王(潞村,年五十六岁,十一月二十六日) 血虚生风,半 头痛,痛甚损目,目起翳障,
潮热口苦,心悸眩晕,眠食欠安,脉小弦数,治宜育阴潜阳。
西洋参 甘菊蕊 丹皮 玫瑰花 制首乌 归身 石决明 冬桑叶(炒) 蔓荆 东白芍 朱茯神
外风宜从后川芎茶调散法。
诸风掉眩,痰多宜痫,厥方治之。
章 痰病已成痫厥,火风自肝而至。
元参 丹皮 宋半夏 化陈皮 鲜竹沥 鲜细叶 石菖蒲汁(一匙同冲) 羚角片 纯嫩钩
川郁金 陈胆星 明天麻 朱茯神 石决明(青黛五分拌打) 木蝴蝶
朱右(市陌路,年十六岁,六月) 暑湿风邪酿痰化热,自肺胃扰动肝阳,痰随气升,徒
然厥逆,不省人事,牙关紧急,手指搐搦,脉弦滑数,蒲清心涤痰平肝宣窍。
元参 连翘心 纯钩 陈胆星 鲜竹沥 鲜细叶石菖蒲汁(同冲) 羚角片 川郁金 石
决明(青黛拌打) 牛黄清心丸 薄荷梗 丹皮 朱茯苓 青荷梗
又(二里诸姓,年三十一岁,右) 感受湿邪,动扰肝阳,陡然厥逆。
方照前去薄荷、郁金、胆星、竹沥,加沉香、二陈、姜竹茹。
某 心体不足,心用有余,肝为心母,操用神机,肝木与心火相为煽动,肝阳浮越不
潜,彻夜不寐,心悸忡怔,有不能支持之候,脉弦滑数,左寸关长直,治宜清心和胃,佐以平肝。
紫丹参(猪心血拌炒) 广陈皮 朱茯神 川郁金 卷心竹叶 元参 宋半夏 苍龙齿
石菖蒲 猪胆汁 炒枣仁 石决明 玳瑁边(如无以) 元武板 鲜竹茹
王(潞村人,五十六岁,十一月二十六日就诊)血虚生风,导致偏头痛,疼痛剧烈损伤眼睛,眼部出现翳障;伴有潮热、口苦、心悸、眩晕,睡眠和饮食不安稳,脉象小弦而数。治疗宜采用育阴潜阳法。
处方:西洋参、甘菊蕊、丹皮、玫瑰花、制首乌、归身、石决明、冬桑叶(炒)、蔓荆子、东白芍、朱茯神。
若属外风所致,宜从后川芎茶调散法治疗。
诸风引起的动摇眩晕,若痰多且适宜痫厥证,可用厥方治疗。
章(患者姓名或代称)痰病已发展为痫厥,火热之风自肝脏而来。
处方:元参、丹皮、宋半夏、化陈皮、鲜竹沥、鲜细叶(天竺黄)、石菖蒲汁(一匙同冲服)、羚角片、纯嫩钩藤、川郁金、陈胆星、明天麻、朱茯神、石决明(青黛五分拌打)。
朱右(市陌路人,十六岁,六月就诊)暑湿风邪酿生痰浊并化热,自肺胃扰动肝阳,痰随气上升,突然发生厥逆,不省人事,牙关紧急,手指抽搐痉挛,脉象弦滑数。治以清心涤痰、平肝宣窍法。
处方:元参、连翘心、纯钩藤、陈胆星、鲜竹沥、鲜细叶(天竺黄)、石菖蒲汁(同冲服)、羚角片、川郁金、石决明(青黛拌打)、牛黄清心丸、薄荷梗、丹皮、朱茯苓、青荷梗。
又(二里诸姓人,三十一岁,右侧患病)感受湿邪,动扰肝阳,突然发生厥逆。
处方照前法去薄荷、郁金、胆星、竹沥,加沉香、二陈汤、姜竹茹。
某(患者姓氏不详)心体不足,心用有余,肝为心之母,操持运用神机,肝木与心火相互煽动,肝阳浮越不能潜藏,整夜失眠,心悸怔忡,有不能支持之状,脉象弦滑数,左寸关部脉长直。治疗宜清心和胃,佐以平肝。
处方:紫丹参(猪心血拌炒)、广陈皮、朱茯神、川郁金、卷心竹叶、元参、宋半夏、苍龙齿、石菖蒲、猪胆汁、炒枣仁、石决明、玳瑁边(如无可用替代品)、元武板(龟板)、鲜竹茹。
Wang (from Lucun, 56 years old, November 26th) Blood deficiency generates wind, causing hemi-cranial headache. Severe pain damages the eyes, leading to corneal opacity (cataract-like visual obstruction). Accompanied by tidal fever, bitter taste in the mouth, palpitations, dizziness, and poor sleep and appetite. The pulse is small, wiry, and rapid. Treatment should nourish Yin and subdue Yang.
Prescription: American Ginseng (Xi yang shen), Chrysanthemum Bud (Gan ju rui), Moutan Cortex (Dan pi), Rose Flower (Mei gui hua), Prepared Polygonum multiflorum Root (Zhi shou wu), Angelica sinensis Root (Gui shen), Abalone Shell (Shi jue ming), Mulberry Leaf (Dong sang ye, stir-fried), Vitex Fruit (Man jing zi), White Peony Root (Dong bai shao), Poria with Hosta Root (Zhu fu shen).
If caused by external wind, treat according to the method of Chuanxiong Chatiao San (Ligusticum Chattison Tea-Powder Dispersion).
For various winds causing tremors and dizziness, if phlegm is abundant and suitable for epilepsy or syncope, treat with Jue Fang (Syncope Formula).
Zhang (Patient name/alias) Phlegm disease has progressed to epilepsy and syncope; fire and wind originate from the Liver.
Prescription: Scrophularia Root (Yuan shen), Moutan Cortex (Dan pi), Pinellia Tuber (Song ban xia), Aged Tangerine Peel (Hua chen pi), Fresh Bamboo Sap (Xian zhu li), Fresh Talcum-like substance (Xian xi ye - likely Tian Zhu Huang / Bambusae Concha), Rhizoma Acori Tatarinowii Juice (Shi chang pu zhi, mix one spoonful), Antelope Horn Slice (Ling jiao pian), Uncaria Rhynchophylla (Chun gen teng), Curcuma Aromatica Rhizome (Chuan yu jin), Arisaema Cum Bile (Chen dan xing), Gastrodia Tuber (Ming tian ma), Poria with Hosta Root (Zhu fu shen), Abalone Shell (Shi jue ming, mixed with 5 fen Qing dai / Malachite Green and pounded).
Zhu You (from Shimo Road, 16 years old, June) Summer-heat, dampness, and wind pathogens brew phlegm and transform into heat. From the Lung and Stomach, they disturb Liver Yang. Phlegm rises with Qi, suddenly causing syncope, loss of consciousness, locked jaw, and finger spasms. The pulse is wiry, slippery, and rapid. Treatment clears the Heart, eliminates phlegm, calms the Liver, and opens the orifices.
Prescription: Scrophularia Root (Yuan shen), Forsythia Heart (Lian qiao xin), Uncaria Rhynchophylla (Chun gen), Arisaema Cum Bile (Chen dan xing), Fresh Bamboo Sap (Xian zhu li), Fresh Talcum-like substance (Xian xi ye), Rhizoma Acori Tatarinowii Juice (Shi chang pu zhi, mix together), Antelope Horn Slice (Ling jiao pian), Curcuma Aromatica Rhizome (Chuan yu jin), Abalone Shell (Shi jue ming, mixed with Qing dai / Malachite Green and pounded), Niuhuang Qingxin Wan (Calculus Bovis Clear Heart Pill), Mint Stem (Bo he geng), Moutan Cortex (Dan pi), Poria with Hosta Root (Zhu fu ling), Lotus Stem (Qing he geng).
Again (From Erli, surname Zhu, 31 years old, right side affected) Contracted damp pathogen, disturbing Liver Yang, suddenly causing syncope.
Prescription follows the previous method but removes Bo he (Mint), Yu Jin (Curcuma), Dan Xing (Arisaema Cum Bile), and Zhu Li (Bamboo Sap); adds Chen Xiang (Aquilaria Wood), Er Chen Tang (Two-Cured Decoction), and Jiang Zhu Ru (Ginger-processed Bamboo Shavings).
Certain Patient (Surname unknown) Heart substance is insufficient, while Heart function is excessive. Liver is the mother of Heart, managing the spirit mechanism. Liver Wood and Heart Fire mutually incite each other. Liver Yang floats upward and fails to submerge. Insomnia throughout the night, palpitations and fright, with a sensation of inability to sustain. The pulse is wiry, slippery, and rapid; the left Cun and Guan positions are long and straight. Treatment should clear the Heart and harmonize the Stomach, assisted by calming the Liver.
Prescription: Salvia Miltiorrhiza Root (Zi Dan Shen, stir-fried with Pig Heart Blood), Broad-leaved Citrus Peel (Guang chen pi), Poria with Hosta Root (Zhu fu shen), Curcuma Aromatica Rhizome (Chuan yu jin), Bamboo Leaf with Heart (Juan xin zhu ye), Scrophularia Root (Yuan shen), Pinellia Tuber (Song ban xia), Dragon Tooth (Cang long chi), Rhizoma Acori Tatarinowii (Shi chang pu), Pig Bile (Zhu dan zhi), Stir-fried Ziziphus Seed (Chao zao ren), Abalone Shell (Shi jue ming), Eretmochelys Imbricata Carapace Edge (Dai mao bian, substitute if unavailable), Testudo Reptilis Plastron (Yuan wu ban), Fresh Bamboo Shavings (Xian zhu ru).