汪鸿桥(年四十六岁,七月) 寒水侮脾,水肿胀满,前以分利不应,今已喘矣,脉形濡
缓,拟宗满生加减肾气汤法。
大熟地 缩砂仁(四分,拌) 丹皮 怀牛膝 怀山药 带皮苓 车前子 陈萸肉 泽泻
地骷髅 上摇桂 熟附片(各五分二味饭丸分吞)
按∶菁山某亦用此方数十剂全愈,灵效非常。
左(八月) 寒湿气滞,肝脾不和,腹胀脘闷,四肢酸倦,气逆痰稠,眠食欠安,脉右弦滑,治宜泄木和中。
米仁 大腹绒 炒枳壳 焦麦芽 连穗 车前草 广藿香 新会皮 莱菔子 杏仁 制香附
法半夏 赤苓 姜汁炒竹茹
僧(六月) 湿食郁遏,腹胀不和,治宜疏
化。
藿香正气丸、保和丸各二两,二味和匀,每服三钱,开水送下。
刑云窑 湿热侵脾,脾虚作胀,土不生金,肺失清肃,咳嗽便溏,单腹臌胀,青筋外
露,(或腹笥膨胀,青筋外露,势成单臌之候)脉双弦而濡,治之非易易耳。
生于术 大腹绒 陈香橼 鸡内金 小温中丸 炒枳实 新会皮 沉香曲 楂炭便
结易莱菔子 制香附 法半夏 赤苓 车前子
李 单腹膨胀希冀万一。
生仙居术(一钱) 陈新会皮(一钱五分) 二味煎汤,送丹溪小温中丸三钱。
王右 瘀滞黄胆,脾胃不和,脉象弦数,治在阳明。
绵茵陈 新会皮 赤苓 制川朴 车前草 连翘 宋半夏 木猪苓 地骷髅 赤小
豆米仁 泽泻 范志曲。
汪鸿桥(四十六岁,七月):寒水反侮脾土,导致水肿、腹部胀满。此前使用分利小便的方法治疗无效,如今已出现气喘症状。脉象濡缓,拟采用满生加减肾气汤的治法。
大熟地黄 缩砂仁(四分,拌用) 牡丹皮 怀牛膝 怀山药 带皮茯苓 车前子 山茱萸 泽泻
地骷髅 上摇桂枝 熟附片(各五分,制成饭丸分次吞服)
按语:菁山某人也曾使用此方服用数十剂后完全痊愈,疗效非常显著。
左姓患者(八月):寒湿之气阻滞气机,肝脾功能不和,表现为腹部胀满、胃脘部闷塞,四肢酸软疲倦,气逆伴有痰液稠厚,睡眠和饮食均不安稳。右侧脉象弦滑,治疗宜疏泄肝木、调和脾胃。
薏苡仁 大腹皮 炒枳壳 焦麦芽 连穗(指连穗的麦芽或类似药材,此处保留原名) 车前草 广藿香 新会陈皮 莱菔子 杏仁 制香附
法半夏 赤茯苓 姜汁炒竹茹
僧人(六月):湿邪与食积郁结遏阻,导致腹部胀满、气机不和,治疗宜疏理化解。
藿香正气丸、保和丸各二两,将两药混合均匀,每次服用三钱,开水送服。
刑云窑:湿热侵犯脾土,脾虚导致腹胀,土不生金(脾病及肺),肺失清肃之职,出现咳嗽、大便溏薄,仅腹部肿胀(单腹臌胀),青筋外露。(或是腹部膨胀,青筋外露,势成单臌之候)。双侧脉象弦而濡,治疗并非易事。
生白术 大腹皮 陈香橼 鸡内金 小温中丸 炒枳实 新会陈皮 沉香曲 山楂炭 便结易(此处疑为衍文或特定用法,依原文保留) 莱菔子 制香附 法半夏 赤茯苓 车前子
李姓患者:单侧腹部膨胀,希冀有一线生机。
生仙居白术(一钱) 陈新会陈皮(一钱五分) 这两味药煎汤,送服丹溪小温中丸三钱。
王右:瘀滞导致的黄疸,脾胃不和,脉象弦数,治疗重点在阳明经。
绵茵陈 新会陈皮 赤茯苓 制川朴(厚朴) 车前草 连翘 宋半夏 木猪苓 地骷髅 赤小豆 薏苡仁 泽泻 范志曲。
Wang Hongqiao (46 years old, July): Cold water rebels against the Spleen Earth, causing edema and abdominal distension. Previous treatment with diuretic methods was ineffective, and now wheezing has developed. The pulse is soggy and slow. It is proposed to follow the method of Mansheng's Modified Shenqi Tang (Kidney Qi Decoction).
Prepared Rehmanniae Radix (Shudi), Amomi Fructus Rotundus (Suasharen) [4 fen, mixed], Paeoniae Rubra Radix (Danpi), Achyranthis Bidentatae Radix (Huainiuxi), Dioscoreae Hypoglaucae Rhizoma (Huaishanyao), Poria Cocos with Skin (Daipiling), Plantaginis Semen (Cheqianzi), Corni Fructus (Chenyurou), Alismatis Rhizoma (Zexie),
Salvia Miltiorrhizae Root? (Dikulou - *Note: Dikulou usually refers to Salvia or similar, context suggests dampness/draining*), Cinnamomi Ramulus (Shangyaogui), Prepared Aconiti Lateralis Radix (Shufupian) [Each 5 fen, made into rice pills to be swallowed in divided doses].
Commentary: Someone from Jingshan also used this prescription for dozens of doses and recovered completely; the efficacy is extraordinary.
Left-side patient (August): Cold-dampness stagnates the Qi mechanism, Liver and Spleen are disharmonious. Symptoms include abdominal distension, epigastric stuffiness, soreness and fatigue in the four limbs, rebellious Qi with thick phlegm, and poor sleep and appetite. The right pulse is wiry and slippery. Treatment should involve draining Wood and harmonizing the Middle Jiao.
Coix Seed (Yiren), Arecae Pericarpium (Dafurong), Fried Aurantii Fructus (Chao Zhike), Scorched Malto (Jiao Maiya), Lian Sui (*preserved as original term*), Plantaginis Herba (Cheqiancao), Pogostemonis Herba (Guanghuoxiang), Citri Reticulatae Pericarpium (Xinhuiqi), Raphani Semen (Laifuzi), Apricot Kernel (Xingren), Processed Cyperi Rhizoma (Zhi Xiangfu),
Pinelliae Rhizoma Preparatum (Fa Banxia), Poria Cocos (Chiling), Bamboo Shavings Stir-fried with Ginger Juice (Jiangzhi Chao Zhuru).
Monk (June): Dampness and food retention are constrained and obstructed, causing abdominal distension and disharmony. Treatment should focus on dispersing and resolving.
Huoxiang Zhengqi Wan (Agastache Powder for Rectifying the Qi) and Baohe Wan (Preserve Harmony Pill), each 2 liang. Mix evenly, take 3 qian per dose, with warm water.
Xing Yunyao: Damp-heat invades the Spleen, Spleen deficiency causes distension. Earth fails to generate Metal (Spleen disease affects Lung), Lung loses its clear descending function. Symptoms include cough, loose stools, isolated abdominal distension (Dan Gu), and visible subcutaneous veins. (Or abdominal swelling with visible veins, trending towards isolated ascites). Both pulses are wiry and soggy. Treatment is not easy.
Raw Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Arecae Pericarpium (Dafurong), Citri Sarcodactylis Fructus (Chen Xiangyuan), Gastrodiae Rhizoma? (Jineijin - *Note: Jineijin is Gizzard Lining*), Xiaowenzhong Wan (Small Warming Middle Pill), Fried Zedoariae Rhizoma? (Chao Zhishi - *Note: Zhishi is Aurantii Fructus*), Citri Reticulatae Pericarpium (Xinhuiqi), Aquilariae Lignum Resinatum (Chenxiangqu), Crataegi Fructus Carbonized (Zhatao Bianjie Yi - *Note: Text seems garbled, likely Shan Zha Tan*), Raphani Semen (Laifuzi), Processed Cyperi Rhizoma (Zhi Xiangfu), Pinelliae Rhizoma Preparatum (Fa Banxia), Poria Cocos (Chiling), Plantaginis Semen (Cheqianzi).
Li: Isolated abdominal distension, hoping for a miracle.
Raw Atractylodis Macrocephalae Rhizoma from Xianju (1 qian), Citri Reticulatae Pericarpium from Xin Hui (1.5 qian). Decoct these two ingredients, take Danxi Xiaowenzhong Wan (3 qian) with the decoction.
Wang You: Jaundice due to stasis and obstruction, Spleen and Stomach disharmony. Pulse is wiry and rapid. Treatment focuses on the Yangming channel.
Artemisiae Scopariae Herba (Mian Yinchen), Citri Reticulatae Pericarpium (Xinhuiqi), Poria Cocos (Chiling), Processed Magnoliae Officinalis Cortex (Zhi Chuanpu), Plantaginis Herba (Cheqiancao), Forsythiae Fructus (Lianqiao), Song Banxia (*preserved as original term*), Polyporus (Muzhuling), Salvia Miltiorrhizae Root? (Dikulou), Adzuki Bean (Chixiaodou), Coix Seed (Yiren), Alismatis Rhizoma (Zexie), Fan Zhi Qu (Fan Zhi Qu).