钱(局前巷,年十五岁,六月) 阳明湿火熏蒸,耳为宗脉之所,清窍不利,耳钝不聪,休
作无定,脉象弦数,治宜清降。
元参 土贝 石决明 绵茵陈 翘壳 黑栀 炒白蒺 赤苓 夏枯草 丹皮 玫瑰花 石菖蒲
或用紫雪丹亦可。
肾虚用左磁丸方。
徐(八月) 天行赤眼,赤涩羞明,脉弦数而滑,治宜傅氏羚羊角散法。
羚角片 夏枯草 地骨皮 白甘菊 薄荷尖 连翘 净银花 童木通 元参 桑白皮 谷精珠 清宁丸
外用龙胆乙分和乳点之。
风热鼻渊宜从陈无择苍耳散为主。
此方不知从何处得来,治偏正头痛新起,体气壮实者,治之无不应手,故录之。
川芎(八分) 本(一钱) 香附(五分) 红枣(七枚) 香白芷 明天麻(各一钱五分) 贝母
(一钱) 白鲞头(半个,左痛用左,右痛用右,满头痛全用) 川羌(一钱五分) 西秦艽(一钱五分)
马料豆(四十九粒)
或用川芎茶调散。
如血虚头痛,宜从潞村王姓头痛之方。
右 烂喉丹痧,身热脘闷,痰随气升,咽喉肿痛,糜腐肌腠,已现风疹,未得宣达,适值
经转之时,热入血室,热盛神蒙,烦渴引饮,脉弦滑数,右寸关浮洪,姑拟辛凉透解,以犀角
地黄汤为法,冀其转机,否恐痰升内闭之忧,附方请专家酌政。
元参 连翘 犀角盘 怀牛膝 象贝 射干 炒牛蒡 鲜生地 赤芍 珠黄散(分二次,白滚汤冲服五
厘) 山豆根 川郁金 丹皮 炒天蚕 碧玉散 鲜竹沥鲜细叶石菖蒲(连根捣汁三匙和冲) 活水芦根
钱某(居住在局前巷,年龄十五岁,就诊时间为六月):阳明经湿火熏蒸,耳部为宗脉汇聚之处,清窍不通利,导致耳朵迟钝、听力不佳,症状发作没有固定规律,脉象弦而数,治疗应当以清降为主。
玄参 土贝母 石决明 绵茵陈 连翘壳 黑栀子 炒白蒺藜 赤茯苓 夏枯草 牡丹皮 玫瑰花 石菖蒲
也可以使用紫雪丹。
如果是肾虚导致的,使用左磁丸方。
徐某(八月就诊):天行赤眼(流行性红眼病),眼睛发红、干涩、怕光,脉象弦数且滑,治疗适宜采用傅氏羚羊角散的方法。
羚羊角片 夏枯草 地骨皮 白甘菊 薄荷尖 连翘 金银花 木通 玄参 桑白皮 谷精珠 清宁丸
外用龙胆草和冰片研粉点涂患处。
风热引起的鼻渊(鼻窦炎)适宜以陈无择苍耳散为主方。
这个方子不知道是从哪里得来的,治疗偏头痛或正头痛新发,体质壮实的人,治疗没有不立刻见效的,所以记录下来。
川芎(八分) 藁本(一钱) 香附(五分) 红枣(七枚) 香白芷 明天麻(各一钱五分) 贝母(一钱) 白鲞头(半个,左侧疼痛用左侧,右侧疼痛用右侧,全头痛全部使用) 川羌活(一钱五分) 西秦艽(一钱五分) 马料豆(四十九粒)
也可以使用川芎茶调散。
如果是血虚引起的头痛,适宜采用潞村王姓人的头痛方。
右(患者姓氏或代称,烂喉丹痧,身体发热、胃脘部闷胀,痰液随着气机上逆,咽喉肿痛,黏膜溃烂腐坏,已经出现风疹,但邪气未能宣散透达,恰逢月经来潮之时,热邪陷入血室,热盛导致神志昏蒙,烦躁口渴想喝水,脉象弦滑数,右寸关脉浮洪,暂时拟定辛凉透解之法,以犀角地黄汤为法,希望病情能出现转机,否则恐怕有痰升内闭的危险,附上方剂请专家斟酌修改。)
玄参 连翘 犀角盘 怀牛膝 象贝母 射干 炒牛蒡子 鲜生地 赤芍 珠黄散(分两次服用,用白开水冲服五厘) 山豆根 川郁金 牡丹皮 炒天蚕 碧玉散 鲜竹沥 鲜细叶石菖蒲(连根捣汁三匙混合冲服) 活水芦根
Qian (residing at Juqian Alley, aged fifteen years, in June): Yangming damp-heat and fire are steaming and vaporizing. The ears are the convergence point of the zong vessels (major meridians), and the clear orifices are obstructed, resulting in dullness and impaired hearing. The symptoms occur irregularly. The pulse is wiry and rapid. The treatment should focus on clearing and descending.
Shen Xu (Radix Scrophulariae), Tu Bei Mu (Fritillariae Thunbergii Bulbus), Shi Jue Ming (Concha Haliotidis), Mian Yin Chen (Artemisiae Scopariae Herba), Qiao Ke (Forsythiae Fructus), Hei Zhi (Gardeniae Fructus prepared with charcoal), Chao Bai Ji Li (Tribuli Fructus stir-fried), Chi Ling (Poria Cocos with red mycelium), Xia Ku Cao (Prunellae Spica), Dan Pi (Moutan Cortex), Mei Gui Hua (Rosa rugosa), Shi Chang Pu (Acori Tatarinowii Rhizoma).
Alternatively, Zi Xue Dan (Purple Snow Pill) may be used.
If caused by Kidney deficiency, use the Zuo Ci Wan formula.
Xu (in August): Tian Xing Chi Yan (Epidemic Red Eye), characterized by redness, dryness, and photophobia. The pulse is wiry, rapid, and slippery. The treatment should adopt the method of Fu Shi Ling Yang Jiao San (Mr. Fu's Antelope Horn Powder).
Ling Yang Jiao Pian (Antelope Cornu Slice), Xia Ku Cao (Prunellae Spica), Di Gu Pi (Lycii Cortex), Bai Gan Ju (Chrysanthemi Indici Flos), Bo He Jian (Menthae Haplocalycis Herba tip), Lian Qiao (Forsythiae Fructus), Jing Yin Hua (Lonicerae Japonicae Flos), Tong Mu Tong (Akebiae Caulis), Shen Xu (Radix Scrophulariae), Sang Bai Pi (Mori Cortex), Gu Jing Zhu (Evodiae Fructus), Qing Ning Wan (Clearing Peace Pill).
Externally, apply powder made from Long Dan Cao (Gentianae Radix) and Bing Pian (Borneolum Syntheticum) to the affected area.
For Bi Yuan (Nasal Sinusitis) caused by Wind-Heat, the primary prescription should be Chen Wuyue's Cang Er San (Xanthium Powder).
This prescription is of unknown origin. It treats new-onset lateral or central headache in patients with robust constitution, yielding immediate results in all cases; therefore, it is recorded here.
Chuan Xiong (8 fen), Ben Cao (Ligustici Wallichii Rhizoma, 1 qian), Xiang Fu (Cyperi Rhizoma, 5 fen), Hong Zao (Jujubae Fructus, 7 pieces), Xiang Bai Zhi (Angelicae Dahuricae Radix), Ming Tian Ma (Gastrodiae Rhizoma, 1.5 qian each), Bei Mu (Fritillariae Cirrhosae Bulbus, 1 qian), Bai Xiang Tou (Clarias batrachus head, half a piece; use left side for left pain, right side for right pain, whole for full headache), Chuan Qiang (Saposhnikoviae Radix, 1.5 qian), Xi Qin Jiao (Gentianae Macrophyllae Radix, 1.5 qian), Ma Liao Dou (Phaseoli Semen, 49 grains).
Alternatively, Chuan Xiong Cha Tiao San (Ligusticum Tea-Powder for Regulating the Pulse) may be used.
For headache due to Blood deficiency, the prescription from Mr. Wang of Lucun for headache should be adopted.
You (Patient designation): Lan Hou Dan Sha (Scarlet Fever with Sore Throat), presenting with fever, epigastric stuffiness, phlegm rising with Qi, sore throat and swelling, mucosal erosion and necrosis, wind-rash already appearing but pathogenic factors not yet vented. Coinciding with menstruation, heat has entered the Blood Chamber. Excessive heat causes mental confusion, irritability, thirst, and desire to drink. The pulse is wiry, slippery, and rapid; the Right Cun and Guan positions are floating and surging. Temporarily prescribing a pungent-cool method to vent and resolve, based on Xi Jiao Di Huang Tang (Rhino Horn and Rehmannia Decoction), hoping for a turning point. Otherwise, there is fear of internal closure due to rising phlegm. Attached is the formula for expert review and correction.
Shen Xu (Radix Scrophulariae), Lian Qiao (Forsythiae Fructus), Xi Jiao Pan (Hornis Rhinocerotis Plate), Huai Niu Xi (Achyranthis Bidentatae Radix), Xiang Bei Mu (Fritillariae Thunbergii Bulbus), She Gan (Belamcandae Rhizoma), Chao Niu Bang Zi (Arctii Fructus stir-fried), Xian Sheng Di (Rehmanniae Radix Preparata fresh), Chi Shao (Paeoniae Radix Rubra), Zhu Huang San (Pearl and Realgar Powder, taken in two doses, mixed with boiled water, 5 li per dose), Shan Dou Gen (Sophorae Tonkinensis Radix), Chuan Yu Jin (Curcumae Radix), Dan Pi (Moutan Cortex), Chao Tian Can (Bombyx Batryticatus stir-fried), Bi Yu San (Jade Green Powder), Xian Zhu Li (Bambusa Textilis Sap fresh), Xian Xi Ye Shi Chang Pu (Acori Tatarinowii Rhizoma fresh fine leaves with roots, crushed for juice, 3 spoons mixed and taken), Huo Shui Lu Gen (Phragmitis Rhizoma fresh living water).