吴(三二)厥阴犯胃。吐蛔。
川连(五分) 制半夏(一钱五分) 炒焦乌梅肉(五分) 淡干姜(一钱) 黄芩(一钱) 炒黑川椒(三厘)
生白芍(一钱五分)
杨(四六)寒热呕吐。格拒食物。已经吐蛔。厥阴之邪未达耳。
川连(水炒,四分) 乌梅肉(一钱) 炒黑川椒(三厘) 淡干姜(一钱) 黄芩(一钱) 细辛(三分) 生
白芍(一钱五分) 桂枝木(五分)
赵(三三)温湿囚郁。二便不通。纳谷 胀。此属肠痹。宗丹溪腑病治脏法。
紫菀(一钱) 杏仁(三钱) 枳壳(一钱) 炒香淡豉(一钱五分) 栝蒌皮(一钱五分) 黑山栀(一钱五分)
郁金(一钱)
韩(四九)温湿阻其气分。色痿少纳。二便欲解不通。此属肠痹之类。夫肠痹原系腑病。而腑病当治其脏。每用开
提肺窍。自能气化。斯湿温少解。渐可减轻。倘执体怯。不但治病不合。且味甘药饵。妨碍中宫。恐延绵变患。不可度
思矣。
紫菀(一钱) 郁金(一钱) 枳壳(一钱) 炒香豉(一钱五分) 杏仁(三钱) 桔梗(一钱) 鲜枇杷叶(三
钱) 栝蒌皮(一钱五分)
仲(八岁)据述平昔。每更衣努苦。粪坚若弹丸。加之病后。胃津干涸。腑火。传导阴液愈耗。阳气愈升。而大便
愈秘。宜清润以柔药和阳。
鲜生地 麦冬 柏子仁 清阿胶 大麻仁 茯神 川斛
穆(三三)脉涩。下焦气钝血燥。便难。进通幽方。
咸苁蓉 细生地 郁李仁 柏子仁 大麻仁 牛膝 当归
毛(六一)年高脉伏。瘀热在营。血燥便难。进通幽法。
归尾(一钱五分) 柏子仁(二钱) 郁李仁(一钱) 桃仁(一钱) 松子仁(三钱) 大麻仁(一钱五分) 红
花(五分)
吴(三十二岁):厥阴经邪气侵犯胃腑。出现吐蛔虫的症状。
黄连(五分) 制半夏(一钱五分) 炒焦乌梅肉(五分) 淡干姜(一钱) 黄芩(一钱) 炒黑川椒(三厘)
生白芍(一钱五分)
杨(四十六岁):寒热交替,呕吐,食物格拒不下。已经吐出蛔虫。这是厥阴经的邪气未能透达所致。
黄连(用水炒,四分) 乌梅肉(一钱) 炒黑川椒(三厘) 淡干姜(一钱) 黄芩(一钱) 细辛(三分) 生
白芍(一钱五分) 桂枝木(五分)
赵(三十三岁):温湿之邪囚困郁滞。大小便不通畅,进食后腹胀。这属于肠痹证。遵循丹溪先生治疗腑病从脏论治的方法。
紫菀(一钱) 杏仁(三钱) 枳壳(一钱) 炒香淡豆豉(一钱五分) 瓜蒌皮(一钱五分) 黑山栀(一钱五分)
郁金(一钱)
韩(四十九岁):温湿之邪阻滞气分。面色萎黄,食欲减退。二便欲解而不得通。这属于肠痹之类的病症。肠痹原本属于腑病,但治疗腑病应当治其相关的脏。通常采用开提肺窍的方法,自然能使气化功能恢复,这样湿温之邪才能稍解,病情逐渐减轻。如果固执地认为患者体质虚弱,不仅治病不合逻辑,而且甘味药物会妨碍中焦脾胃的功能,恐怕会导致病情缠绵难愈,变化莫测,不可不深思啊。
紫菀(一钱) 郁金(一钱) 枳壳(一钱) 炒香豆豉(一钱五分) 杏仁(三钱) 桔梗(一钱) 鲜枇杷叶(三
钱) 瓜蒌皮(一钱五分)
仲(八岁):据叙述平时情况,每次排便都费力痛苦,粪便坚硬如同弹丸。加之病后,胃中津液干枯涸竭,腑中有火,传导阴液进一步耗损,阳气更加升腾,导致大便更加秘结。适宜用清润柔和的药物来调和阳气。
鲜生地 麦冬 柏子仁 清阿胶 大麻仁 茯神 石斛
穆(三十三岁):脉象涩滞。下焦气机迟钝,血分干燥,排便困难。给予通幽汤方剂。
肉苁蓉 细生地 郁李仁 柏子仁 大麻仁 牛膝 当归
毛(六十一岁):年事已高,脉象沉伏。瘀热在营分,血燥导致排便困难。采用通幽法治疗。
当归尾(一钱五分) 柏子仁(二钱) 郁李仁(一钱) 桃仁(一钱) 松子仁(三钱) 大麻仁(一钱五分) 红
花(五分)
Wu (32 years old): Jueyin pathogenic factors invading the stomach. Vomiting of roundworms (Ascaris).
Coptidis Rhizoma (Chuanlian, 5 fen) Processed Pinelliae Tuber (Zhi Banxia, 1.5 qian) Stir-fried and scorched Mume Fructus Flesh (Chao Jiao Wumei Rou, 5 fen) Light Dried Ginger (Dan Ganjiang, 1 qian) Scutellariae Radix (Huangqin, 1 qian) Stir-fried and scorched Zanthoxyli Pericarpium (Chao Hei Chuanjiao, 3 li)
Raw Paeoniae Radix Alba (Sheng Baishao, 1.5 qian)
Yang (46 years old): Alternating chills and fever, vomiting, food rejection. Already vomited roundworms. This is due to Jueyin pathogenic factors failing to reach the exterior.
Coptidis Rhizoma (Stir-fried with water, 4 fen) Mume Fructus Flesh (Wumei Rou, 1 qian) Stir-fried and scorched Zanthoxyli Pericarpium (Chao Hei Chuanjiao, 3 li) Light Dried Ginger (Dan Ganjiang, 1 qian) Scutellariae Radix (Huangqin, 1 qian) Asari Radix et Rhizoma (Xixin, 3 fen) Raw Paeoniae Radix Alba (Sheng Baishao, 1.5 qian) Cinnamomi Ramulus (Guizhi Mu, 5 fen)
Zhao (33 years old): Warm-dampness imprisoning and stagnating. Urination and defecation blocked. Abdominal distension after eating. This belongs to Changbi (Intestinal Obstruction/Paralysis). Following Danxi’s method of treating Fu organs by addressing Zang organs.
Asteris Radix (Ziwan, 1 qian) Armeniacae Semen Amarum (Xingren, 3 qian) Aurantii Fructus Immaturus (Zhiqiao, 1 qian) Stir-fried and fragrant Sojae Semens Preparatum (Chao Xiang Danshi, 1.5 qian) Trichosanthis Pericarpium (Gualou Pi, 1.5 qian) Gardeniae Fructus (Hei Shanzhi, 1.5 qian) Curcumae Radix (Yujin, 1 qian)
Han (49 years old): Warm-dampness obstructing the Qi level. Sallow complexion, poor appetite. Desire to urinate and defecate but unable to do so. This belongs to Changbi-like syndromes. Changbi originally pertains to Fu organ disease, but treating Fu organ diseases requires treating the corresponding Zang organs. Usually, opening the Lung orifices allows Qi transformation to occur naturally, thereby resolving warm-dampness slightly and gradually alleviating symptoms. If one stubbornly adheres to the notion of frail constitution, not only does it fail to treat the disease appropriately, but sweet-flavored medicines will hinder the Middle Jiao (Spleen and Stomach), potentially leading to lingering complications that are unpredictable and should be deeply considered.
Asteris Radix (Ziwan, 1 qian) Curcumae Radix (Yujin, 1 qian) Aurantii Fructus Immaturus (Zhiqiao, 1 qian) Stir-fried and fragrant Sojae Semens Preparatum (Chao Xiang Shi, 1.5 qian) Armeniacae Semen Amarum (Xingren, 3 qian) Platycodonis Radix (Jiegeng, 1 qian) Fresh Loquat Leaf (Xian Pipaye, 3 qian) Trichosanthis Pericarpium (Gualou Pi, 1.5 qian)
Zhong (8 years old): According to history, usually experiences difficulty and pain during defecation; feces are hard like pellets. Furthermore, post-illness, stomach fluids are dried up, Fu-fire exists, transmission of Yin fluids is further consumed, Yang Qi rises excessively, resulting in more severe constipation. It is appropriate to use clearing, moistening, and softening medicines to harmonize Yang.
Fresh Rehmanniae Radix (Xian Shengdi) Ophiopogonis Radix (Maidong) Placenta Personata (Baiziren) Clear Donkey-hide Gelatin (Qing Ejiao) Cannabis Seed (Dama Ren) Poria (Fushen) Dendrobii Caulis (Chuhu)
Mu (33 years old): Pulse is choppy. Lower Jiao Qi is sluggish, Blood is dry, difficulty in defecation. Administer Tongyou Decoction.
Cistanche Stem (Rongshou) Fine Rehmanniae Radix (Xi Shengdi) Prunus Yedoensis Seed (Yuliren) Placenta Personata (Baiziren) Cannabis Seed (Dama Ren) Achyranthes Bidentata Root (Niuxi) Angelica Sinensis Radix (Danggui)
Mao (61 years old): Advanced age, pulse is deep-hidden. Stasis-heat in Ying level, Blood dryness causing difficulty in defecation. Apply Tongyou method.
Angelica Sinensis Radix Tail (Guiwei, 1.5 qian) Placenta Personata (Baiziren, 2 qian) Prunus Yedoensis Seed (Yuliren, 1 qian) Persicae Semen (Taoren, 1 qian) Pine Nut (Songziren, 3 qian) Cannabis Seed (Dama Ren, 1.5 qian) Carthami Flos (Honghua, 5 fen)