杨(廿三)肠风便血。腹痛。脉濡弱。脾胃气馁。拟疏风、凉血、和阴。
荆芥穗 炒白芍 炒银花 丹皮 炙草 地榆炭 炒当归
高(三四)湿热壅于脾络。腑肠空隙。粪前先有血下。然脾属柔脏。非刚不能苏阳。
茅术炭 新会皮 炒银花 川黄柏 地榆炭 煨葛根 浓朴 炒焦荷蒂
沈(四五)便后下血。属远血也。
细生地 炒黑槐花 酒炒黄芩 炒丹皮 柿饼灰 地榆炭
曹(十六)春源气泄。少阳木火。乘太阴脾阳愈竭。腹中微痛。便后始有血下。
焦白术 桑叶 茯苓 当归 丹皮 泽泻 地榆炭
凌(四六)湿胜中虚。便红已久。
炒黑樗根皮(一钱) 炒黑地榆(三钱) 茯苓(二钱) 当归炭(一钱五分)
炒焦丹皮(一钱五分) 炒泽泻(一钱) 炒槐花(一钱)
程(六岁)当脐腹痛。晨泄数次便血。不嗜食饮。冲年脾胃气滞。兼生冷内停。当和中、疏滞、驱寒。
焦白术(二钱) 南山楂(一钱五分) 炙草(五分) 煨益智(五分) 当归(一钱) 炮姜(六分) 浓朴(一
钱) 地榆炭(一钱五分)
汪(十三)暑湿内踞。上吐下泻。拟宣达脾胃之阳。
藿香叶(一钱) 制半夏(一钱五分) 赤苓(三钱) 飞滑石(三钱) 木瓜(一钱) 南楂炭(一钱五分) 浓
朴(一钱)
范(廿八)暑湿内蕴。上呕吐。下洞泄。拟宣通三焦。
广藿香(一钱) 制半夏(一钱五分) 六一散(三钱) 炒浓朴(一钱五分) 广皮(一钱) 茯苓皮(三钱) 南
楂炭(二钱)
汪(十二)身热腹痛。呕逆便泄。
鲜藿香叶(一钱) 制半夏(一钱五分) 赤苓(二钱) 朱砂六一散(三钱) 木瓜(一钱) 南楂炭(二钱) 炒
浓朴(一钱五分) 淡黄芩(一钱)
杨,二十三岁。患有肠风便血(因风邪侵袭肠道导致的便血)。伴有腹痛。脉象濡弱。辨证为脾胃之气虚弱。拟定疏风、凉血、调和阴血的治法。
处方:荆芥穗、炒白芍、炒银花、丹皮、炙甘草、地榆炭、炒当归。
高,三十四岁。湿热之邪壅滞于脾络。导致腑肠之间气机空隙异常,排便前已有血液下出。然而脾脏属于柔脏(喜燥恶湿),非用刚燥之药不能振奋脾阳。
处方:茅术炭、新会皮、炒银花、川黄柏、地榆炭、煨葛根、浓朴、炒焦荷蒂。
沈,四十五岁。排便之后才出现下血,这属于“远血”(病位较深,如胃或小肠出血,经肠道停留后排出)。
处方:细生地、炒黑槐花、酒炒黄芩、炒丹皮、柿饼灰、地榆炭。
曹,十六岁。春季阳气外泄。少阳木火之气过旺,乘袭太阴脾土,导致脾阳更加衰竭。腹中轻微疼痛,排便后才开始有血液下出。
处方:焦白术、桑叶、茯苓、当归、丹皮、泽泻、地榆炭。
凌,四十六岁。湿气偏胜而中焦虚损。便红症状已持续很久。
处方:炒黑樗根皮(一钱)、炒黑地榆(三钱)、茯苓(二钱)、当归炭(一钱五分)、炒焦丹皮(一钱五分)、炒泽泻(一钱)、炒槐花(一钱)。
程,六岁。肚脐周围腹痛,早晨腹泻数次并伴有便血。不喜欢饮食。正值童年时期,脾胃气机阻滞,兼有生冷食物内停。应当采用和中、疏理滞气、驱散寒邪的治法。
处方:焦白术(二钱)、南山楂(一钱五分)、炙甘草(五分)、煨益智仁(五分)、当归(一钱)、炮姜(六分)、浓朴(一钱)、地榆炭(一钱五分)。
汪,十三岁。暑湿之邪内伏。表现为上吐下泻。拟定宣通发散脾胃之阳气。
处方:藿香叶(一钱)、制半夏(一钱五分)、赤茯苓(三钱)、飞滑石(三钱)、木瓜(一钱)、南山楂炭(一钱五分)、浓朴(一钱)。
范,二十八岁。暑湿之邪内蕴结。表现为上部呕吐,下部呈水样洞泄。拟定宣通三焦气机。
处方:广藿香(一钱)、制半夏(一钱五分)、六一散(三钱)、炒浓朴(一钱五分)、广陈皮(一钱)、茯苓皮(三钱)、南山楂炭(二钱)。
汪,十二岁。身体发热,腹痛,呕吐逆气,大便泄泻。
处方:鲜藿香叶(一钱)、制半夏(一钱五分)、赤茯苓(二钱)、朱砂拌六一散(三钱)、木瓜(一钱)、南山楂炭(二钱)、炒浓朴(一钱五分)、淡黄芩(一钱)。
Yang, aged 23. Suffering from Changfeng Bianxue (hematochezia caused by wind pathogen invading the intestines). Accompanied by abdominal pain. The pulse is soft and weak (Ru Ruo), indicating deficiency of Spleen and Stomach Qi. The proposed treatment is to dispel wind, cool blood, and harmonize Yin.
Prescription: Jingjie Sui (Schizonepeta Spike), Chao Baishao (Fried White Peony Root), Chao Yinhua (Fried Honeysuckle Flower), Danpi (Moutan Cortex), Zhi Cao (Honey-fried Licorice Root), Diyu Tan (Charred Siegesbeckia Fruit), Chao Danggui (Fried Angelica Sinensis).
Gao, aged 34. Damp-heat obstructs the Spleen collaterals. This causes abnormal gaps in the fu-organs and intestines, resulting in bleeding before stool passage. However, the Spleen is a soft organ (preferring dryness and disliking dampness); only rigid/drying herbs can revive Yang.
Prescription: Maozhu Tan (Charred Atractylodes Rhizome), Xinhui Pi (Xinhui Tangerine Peel), Chao Yinhua (Fried Honeysuckle Flower), Chuan Huangbai (Phellodendron Bark), Diyu Tan (Charred Siegesbeckia Fruit), Wei Gegen (Baked Pueraria Root), Nongpo (Magnolia Bark), Chao Jiao Heti (Fried Charred Lotus Peduncle).
Shen, aged 45. Bleeding occurs after defecation, which is classified as Yuanxue (distal bleeding, typically originating from deeper or higher locations like the stomach or small intestine).
Prescription: Xi Shengdi (Fresh Rehmannia Root), Chao Hei Huaihua (Fried Black Sophora Flower), Jiu Chao Huangqin (Wine-fried Scutellaria Root), Chao Danpi (Fried Moutan Cortex), Shibing Hui (Ash of Persimmon Cake), Diyu Tan (Charred Siegesbeckia Fruit).
Cao, aged 16. In spring, Yang energy leaks out. Shaoyang Wood-Fire overacts on Taiyin Spleen, causing further exhaustion of Spleen Yang. There is slight abdominal pain, and bleeding begins only after defecation.
Prescription: Jiao Baizhu (Charred Atractylodes Macrocephala Rhizome), Sangye (Mulberry Leaf), Fuling (Poria), Danggui (Angelica Sinensis), Danpi (Moutan Cortex), Zexie (Alisma Rhizome), Diyu Tan (Charred Siegesbeckia Fruit).
Ling, aged 46. Excess dampness with middle-jiao deficiency. Hematochezia has persisted for a long time.
Prescription: Chao Hei Chupgenpi (Fried Black Periploca Bark) [1 qian], Chao Hei Diyu (Fried Black Siegesbeckia Fruit) [3 qian], Fuling (Poria) [2 qian], Danggui Tan (Angelica Sinensis Charcoal) [1.5 qian], Chao Jiao Danpi (Fried Charred Moutan Cortex) [1.5 qian], Chao Zexie (Fried Alisma Rhizome) [1 qian], Chao Huaihua (Fried Sophora Flower) [1 qian].
Cheng, aged 6. Abdominal pain around the navel, morning diarrhea several times accompanied by hematochezia. Lack of appetite. Due to childhood spleen-stomach Qi stagnation combined with retention of cold and raw foods. The treatment should harmonize the middle, resolve stagnation, and expel cold.
Prescription: Jiao Baizhu (Charred Atractylodes Macrocephala Rhizome) [2 qian], Nanshan Zha (Southern Hawthorn Fruit) [1.5 qian], Zhi Cao (Honey-fried Licorice Root) [0.5 qian], Wei Yizhi (Baked Alpinia Oxyphylla Fruit) [0.5 qian], Danggui (Angelica Sinensis) [1 qian], Paojiang (Prepared Ginger) [0.6 fen], Nongpo (Magnolia Bark) [1 qian], Diyu Tan (Charred Siegesbeckia Fruit) [1.5 qian].
Wang, aged 13. Summer-heat and dampness reside internally. Symptoms include vomiting above and diarrhea below. The approach is to ventilate and disseminate the Yang of the Spleen and Stomach.
Prescription: Huoxiang Ye (Agastache Leaf) [1 qian], Zhi Banxia (Prepared Pinellia Tuber) [1.5 qian], Chi Ling (Red Poria) [3 qian], Fei Huashi (Fly Talcum) [3 qian], Mugua (Chaenomeles Fruit) [1 qian], Nanzha Tan (Charred Hawthorn Fruit) [1.5 qian], Nongpo (Magnolia Bark) [1 qian].
Fan, aged 28. Summer-heat and dampness are constrained internally. Symptoms include vomiting above and profuse watery diarrhea below. The approach is to unblock the Sanjiao (Triple Burner).
Presrection: Guang Huoxiang (Patchouli) [1 qian], Zhi Banxia (Prepared Pinellia Tuber) [1.5 qian], Liuyi San (Six-to-One Powder) [3 qian], Chao Nongpo (Fried Magnolia Bark) [1.5 qian], Guang Pi (Tangerine Peel) [1 qian], Fuling Pi (Poria Skin) [3 qian], Nanzha Tan (Charred Hawthorn Fruit) [2 qian].
Wang, aged 12. Fever, abdominal pain, vomiting and regurgitation, and diarrhea.
Prescription: Xian Huoxiang Ye (Fresh Agastache Leaf) [1 qian], Zhi Banxia (Prepared Pinellia Tuber) [1.5 qian], Chi Ling (Red Poria) [2 qian], Zhusha Liuyi San (Cinnabar-coated Six-to-One Powder) [3 qian], Mugua (Chaenomeles Fruit) [1 qian], Nanzha Tan (Charred Hawthorn Fruit) [2 qian], Chao Nongpo (Fried Magnolia Bark) [1.5 qian], Dan Huangqin (Light Scutellaria Root) [1 qian].