平素操持积劳。五志之火易燃。上则鼻窍堵塞。下有肛痔漏红。冬春温邪
是阳气发越。邪气乘虚内伏。夫所伏之邪。非比暴感发散可解。况兼劳倦内伤
之体。病经九十日来。足跗日肿。大便日行五六次。其形粘滞。其色黄赤紫腻。小
便不利。必随大便而稍通。此肾关枢机已废。二肠阳腑失司。所进水谷脾胃。不
主营运。酿湿坠下。转为瘀腐之形。正当土旺。入夏脾胃主气。此湿气内淫。由乎
脾肾日伤。不得明理之医。一误再误。必致变现腹满矣。夫左脉之缓涩。是久病
阴阳之损。是合理也。而右脉弦大。岂是有余形质之滞。即仲景所云。弦为胃减。
大则病进。亦由阳明脉络渐弛。肿自下而上之义。守中治中。有妨食滋满之弊。
大旨中宜运通。下宜分利。必得小溲自利。腑气开阖。始有转机。若再绵延月余。
夏至阴生。便难力挽矣。
四苓加椒目 浓朴 益智 广皮白
三疟劫截不效。必是阴脏受病。衄血热渴。食入不化。痛泻。二者相反。思病
延已久。食物无忌。病中勉强进食。不能充长精神。即为滞浊阻痹。先以胀泻调
理。不必以疟相混。
草果 浓朴 陈皮 木香 茯苓皮 大腹皮 猪苓 泽泻
经营劳心。纳食违时。饥饱劳伤。脾胃受病。脾失运化。夜属阴晦。至天明洞
泻粘腻。食物不喜。脾弱恶食柔浊之味。五苓通膀胱。分泄湿气。已走前阴之窍。
用之小效。东垣谓中气不足。溲便为变。阳不营运。湿多成五泄矣。
人参 生白术 茯苓 炙草 炮姜 肉桂
脉沉缓。肌肉丰盛。是水土禀质。阳气少于营运。水谷聚湿。布及经络。下焦
每有重着病痛。食稍不运。便易泄泻。经水色淡。水湿交混。总以太阴脾脏。调理
若不中窍。恐防胀病。
人参 茯苓 白术 炙草 广皮 羌活 独活 防风 泽泻
晨泄难忍。临晚稍可宁安。易饥善食。仍不易消磨。其故在乎脾胃阴阳不
和也。读东坦脾胃论。谓脾宜升则健。胃而降则和。援引升降为法。
人参 生于术 炮附子 炙草 炒归身 炒白芍 地榆炭 煨葛根 煨升麻 炮姜灰
能食不化。腹痛泄泻。若风冷外乘。肌肉着冷。其病顷刻即至。上年用膏石
安肾丸。初服相投。两旬不效。知是病在中焦。不必固下矣。自述行走数十里。未
觉衰倦。痛处绕脐。议用治中法。足太阴。阳明主治。
生于术 生茅术 生益智 淡干姜 胡芦巴 茯苓 木瓜 荜茇
平素操劳过度，积劳成疾。五志之火容易燃烧。上则鼻窍堵塞。下有肛痔漏红。冬春温邪是阳气发越。邪气乘虚内伏。夫所伏之邪。非比暴感发散可解。况兼劳倦内伤之体。病经九十日来。足跗日肿。大便日行五六次。其形粘滞。其色黄赤紫腻。小便不利。必随大便而稍通。此肾关枢机已废。二肠阳腑失司。所进水谷脾胃。不主营运。酿湿坠下。转为瘀腐之形。正当土旺。入夏脾胃主气。此湿气内淫。由乎脾肾日伤。不得明理之医。一误再误。必致变现腹满矣。夫左脉之缓涩。是久病阴阳之损。是合理也。而右脉弦大。岂是有余形质之滞。即仲景所云。弦为胃减。大则病进。亦由阳明脉络渐弛。肿自下而上之义。守中治中。有妨食滋满之弊。大旨中宜运通。下宜分利。必得小溲自利。腑气开阖。始有转机。若再绵延月余。夏至阴生。便难力挽矣。
四苓加椒目 浓朴 益智 广皮白
三疟劫截不效。必是阴脏受病。衄血热渴。食入不化。痛泻。二者相反。思病延已久。食物无忌。病中勉强进食。不能充长精神。即为滞浊阻痹。先以胀泻调理。不必以疟相混。
草果 浓朴 陈皮 木香 茯苓皮 大腹皮 猪苓 泽泻
经营劳心。纳食违时。饥饱劳伤。脾胃受病。脾失运化。夜属阴晦。至天明洞泻粘腻。食物不喜。脾弱恶食柔浊之味。五苓通膀胱。分泄湿气。已走前阴之窍。用之小效。东垣谓中气不足。溲便为变。阳不营运。湿多成五泄矣。
人参 生白术 茯苓 炙草 炮姜 肉桂
脉沉缓。肌肉丰盛。是水土禀质。阳气少于营运。水谷聚湿。布及经络。下焦每有重着病痛。食稍不运。便易泄泻。经水色淡。水湿交混。总以太阴脾脏。调理若不中窍。恐防胀病。
人参 茯苓 白术 炙草 广皮 羌活 独活 防风 泽泻
晨泄难忍。临晚稍可宁安。易饥善食。仍不易消磨。其故在乎脾胃阴阳不和也。读东坦脾胃论。谓脾宜升则健。胃而降则和。援引升降为法。
人参 生于术 炮附子 炙草 炒归身 炒白芍 地榆炭 煨葛根 煨升麻 炮姜灰
能食不化。腹痛泄泻。若风冷外乘。肌肉着冷。其病顷刻即至。上年用膏石安肾丸。初服相投。两旬不效。知是病在中焦。不必固下矣。自述行走数十里。未觉衰倦。痛处绕脐。议用治中法。足太阴。阳明主治。
生于术 生茅术 生益智 淡干姜 胡芦巴 茯苓 木瓜 荜茇
Generally, overwork leads to accumulated fatigue. The fire of the five emotions (Wuzhi) is prone to ignite. Upper: nasal orifices are blocked. Lower: hemorrhoids and fistulas with bleeding. In winter and spring, warm pathogens arise from the exuberance of Yang Qi. Pathogenic factors take advantage of deficiency to lie dormant inside. The latent pathogen is not like an acute external contraction that can be resolved by dispersing and releasing. Moreover, the body suffers from internal injury due to fatigue and overwork. The illness has persisted for ninety days. The dorsum of the feet swells daily. Bowel movements occur five to six times a day. The stool is sticky in consistency. Its color is yellow-red, purple, and greasy. Urination is difficult and only slightly improves with bowel movements. This indicates that the mechanism of the Kidney gate has failed, and the Yang Fu organs of the two intestines have lost their control. The food and water ingested are not properly transported and transformed by the Spleen and Stomach. Dampness brews and sinks downward, transforming into a form of stasis and putrefaction. Just as Earth Qi is prosperous, entering summer, the Spleen and Stomach govern the Qi. This internal invasion of dampness results from the daily damage to the Spleen and Kidney. If treated by physicians who do not understand the principles, one mistake after another will inevitably lead to abdominal fullness. The slow and choppy pulse on the left reflects the damage to Yin and Yang in chronic illness, which is reasonable. However, the wiry and large pulse on the right—could it be due to stagnation of excess physical substances? As Zhang Zhongjing stated, "Wiry indicates a decrease in Stomach Qi; Large indicates the progression of disease." It also implies the gradual relaxation of the Yangming meridians, consistent with the principle that swelling rises from below upward. Focusing solely on regulating the middle Jiao hinders digestion and causes fullness. The general principle should be to promote circulation in the middle and separate clear from turbid in the lower. Only when urination becomes free and the opening and closing of the Fu organs function normally can there be a turning point. If it continues for another month, when Yin generates at the Summer Solstice, it will be difficult to reverse.
Siling Tang plus Jiaomu (Zanthoxylum Seed), Houpo (Magnolia Bark), Yizhi (Alpinia Oxyphylla Fruit), Guangpi Bai (Tangerine Peel White).
Three types of malaria were attempted to be intercepted but were ineffective. It must be that the Yin Zang organs are affected. Epistaxis, heat, thirst, undigested food intake, painful diarrhea. These two conditions seem contradictory. Considering the illness has prolonged, and dietary restrictions were ignored, forcing food intake during illness cannot nourish the spirit but instead causes stagnation and turbidity blocking the collaterals. First, regulate with formulas for distension and diarrhea, do not confuse it with malaria.
Caoguo (Black Cardamom), Houpo (Magnolia Bark), Chenpi (Aged Tangerine Peel), Muxiang (Costus Root), Fuling Pi (Poria Skin), Dafupi (Areca Peel), Zhuling (Polyporus), Zexie (Alisma).
Mental labor and worry, irregular eating times, injury from hunger and fullness, Spleen and Stomach are diseased. Spleen loses its transportive transformation. Night belongs to Yin darkness. Until dawn, profuse sticky diarrhea occurs. Food is unappetizing. Weak Spleen dislikes soft and turbid flavors. Wuling San opens the Bladder, separating and draining dampness. It has already exited through the anterior yin orifice. Using it yielded slight effect. Dongyuan said, "When Middle Qi is insufficient, urination and defecation change. When Yang does not circulate, dampness often forms the Five Diarrheas."
Renshen (Ginseng), Sheng Baizhu (Raw Atractylodes Macrocephala Rhizome), Fuling (Poria), Zhicao (Honey-fried Licorice), Paojiang (Roasted Ginger), Rougui (Cinnamon Bark).
Pulse is deep and slow. Muscles are abundant. This is the constitution of Water and Earth. Yang Qi is insufficient for circulation. Water and grain accumulate dampness, spreading to the collaterals. The Lower Jiao often has heavy and painful sensations. If food is slightly not transported, diarrhea easily occurs. Menstrual blood is pale. Water and dampness mix. Generally, it concerns the Taiyin Spleen Zang. If regulation does not hit the mark, fear of abdominal distension disease arises.
Renshen (Ginseng), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), Zhicao (Honey-fried Licorice), Guangpi (Tangerine Peel), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Fangfeng (Saposhnikovia Root), Zexie (Alisma).
Morning diarrhea is unbearable. Evening is slightly peaceful. Prone to hunger and good appetite, yet still difficult to digest. The reason lies in the disharmony of Yin and Yang between Spleen and Stomach. Reading Dongyuan's Treatise on the Spleen and Stomach, it states, "Spleen should ascend to be healthy; Stomach should descend to be harmonious." Citing ascending and descending as the method.
Renshen (Ginseng), Sheng Baizhu (Raw Atractylodes Macrocephala Rhizome), Pao Fuzi (Prepared Aconite Lateral Root), Zhicao (Honey-fried Licorice), Chao Guishen (Stir-fried Angelica Sinensis Root), Chao Baishao (Stir-fried White Peony Root), Diyu Tan (Charred Sanguisorba Root), Wei Gegen (Baked Kudzu Root), Wei Shengma (Baked Cimicifuga Rhizome), Pao Jiang Hui (Ash of Roasted Ginger).
Able to eat but unable to digest. Abdominal pain and diarrhea. If wind-cold attacks externally, and muscles touch cold, the disease arrives instantly. Last year, Gao Shi Anshen Wan was used. Initially suitable, but ineffective after two weeks. Knowing the disease is in the Middle Jiao, no need to secure the lower. Self-reported walking dozens of li without feeling fatigued. Pain surrounds the umbilicus. Proposing to use Zhizhong method. Foot-Taiyin and Yangming govern this.
Sheng Baizhu (Raw Atractylodes Macrocephala Rhizome), Sheng Maozhu (Raw Atractylodes Lancea Rhizome), Sheng Yizhi (Raw Alpinia Oxyphylla Fruit), Dan Ganjiang (Light Dried Ginger), Huluba (Trigonella Foenum-Graecum Seed), Fuling (Poria), Mugua (Chaenomeles Fruit), Bibo (Long Pepper Fruit).