陈(五一)跗肿腹满。 胀。二便涩少。此属脾胃阳虚。澹泊不堪所致。姑进通腑。少佐泄肝。
生白术(二钱) 制淡附子(一钱) 吴萸(七分) 草果仁(八分) 淡干姜(一钱) 茯苓(三钱) 浓朴(一
钱)
曹(五四)昨进苦辛宣腑。酸涩泄肝。跗肿腹满未减。噫嗳胀势不消。二便皆秘。脉象沉伏。此属血分聚水之象。
再拟泄厥阴。通阳明法。
川楝子(二钱) 制大黄(一钱) 归尾(一钱五分) 郁李仁(去皮炙研,一钱五分)
小茴香(三分) 红花(五分) 桂枝(八分) 炒桃仁(一钱)
杨(八岁)少腹水胀。两足俱浮。小便不解。温通太阳可效。
川桂木(八分) 焦白术(二钱) 茯苓(三钱) 汉防己(一钱五分)
木猪苓(一钱五分) 泽泻(一钱) 苡仁(二钱) 椒目(四分)
陈(十六)肝气肆横。腹痛。向有瘕聚。法当疏泄。
青皮(一钱) 归须(一钱) 茺蔚子(一钱) 炒延胡(一钱) 郁金(一钱) 黑山栀(一钱五分) 南山楂
(一钱五分)
褚(廿七)久患积聚。痛而不移。兼有肠 。未亟缓攻。
青皮(一钱) 茅术炭(一钱) 归须(一钱) 煨木香(五分) 炒地榆(一钱五分) 生香附(一钱五分) 槟
榔(一钱) 浓朴(一钱)
陈(五十一岁)足背浮肿,腹部胀满。伴有腹胀感,大小便量少且排泄不畅。此证属于脾胃阳气虚弱,因饮食清淡过度、身体亏虚所致。暂用通利腑气之法,稍加疏泄肝气之药。
生白术(二钱) 制淡附子(一钱) 吴茱萸(七分) 草果仁(八分) 淡干姜(一钱) 茯苓(三钱) 厚朴(一钱)
曹(五十四岁)昨日服用苦辛宣通腑气、酸涩泄肝之剂后,足背浮肿和腹部胀满未见减轻。嗳气频作,腹胀之势未消,大小便均闭塞不通。脉象沉伏。此属血分中积聚水湿之象。再次拟定疏泄厥阴经、通降阳明经的治法。
川楝子(二钱) 制大黄(一钱) 当归尾(一钱五分) 郁李仁(去皮炙研,一钱五分) 小茴香(三分) 红花(五分) 桂枝(八分) 炒桃仁(一钱)
杨(八岁)少腹部水肿胀满,双足皆浮肿,小便无法排出。采用温通太阳经的方法可获疗效。
川桂木(即桂枝,八分) 焦白术(二钱) 茯苓(三钱) 汉防己(一钱五分) 木猪苓(一钱五分) 泽泻(一钱) 薏苡仁(二钱) 椒目(四分)
陈(十六岁)肝气横逆肆虐,腹痛。既往有瘕聚(腹内结块)病史,治法应当疏肝泄热。
青皮(一钱) 当归须(一钱) 茺蔚子(一钱) 炒延胡索(一钱) 郁金(一钱) 黑山栀(一钱五分) 南山楂(一钱五分)
褚(二十七岁)长期患有积聚病,疼痛位置固定不移。兼有肠澼(痢疾或肠道出血)。尚未急于使用峻猛攻下之法。
青皮(一钱) 茅术炭(苍术炭,一钱) 当归须(一钱) 煨木香(五分) 炒地榆(一钱五分) 生香附(一钱五分) 槟榔(一钱) 厚朴(一钱)
Chen (51 years old) presented with edema of the dorsum of the foot and abdominal distension/fullness. Accompanied by a sensation of bloating, scanty and difficult urination and defecation. This pattern belongs to deficiency-cold of Spleen and Stomach Yang, caused by excessive asceticism in diet and physical debility. Temporarily employ methods to unblock the Fu-organs, with a slight addition of herbs to drain the Liver.
Raw Atractylodis Macrocephalae Rhizoma (2 qian), Prepared Aconiti Lateralis Radix Praeparata (1 qian), Evodiae Fructus (0.7 qian), Tsaoko Fructus Seed (0.8 qian), Dried Ginger (1 qian), Poria (3 qian), Magnoliae Officinalis Cortex (1 qian).
Cao (54 years old): Yesterday, after administering bitter-pungent herbs to diffuse and unblock the Fu-organs, and sour-astringent herbs to drain the Liver, the edema of the dorsum of the foot and abdominal distension/fullness did not decrease. Belching continued, and the distending sensation persisted. Both urination and defecation were obstructed. The pulse was deep and hidden. This presents as an image of water accumulation due to blood stasis (Jueyin-Yangming disharmony with fluid retention). Re-prescribe a method to drain Jueyin and unblock Yangming.
Meliae Toosendan Fructus (2 qian), Prepared Rhei Radix et Rhizoma (1 qian), Angelicae Sinensis Radix Caudex (1.5 qian), Prunus Armeniaca Semen (skin removed, roasted, ground, 1.5 qian), Foeniculi Fructus (0.3 qian), Carthami Flos (0.5 qian), Cinnamomi Ramulus (0.8 qian), Persicae Semen (roasted, 1 qian).
Yang (8 years old): Water swelling and distension in the lower abdomen; both feet are edematous. Urine cannot be passed. Warming and unblocking the Taiyang channel can yield efficacy.
Cinnamomi Ramulus (0.8 qian), Roasted Atractylodis Macrocephalae Rhizoma (2 qian), Poria (3 qian), Stephaniae Tetrandrae Radix (1.5 qian), Polyporus (1.5 qian), Alismatis Rhizoma (1 qian), Coicis Semen (2 qian), Zanthoxyli Pericarpium Seed (0.4 qian).
Chen (16 years old): Liver Qi is rampant and horizontal, causing abdominal pain. Previously suffered from Jian Ju (abdominal masses). The treatment principle should be to soothe and drain.
Citri Reticulatae Pericarpium Viride (1 qian), Angelicae Sinensis Radix Fibra (1 qian), Leonuri Fructus (1 qian), Corydalis Rhizoma (roasted, 1 qian), Curcumae Radix (1 qian), Gardeniae Fructus (charred, 1.5 qian), Crataegi Fructus (1.5 qian).
Chu (27 years old): Long-term suffering from Ji Ju (accumulations and masses); pain is fixed and does not shift. Also accompanied by Chang Pi (dysentery/intestinal bleeding). Not yet urgent to employ harsh purgative methods.
Citri Reticulatae Pericarpium Viride (1 qian), Cyperi Rhizoma Carbonized (1 qian), Angelicae Sinensis Radix Fibra (1 qian), Aucklandiae Radix (baked, 0.5 qian), Sanguisorbae Radix (roasted, 1.5 qian), Cyperi Rhizoma Raw (1.5 qian), Arecae Semen (1 qian), Magnoliae Officinalis Cortex (1 qian).