physique gradually becomes withered. This is labor injury damaging Liver and Kidney, resulting in depletion and timidity. It arises because essence and Qi do not generate, and rebellious Qi rises upward. We propose unblocking Yang and grasping Yin, hoping to gradually guide and collect it. This is not a method of treating the disease as it appears. (Yin and Yang both deficient)
Cong Rong (Cistanche Stem), Shu Di (Prepared Rehmannia Root), Wu Wei (Schisandra Berry), Gou Qi (Lycium Fruit), Bai Zi Shuang (Biota Seed powder), Fu Ling (Poria), Sang Shen Zi (Mulberry Fruit), Sha Ren (Amomum Fruit), Qing Yan (Rock Salt), Yang Rou Jiao Wan (Mutton Gelatin Pills).
Wang (30 years old): Yang deficiency causes back cold and limb cold. Yin deficiency causes fire rising, irritability, and fright. Chronic illness, partially injured and unrecovered, falls entirely under the category of deficiency damage. Tonification with sedative and stabilizing agents should be considered. In the morning, use Xue Shi Ba Wei Wan (Xue's Eight-Ingredient Pill); in the evening, Gui Pi Tang (Restore the Spleen Decoction), removing Mu Xiang (Aucklandia Root).
Certain patient: Liver and Kidney damaged. Eight Vessels lack Qi. Not yet old but severely exhausted. Tentatively propose a method of unblocking Yang and preserving Yin, awaiting discernment by an expert eye.
Dan Cong Rong (Light Cistanche Stem), Shu Di Tan (Charred Prepared Rehmannia Root), Lu Jiao Shuang (Deer Antler Glue Residue), Wu Wei Zi Rou (Schisandra Berry pulp), Bai Zi Ren (Biota Seed), Fu Ling (Poria).
Wang (29 years old): Nocturnal emission and fright. Liver and Kidney Yin fluids are greatly depleted. Yang does not harmonize. The Qi of the hundred vessels within Yin flows from the foot to the vertex, starting from Yongquan (KI 1), as the Sha Yin (Lesser Yin) vessel begins here. To make Yin and Yang close together, it is like recruiting scattered soldiers. So it is said that using medicine is like using troops.
Shu Di (Prepared Rehmannia Root), Gou Qi (Lycium Fruit), Dang Gui (Angelica Sinensis Root), Wu Wei (Schisandra Berry), Yuan Zhi (Polygala Root), Gui Ban (Tartar Testudinis Shell), Lu Bian (Deer Penis), Yang Rou (Mutton).
Certain patient: Pulse is empty and fine. Night fever and morning chills. Irritation, fatigue, thirst, sweating. Visceral fluids are already depleted. When Spring Qi exudes outward, following the *Nei Jing*, whenever Original Qi is injured, sweet herbs should be given. For Yin deficiency, use Fu Mai Tang (Restore the Pulse Decoction).
Zhi Gan Cao (Honey-fried Licorice Root) (7 fen), Ren Shen (Ginseng Radix) (1 qian), E Jiao (Donkey-hide Gelatin) (2 qian), Huo Ma Ren (Hemp Seed) (1 qian), Sheng Di (Rehmannia Root) (2 qian), Mai Dong (Ophiopogon Tuber) (1 qian), Gui Zhi (Cinnamon Twig) (3 fen), Sheng Bai Shao (Raw White Peony Root) (1.5 qian).
Certain patient (24 years old): Yin injury extends to Yang. Added to this, during Spring and Summer, Earth's Yang Qi mainly exudes. True Qi has no internal gathering. Form and Spirit are emaciated. Generally, heat must injure Qi. Consolidating Qi is precisely to welcome the return of one Yin at the Summer Solstice.
Ren Shen (Ginseng Radix), Shu Di (Prepared Rehmannia Root), Wu Wei (Schisandra Berry), Chao Shan Yao (Stir-fried Dioscorea Rhizome), Qian Shi (Euryale Seed), Jian Lian (Chinese Lotus Seed).
Zhang (24 years old): Visceral Yin has been deficient for a long time. Eight Vessels lack strength. This is long-term damage unrecovered. Moreover, mild pain in the middle epigastrium and moving Qi at the umbilicus indicate that moistening, cloying, and cool medicines are definitely not suitable. Following the system of Da Jian Zhong Tang (Great Construct the Middle Decoction), warm and nourish the Original Truth, strengthen the Extraordinary Vessels, as a method of unblocking and receiving.
Ren Shen (Ginseng Radix), Sheng Bai Zhu (Raw Atractylodes Macrocephala Rhizome), Zhi Cao (Honey-fried Licorice Root), Fu Ling (Poria), Shu Di (Prepared Rehmannia Root), Dan Cong Rong (Light Cistanche Stem), Gui Shen (Angelica Sinensis Root tip), Bai Shao (White Peony Root), Zhen Xun Gui (True Xun Cinnamon Bark), Gou Qi (Lycium Fruit), Wu Wei (Schisandra Berry).
Honey pills. Take 4 qian.
Xu (19 years old): Prone to anger, reduced appetite, tasteless food. Loose stools for three years. Long-term illness, how can there be doubt about internal injury? But clearing internal heat and moistening Lung to regulate cough always hinders Spleen and Stomach. Considering bodily damage, Yin and Yang must first become biased. Thus, Tai Yin Spleen organ is daily diminished, naturally Shao Yang Gallbladder Wood comes to insult. Following the *Nei Jing* method of tonifying viscera and unblocking bowels. Si Jun Zi Tang (Four Gentlemen Decoction) added with Sang Ye (Mulberry Leaf) and Chao Dan Pi (Stir-fried Moutan Cortex).
Again: Deficiency consumption for three years. Form and Spirit greatly declined. Reduced appetite, tasteless food, loose stools. Cold starts from back and limbs. Heat blazes from Heart. Every cough causes shaking of the hundred vessels. Occasionally hypochondriac pain and touching. Various symptoms show the disease has spread deeply. Previously discussed Si Jun Zi Tang to nourish Spleen and Stomach harmony, adding Sang Ye and Dan Pi to harmonize Shao Yang Wood-Fire, so Earth is less invaded. After taking, it did not respond. Thinking that when the two Qi in the body become biased, disease arises. Now pulse and symptoms show extreme damage. How can herbs revive it? Treating the disease as it appears is surely of no benefit. Tonifying Qi has little spirit. Reasonably discuss from Ying (Nutritive) level. Reduced food and slippery diarrhea are not suitable for moistening/cloying substances. Temporarily use Jing Yue Li Yin Jian (Jing Yue's Regulating Yin Decoction) method, incorporating settling rebellion and consolidating retention. If the Stomach does not recover and know taste, it is truly difficult to prescribe.
Again: Ren Shen (Ginseng Radix), Qiu Shi (Autumn Stone), Shan Yao (Dioscorea Rhizome), Fu Ling (Poria), He Che Jiao Wan (Placenta Gelatin Pills).
Zhang: Excessive sweating leads to loss of Yang. This is because doctors do not know that labor fatigue and cold invasion cause illness with internal injury. But dispersing wind-cold exterior syndrome caused error. Lingering for half a year, the injury is unrecovered. Those who can eat should tonify Qi and Blood simultaneously.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Sha Yuan (Astragalus Complanatus Seed), Cong Rong (Cistanche Stem), Gui Shen (Angelica Sinensis Root tip), Gou Qi (Lycium Fruit).
Zhang (19 years old): Yin injury becomes consumption. Due to reduced food, loose stools, alternating cold and heat. Tentatively treat from the Middle. Spleen governs Ying (Nutritive), Stomach governs Wei (Defensive). Yi Gong San (Extraordinary Work Powder) added with Wu Wei Zi (Schisandra Berry).
Wu (36 years old): Deficiency damage reaches reduced food, abdominal pain, loose stools. Middle Palace Post-Heaven is urgent. Do not stick to phlegm-cough detailed treatment. Yi Gong San remove Bai Zhu, add Chao Bai Shao (Stir-fried White Peony Root) and Wei Yi Zhi Ren (Baked Alpinia Oxyphylla Fruit).
Yang (Mrs.): Back cold, Heart heat, weak Stomach, few meals. Menstrual period still arrives. This belongs to Upper Damage. (Upper damage affects Stomach)
Sheng Di (Rehmannia Root), Fu Shen (Poria with Hostwood), Chao Mai Dong (Stir-fried Ophiopogon Tuber), Sheng Bian Dou (Raw Lablab Bean), Sheng Gan Cao (Raw Licorice Root).
Zhong: Long-term cough. Spirit declines, flesh wastes. This is due to labor fatigue internal injury. Doctors do not distinguish whether damage is from above or below. But use bitter-cold and sinking drugs. Qi leaks, sweat pours. Fluids consumed, night heat. Stomach gate suffers bitterness and damage. Food intake suddenly decreases thereafter. Old consumption lingers. How can it be easily settled? Use Jian Zhong (Construct the Middle) method. Huang Qi (Astragalus Root) Jian Zhong Tang remove Ginger.
Again: Add Wu Wei Zi (Schisandra Berry) to the previous formula.
Again: Flat supplement Three Yin method.
Ren Shen (Ginseng Radix), Chao Shan Yao (Stir-fried Dioscorea Rhizome), Shu Di (Prepared Rehmannia Root), Wu Wei (Schisandra Berry), Nu Zhen Zi (Ligustrum Lucidum Fruit), Chao Hei Qi Zi (Stir-fried Black Lycium Fruit).
Shi (20 years old): Fine pulse belongs to Visceral Yin damage. Usually fears cold and timidity. Youthful Yang Qi has not grown robust. Summer sudden diarrhea is seasonal damp-heat, not necessarily sudden deficiency damage like this. Now grain intake reduced, form thin, walking suddenly adds panting. Consumption timidity is obvious. Should regulate Spleen and Kidney. (Lower damage affects Middle)
Morning take Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill). Evening take Yi Gong San (Extraordinary Work Powder).
Certain patient: From Yin damage extending to Yang. Alternating cold and heat arise. Should regulate Ying and Wei. Can use Jian Zhong Tang remove Ginger and Sugar.
Certain patient: Entering Summer, exuding governance prevails. From lower damage affecting Middle Jiao. Reduced grain, form declines. Yin injury affects Yang. Fear of cold down to lower body. Spring advance Placenta and Mutton warm-nourishing and solidifying marrow methods. Accumulated damage is hard to fill. Cannot withstand seasonal exuding. Ancients say reduced food long-term deficiency must use Stomach medicine. Evening advance Shen Zhu Gao (Ginseng and Atractylodes Paste). Morning use sealing and consolidating assisting raising Yang method. Long Summer unrecovered, what to do?
Lu Rong (Deer Antler) (raw ground 1 liang), Lu Jiao Shuang (Deer Antler Glue Residue) (1 liang), Shu Di (Prepared Rehmannia Root) (2 liang), Sheng Tu Si Zi (Raw Cuscuta Seed) (1 liang), Ren Shen (Ginseng Radix) (1 liang), Fu Ling (Poria) (1 liang), Jiu Zi (Garlic Mustard Seed) (2 liang), Bu Gu Zhi (Psoralea Fruit) (walnut steamed 1 liang), Gou Qi Zi (Lycium Fruit) (1 liang), Bai Zi Shuang (Biota Seed powder) (1 liang).
Honey pills. Morning take 4 qian. Send with Ginseng Soup.
Shen Zhu Gao Formula: Ren Shen (Ginseng Radix) 4 liang, separately boil spring water. Jiu Zheng Yu Zhu (Nine-steamed Atractylodes Macrocephala Rhizome) 4 liang, separately boil spring water. Each boiled paste covered with charcoal fire thick dry ash. Stew medicine jar until very old degree. Each use paste 2.5 qian, boiling water dissolve and take.
Li (29 years old): Consumption timidity. Form and color snatched, muscles wasted. Reduced food, slippery stool. Accompanied by phlegm choking, throat pain. Those knowing medical principles would no longer clear throat, cool Lung, and nourish Yin. Patient describes mental worry aggravates illness. Obviously internal damage, relating to Visceral Truth. Winter cold stores Yang. Human Yang rises and loses intersection, storage fails. How can superficial knowledge of treating disease as it appears suffice? It is said that if food enters exceeding time, there must be pain and diarrhea. Classics say food reaches Small Intestine transformation. Curved intestines have obstruction. Often seen. All decoction drugs rise Qi. Suitable for pill剂的 sparse tonification. Zi Sheng Wan take after meal. (Spleen and Kidney combined deficiency)
(Morning take) Ren Shen (Ginseng Radix), Kan (Kidney/Placenta?), Fu Ling (Poria), Hei Ke Jian Lian (Black-shell Chinese Lotus Seed), Wu Wei (Schisandra Berry), Qian Shi (Euryale Seed), Shan Yao Jiang Wan (Dioscorea Paste Pills).
Yang: Hair falls in young prime. Can eat but not digest. Belching. Urine turbid. Stool gradually thin. Youthful Spleen and Kidney damage. Should warm Lower Jiao to awaken Middle Yang. Ji Sheng Wan 3 qian, send with boiling water.
Chen (18 years old): Yin damage below. Middle Jiao transport Yang also weak. Symptoms youthful consumption timidity. Pre-Heaven not full. Use Post-Heaven to sustain. But reduced food hard to digest. Cloying/stagnant do not use. From Yin damage to Yang. Use Shuang Bu Wan (Double Tonify Pill).
Certain patient: Long labor. Reduced food. Loose stool unsatisfactory. Short breath. Yi Gong San add Wu Wei Zi (Schisandra Berry).
Wang (24 years old): Pulse like rapid. Descends into Chi Ze (Radial Artery area). Disease starts Liver/Kidney lower damage. Extends to Spleen/Stomach. Formerly Qin Yue Ren said. From Lower Jiao damage, passing Middle Jiao then hard to treat. Know tangible essence/blood hard to recover. Urgently cultivate intangible Qi as principle. Reduced food loose stool. Give Qian Shi Yi Gong San (Qian's Extraordinary Work Powder).
Cai: Long cough Qi floats. Until reduced food diarrhea. Obviously Original Qi damage. If clearing descending eliminating phlegm, further damages True Qi. Main principle cultivate Spleen/Stomach to aid transport/reception. Warm Kidney to assist Winter storage. Not losing bringing illness prolonging life calculation. Yi Gong San concurrently take.
Shu Di Tan (Charred Prepared Rehmannia Root), Fu Shen (Poria with Hostwood), Chao Hei Gou Qi (Stir-fried Black Lycium Fruit), Wu Wei (Schisandra Berry), Jian Lian Rou (Chinese Lotus Seed pulp), Chao Hei Yuan Zhi (Stir-fried Black Polygala Root), Shan Yao Fen Wan (Dioscorea Powder Pills). Morning take.
Ye (31 years old): Illness damage unrecovered. Eight Vessels empty. Occasional cold/heat. Occasionally loose stool. Although walking/eating normal, whole body Qi mechanism not yet harmonious. If regulation careless, fear recurrence. Previous pills still advance. Decoction formula follows Spleen/Kidney double tonify method.
Ren Shen (Ginseng Radix) (1 qian), Fu Ling (Poria) (3 qian), Guang Pi (Tangerine Peel) (1 qian), Chao Sha Yuan (Stir-fried Astragalus Complanatus Seed) (1 qian), Yi Zhi Ren (Baked Ground Alpinia Oxyphylla Fruit) (1 qian), Chao Tu Si Bing (Stir-fried Cuscuta Cake) (2 qian).
Hua (28 years old): Labor damage. Added to vexatious labor. Muscle waste form collapse. Tide fever ceaseless. Stomach inverted diarrhea. Rushing Qi attacks up, then vomit. During this exuding governance, hard to hope long extension. (Stomach deficiency vomiting/diarrhea)
Ren Shen (Ginseng Radix), He Zi Pi (Terminalia Chebula Pericarp), Chi Shi Zhi (Red Halloysite), Zheng Shu Wu Mei Rou (Steamed Ripened Dark Plum Pulp), Xin Hui Pi (Xinhui Tangerine Peel), Chao Bai Jing Mi (Stir-fried White Rice).
Lv: Childhood sitting long reading. Five Emotions Yang mostly rise. Throat dry internal heat. True Yin cannot self-prosper in its palace. Diagnose pulse Cun Kou moving rapid. Fear seeing red (hemoptysis/hematuria). This sweet-cold slowing heat is stable. Not causing Stomach wither. (Yin deficiency Yang floating combined with Stomach Yin deficiency)
Sheng Di (Rehmannia Root), Tian Dong (Asparagus Tuber), Nu Zhen (Ligustrum Lucidum Fruit), Fu Shen (Poria with Hostwood), Zhi Cao (Honey-fried Licorice Root), Nuo Dao Gen Xu (Glutinous Rice Root hairs).
Du (21 years old): Yin essence long damaged. Administer filling/nourishing warm-moist. Enter Summer Solstice evening fire rises. Food slightly reduced. Still belongs to Yin deficiency. But Summer three months, must assist Stomach medicine. Shen Xu (Ginseng Rootlet), Mai Dong (Ophiopogon Tuber), Wu Wei (Schisandra Berry), Fu Shen (Poria with Hostwood), Jian Lian (Chinese Lotus Seed), Qian Shi (Euryale Seed).
Xu: Pulse left firm. Up-down straight line. Essence damage. Heat self ascending-descending.
Xi Sheng Di (Fine Rehmannia Root), Xuan Shen Xin (Scrophularia Root heart), Nu Zhen (Ligustrum Lucidum Fruit), Chuan Hu (Dendrobium Stem), Nuo Dao Gen Xu (Glutinous Rice Root hairs).
Again: Tian Bei Sha Shen (Sweet North Glehnia Root), Tian Dong (Asparagus Tuber), Chao Mai Dong (Stir-fried Ophiopogon Tuber), Fu Shen (Poria with Hostwood), E Jiao (Donkey-hide Gelatin), Qiu Shi (Autumn Stone).
Again: Ren Shen (Ginseng Radix), Mai Dong (Ophiopogon Tuber), Sheng Gan Cao (Raw Licorice Root), Bian Dou (Lablab Bean).
Hu (43 years old): Tonify Three Yin Visceral Yin. Is welcoming Summer Solstice generating Yin. But dizziness/rebellion wanting to vomit phlegm. All is Jue Yang invading Stomach up to vertex. Must quiet rest can control Sun Yang movement. Long damage heavy deficiency. Use sweet-slow method. Jin Kui Mai Men Dong Tang remove Ban Xia (Pinellia Tuber).
Wang: Mid-Spring sleep then night sweat. Yin deficiency. When Spring Yang exudes. Stomach gate extremely weak. Liu Huang (Six Yellow Pill) bitter taste not suitable. Use sweet-acid generating Yin method.
Ren Shen (Ginseng Radix), Shu Di (Prepared Rehmannia Root), Wu Wei (Schisandra Berry), Zhi Cao (Honey-fried Licorice Root), Hu Lian (Lake Lotus Seed), Fu Shen (Poria with Hostwood).
Certain patient (21 years old): Reading body quiet mind moves. Most easily consumes Qi damages Ying. Heart/Spleen bias much. Occasionally spirit irritated palpitations. Dizziness epigastric stuffiness. Hence has come from itself. Regulate irrigate Ying Yin. Let Yang not rise transgress. Fear disturbing collateral blood. (Ying deficiency)
Huai Xiao Mai (Huai Wheat) (3 qian), Nan Zao Rou (Southern Date Flesh) (1 piece), Chao Bai Shao (Stir-fried White Peony Root) (1 qian), Bai Zi Ren (Biota Seed) (1.5 qian), Fu Shen (Poria with Hostwood) (3 qian), Zhi Cao (Honey-fried Licorice Root) (4 fen).
Certain patient (40 years old): Pulse wiry. Hypochondriac pain radiating to back. Reduced food. This belongs to Ying damage transmitting to consumption.
Gui Zhi Mu (Cinnamon Twig wood) (4 fen), Sheng Bai Shao (Raw White Peony Root) (1.5 qian), Zhi Cao (Honey-fried Licorice Root) (4 fen), Gui Shen (Angelica Sinensis Root tip) (1.5 qian), Fu Shen (Poria with Hostwood) (3 qian), Sheng Mu Li (Raw Oyster Shell) (3 qian), Wei Jiang (Baked Ginger) (1 qian), Nan Zao (Southern Date) (3 qian).
Certain patient (30 years old): Pulse [missing character]. Not fond of eating. Waist sore weakness. Cough vexatious labor. Ying deficiency caused.
Dang Gui (Angelica Sinensis Root), Sheng Bai Shao (Raw White Peony Root), Gui Zhi Mu (Cinnamon Twig wood), Fu Ling (Poria), Zhi Cao (Honey-fried Licorice Root), Yi Tang (Maltose), Wei Jiang (Baked Ginger), Nan Zao (Southern Date).
Wang: Pulse left small right empty. Back slightly cold. Limbs slightly cold. Phlegm much slight vomit. Reduced food not sweet. This Stomach Yang already weak. Wei Qi cannot protect/support. Sometimes slight cold slight heat state. Urine short red. Stool slightly loose. Not excess pathogen. Should create establish Middle Qi to maintain Ying/Wei. Dong Yuan said. Bone is Wei root. Ying is Spleen source. Bias heat bias cold, still not correct treatment.
Ren Shen (Ginseng Radix), Gui Shen (Angelica Sinensis Root tip) (rice mixed stir-fry), Gui Zhi Mu (Cinnamon Twig wood), Bai Shao (White Peony Root) (stir-fry charred), Nan Zao (Southern Date).
Lu: Labor injures Yang Qi. Unwilling to recover original. Autumn-Winter junction. I follow Dong Yuan sweet-warm as method. Originally got small effect. Crowd Chu inter-shout Chai Ge Zhi Po is feed. Two Qi scatter transverse. Intersection knot lose firm. Flash Qi pain. Epigastric blockage. All Clear Yang decline loss. No attacking pain established method. Only with harmonize tonify. Make Ying/Wei behavior. Hope its slightly slow spirit revive only.
Ren Shen (Ginseng Radix), Dang Gui (Angelica Sinensis Root), Chao Bai Shao (Stir-fried White Peony Root), Gui Xin (Cinnamon Heart), Zhi Cao (Honey-fried Licorice Root), Fu Shen (Poria with Hostwood).
Again: Right pulse soggy. Coming-going rough. Pungent-sweet transform Yang. Use Da Jian Zhong Tang (Great Construct the Middle Decoction).
Ren Shen (Ginseng Radix), Gui Xin (Cinnamon Heart), Gui Shen (Angelica Sinensis Root tip), Chuan Jiao (Sichuan Pepper), Fu Ling (Poria), Zhi Cao (Honey-fried Licorice Root), Bai Shao (White Peony Root), Yi Tang (Maltose), Nan Zao (Southern Date).
Wang: Labor fatigue Yang injury. Form cold bone heat. Pulse coming small weak. Not having substance stagnation sticking. With Harmonize Ying formula.
Dang Gui (Angelica Sinensis Root), Jiu Chao Bai Shao (Wine stir-fried White Peony Root), Zhi Cao (Honey-fried Licorice Root), Guang Pi (Tangerine Peel), Wei Jiang (Baked Ginger), Da Zao (Large Date).
Cheng: Pulse left very double right. Disease Minister/Fire upper hyperaction cannot control. All due to handling labor thought injured. If not mountain forest quiet rest, daily medicine cannot drive away disease. (Labor injuring Heart Spirit)
Xian Sheng Di (Fresh Rehmannia Root), Xuan Shen Xin (Scrophularia Root heart), Tian Dong (Asparagus Tuber), Dan Shen (Salvia Miltiorrhiza Root), Fu Shen (Poria with Hostwood), Xian Lian Rou (Fresh Lotus Seed pulp).
Yan (34 years old): Handling thoughts. Heart Ying receives disease. Added to labor force leaking Qi. Phlegm carries blood out. Pulse form empty small. Right part carries wiry. Discuss use Gui Pi Tang (Restore the Spleen Decoction). Remove Gui Yuan (Longan Aril), Mu Xiang (Aucklandia Root), Bai Zhu (Atractylodes Macrocephala Rhizome). Add Chao Bai Shao (Stir-fried White Peony Root), Chao Mai Dong (Stir-fried Ophiopogon Tuber).
Again: Labor Heart Ying fluid already consumed. Qi division heat self burns. Hand-foot center heat. Throat dry vexatious thirst. Mostly essence fluid damage. Not excess guest heat. Previous discuss Gui Pi modified. Is child-mother same treat method. Now with nourish-clear control hyperactive agent. Manage Heart use. To restore Five Fluids.
Ren Shen (Ginseng Radix), Sheng Di (Rehmannia Root), Tian Dong (Asparagus Tuber), Mai Dong (Ophiopogon Tuber), Dan Shen (Salvia Miltiorrhiza Root), Fu Shen (Poria with Hostwood), Deng Xin (Juncus Marrow), Zhu Ye Xin (Bamboo Leaf heart).
Certain patient: Spirit damaged essence ruined. Heart/Kidney not intersecting. Upper-lower cross damage. Should treat Middle. (Middle deficiency) Shen Zhu Gao Rice Drink Soup mix send.
Hua (37 years old): Spring deep Earth Qi rises. Yang Qi moves. Has running hunger/full. Is labor injury. Nei Jing says labor者温之 (Warm those who are labored). Labor then form shakes. Yang Qi first injured. This Wen character. Is warm-nourish meaning. Not hot-warm competing advance meaning. Labor injury long unrecover original is damage. Nei Jing has damage者益之 (Benefit those who are damaged) text. Yi character. Tonify benefit also. All tonify drugs Qi all warm. Taste all sweet. Cultivate living initial Yang. Is labor damage main treat rule. Spring disease enter Autumn not heal. Discuss treat from Middle. According describe morning rise not ingest water/grain. Its cough must severe. Stomach medicine sit guard Middle Palace suitable. Jin Kui Mai Men Dong Tang remove Ban Xia (Pinellia Tuber).
Xu (27 years old): Deficiency damage four years. Anal ulcer becomes fistula. Food already reduced ten percent three. Form thin color yellow. Should with sweet-warm cultivate Middle solidify Lower. Absolutely not clear heat regulate cough.
Ren Shen (Ginseng Radix), Fu Ling (Poria), Shan Yao (Dioscorea Rhizome), Zhi Cao (Honey-fried Licorice Root), Qian Shi (Euryale Seed), Lian Rou (Lotus Seed pulp).
Certain patient: Accumulated labor. Spirit tired reduced food. Five center heat. Sweating. Is Original Qi deficiency. Yin Fire abundance. Should tonify Middle. Sheng Mai Si Jun Zi Tang (Generate Pulse Four Gentlemen Decoction).
Yang (28 years old): Internal damage. Yin to Yang division. Becomes consumption timidity. Stomach weak few intake. Should with Jian Zhong Tang add Ren Shen (Ginseng Radix).
Zhu (27 years old): Since evening body heat. Sweating early cool. Still bear labor handle affairs. Food halved. Color pulse form flesh insufficient. Disease belongs internal damage consumption timidity. Ren Shen Xiao Jian Zhong Tang (Ginseng Small Construct the Middle Decoction).
Yang (32 years old): Know hunger reduce food. External cold suddenly. Long disease walk panting. Sit lie slightly safe. This labor injury unrecover. Discuss from Middle to benefit Ying/Wei.
Jiu Zheng Dong Zhu (Nine-steasted Winter Atractylodes), Zhi Gan Cao (Honey-fried Licorice Root), Wei Jiang (Baked Ginger), Nan Zao (Southern Date).
Wang (39 years old): This labor force injury Yang labor. Not wine-color injury Yang labor. Stomach gate consume exhausted. Living Qi daily robbed. How treat cough medicine can achieve merit. Huang Qi (Astragalus Root) Jian Zhong Tang remove Ginger.
Zhong (38 years old): Long labor internal damage. Early Spring already sweating. Enter Summer reduced food. All body not endure Great Qi exude. Right pulse empty large color withered yellow. Decline extreme hard recover. No drive away disease method. Discuss seal solidify one method.
Ren Shen (Ginseng Radix), Huang Qi (Astragalus Root), Shu Yu Zhu (Cooked Atractylodes Macrocephala Rhizome), Wu Wei (Schisandra Berry).
Yan (28 years old): Pulse small right wiry. Long cough dusk heat. Lie left sleep slightly comfortable. Two Qi already biased. Is consumption timidity. No chase pathogen method. Clear drain do not advance. Should with sweet-slow. Huang Qi (Astragalus Root) Jian Zhong remove Ginger.
Again: Jian Zhong method quite safe. Reason must benefit Qi to stop cold/heat.
Ren Shen (Ginseng Radix), Huang Qi (Astragalus Root), Jiao Zhu (Scorched Atractylodes), Zhi Cao (Honey-fried Licorice Root), Gui Shen (Angelica Sinensis Root tip), Guang Pi Bai (Tangerine Peel white), Wei Sheng Ma (Baked Cimicifuga Rhizome), Wei Chai Hu (Baked Bupleurum Root).
Wang (26 years old): Pulse large and empty. Lost blood lost essence. Noon food not transport. Enter evening reverse bloating. Yin injury already reached Yang position. Lingering recurrence arrived. Gui Shao Yi Gong San (Angelica White Peony Extraordinary Work Powder).
Liu (Female): Age sixteen. Tian Gui (Menstruation) not arrive. Neck goiter phlegm. Enter Summer cold/heat cough. Is Pre-Heaven endowment thin. Living Qi not come. Summer exuding cause disease. True Qi unwilling store. Disease belongs consumption timidity. Not treat. Wu Ji Tang remove Bai Zhu (Atractylodes Macrocephala Rhizome).
Certain patient: Yang injury back cold. Stomach injury grain reduced. Xiao Jian Zhong Tang (Small Construct the Middle Decoction).
Certain patient: Fear wind face cold. Exterior defending Yang weak. Can (Ginseng) Jian Zhong remove Ginger add Fu Shen (Poria with Hostwood).
Hua (20 years old): This consumption timidity damage unrecover disease. Already reduced food. Loose stool. Want vomit. Abdominal pain. Two Qi cross damage. Then Post-Heaven is urgent. Abandon Zhong Jing Jian Zhong method.