凡蛔虫上下出者。皆属厥阴乘犯阳明。内食入胃。呕吐痰涎浊沫。如仲景
厥阴篇中。先厥后热同例。试论寒热后。全无汗解。谓至阴伏邪既深。焉能隔越
诸经。以达阳分。阅医药方初用治肺胃。后用温胆茯苓饮。但和胃治痰。致深伏
厥阴之邪未达。前进泻心汤。苦可去湿。辛以通痞。仍在上中。服后胸中稍舒。逾
时稍寐。寐后呕吐浊痰。有黄黑之形。大凡色带青黑。必系胃底肠中逆涌而出。
老年冲脉既衰。所谓冲脉动。则诸脉皆逆。自述呕吐之时。周身牵引。直至足心。
其阴阳跷维。不得自固。断断然矣。仲景于半表半里之邪。必用柴芩。今上下格
拒。当以桂枝黄连汤为法。参以厥阴引经。为通理之使。俾冲得缓。继进通补阳
明。此为治厥阴章旨也。
淡干姜 桂枝 川椒 乌梅 川连 细辛 茯苓
疟来得汗。阴分之邪已透阳经。第痰呕虽未减。青绿形色亦不至。最属可
喜。舌心白苔未净。舌边渐红。而神倦困惫。清邪佐以辅正。一定成法。
人参 半夏 茯苓 枳实汁 干姜 川连
脉沉弦。腹痛呕吐。鼻煤舌绛。面带青晦色。夏秋伏暑发热。非冬月。乃误表
禁食。胃气受伤。致肝木上干胃土。蛔虫上出。遂成重病。常而厥逆之虑。拟进泄
肝和胃。得痛止呕缓。冀有转机。
川椒 川连 乌梅 干姜 人参 茯苓 生白芍 川楝子
凡是蛔虫上下窜动而出的，都属于厥阴经受邪侵犯阳明经。饮食进入胃中，导致呕吐痰涎和浑浊的泡沫。这与《伤寒论》厥阴篇中“先四肢厥冷后发热”的情况是相同的道理。试论述在寒热症状之后，完全没有通过出汗而解表，这说明深伏于至阴之分的邪气已经深入，怎么可能隔着其他经络，直接到达阳分呢？查阅之前的医药方剂，起初治疗肺胃，后来使用温胆茯苓饮，只是调和胃气、治疗痰湿，导致深伏在厥阴经的邪气未能透达。随后前进泻心汤，苦味药可以去除湿气，辛味药可以通散痞结，但病位仍然在上焦和中焦。服药后胸中稍微舒适，过了一会儿稍微入睡，睡醒后呕吐出浑浊的痰液，呈现出黄黑色的形态。大凡颜色带有青黑的，必定是从胃底或肠中逆乱涌出所致。老年人冲脉气血既已衰退，正如所说“冲脉之气妄动，则全身各条经脉的气血都会逆乱”。患者自述呕吐时，周身牵引疼痛，一直放射到足心。其阴阳跷脉和维脉不能自我固摄，这是毫无疑问的。张仲景对于半表半里的邪气，必定使用柴胡和黄芩。如今上下格拒（气机阻滞不通），应当以桂枝黄连汤为法度，参入厥阴经的引经药，作为通达理气的使者。使得冲脉之气得以缓和，接着进补通补阳明经。这就是治疗厥阴病的章旨所在。
疟疾发作后得到了汗出，说明阴分中的邪气已经透出阳经。虽然痰多呕吐的症状没有减轻，但呕吐物中没有出现青绿色的形色，这最属可喜之事。舌中心白苔尚未净尽，舌边逐渐变红，且精神疲倦困乏。用清泄邪气的方法辅以扶助正气，这是一定的成法。
脉象沉弦，腹痛呕吐，鼻头色黑如煤，舌质绛红，面色呈现青晦暗色。夏秋季节伏暑发热，并非冬季，而是误用发汗解表法和禁食，导致胃气受伤，致使肝木之气上犯胃土，蛔虫向上而出，于是成了重病。常常担心会出现厥逆的情况。拟进泄肝和胃之法，期望得到疼痛停止、呕吐减缓，从而有转机。
Whenever roundworms (Ascaris) move up and down and are expelled, it belongs to the Jueyin (Terminal Yin) channel invading the Yangming (Yang Brightness) channel. Food entering the stomach causes vomiting of phlegm-drool and turbid foam. This is analogous to the case described in the Jueyin chapter of Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Damage), where cold extremities precede fever. Let us discuss: after the alternating cold and heat, there is no resolution through sweating. This indicates that the latent pathogen hidden in the Supreme Yin has penetrated deeply; how can it bypass the other channels to reach the Yang aspect? Reviewing previous medical prescriptions, initially treating the Lung and Stomach, then using Wendan Fuling Decoction (Warm Gallbladder and Poria Decoction) merely harmonized the Stomach and treated phlegm, failing to expel the pathogen deeply latent in the Jueyin channel. Subsequently, Xie Xin Tang (Drain the Epigastrium Decoction) was administered. Bitter flavors can remove dampness, and pungent flavors can unblock stagnation, but the pathology remained in the Upper and Middle Jiao. After ingestion, the chest felt slightly relieved, and after a while, slight sleep occurred. Upon waking, turbid phlegm was vomited, exhibiting yellow-black characteristics. Generally, colors with green-black hues indicate reversal surging out from the bottom of the Stomach or intestines. In the elderly, the Chong Mai (Penetrating Vessel) qi has declined. As stated, "When the Chong Mai moves, all vessels reverse." The patient reported that during vomiting, the whole body was pulled and painful, extending to the soles of the feet. The Yin and Yang Qiao Mai (Slipping Vessels) and Wei Mai (Linking Vessels) could not maintain their integrity, which is certain. Zhang Zhongjing used Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix) for pathogens at the half-exterior and half-interior level. Now, with obstruction between upper and lower parts, one should adopt the method of Guizhi Huanglian Tang (Cinnamon Twig and Scutellaria Decoction), incorporating Jueyin channel-guiding herbs as agents to regulate Qi flow. This allows the Chong Mai to relax, followed by tonifying and unblocking the Yangming channel. This constitutes the principle of treating Jueyin disorders.
Dan Ganjiang (Salted Dried Ginger) Guizhi (Cinnamon Twig) Chuanjiao (Zanthoxylum Fruit) Wumei (Mume Fruit) Chuanlian (Scutellaria Baicalensis Root) Xixin (Asarum Root) Fuling (Poria)
After malaria onset, sweating occurred, indicating that the pathogen in the Yin aspect has emerged into the Yang channels. Although phlegm and vomiting have not decreased, the absence of green color in the vomitus is most gratifying. The white coating on the center of the tongue is not yet cleared, while the edges are gradually turning red. Spirit is fatigued and exhausted. Clearing pathogens while assisting healthy Qi is a established method.
Renshen (Ginseng Radix) Banxia (Pinellia Tuber) Fuling (Poria) Zhishi Juice (Aurantii Fructus Immaturus Juice) Ganjiang (Dried Ginger) Chuanlian (Scutellaria Baicalensis Root)
The pulse is deep and wiry. Abdominal pain and vomiting occur. The nose appears black like coal, the tongue is crimson, and the complexion is dark and dull. Summer-autumn latent summerheat caused fever. It was not winter, but rather the error of using exterior-releasing methods and fasting, injuring Stomach Qi. This led to Liver Wood overacting on Stomach Earth, causing roundworms to ascend and be expelled, resulting in severe illness. There is constant concern about impending Jue Ni (Cold Extremities). The proposed treatment is to drain the Liver and harmonize the Stomach, hoping for cessation of pain and reduction of vomiting, anticipating a turn for the better.
Chuanjiao (Zanthoxylum Fruit) Chuanlian (Scutellaria Baicalensis Root) Wumei (Mume Fruit) Ganjiang (Dried Ginger) Renshen (Ginseng Radix) Fuling (Poria) Sheng Baishao (Raw Paeonia Lactiflora Root) Chuanlianzi (Toosendan Fruit)