陆(六十)病后。食复令伤脾胃。不饥不食。潮热口干。嗳气胀满。胸脘填塞。是属胃腑气机少宣。即内经所谓谷
入少而气多者。邪在胃及肺也。
川石斛(四钱) 炒焦半夏(一钱五分) 焦谷芽(一钱) 南花粉(一钱五分) 新会皮(一钱) 块茯苓(三
钱) 枳实皮(一钱)
家(一五)正衰偏热。便秘。纳谷安适。良由肺胃阴液未复使然。
川石斛(四钱) 炒焦半夏曲(一钱五分) 枳实皮(一钱) 炒麦冬(一钱五分)
新会皮(一钱) 生谷芽(一钱) 块茯苓(三钱) 大麻仁(一钱五分)
钱(四三)身无寒热。脉缓。便溏。纳谷而少。胃气方苏。脾弱不司运化。病后颇有是症也。
生白术(二钱) 新会皮(一钱) 建泽泻(一钱五分) 益智仁(煨研,八分)
焦麦芽(一钱) 茯苓(三钱) 浓朴(一钱)
柯(廿四)邪去正衰。骤不肯复。胃气不振。不思纳谷。宜养肺胃之阴。
川石斛(四钱) 炒焦半夏(一钱五分) 枳实皮(一钱) 炒麦冬(七分) 新会皮(一钱) 生谷芽(一钱) 块
云茯苓(三钱)
姚(四三)冬温月余。服药数剂。但攻邪病。正气大衰。余热尚留于枢。阴伤未复。致有汗泄。口干。饥不能食。
皆攻病时苦寒所伤。胃气未苏之故。宜养肺胃除热。
川斛(三钱) 炒焦半夏(一钱五分) 枳实皮(一钱) 淮小麦(三钱) 新会皮(一钱) 生谷芽(一钱) 茯
神(二钱)
王(十七)右寸脉数已退。大便已解。气分尚怯。拟养肺胃。以理余邪。
制洋参(八分) 炒焦半夏(一钱五分) 萆 (三钱) 拣麦冬(三钱)
新会皮(一钱) 连翘壳(一钱) 块茯苓(一钱) 钗斛(二钱)
陆某(六十岁),病后饮食不当导致脾胃受损。表现为没有饥饿感、不想进食,午后定时发热,口干,嗳气且腹部胀满,胸部和胃脘部感觉堵塞充实。这属于胃腑的气机缺乏宣通。正如《内经》所说,“谷入少而气多”,病邪位于胃及肺。
处方:川石斛(四钱)、炒焦半夏(一钱五分)、焦谷芽(一钱)、南花粉(一钱五分)、新会皮(一钱)、块茯苓(三钱)、枳实皮(一钱)。
家某(十五岁),正气虚弱兼有内热,便秘,但进食尚觉舒适。这主要是由于肺和胃的阴液尚未恢复所致。
处方:川石斛(四钱)、炒焦半夏曲(一钱五分)、枳实皮(一钱)、炒麦冬(一钱五分)、新会皮(一钱)、生谷芽(一钱)、块茯苓(三钱)、大麻仁(一钱五分)。
钱某(四十三岁),身体无寒热现象,脉象缓,大便稀溏,进食量少。这是胃气刚刚苏醒,但脾脏虚弱不能主持运化功能的表现。病后常有此类症状。
处方:生白术(二钱)、新会皮(一钱)、建泽泻(一钱五分)、益智仁(煨后研碎,八分)、焦麦芽(一钱)、茯苓(三钱)、浓朴(一钱)。
柯某(二十四岁),病邪已去但正气衰弱,突然无法恢复,胃气不振,不想进食。应当滋养肺和胃的阴液。
处方:川石斛(四钱)、炒焦半夏(一钱五分)、枳实皮(一钱)、炒麦冬(七分)、新会皮(一钱)、生谷芽(一钱)、块云茯苓(三钱)。
姚某(四十三岁),患冬温病一个多月,服药数剂,只注重攻逐病邪,导致正气大衰,余热仍留存在枢机之处,阴液损伤未恢复,导致出汗泄越,口干,饥饿却不能进食。这都是因为治疗疾病时苦寒药物所伤,胃气未能苏醒的缘故。应当滋养肺胃并清除余热。
处方:川斛(三钱)、炒焦半夏(一钱五分)、枳实皮(一钱)、淮小麦(三钱)、新会皮(一钱)、生谷芽(一钱)、茯神(二钱)。
王某(十七岁),右寸脉数的现象已经消退,大便已经通畅,但气分仍然怯弱。拟采用滋养肺胃的方法,以调理残余的病邪。
处方:制洋参(八分)、炒焦半夏(一钱五分)、萆薢(三钱)、拣麦冬(三钱)、新会皮(一钱)、连翘壳(一钱)、块茯苓(一钱)、钗斛(二钱)。
Lu (60 years old), after an illness, suffered spleen and stomach injury due to dietary relapse. Symptoms included lack of appetite and refusal to eat, tidal fever, dry mouth, belching with abdominal distension, and a sensation of fullness and obstruction in the chest and epigastrium. This belongs to the category where the Qi mechanism of the Stomach Fu organ lacks dissemination. As stated in the *Neijing* (Classic of Internal Medicine): "When food intake is scanty but Qi is excessive," the pathogen resides in the Stomach and Lung.
Prescription: Chuan Shihu (Dendrobium officinale, 4 qian), Chao Jiao Banxia (Fried Scorched Pinellia Rhizome, 1.5 qian), Jiao Guya (Scorched Rice Sprout, 1 qian), Nan Huafen (Nardostachys Radix, 1.5 qian), Xinhui Pi (Citrus reticulata Peel, 1 qian), Kuai Fuling (Poria Cocos, 3 qian), Zhishi Pi (Aurantium Fructus Pericarpium, 1 qian).
Jia (15 years old), presents with deficiency of Zheng Qi (Upright Qi) combined with internal heat, constipation, yet eating feels comfortable. This is primarily due to the failure of Yin fluids in the Lung and Stomach to recover.
Prescription: Chuan Shihu (Dendrobium officinale, 4 qian), Chao Jiao Banxia Qu (Fried Scorched Pinellia Fermented Curd, 1.5 qian), Zhishi Pi (Aurantium Fructus Pericarpium, 1 qian), Chao Maidong (Fried Ophiopogon Tuber, 1.5 qian), Xinhui Pi (Citrus reticulata Peel, 1 qian), Sheng Guya (Raw Rice Sprout, 1 qian), Kuai Fuling (Poria Cocos, 3 qian), Da Maren (Cannabis Seed, 1.5 qian).
Qian (43 years old), body shows no chills or fever, pulse is slow, stool is loose, and food intake is small. The Stomach Qi is just awakening, but the Spleen is weak and fails to govern transportation and transformation. Such symptoms are common after illness.
Prescription: Sheng Baizhu (Raw Atractylodes Macrocephala Rhizome, 2 qian), Xinhui Pi (Citrus reticulata Peel, 1 qian), Jian Zexie (Alisma Rhizome, 1.5 qian), Yizhi Ren (Alpinia Oxyphylla Fruit, roasted and ground, 8 fen), Jiao Maiya (Scorched Hordeum Sprout, 1 qian), Fuling (Poria Cocos, 3 qian), Nongpo (Magnolia Bark, 1 qian).
Ke (24 years old), pathogens have departed but Zheng Qi (Upright Qi) is deficient, leading to sudden inability to recover. Stomach Qi is not vigorous, resulting in no desire to eat. Treatment should nourish the Yin of the Lung and Stomach.
Prescription: Chuan Shihu (Dendrobium officinale, 4 qian), Chao Jiao Banxia (Fried Scorched Pinellia Rhizome, 1.5 qian), Zhishi Pi (Aurantium Fructus Pericarpium, 1 qian), Chao Maidong (Fried Ophiopogon Tuber, 7 fen), Xinhui Pi (Citrus reticulata Peel, 1 qian), Sheng Guya (Raw Rice Sprout, 1 qian), Kuai Yun Fuling (Yunnan Poria Cocos, 3 qian).
Yao (43 years old), suffered from Winter-Warmth disease for over a month. After taking several doses of medicine that focused solely on attacking pathogens, Zheng Qi (Upright Qi) was severely depleted. Residual heat remains in the Shu Ji (pivot mechanism), and Yin injury has not recovered, causing sweating and leakage, dry mouth, hunger without ability to eat. These are all caused by damage from bitter-cold herbs used to treat the disease, preventing the Stomach Qi from reviving. Treatment should nourish the Lung and Stomach and clear residual heat.
Prescription: Chuan Hu (Dendrobium, 3 qian), Chao Jiao Banxia (Fried Scorched Pinellia Rhizome, 1.5 qian), Zhishi Pi (Aurantium Fructus Pericarpium, 1 qian), Huai Xiaomai (Triticum aestivum, 3 qian), Xinhui Pi (Citrus reticulata Peel, 1 qian), Sheng Guya (Raw Rice Sprout, 1 qian), Fushen (Poria Cocos with Hostwood, 2 qian).
Wang (17 years old), the rapid pulse at the Right Cun position has subsided, and bowel movements have resumed. However, Qi remains timid/weak. The plan is to nourish the Lung and Stomach to regulate residual pathogens.
Prescription: Zhi Yangshen (Prepared American Ginseng, 8 fen), Chao Jiao Banxia (Fried Scorched Pinellia Rhizome, 1.5 qian), Bi Xie (Dioscorea Hypoglauca Rhizome, 3 qian), Jian Maidong (Selected Ophiopogon Tuber, 3 qian), Xinhui Pi (Citrus reticulata Peel, 1 qian), Lianqiao Qiao (Forsythia Fruit Shell, 1 qian), Kuai Fuling (Poria Cocos, 1 qian), Cha Hu (Dendrobium stem, 2 qian).