叶 中虚留饮,肝胃不和,乍寒乍热,呕吐酸饮,头胀眩晕,脉右弦滑而浮,治宜疏解。
老苏梗 新会皮 制香附 白蔻仁 广藿香(左金丸三分,拌炒) 赤苓 泽泻 淡姜渣
制川朴 宋半夏 六神曲
阳明热病,舌胎黄,燥渴呕恶,脉来洪滑,米饮入口即吐,惟凉水可纳者,宜《千金》芦根
汤主之,姜汁炒竹茹亦主之。
伤寒甚热之时,自觉气从左升,呕吐,勺水不纳,脉滑数,舌燥刺,或呕苦黄水,此肝火
上乘于胃也,宜降之泄之。
川连 吴萸肉 姜汁炒竹茹 青陈皮 赤白苓 半夏 姜汁沙山栀 八月扎之类。
陈左(七月) 风痰阻郁肺气,肺不主宣,呃逆频频,由来旬余,脉右弦滑按欠达,治宜疏风豁痰。
粉沙参 化陈皮 炒白蒺 赤苓 炒苏子 宋半夏 玫瑰花 八月扎 白杏仁 旋复花 川贝 紫石英
潘,中虚呃逆。
东洋参 柿蒂 旋复花 建莲肉 公丁香 生姜 紫石英 大红枣
每日晨服胡桃同杏仁雪冰糖研冲服。
沈(新市六塔里左,年五十岁) 真阴不足,肝肾阴火挟同冲脉上逆,呃逆频频,无休
息时,觉气自少腹而上,谓之下呃,久延恐成呃忒之变,脉小弦数,治拟都气饮,佐以摄纳法。
东洋参 怀山药 朱茯神 紫石英 真紫沉水香 大熟地(缩砂末四分,拌) 丹皮 北五
味刀豆子 核桃肉 陈萸肉 泽泻 旋复花 紫油安桂心
叶姓患者,中焦虚弱导致水饮停留,肝气与胃气不和,出现忽冷忽热的症状,呕吐酸水及痰饮,头部胀痛且眩晕。右侧脉象弦滑而浮,治疗应当采用疏肝解郁的方法。
老苏梗、新会皮(陈皮)、制香附、白蔻仁、广藿香(拌炒左金丸三分)、赤茯苓、泽泻、淡姜渣、制厚朴、宋半夏、六神曲。
阳明经热病,舌苔黄,口干燥渴,恶心呕吐,脉象洪大滑数,米汤入口即吐,只有凉水可以咽下者,适宜用《千金方》中的芦根汤主治,姜汁炒竹茹也适用于此证。
伤寒病处于极热阶段时,自觉气机从左胁上升,伴有呕吐,连一勺水都无法容纳,脉象滑数,舌面干燥且有刺感,或者呕吐苦味黄水,这是肝火上乘侵犯胃腑所致,适宜采用降逆泄火的治疗方法。
黄连、吴茱萸肉、姜汁炒竹茹、青皮陈皮、赤茯苓白茯苓、半夏、姜汁炒山栀、八月扎之类。
陈姓左侧患者(七月就诊),风痰阻滞郁遏肺气,肺失宣发肃降功能,呃逆频繁发作,持续已有一周多,右侧脉象弦滑但按之不足,治疗应当疏风豁痰。
粉沙参、化橘红、炒白蒺藜、赤茯苓、炒苏子、宋半夏、玫瑰花、八月扎、白杏仁、旋复花、川贝母、紫石英。
潘姓患者,中焦虚弱导致的呃逆。
东洋参、柿蒂、旋复花、建莲肉、公丁香、生姜、紫石英、大红枣。
每日早晨服用胡桃仁同杏仁、雪冰糖研磨后冲服。
沈姓患者(新市六塔里左,五十岁),真阴不足,肝肾的阴火挟带冲脉之气上逆,呃逆频繁,没有休息时间,感觉气自少腹向上冲,称为“下呃”,日久拖延恐怕会演变成严重的呃忒病变,脉象小弦而数,治疗拟定使用都气饮,佐以摄纳肾气的方法。
东洋参、怀山药、朱茯神、紫石英、真紫沉水香、大熟地(拌缩砂末四分)、丹皮、北五味子、刀豆子、核桃肉、陈萸肉、泽泻、旋复花、紫油安桂心。
Mr. Ye suffers from deficiency in the middle jiao with retained fluid, disharmony between the Liver and Stomach, alternating chills and fever, vomiting of sour fluids and phlegm-drool, head distension and dizziness. The pulse on the right is wiry, slippery, and floating; treatment should focus on soothing and resolving [Liver Qi stagnation].
*Perillae Caulis* (Laosu Geng), *Tangerine Peel* (Xinhui Pi), *Cyperi Rhizoma* (Zhi Xiangfu), *Amomi Fructus Rotundus* (Baikouren), *Patchouli Herba* (Guang Huoxiang) mixed-fried with one-third portion of *Zuojin Wan*, *Poria* (Chiling), *Alisma Rhizoma* (Zexie), *Ginger Residue* (Dian Jiangzha), *Magnolia Bark* (Zhi Chunpu), *Pinellia Tuber* (Song Banxia), *Medicated Leaven* (Liushenqu).
In Yangming heat disease, with a yellow tongue coating, dry thirst, nausea and vomiting, and a surging, slippery pulse, where even rice water is vomited immediately upon entry but cool water can be retained, *Lugen Tang* (Reed Rhizome Decoction) from *Qianjin Fang* is indicated; *Bamboo Shavings* (Zhuru) stir-fried with ginger juice is also applicable.
During the peak heat phase of Cold Damage disease, if there is a subjective sensation of Qi rising from the left side, accompanied by vomiting such that not even a spoonful of water can be kept down, with a slippery, rapid pulse, a dry and prickly tongue, or vomiting of bitter yellow fluid, this indicates Liver Fire attacking the Stomach from above; treatment should involve descending and draining.
*Coptis Rhizoma* (Chuanlian), *Evodia Fruit* (Wuyu Rou), *Bamboo Shavings* (Zhuru) stir-fried with ginger juice, *Citrus Aurantium* (Qingchenpi), *Poria* (Chibailing), *Pinellia Tuber* (Banxia), *Gardenia Fruit* (Shanzhizhi) stir-fried with ginger juice, *Akebia Caulis* (Bayuezha), and similar herbs.
Patient Chen (Left side, July visit): Wind-phlegm obstructs and depresses Lung Qi, causing the Lung to fail in its dispersing function, resulting in frequent hiccups persisting for over ten days. The pulse on the right is wiry and slippery but feels deficient upon pressure; treatment should aim to disperse wind and resolve phlegm.
*Glehnia Root* (Fenshashen), *Exocarpium Citri Grandis* (Huachentan), *Tribulus Fruit* (Chaobaiji), *Poria* (Chiling), *Perilla Seed* (Chaosuzi), *Pinellia Tuber* (Song Banxia), *Rose Flower* (Meiguahua), *Akebia Caulis* (Bayuezha), *Apricot Seed* (Baixingren), *Inula Flower* (Xuanfuhua), *Fritillaria Bulb* (Chuanbei), *Hematite* (Zishiqing).
Patient Pan: Hiccups due to Middle Jiao deficiency.
*Korean Ginseng* (Dongyangshen), *Persimmon Calyx* (Shidi), *Inula Flower* (Xuanfuhua), *Lotus Seed* (Jianlianrou), *Clove* (Gongdingxiang), *Fresh Ginger* (Shengjiang), *Hematite* (Zishiqing), *Large Red Date* (Dazao).
Every morning, take Walnut Meat ground together with Apricot Seeds and Rock Sugar, mixed with water.
Patient Shen (New City, Liutaoli Left, 50 years old): Deficiency of True Yin, with Yin Fire of the Liver and Kidneys carrying the Chong Mai upward, causing frequent hiccups without respite. There is a sensation of Qi rising from the lower abdomen, termed "Lower Hiccups" (Xiaye). If prolonged, it may develop into severe pathological hiccups. The pulse is small, wiry, and rapid. Treatment proposes *Duqi Yin* (All-Encompassing Drink), assisted by methods to grasp and retain [Kidney Qi].
*Korean Ginseng* (Dongyangshen), *Chinese Yam* (Huai Shanyao), *Poria* (Zhufushen), *Hematite* (Zishiqing), *Aquilaria Wood* (Zichenshuixiang), *Rehmannia Root* (Dashudi) mixed with *Amomum Seed* (Suoshamo) four fen, *Moutan Cortex* (Danpi), *Schisandra Berry* (Beiwuweizi), *Cardamom Seed* (Daodouzi), *Walnut Meat* (Hetourou), *Cornus Fruit* (Chenyurou), *Alisma Rhizoma* (Zexie), *Inula Flower* (Xuanfuhua), *Cinnamon Bark Heart* (Ziyou Anguixin).