典藏书目

Deng's Commentary: This is due to stagnant Qi and phlegm mutually obstructing each other within the body. Using Siqi Tang (Seven-Emotion Decoction) from *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) follows an immutable principle established since ancient times. The modified formula is also effective and stable. Using Qinhua Wan (Swallow-and-Hold Pill) would be even more appropriate.

Fevers and chills occur without a fixed schedule, with sudden pain in the epigastrium (Zhongwan area) and lower abdomen. This is Liver Qi stagnation; when stagnation reaches its extreme, it manifests as fevers and chills. The absence of headache indicates it is not an external contraction. Treat primarily with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder).

Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder)

You Yi's Note: This is the method of "reaching the stagnant Wood" (Mu Yu Da Zhi).

Deng's Commentary: This is also the ancestral formula for treating Liver stagnation. Once the syndrome differentiation is accurate, the prescription will surely be effective.

The pathogen entered from the Shaoyang channel, stagnated into the Jueyin channel, and then counter-attacked the Yangming channel. Symptoms include alternating fevers and chills, bluish complexion, and pain in the vertex and lower abdomen. These are the manifestations. The treatment should drain the excess of Jueyin while protecting the deficiency of Yangming. This is the therapeutic principle.

Ren Shen (Ginseng Radix), Chai Hu (Bupleuri Radix), Chuan Lian Zi (Meliae Fructus - *Note: Text says Chuan Lian, likely Chuan Lian Zi or Huang Lian contextually, but text says Chuan Lian. Wait, text says 'Chuan Lian' in list? No, text says 'Chuan Lian' in list? Let's check source text: 'Ren Shen Chai Hu Chuan Lian Chen Pi Ban Xia Huang Qin Wu Zhu Yu Fu Ling Gan Cao'. 'Chuan Lian' usually refers to Chuan Lian Zi, but in Left Metal context, it might be Huang Lian. However, strictly translating text: Chuan Lian Zi.* Correction: Source text says 'Chuan Lian'. In TCM formulas like Zuo Jin, it is Huang Lian. But here it lists 'Chuan Lian'. I will translate as Chuan Lian Zi (Meliae Fructus) as per text, though clinically suspicious. Actually, looking at 'Zuo Jin', it is Huang Lian + Wu Zhu Yu. The text lists 'Chuan Lian'. It might be a typo for Huang Lian or Chuan Lian Zi. Given 'Zuo Jin' reference later, it implies clearing liver fire. Chuan Lian Zi clears liver heat too. I will stick to text: Chuan Lian Zi.), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Huang Qin (Scutellariae Radix), Wu Zhu Yu (Evodiae Fructus), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix).

You Yi's Note: This formula is derived from Zuo Jin Wan (Left Metal Pill) and Xiao Yao San. If combined with Jin Ling Zi San (Corydalis Decoction), it would seem more comprehensive.

Deng's Commentary: The deduction of the disease origin is circuitous, and the formulation has profound meaning. Using Xiao Chai Hu Tang (Minor Bupleurum Decoction) minus Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Zizyphi Fructus) to treat Shaoyang disease, using Zuo Jin Wan to drain Jueyin fire, and Er Chen Tang (Two-Cured Decoction) to harmonize Yangming—its intent lies precisely here.

Sun's Commentary: Carefully examining the intent of the case and prescription, there must have been symptoms of nausea and vomiting.

This is Blood Stagnation (Xue Yu), caused by emotional factors. Its onset is gradual, and its resolution is also difficult.

Xuan Fu Hua (Inulae Flos), Xie Bai (Allii Macrostemonis Bulbus), Yu Jin (Curcumae Radix), Tao Ren (Persicae Semen), Dai Zhe Shi (Hematitum), Hong Hua (Carthami Flos).

You Yi's Note: This must be clustered blood stagnation causing obstruction of collateral Qi, manifesting as chest and diaphragm stiffness and pain. Hence the formulation.

Deng's Commentary: It is likely related to Chest Bi (Chest Impediment) or Ye Ge (Dysphagia). The method involves descending rebellion, resolving phlegm, and guiding out stasis.

Chapter on Vomiting and Hiccups

Stomach deficiency with internal heat causes dry heaving and constipation.

Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) plus Lu Gen (Phragmitis Rhizoma) and Jing Mi (Oryza Sativa Germen).

Deng's Commentary: The formula uses Ren Shen and Jing Mi to tonify stomach deficiency, Lu Gen and Zhu Ru to clear stomach heat, Sheng Jiang and Ju Pi to open phlegm-Qi. It is both light/agile and substantial/accurate.

Second Visit: Vomiting stopped, fever subsided.

Shi Hu (Dendrobii Caulis), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Mai Dong (Ophiopogonis Radix), Jing Mi (Oryza Sativa Germen), Lu Gen (Phragmitis Rhizoma), Pi Pa Ye (Eriobotryae Folium).

Deng's Commentary: The change of formula is appropriate.

Third Visit: Constipation.

Sheng Shou Wu (Polygoni Multiflori Caulis Praeparatus), Xuan Ming Fen (Natrii Sulfas), Zhi Ke (Aurantii Fructus Immaturus).

Deng's Commentary: This is the method of treating the branch in acute situations.

Fourth Visit: Bowels unblocked, pulse is harmonious. Only nourishment is suitable.

Shi Hu (Dendrobii Caulis), Gui Shen (Angelicae Sinensis Radix), Qin Jiao (Gentianae Macrophyllae Radix), Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex), Zhi Cao (Glycyrrhizae Radix Preparata), Fu Ling (Poria), Guang Pi (Citri Reticulatae Pericarpium).

You Yi's Note: Using four formulas in succession shows agile thinking, naturally aligning with the disease mechanism.

Deng's Commentary: At this stage, the major pathogenic force has passed, so harmonizing and nourishing is appropriate. The use of Shi Hu, Qin Jiao, and Dan Pi suggests that dryness-heat in the intestines has not yet been fully cleared.

If the lower orifices are blocked, Qi must rebel upward causing vomiting. This is what is meant by Qi from the幽门 (Yumen/Pylorus) rushing up to the吸门 (Ximen/Glottis). The treatment should naturally address the lower aspect. However, with a fine pulse and sunken eyes, the Middle Qi is severely damaged. One should first stabilize the Middle and stop vomiting. After vomiting ceases, further plans can be made.

Ren Shen (Ginseng Radix), Fu Ling (Poria), Ci Ji Li (Tribuli Fructus), Zhu Ru (Bambusae Caulis in Taenia), Ban Xia (Pinelliae Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Lu Gen (Phragmitis Rhizoma), Shi Hu (Dendrobii Caulis).

You Yi's Note: It seems one should simultaneously unblock the Yumen to stop vomiting; I suggest adding Sheng Zhi Shi (Immature Aurantium Fruit).

Deng's Commentary: For vomiting due to Middle Deficiency, one must never use harsh purgatives just because of constipation, as purging will only damage Stomach Qi. Thus, saying it is appropriate to first stabilize the Middle is indeed words gained from experience.

After severe vomiting, the pulse should be harmonious, but instead, it is bounding and large. Dizziness and urge to vomit, chest fullness, anorexia, mental fatigue, and desire to lie down suggest Earth deficiency leading to Wood hyperactivity, potentially progressing to spasms and convulsions. The method should be to calm the Stomach and clear the Liver, following the ancients' idea of preemptive prevention.

Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Guang Pi (Citri Reticulatae Pericarpium), Bai Mi (Oryza Sativa Germen), Gou Teng (Uncariae Ramulus cum Uncis), Zhu Ru (Bambusae Caulis in Taenia), Pi Pa Ye (Eriobotryae Folium), Xian Fo Shou (Citri Sarcodactylis Fructus).

You Yi's Note: The discussion is very correct, but the medicinal power may be insufficient. However, it is clear and steady. The so-called "clearing the Liver" only uses Gou Teng and Zhu Ru. I suggest adding Mu Gua (Chaenomelis Fructus) and Bai Shao (Paeoniae Radix Alba), which would seem more powerful.

Deng's Commentary: Since Earth deficiency is feared, why does the formula not focus on tonifying the Middle, but only mentions calming the Stomach and clearing the Liver? This is because the pulse is bounding and large. Every word shows careful deliberation.

The disease started in the Liver, then affected the Stomach, and now affects the Lung. However, Stomach Qi is paramount. In chronic illness, one must achieve eating without vomiting before expecting results.

Shi Hu (Dendrobii Caulis), Lu Gen (Phragmitis Rhizoma), Fu Ling (Poria), Mai Dong (Ophiopogonis Radix), Guang Pi (Citri Reticulatae Pericarpium), Mu Gua (Chaenomelis Fructus), Pi Pa Ye (Eriobotryae Folium), Jing Mi (Oryza Sativa Germen).

You Yi's Note: The description of the disease is concise and clear, achievable only by skilled practitioners. The formula hits the mark.

Deng's Commentary: The disease analysis grasps the key principles, and the formulation employs flexibility.

Fire pathogen in the Stomach causes vomiting and anorexia; Heat pathogen in the Gallbladder causes spontaneous sweating when eyes are closed.

Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) plus Shi Hu (Dendrobii Caulis).

You Yi's Note: Shan Zhi (Gardeniae Fructus) is indispensable because it specifically clears Gallbladder heat; Chuan Lian (likely Huang Lian/Coptidis Rhizoma in this context of clearing heat) is also applicable. *Correction*: Text says 'Chuan Lian' in previous formula, here 'Chuan Lian' is not listed in the base formula but mentioned in note. Note says 'Chuan Lian also in application list'. I will translate as Huang Lian (Coptidis Rhizoma) based on context of 'Qing Dan Re' (Clear Gallbladder Heat) and standard pairing, or keep literal if ambiguous. Standard TCM for Gallbladder heat often uses Huang Lian. I will use Huang Lian (Coptidis Rhizoma) as the intended herb for 'Chuan Lian' in the note context or clarify. Actually, 'Chuan Lian' usually means Chuan Lian Zi. But 'Chuan Lian' alone often refers to Coptis in some dialects or typos. Given 'Zhu Ru' and 'Dan Re', Huang Lian is standard. I will translate as Huang Lian (Coptidis Rhizoma) noting the text likely implies it.

Deng's Commentary: This is Fire from both Liver and Gallbladder attacking the Stomach. The formula's clearing and draining is too weak. It truly should follow Master Liu's example of adding Zhi Zi (Gardeniae Fructus) and Huang Lian (Coptidis Rhizoma).

Sun's Commentary: Medications should be added to Huang Lian Wen Dan Tang (Coptis and Pinellia Decoction for Harmonizing the Gallbladder).

Second Visit: Remove Shi Hu from previous formula, add Mu Gua (Chaenomelis Fructus).

Epigastric discomfort (Za Cha) resolves after eating. This is Phlegm-Fire moving internally with insufficiency of Heart and Stomach Yin.

Sheng Di (Rehmanniae Radix), Shan Zhi (Gardeniae Fructus), Ban Xia (Pinelliae Rhizoma), Mai Dong (Ophiopogonis Radix), Fu Ling (Poria), Dan Pi (Moutan Cortex), Zhu Ru (Bambusae Caulis in Taenia), Zhi Cao (Glycyrrhizae Radix Preparata).

You Yi's Note: Treating Yin deficiency with Phlegm is difficult to balance perfectly. Shi Hu and Guang Pi could be added to the formula.

Deng's Commentary: The disease belongs to Stomach deficiency with Phlegm-Fire, and the medication hits the critical point.

Phlegm-Qi obstruction and rebellion in the throat cause occasional nausea and vomiting. This syndrome benefits from clearing and descending; if untreated, it becomes Ye Ge (Dysphagia).

Ban Xia (Pinelliae Rhizoma), Pi Pa Ye (Eriobotryae Folium), Xuan Fu Hua (Inulae Flos), Zhu Ru (Bambusae Caulis in Taenia), Fu Ling (Poria), Mai Dong (Ophiopogonis Radix), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Yu Jin (Curcumae Radix), Sheng Jiang (Zingiberis Rhizoma Recens).

You Yi's Note: The medication is agile.

Deng's Commentary: The disease is in its early stages, and the formula is also light.

Qi stagnation and phlegm coagulation block the epigastrium. Food causes choking upon entry. Pulse is choppy. Difficult to treat.

Xuan Fu Hua (Inulae Flos), Dai Zhe Shi (Hematitum), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Ban Xia (Pinelliae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Bei (Fritillariae Cirrhosae Bulbus), Yu Jin (Curcumae Radix), Pi Pa Ye (Eriobotryae Folium).

You Yi's Note: Xuan Fu Dai Zhe Tang is the orthodox formula for Ye Ge. Choking upon food entry indicates initial Lung Qi stagnation, hence adding Yu Jin, Bei Mu, and Pi Pa Ye. Only with a choppy pulse indicating Righteous Qi deficiency should Ren Shen be added.

Deng's Commentary: The condition is deeper than the previous cases, so the medication is more advanced. A choppy pulse indicates not only Righteous Qi deficiency but also Blood Bi (impediment).

Sun's Commentary: Lou Pi (Trichosanthis Pericarpium) should be added.

Pulse speed varies irregularly. Food is rejected and cannot go down. Middle Qi is severely depleted, ascending and descending functions are disordered.

Xuan Fu Hua (Inulae Flos), Dai Zhe Shi (Hematitum), Mai Dong (Ophiopogonis Radix), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Ren Shen (Ginseng Radix), Pi Pa Ye (Eriobotryae Folium).

You Yi's Note: Because Middle Qi is severely damaged, Ren Shen and Mai Dong are used.

Deng's Commentary: Irregular pulse speed indicates severe Middle Qi depletion. The preparation is exquisite and worthy of emulation.

Morning intake, evening vomiting. Liver and Stomach attack each other. The disease is Fan Wei (Regurgitation).

Xuan Fu Hua (Inulae Flos), Dai Zhe Shi (Hematitum), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Wu Zhu Yu (Evodiae Fructus), Sheng Jiang (Zingiberis Rhizoma Recens), Jing Mi (Oryza Sativa Germen), Ren Shen (Ginseng Radix), Pi Pa Ye (Eriobotryae Folium).

You Yi's Note: This specifically treats vomiting, hence adding Sheng Jiang and Wu Zhu Yu.

Deng's Commentary: The disease analysis and formulation hit the mark. This disease involves not only Stomach Earth deficiency-cold but also Liver pathogen attacking.

Grain cannot enter not because the Stomach refuses to accept, but because Phlegm-Fluid obstructs it. The method should be to descend Qi and resolve phlegm. The use of Dai Zhe Shi meets my expectation.

Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction).

You Yi's Note: The insight is mature, and the writing is vigorous.

Deng's Commentary: With proficient skills, intent naturally follows the pen.

Qi stagnation generates phlegm; phlegm coagulation causes Qi stagnation, blocking the pathways of the Middle Jiao. Consequently, food cannot descend, fluids cannot distribute. There is no hunger, no appetite, dry mouth, hard stools, palpitations, dizziness. After two months without cure, the method should regulate and adjust Middle Qi, avoiding fears of Ye Ge and abdominal fullness.

Xuan Fu Dai Zhe Tang plus Shi Chang Pu (Acori Tatarinowii Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Chen Pi (Citri Reticulatae Pericarpium).

You Yi's Note: The disease analysis clarifies origin and flow; medication addresses both root and branch. It is delicate and appropriate. How could it be doubted as a model?

Deng's Commentary: Such insight exceeds the ordinary. Fortunately, it avoids misusing tonics due to the subsequent symptoms.

Middle Qi repeatedly injured, unable to transport and transform. Morning intake, evening vomiting, undigested food. Pulse is deficient, complexion dark, waist and legs weak. Knowing it is not just Stomach disease, but Kidney disease as well. Is this a trivial matter?

Ren Shen (Ginseng Radix), Fu Zi (Aconiti Lateralis Radix Preparata), Chuan Jiao (Zanthoxyli Pericarpium), Fu Ling (Poria), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus).

Second Visit: Remove Chuan Jiao and Yi Zhi Ren from previous formula, add Huang Lian (Coptidis Rhizoma), Rou Gui (Cinnamomi Cortex).

You Yi's Note: Undigested food, dark complexion, soft waist are signs of Kidney injury. Changing the formula to add Gui and Lian represents the method of mutual intersection (Jiao Ji).

Deng's Commentary: This is the method of adding fire to the bottom of the pot. However, vomiting diseases inevitably involve disharmony of Liver Yang. Seeing the change to add Lian and Gui confirms this.

Sun's Commentary: Gan Jiang (Zingiberis Rhizoma) and Fu Ling could be added to the formula, assisting Ren Shen in warming the Stomach.

Selected Cases of Jingxianglou, Lower Volume

Written by You Yi (Zaijing) of Changzhou

Chapter on Latent Pathogens

Liver Yin has always been deficient. Warm pathogens disturb it, causing Spasm Disease (Jing Bing). Symptoms include coma, teeth grinding, and intermittent convulsions. The method should nourish Liver Yin to benefit sinews and vessels, and clear/drain Phlegm-Heat to calm the Spirit. If responsive, there is little to worry about.

Ling Yang Jiao (Capricornis Cornu), Fu Shen (Poria cum Radix), Gou Teng (Uncariae Ramulus cum Uncis), Bei Mu (Fritillariae Bulbus), E Jiao (Asini Corii Colla), Xian Chang Pu (Acori Tatarinowii Rhizoma Fresh), Zhu Li (Bambusae Succus).

You Yi's Note: If exterior pathogens are unresolved, remove E Jiao and add Xiao Sheng Di or Xian Sheng Di.

Another Note: This is a case of latent pathogen developing into Warm Disease, distinct from external Wind-Warmth by interior/exterior origins. The pathogen emerges from Shaoyin and溃 (breaks through) into Jueyin, hence these manifestations. Ling Yang Jiao and Gou Teng extinguish wind and clear heat; they are symptomatic treatments. To treat the root, one should draw the pathogen out from the Yin level, allowing it to reach the Three Yang channels externally, then clear and drain along the channels. Etiology and treatment are detailed in *Wen Re Feng Yuan*, not repeated here.

Deng's Commentary: E Jiao is unsuitable; suggest replacing with Xi Sheng Di (Rehmanniae Radix Preparata) and Xuan Shen (Scrophulariae Radix).

The meaning is revealed clearly. You Yi seems unclear about latent Warm diseases.

Heat damages Body Fluids. Pulse is fine, mouth is dry. Difficult to treat.

Lu Gen (Phragmitis Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Chuan Hu (Dendrobii Caulis), Zhe Jiang (Sacchari Candidi Melleum), Xi Sheng Di (Rehmanniae Radix Preparata), Mai Dong (Ophiopogonis Radix), Gan Cao (Glycyrrhizae Radix), Li Zhi (Piri Juice).

You Yi's Note: This is the orthodox method of preserving Yin and draining heat. The "difficult to treat" remark is likely due to the fine pulse.

Deng's Commentary: Dry mouth is merely fluid injury; a fine pulse indicates weak Yuan Qi, hence "difficult to treat."

Heat persists, headache continues, purple spots appear like brocade patterns, sore throat. Exterior and Interior pathogens are abundant; this is a severe syndrome.

Xi Jiao (Rhinocerotis Cornu - *Substitute with Shui Niu Jiao/Bubali Cornu in modern practice*), Dou Chi (Sojae Semen Preparatum), Chi Shao (Paeoniae Radix Rubra), Xuan Shen (Scrophulariae Radix), Niu Bang (Arctii Fructus), Dan Pi (Moutan Cortex), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix).

You Yi's Note: Should add Xian Sheng Di.

Deng's Commentary: Persistent headache is due to excessive rising of Liver-Gallbladder Yang-Fire. Should slightly increase nourishing Yin and harmonizing Yang.

Second Visit: Remove Dou Chi and Dan Pi, add Jie Geng (Platycodonis Radix), Xian Sheng Di (Rehmanniae Radix Preparata Fresh), She Ye (Belamcandae Rhizoma).

Deng's Commentary: Jie Geng may hinder relief of headache.

Warm disease, unresolved for twelve days. Tongue is crimson, mouth dry, chest fullness, shortness of breath. Evil fire is severe. Use Jing Yue's Yu Nu Jian (Jade Woman Decoction) to clear heat and preserve Yin, otherwise consciousness will become clouded.

Xian Sheng Di (Rehmanniae Radix Preparata Fresh), Shi Gao (Gypsum Fibrosum), Mai Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Zhu Ye (Bambusae Folium), Gan Cao (Glycyrrhizae Radix).

You Yi's Note: This is the treatment for simultaneous burning of Qi and Blood.

Deng's Commentary: Chest fullness and shortness of breath—could there be turbid phlegm obstructing internally?

Warm disease, four days without sweating. Tongue is yellow, abdominal pain, diarrhea. Treat Interior first, then Exterior. Otherwise, madness may ensue.

Da Huang (Rhei Radix et Rhizoma), Chai Hu (Bupleuri Radix), Zhi Shi (Aurantii Fructus Immaturus), Hou Po (Magnoliae Officinalis Cortex), Chi Shao (Paeoniae Radix Rubra).

You Yi's Note: Interior first, then Exterior, because the Interior syndrome is urgent. This aligns with disease mechanisms.

Deng's Commentary: Without alternating fevers/chills, why use Da Huang with Chai Hu? Perhaps fearing the pathogen sinking due to purging?

Tongue is dry, pulse is rapid. Sweat is blocked by heat; even if induced, it won't come. Only甘寒 (Sweet-Cold) nourishing fluids is suitable. Even without inducing sweat, sweat should emerge spontaneously, but feet must be warm, then heat retreats auspiciously.

Qing Hao (Artemisiae Annuae Herba), Zhi Mu (Anemarrhenae Rhizoma), Lu Gen (Phragmitis Rhizoma), Sheng Di (Rehmanniae Radix Preparata), Zhe Jiang (Sacchari Candidi Melleum), Zhu Ye (Bambusae Folium).

You Yi's Note: Nourishing fluids to serve as the source for sweat is the key to treating Warm diseases.

Deng's Commentary: Is righteous deficiency with pathogen stagnation also a type of latent Warm syndrome? Suggest adding Dou Chi, Xuan Shen, and Mao Gen (Imperatae Rhizoma).

Sun's Commentary: Cold feet indicate Yin loss; dry tongue indicates fluid consumption. Rescuing without sweating is difficult. Hence, "feet warm then heat retreats" is auspicious.

Chapter on External Contractions

Head and face swelling/pain. Wind pathogen is excessive above. Use Acrid-Cool to dissipate and resolve.

Jing Jie (Schizonepetae Herba), Xing Ren (Armeniacae Semen Amarum), Jie Geng (Platycodonis Radix), Niu Bang (Arctii Fructus), Bo He (Menthae Haplocalycis Herba), Gan Cao (Glycyrrhizae Radix), Ma Bo (Malvae Silvestris Flos), Cang Er Zi (Xanthii Fructus).

Deng's Commentary: Wind carrying Fire pathogen. Should add fire-descending herbs like Xuan Shen, Yin Qiao (Lonicerae and Forsythiae Herbae).

Wind-Warmth carrying phlegm, lingering in Upper Jiao. Acrid-Cool dissipation is correct. It will resolve naturally in time; no need to worry.

Niu Bang (Arctii Fructus), Lian Qiao (Forsythiae Fructus), Bo He (Menthae Haplocalycis Herba), Chuan Bei (Fritillariae Cirrhosae Bulbus), Dou Chi (Sojae Semen Preparatum), Xing Ren (Armeniacae Semen Amarum), Jie Geng (Platycodonis Radix), Cong Bai (Allii Fistulosi Bulbus).

You Yi's Note: This is a formula for early Wind-Warmth.

Deng's Commentary: Should add Gua Lou (Trichosanthis Fructus) and Yu Jin to resolve phlegm-heat.

Wind-Warmth stagnant in Lung and Stomach. Cough with chest fullness, profuse phlegm, hypochondriac pain, rapid pulse, dry mouth.

Lu Gen (Phragmitis Rhizoma), Yi Mi (Coicis Semen), Gua Lou (Trichosanthis Fructus), Gan Cao (Glycyrrhizae Radix), Xing Ren (Armeniacae Semen Amarum), Hong Hua (Carthami Flos), Tao Ren (Persicae Semen), Bei Mu (Fritillariae Bulbus).

You Yi's Note: Tao Ren and Hong Hua are used for hypochondriac pain to harmonize blood collaterals. If pathogen stagnates, add Dou Chi and Niu Bang; if dry mouth, add Lian Qiao and Huang Qin.

Deng's Commentary: Condition may develop into Lung Abscess (Fei Yong). Combining with Xie Bai San (Drain White Powder) and adding Xian Sha Shen (Glehniae Radix Fresh) would be more potent.

Right pulse is large, tongue yellow, no thirst, vomiting sticky phlegm, restlessness, slurred speech, persistent fever. This is exhaustion/internal injury compounded by Damp-Warmth pathogen. Beware of complications.

Hou Po (Magnoliae Officinalis Cortex), Fu Ling (Poria), Hua Shi (Talcum), Chen Pi (Citri Reticulatae Pericarpium), Zhu Ye (Bambusae Folium), Kou Ren (Amomi Fructus Rotundus), Chang Pu Gen Zhi (Acori Tatarinowii Rhizoma Juice).

You Yi's Note: This is Warm pathogen carrying Dampness. Damp-Heat misting upwards causes these symptoms. This formula serves as a model.

Deng's Commentary: Large right pulse and yellow tongue indicate Lung-Stomach heat; no thirst indicates much phlegm-dampness. Medication is light, but insight is high. Why not add Jiang Chao Chuan Lian (Ginger-fried Coptis)? This is puzzling.

Sun's Commentary: Dampness exceeds Warmth. This is a sign of Damp-Bi obstructing Clear Yang.

Chapter on Damp Diseases

Umbilicus occasionally exudes damp fluid with fishy odor. Pulse is inherently large. This is Damp-Heat in Shaoyin. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) can remove Kidney interstitial Damp-Heat. Use modified.

Liu Wei Wan minus Shan Yao, plus Huang Bo (Phellodendri Cortex), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Nv Zhen Zi (Ligustri Lucidi Fructus), Che Qian Zi (Plantaginis Semen).

You Yi's Note: Liu Wei treating Kidney Damp-Heat is a theory held by predecessors. Using it for umbilical discharge fits the disease mechanism.

Deng's Commentary: More effective than the original Liu Wei formula. Truly a model worth emulating.

Chapter on Malaria

Summer-Wind causing Malaria. Nausea and chest fullness. Harmonizing will lead to recovery.

Ban Xia (Pinelliae Rhizoma), Huang Qin (Scutellariae Radix), Fu Ling (Poria), Zhi Mu (Anemarrhenae Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Zhu Ye (Bambusae Folium), Sheng Jiang (Zingiberis Rhizoma Recens).

You Yi's Note: Harmonizing via Xiao Chai Hu Tang harmonizes Exterior-Interior pathogens; this harmonizing blends Damp-Heat pathogens. Ginger, Ban Xia, Hou Po, Guang Pi remove Dampness; Huang Qin, Zhi Mu, Zhu Ye clear Heat. Both intents are used, hence called harmonizing.

Another Note: Here Damp and Heat are equal. Clearing and drying are used together. This and the next case are Summer-Dampness latent inside, manifesting as seasonal malaria. Bitter-Acrid dispersing is most appropriate. Sticking to old malaria formulas using Chai Hu and Bie Jia indiscriminately is wrong.

Deng's Commentary: Summer-Damp-Wind pathogens attacking Spleen-Stomach also require harmonizing, but differs significantly from harmonizing Shaoyang with Xiao Chai Hu Tang. Zhu Ye and Sheng Jiang in the formula are extremely flexible and subtle.

Summer-Wind combats, causing seasonal malaria. Chest fullness, hiccups, sweat does not reach feet. Pathogen not yet resolved. Treat with Bitter-Acid-Warm method.

Huo Xiang (Agastaches Herba), Ban Xia (Pinelliae Rhizoma), Xing Ren (Armeniacae Semen Amarum), Tong Cao (Tetrapanacis Medulla), Hou Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium), Zhu Ye (Bambusae Folium).

You Yi's Note: Here Damp exceeds Heat, so medication leans slightly warm-drying.

Deng's Commentary: Manifestations are due to Phlegm-Damp obstructing Stomach Qi. Xing Ren and Tong Cao in the formula suggest Lung Qi is also dispersed and descended. Ultimately, it does not exceed harmonizing methods.

Sun's Commentary: Clarifying "seasonal malaria" makes the inappropriateness of Xiao Chai Hu Tang obvious.

Malaria accompanied by bleeding from upper and lower orifices. Blame Middle Deficiency, with pathogen disturbing. Much blood lost, malaria pathogen still fierce. Disturbance in the center continues. Who can guarantee blood won't return? According to ancient methods, for Middle Deficiency with Blood Loss, one never relies solely on blood-invigorating drugs. Chronic malaria must also consolidate Middle Qi. Here proposing Li Zhong method stops bleeding and malaria. Let experts decide.

Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Pao Jiang (Zingiberis Rhizoma Preparatum), Zhi Cao (Glycyrrhizae Radix Preparata).

You Yi's Note: Insight is mature, discussion precise. The proposed Li Zhong method is indeed essential for tonifying Qi in Blood Loss and consolidating Middle to stop bleeding. However, I wish to discuss: Bleeding during malaria is likely due to malaria heat disturbing blood collaterals. Within the Li Zhong method, incorporating ideas of stabilizing camp and clearing collaterals seems more comprehensive. Addressing both root and branch aligns with the main intent of formulation.

Deng's Commentary: Master Liu's comment is very correct. Suggest adding Huang Lian and Dang Gui. Dan Pi Tan (Charred Moutan Cortex) and Jing Jie Tan (Charred Schizonepetae Herba) can also be used flexibly as auxiliaries.

Sun's Commentary: If pathogen disturbance continues, Liu's approach is very fitting. Stabilizing camp and clearing collaterals includes Dan Pi and Bai Shao.

San Nu (Three-Yard Malaria): Pathogen lies latent in Yin level. Harmonizing cannot cure. Long-lasting attacks require tonics combined with raising Yang, drawing latent pathogen to Yang level for cure.

Ren Shen (Ginseng Radix), Gui Shen (Angelicae Sinensis Radix), Lu Jiao Jiao (Cornu Cervi Degelatinatum), Qi Zi (Lycii Fructus), Lu Rong (Cornu Cervi Pantotrichum), Fu Zi (Aconiti Lateralis Radix Preparata), Fu Ling (Poria), Sha Yuan (Astragali Complanati Semen).

You Yi's Note: Yin Malaria originally has this method, but it cannot be used generally. Must adapt to the specific case.

Deng's Commentary: Does the patient have seminal emission/slippery essence? However, pulse should be slow and small. Even if rapid, it must be powerless.

Sun's Commentary: Malaria must occur at night, with severe chills and mild fever, plus weak waist and legs, before this can be used.

San Yin Malaria often has unresolved latent pathogens, congealed phlegm, pathogen stagnating in blood collaterals, injury to Middle and Lower Jiao, severe Yang damage with internal Yin-Cold invasion. Many treatment methods exist, hence "must adapt to the case."

After malaria subsides, Pi Yue (Spleen Contraction/Constipation) develops. Before Pi Yue resolves, Jue Pain (Cold limbs pain) increases. Abdominal fullness fluctuates. Fever and sweating relieve pain/fullness immediately. Clearly, malaria pathogen sank between Taiyang and Yangming. Pathogen must exit via Shaoyang externally. Then pain stops and bloating resolves without direct treatment.

You Yi's Note: Disease analysis grasps the essentials. Regretfully, the formula is lost/unseen.

Deng's Commentary: Propose combining Xiao Chai Hu Tang with Er Chen Tang and Zhi Zhu Wan, referencing Jin Ling Zi San.

Post-malaria, mass under hypochondrium causes pain. Night fever, dry mouth, red urine. Yin deficiency with latent pathogen. Use Bie Jia Jian Wan (Turtle Shell Decoction).

Bie Jia (Testudinis Carapax et Plastrum), Bai Shao (Paeoniae Radix Alba), Qing Pi (Citri Reticulatae Pericarpium Viride), Dan Pi (Moutan Cortex), Shou Wu (Polygoni Multiflori Radix), Chai Hu (Bupleuri Radix), Zhi Mu (Anemarrhenae Rhizoma), Zhi Cao (Glycyrrhizae Radix Preparata).

You Yi's Note: This is the treatment for latent pathogen in Yin level. Dang Gui can also be added.

Deng's Commentary: This is vastly different from the previous case requiring Yang-raising.

Post-malaria, hypochondriac mass persists, extending to lower abdomen causing bloating. This is Liver pathogen. Method should soothe and drain.

Ren Shen (Ginseng Radix), Chai Hu (Bupleuri Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Tao Ren (Persicae Semen), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix), Mu Li (Ostreum Concha), Huang Qin (Scutellariae Radix), Sheng Jiang (Zingiberis Rhizoma Recens).

You Yi's Note: This is Xiao Chai Hu Tang method. Adding Qing Pi soothes Liver, Tao Ren harmonizes stasis, Mu Li softens hardness. Intent is comprehensive. Lower abdominal bloating indicates Liver pathogen sinking. Adding Chuan Lian Zi, Gui Wei, and Yan Hu Suo would make it more complete.

Deng's Commentary: Slowly dissolving Malaria Mother (Ma Mu) with this method is very appropriate. Likely avoiding Zhong Jing's Bie Jia Jian Wan due to Middle deficiency and bloating. Combining with Jin Ling Zi San is also acceptable.