杏仁(三钱) 苍术炭(三钱) 蔻仁(钱半) 黄芩炭(二钱) 陈皮(钱半) 黄柏炭(三钱)
茯苓皮(五钱) 半夏(五钱) 苡仁(五钱)
十一日 脉仍沉数,舌苔反白滑,仍宜建中行湿以除伏邪。湿最伤气,非湿去气不得健
,与急劫湿法。
蔻仁(钱半) 黄芩炭(二钱) 杏仁(三钱) 陈皮(钱半) 黄柏炭(二钱) 半夏(五钱)
益智仁(二钱) 苡仁(五钱) 煨草果(四钱) 制苍术(四钱) 茯苓皮(五钱)
煮三杯,周十二时服完。
吴 五十六岁 十一月十二日 内热外寒,兼发痰饮,喉哑,咳嗽,痰多,头痛,恶寒
,脉浮,与麻杏石甘汤。
麻黄(五钱,去节) 半夏(一两) 生石膏(六两) 桔梗(六钱) 杏仁(八钱) 陈皮(四
钱) 炙甘草(四钱)
煮四杯,先服一杯,得汗,止后服。不汗再服,汗后勿见风。
十四日 肺脉独浮,去∶
麻黄(三钱)
十七日 脉浮,喉哑,咳嗽,痰多。
麻黄(三钱) 杏仁(六钱) 陈皮(三钱) 生石膏(四两) 桔梗(五钱) 半夏(六钱) 炙
甘草(二钱)
二十三日 脉浮,喉哑,咳嗽,痰多,内饮招外风为病,与大青龙法。
麻黄(五钱) 杏仁(八钱) 陈皮(五钱) 生石膏(四两) 炙甘草(三钱) 半夏(八钱)
桔梗(五钱) 生姜(三钱) 大枣(二钱)
头煎三杯,先服一杯,得汗,止后服,不汗再服。
二十四日 病减者减其制,减麻黄二钱,去陈皮、姜、枣,加木通,小便短故也。
二十七日 喉复哑,脉洪数,小便已长,前方去木通,加∶
石膏(二两)
赵 十三岁 十一月二十九日 头痛,脉浮,弦不甚紧,无汗,与杏苏法。
杏仁(二钱) 羌活(一钱) 生姜(三片) 苏叶(三钱) 甘草(钱半) 大枣(二枚) 防风
(二钱) 桔梗(三钱)
煮两杯,先服一杯,覆被令微汗,不可使汗淋漓。得汗,止后服,不汗再服第二杯,再
不汗再作服,以得汗为度。汗后避风,只可啜稀粥,戒一切荤腥。
杏仁(三钱) 苍术炭(三钱) 蔻仁(钱半) 黄芩炭(二钱) 陈皮(钱半) 黄柏炭(三钱)
茯苓皮(五钱) 半夏(五钱) 苡仁(五钱)
十一日 脉象仍然沉而数,舌苔反而呈现白滑之象,仍适宜采用健脾和中、祛除湿邪的方法来消除潜伏的病邪。湿邪最容易损伤正气,并非湿邪去除后正气就能自然强健,因此不使用急迫劫夺湿邪的方法。
蔻仁(钱半) 黄芩炭(二钱) 杏仁(三钱) 陈皮(钱半) 黄柏炭(二钱) 半夏(五钱)
益智仁(二钱) 苡仁(五钱) 煨草果(四钱) 制苍术(四钱) 茯苓皮(五钱)
加水煎煮成三杯药液,在十二个时辰内服完。
吴姓患者,五十六岁,十一月十二日就诊。症见体内发热而体表恶寒,兼有痰饮发作,声音嘶哑,咳嗽,痰多,头痛,恶寒,脉象浮,给予麻杏石甘汤(麻黄杏仁甘草石膏汤)。
麻黄(五钱,去节) 半夏(一两) 生石膏(六两) 桔梗(六钱) 杏仁(八钱) 陈皮(四钱) 炙甘草(四钱)
加水煎煮成四杯药液,先服用一杯,若得汗出,则停止后续服用。若无汗,再服用;出汗后避免受风。
十七日 脉象浮,声音嘶哑,咳嗽,痰多。
麻黄(三钱) 杏仁(六钱) 陈皮(三钱) 生石膏(四两) 桔梗(五钱) 半夏(六钱) 炙甘草(二钱)
二十三日 脉象浮,声音嘶哑,咳嗽,痰多,因内停水饮招致外感风邪而发病,给予大青龙法(大青龙汤加减)。
麻黄(五钱) 杏仁(八钱) 陈皮(五钱) 生石膏(四两) 炙甘草(三钱) 半夏(八钱)
桔梗(五钱) 生姜(三钱) 大枣(二钱)
头煎取三杯药液,先服用一杯,若得汗出,则停止后续服用;若无汗,再服用。
二十四日 病情减轻则减少药量,减去麻黄二钱,去掉陈皮、生姜、大枣,加入木通,因为小便短少的缘故。
二十七日 喉咙再次嘶哑,脉象洪大而数,小便已经通畅,前方去掉木通,加入:
石膏(二两)
赵姓患者,十三岁,十一月二十九日就诊。头痛,脉象浮,弦而不甚紧,无汗,给予杏苏法(杏苏散加减)。
杏仁(二钱) 羌活(一钱) 生姜(三片) 苏叶(三钱) 甘草(钱半) 大枣(二枚) 防风(二钱) 桔梗(三钱)
加水煎煮成两杯药液,先服用一杯,覆盖被子令其微微出汗,不可使汗出淋漓。若得汗,则停止后续服用;若无汗,再服用第二杯;若再无汗,继续煎服,以得汗为度。出汗后避风,只可喝稀粥,戒除一切荤腥食物。
Almond (San Qian) Charred Atractylodis Rhizoma (San Qian) Cardamomi Fructus Rotundus (Qian Ban) Charred Scutellariae Radix (Er Qian) Exocarpium Citri Reticulatae (Qian Ban) Charred Phellodendri Cortex (San Qian)
Pericarpium Vitis Viniferae (Wu Qian) Pinelliae Rhizoma Preparatum (Wu Qian) Coicis Semen (Wu Qian)
On the 11th day, the pulse remained deep and rapid, while the tongue coating turned white and slippery. It is still appropriate to employ methods to strengthen the middle jiao and dispel dampness to eliminate latent pathogens. Dampness most easily injures Qi; it is not the case that Qi becomes robust simply after dampness is removed. Therefore, urgent methods for forcibly seizing dampness are not used.
Cardamomi Fructus Rotundus (Qian Ban) Charred Scutellariae Radix (Er Qian) Almond (San Qian) Exocarpium Citri Reticulatae (Qian Ban) Charred Phellodendri Cortex (Er Qian) Pinelliae Rhizoma Preparatum (Wu Qian)
Amomum Tsao-ko (Er Qian) Coicis Semen (Wu Qian) Prepared Arecae Semen (Si Qian) Prepared Atractylodis Rhizoma (Si Qian) Pericarpium Vitis Viniferae (Wu Qian)
Decocted into three cups, consumed over twelve hours.
Patient Wu, 56 years old, November 12th. Symptoms include internal heat with external cold, accompanied by phlegm-fluid retention, hoarseness, cough, profuse sputum, headache, aversion to cold, and a floating pulse. Ma Xing Shi Gan Tang (Ephedra, Apricot Seed, Gypsum, and Licorice Decoction) was prescribed.
Ephedrae Herba (Wu Qian, tips removed) Pinelliae Rhizoma Preparatum (Liang Yi) Raw Gypsum (Liu Liang) Platycodonis Radix (Liu Qian) Almond (Ba Qian) Exocarpium Citri Reticulatae (Si Qian) Honey-fried Glycyrrhizae Radix et Rhizoma (Si Qian)
Decocted into four cups. Take one cup first; if sweating occurs, stop further administration. If no sweat, take again. Avoid wind after sweating.
On the 14th day, only the lung pulse was floating. Removed:
Ephedrae Herba (San Qian)
On the 17th day, the pulse was floating, with hoarseness, cough, and profuse sputum.
Ephedrae Herba (San Qian) Almond (Liu Qian) Exocarpium Citri Reticulatae (San Qian) Raw Gypsum (Si Liang) Platycodonis Radix (Wu Qian) Pinelliae Rhizoma Preparatum (Liu Qian) Honey-fried Glycyrrhizae Radix et Rhizoma (Er Qian)
On the 23rd day, the pulse was floating, with hoarseness, cough, and profuse sputum. The condition arose from internal fluid retention attracting external wind pathogen. Da Qing Long Fa (Method of Major Blue Green Dragon) was applied.
Ephedrae Herba (Wu Qian) Almond (Ba Qian) Exocarpium Citri Reticulatae (Wu Qian) Raw Gypsum (Si Liang) Honey-fried Glycyrrhizae Radix et Rhizoma (San Qian) Pinelliae Rhizoma Preparatum (Ba Qian)
Platycodonis Radix (Wu Qian) Zingiberis Rhizoma Recens (San Qian) Jujubae Fructus (Er Qian)
First decoction yields three cups. Take one cup first; if sweating occurs, stop further administration. If no sweat, take again.
On the 24th day, as the disease subsided, the dosage was reduced. Ephedrae Herba was reduced by two Qian. Exocarpium Citri Reticulatae, Zingiberis Rhizoma Recens, and Jujubae Fructus were removed. Akebiae Caulis was added due to short urine volume.
On the 27th day, hoarseness recurred, the pulse was surging and rapid, and urination had become normal. Akebiae Caulis was removed from the previous formula, and Gypsum was added:
Gypsum (Er Liang)
Patient Zhao, 13 years old, November 29th. Symptoms included headache, floating pulse, wiry but not tight, and absence of sweating. Xing Su Fa (Method of Apricot Leaf and Perilla) was applied.
Almond (Er Qian) Notopterygii Rhizoma et Radix (Yi Qian) Zingiberis Rhizoma Recens (Three slices) Perillae Folium (San Qian) Glycyrrhizae Radix et Rhizoma (Qian Ban) Jujubae Fructus (Two pieces) Saposhnikoviae Radix (Er Qian) Platycodonis Radix (San Qian)
Decocted into two cups. Take one cup first, cover with a blanket to induce slight sweating; do not allow profuse sweating. If sweating occurs, stop further administration. If no sweat, take the second cup. If still no sweat, continue administration until sweating occurs. Avoid wind after sweating; consume only thin rice gruel and abstain from all meat and fish.