钱左(三月) 寒湿气滞,肝胃不和,绕脐腹痛,纠缠不已,脉右弦滑,治宜泄木和中。
金铃子 荔枝核 新会皮 小茴香 淡干姜 元胡索 宣木瓜 法夏 焦麦芽 制
香附 左金丸 小青皮 广木香
陈右(三月) 血虚气滞,已成石瘕,少腹痛胀,经停五月,脉弦涩数,治宜疏散。
紫丹参 粉赤芍 地鳖虫 小青皮 制香附 延胡索 怀牛膝 焦麦芽 全当归 五灵脂 红通草
轻者可用疝气法。
重者可用内疟法。
郑(包家弄) 瘀滞小肠,少腹痛胀,有形有质,势成内痈,乍热乍寒,眠食欠安,脉象弦数,治宜疏散。
金铃子 粉赤芍 桃仁 怀牛膝 红通草 延胡索 制香附 制军 小青皮 归尾
真橘核 紫油安桂(三分,去皮饭丸,分吞) 焦麦芽
老宸兄 劳伤蓄血,阻住腰膂筋络,症起腰 ,抽掣作痛,交阴分时为甚,皮色不变,眠
食欠安,脉弦涩数,治宜疏散。
金毛狗脊 赤白芍 鸡血藤 西秦艽 全当归 川断肉 明乳香(七分) 麻皮 绵杜仲 粒红花 炒甲片
肾虚腰痛青蛾丸主之。
沈(局票) 小便秘。
蟋蟀(三只,酒洗焙燥,如无以蝼蛄代之,用腐衣包吞之) 元参 焦栀 蓄 粉青黛 翘壳 童
木通 瞿麦 益元散(真西珀三分,同灯心研极细末拌) 真川连 海金沙 丹皮 车前子
或用龙荟通关丸等类。
外治以麝香,用蛤壳合脐中。
钱先生,三月就诊。寒湿之气阻滞气机,肝胃功能失调,脐周腹部疼痛,缠绵难愈。右侧脉象弦滑,治疗宜疏泄肝木、调和脾胃。
金铃子散(含川楝子)、荔枝核、新会陈皮、小茴香、淡干姜、延胡索、宣木瓜、法半夏、焦麦芽、制香附、左金丸、小青皮、广木香。
陈女士,三月就诊。血虚兼有气滞,已形成石瘕(一种妇科积聚病证),少腹疼痛胀满,月经停止五个月,脉象弦涩数,治疗宜疏散气血。
紫丹参、粉赤芍、地鳖虫、小青皮、制香附、延胡索、怀牛膝、焦麦芽、全当归、五灵脂、红通草。
病情轻者可用治疗疝气的方法治之。
病情重者可用治疗内疟的方法治之。
郑先生(住址:包家弄)。瘀血阻滞小肠,少腹疼痛胀满,触及有形肿块,势将发展为内痈(体内脏腑发生的化脓性疾患),忽冷忽热,睡眠和饮食欠佳,脉象弦数,治疗宜疏散瘀滞。
金铃子散(含川楝子)、粉赤芍、桃仁、怀牛膝、红通草、延胡索、制香附、制大黄、小青皮、归尾、真橘核、紫油安桂(三分,去皮后以米饭为丸,分次吞服)、焦麦芽。
老宸兄。劳损导致蓄血,阻塞腰部脊背筋络,症状表现为腰部疼痛,牵引掣痛,在阴时(夜间或阴盛之时)加重,皮肤颜色无变化,睡眠和饮食欠佳,脉象弦涩数,治疗宜疏散瘀血。
金毛狗脊、赤芍与白芍、鸡血藤、西秦艽、全当归、川断肉、明乳香、麻子仁、绵杜仲、粒红花、炒穿山甲片。
若属肾虚腰痛,以青蛾丸为主治方。
沈先生(地址:局票)。小便不通利。
蟋蟀(三只,用酒清洗并焙干,若无蟋蟀可用蝼蛄代替,用腐衣包裹吞服)、元参、焦栀子、蓄草、粉青黛、翘壳(连翘壳)、童便、木通、瞿麦、益元散(加入真西珀三分,同灯心草研成极细末拌入)、真黄连、海金沙、丹皮、车前子。
也可使用龙荟通关丸等类似方剂。
外治法:使用麝香,置于蛤壳中敷贴于脐部。
Mr. Qian, March. Cold-dampness obstructs qi mechanism; Liver and Stomach disharmony causes periumbilical abdominal pain, lingering and unrelenting. The right pulse is wiry and slippery. Treatment should involve draining Wood (Liver) and harmonizing the Middle Jiao.
Jinlingzi San (Chuanlizi & Jinlingzi), Litchi Seed, Xinhui Peel, Fennel, Dried Ginger, Corydalis, Quince, Processed Pinellia, Fried Malt, Processed Cyperus, Zuojin Pill, Small Green Tangerine Peel, Aucklandia.
Ms. Chen, March. Blood deficiency with qi stagnation has formed a Stone Lei (a type of gynecological mass). Lower abdominal pain and distension; amenorrhea for five months. Pulse is wiry, choppy, and rapid. Treatment should involve dispersing and diffusing.
Salvia Miltiorrhiza, Red Peony Root, Ground Beetle, Small Green Tangerine Peel, Processed Cyperus, Corydalis, Achyranthes Bidentata, Fried Malt, Angelica Sinensis, Trogopterus Dung, Red Akebia Stem.
For mild cases, treat using methods for Hernia.
For severe cases, treat using methods for Internal Malaria.
Mr. Zheng (Address: Baojia Nong). Blood stasis obstructs the Small Intestine; lower abdominal pain and distension with palpable masses, threatening to develop into an Internal Abscess. Alternating fever and chills, poor sleep and appetite. Pulse is wiry and rapid. Treatment should involve dispersing and diffusing.
Jinlingzi San (Chuanlizi & Jinlingzi), Red Peony Root, Peach Kernel, Achyranthes Bidentata, Red Akebia Stem, Corydalis, Processed Cyperus, Processed Rhubarb, Small Green Tangerine Peel, Angelica Tail, True Walnut Kernel, Purple Cassia Twig (3 fen, bark removed, pillated with rice, taken in divided doses), Fried Malt.
Brother Lao Chen. Labor injury causing blood retention, blocking the lumbar and spinal meridians. Symptoms include lower back pain, pulling and cramping pain, worsening during Yin times (night or yin-dominant periods). Skin color unchanged, poor sleep and appetite. Pulse is wiry, choppy, and rapid. Treatment should involve dispersing and diffusing.
Cibotium Rhizome, Red and White Peony Roots, Spatholobus Stem, Gentiana Scabra, Angelica Sinensis, Drynaria Rhizome, Frankincense, Hemp Seed, Eucommia Bark, Safflower, Processed Pangolin Scales.
For Kidney Deficiency Lower Back Pain, Qing'e Wan is the primary formula.
Mr. Shen (Address: Jupiao). Difficulty urinating.
Scorpion (3 specimens, washed with wine and dried; if unavailable, use mole cricket instead, wrapped in decaying cloth and swallowed), Scrophularia, Fried Gardenia, Plantago Seed, Indigo Naturalis, Forsythia Husk, Child's Urine, Akebia Stem, Dianthus, Yiyuan Powder (add 3 fen of genuine Lapis Lazuli, grind extremely fine with Ramulus Tenualoris together and mix), Coptis Chinensis, Semina Oroxyli, Cortex Moutan, Plantago Seed.
Alternatively, use Longhui Tongguan Wan or similar formulas.
External treatment: Use Musk, placed in a clam shell applied to the umbilicus.