陈钟伟，男，8岁。其父携彼前来求医，云今日上午九时开始腹痛。面红，有 难忍之色。舌体胖大，中稍黄干，四布红点。左脉沉大，右关尺伏。少腹左侧疼痛 ，按之弥痛。痛时发时止，发时左脉有动数之感。昨晚曾于饭店饮食，盖伤食也。 脾胃受伤不能运化，肝欲代之疏泻，来时则痛，脉转动数。宜降之，以大黄一片、 枳实一片、莱菔子一捏、鸡内金数片、木香数片，以开水泡之令服，初服半杯仍觉 痛，视其舌有湿象，问足下凉否，初云不知，少顷云凉，下有寒也，乃于药中加附 子一片，再将药泡满令服。食顷来看，小儿正于桌旁与母说话，面带笑容，云服药 后便伏桌睡去，醒来已觉不痛，之后欢笑而去。
泡药用量较煎药用量轻者不下十倍，而取效之捷更胜于煎药，此中道理颇堪玩味， 明者察之。
初诊：2003年4月20日
陈景皓，男，12岁。一星期前，从腿上起血点，一直起到面部。在此之前一个 星期曾感冒，服感冒胶囊四颗。到襄樊市第一医院治疗，检查血小板不足400，确 诊为血小板减少症，输血小板之后，用大剂激素维持。
病人面色黄暗，眼白泛青，瞳子纯黑，眼球艮部有一红点如毛线头状，坤位稍 黑；舌胖大，滑湿，色稍白；脉象右三部内紧外大，有外格之势，左三部脉浮大。 口渴，想喝开水，大口饮水，日饮二三杯。小便多，日三四次，色黄青，量多不急 。腹内觉胀，然仍能食。大便干，量少，色黑，难。
综合判断，为寒入坎宫，元阳外脱之证。亟当导龙归海，引火归原，俾内侵骨 髓之寒外散，则病自平复，与恒益复泰汤进退：
桂枝9克，当归9克，白芍9克，沙参12克，麦冬6克，五味子3克，干姜5克，白 术10克，熟地9克，茯苓9克，炙甘草6克，大枣5枚，丹参12克，远志9克，附子15 克
七碗水煎剩二碗，中午十二时服一碗，下午六时服一碗。嘱先服七剂，服第一 剂时减激素三分之一，二剂再减激素三分之一，三剂后全停。
二诊：4月27日
服药六剂，激素在第四服时全停。脉率本已降至六十几次，中途服预防非典药 ，服后变为120次以上，气色变黄，手心发热。左三部数大，右三部亦大，然外格 之势已减。舌仍胖大，后部稍有黄腻苔。眼球艮部毛线头状红点已减淡。再服前方 十剂。
三诊：5月9日
共服前方十七剂，今日查血小板13.7万，较第一次输血小板之21.7万仍低，但 已在正常范围。眼白青色已淡，舌亦不肥，眼球艮部毛线头状红点已消失。脉仍有 沉紧之象，面仍萎黄。与麦柏附子理中汤五剂。
四诊：5月16日
眼球干净清澈，舌微胖稍腻，左关尺微有紧涩之象，右脉微浮大，尺有扰动之 意，大便时干时稀，再收之：
当归20克，桂枝30克，白芍15克，麦冬10克，五味子10克，熟地20克，杜仲15 克，菟丝子15克，白术15克
七碗水泡一小时，煎剩二碗，早七时下午三时各服一碗，四剂。
五诊：5月24日
今日检查血小板23.3万，完全正常。舌粉白滑湿，水中仍有不温之象，再与麦 柏附子理中汤四剂善后。
9月下旬随访，无复发。
面痛数十年案
邻妪陈氏，年六十五。右面阳明经处疼痛，近数十年。
初诊，2003年10月21日。舌中红，口干，外湿内燥。大便正常，眼色红黄。左 寸关大，尺弱，水不涵木之象也；右寸沉取大，浮取紧，右眼乾位有一灰色瘀斑， 余处布满红丝。前些年丧父之痛，悲哀太过，肺气因伤。开方：
麻黄3克，麦冬10克，玄参15克，白芍10克，柴胡10克，黄芩10克，枳实15克 ，升麻7克，甘草10克，二剂，早六时、睡前各服一次。
二诊，24日。服前方二剂，面仍痛，舌仍红。右三部软大，寸浮尺弱，右寸之 紧象已无；左部亦大。全是阴虚火旺之象。开方：
麦冬10克，白芍10克，生地20克，柴胡10克，黄芩10克，枳实10克，生石膏20 克，早六时、下午三时各服一次。
三诊，11月2日。服前方六剂，面痛大减轻，洗脸时用手搓仍觉痛。舌红大减 ，右寸沉大，脉象转收，为开麦味地黄丸二盒。
四诊，12日。面又痛，舌象肥大，已不红。右寸浮大，余部沉紧，左关尺尤甚 。中下已现寒象，当清上温下，为开方：
麦冬10克，五味子5克，附子5克，桂枝10克，二剂，三碗水煎剩一碗，下午三 时服一次。
服一剂时尚有余痛，服完二剂，痛止。后以他事来访，未再言面痛之事。
附录二、网上医案
按：附录二所收录医案为网诊帖子，此辑力求保持帖子原貌。
医案一：萎缩性胃炎及浅表性胃炎、慢性胆囊炎，腰腿痛、困，膝盖后面的软骨酸 困，基本失去劳动力
长安少年
2002/10/14 17：04
家母近年患了萎缩性胃炎及浅表性胃炎，而且还有慢性胆囊炎。平时吃饭很注意， 经常吃饭不好。最近吃了摩罗丹，感觉很好。我想请问现在有什么好办法能根治， 平时要怎样注意。有大夫说她肝胆舒泄不好。非常感谢。
三七生
2002/10/14 17：29
你最好填一张问诊单，我好根据具体症状判断病情。
长安少年
2002/10/15 20：10
请问“三七生”先生，什么是问诊单？要填些什么，我打电话回去问问我妈妈。
三七生
2002/10/15 20：53
上面第三篇就是。
长安少年
2002/10/16 20：08
性别：女；
年龄：58；
职业：退休；
省市：陕西西安
身高：160；
体重：115斤；
面色：平时黄白，犯病时青黄；
手足（大小）：小
主要症状：青年时脾胃不好，大便稀，近年睡眠不好，天气变化时眼睛视灯有光晕 ，有雾，而且眼睛发硬，眼圈发青。睡不好，吃饭不好，是萎缩性胃炎，打嗝。舌 很涩，胃难受，嗳气，打嗝，气上反；全身无力，腰腿痛、困，膝盖后面的软骨酸 困。基本失去劳动力。有时睡醒双手发麻，头晕。早起恶心。
西医病名：慢性萎缩性、浅表性胃炎；慢性胆囊炎；神经衰弱，抑郁症。
何处发凉：臀部，腰，不能坐冷板凳。
何处发热：手，早上睡醒出大汗。
何处酸沉：腰腿。
何处疼痛：腰腿膝关节。而且腰眼处发青，医生也说不清。
脉象：（每分钟次数：60-70次每分钟，三指由轻到重按脉；有力无力：有时有力 ，有时无力。脉形粗细，松紧：沉细）
舌象：（有苔无苔：有时有，目前无；颜色：发病时舌面发青；干湿：干；肥瘦： 肥（是胃病的征兆）是否裂纹：有）
饮食：（吃饭多少：少；喜面喜米：面多些；饮水多少：少；喜凉喜热：热）
睡眠：（多少：还好，一天八九小时。平时易困否：爱困）
二便：（次数：一到两次；多少：少；颜色：因为最近吃药，所以发麻；大便燥湿 ：湿、细）
头：（昏沉否：昏；时间：早起）
腰背：（疼否：是；酸否：是；重否：重；如压大石否：倒不，就是酸困）
腿：（凉热：热；痛否：只是困）
足：（凉热：热）
鼻通否：通；
咽痛：慢性咽炎；
牙出血否：是；
胸憋闷否：是；
心悸否：有时有；
胃胀否：是；痛否：痛；
腹胀否：胀；痛否：天明是不舒服。
曾经得过何种疾病？何时何地？如何治愈？是否复发？
从九八年起，我妈身体就不好了，主要是上面提到的病。一是由于长期的劳累；二 是由于也生了些气。这些年仅中药就吃了两万多块钱。所以烦请三七生先生多留意 一些，我妈这病也算是疑难杂症了。多谢费心。
三七生
2002/10/17 00：12
辨证：此病并非疑难，责其根本寒入少阴，是以腰酸腿沉，然不在阳经，是以腿足 反热，阳经能降，阴经不能升也。慢性萎缩性、浅表性胃炎；慢性胆囊炎，皆是病 标，而非病本。咽痛、胸闷、胃痛、腹胀、嗳气，皆气逆不降之征。饮少喜热，口 干舌肥，寒湿下据，水不上承也。神经衰弱，抑郁症，肝气不舒，心气不足也。犯 困，寒入少阴，但欲寐也。
治则：温阳利水，俾少阴寒气化水而出，自然阴升阳降，腿足不热，腰背不寒了。 本治标自除，胃部及上焦诸证不治自愈。
方药：以真武汤五苓散加减。 白术60g，茯苓30g，泽泻10g，桂枝30g，干姜50g， 附子60g(先煎）
用法：六剂。以八碗水煎剩三碗（以三碗水先煎附子，以六碗水泡余药，附子煎剩 二碗时，将余药混入，开后小火煎剩三碗），早七时服一碗，晚五时服一碗。服后 小便当多，望有心理准备，忌食油腻寒凉海物猪牛肉等。服后望来说明效果。
长安少年
2002/10/17 21：59
太谢谢三七生大夫了，希望家母吃了您的药早日康复，这几年她的确受了大罪了。 不过的确有大夫对我妈妈说：“我还从来没见过你这样的病。你的病是走了筋骨。 ”每次开的药剂量也很大，做儿子的看着都难过。由于家庭的原因，家母这些年是 受了很多气。
明天我就打电话回去，让她把药吃上。家母病好，我一定重重谢您。
另外，我想问您，是否相信有鬼神之说。
三七生
2002/10/17 22：19
不必客气，只要病好了就是对我最大的安慰，说明我的心血没有白费，其他的感谢 我也不会接受的。鬼神是现实的存在，属于六道轮回之一，我是相信六道轮回的事 实的。
长安少年
2002/10/19 12：53
您真是太好了！
昨天打电话回去，我妈妈说您说得很好，很感激您。药她会尽快吃的。不过现在在 农村，不太方便。
上次没说，家母以前还有高血压，不过现在正常时候多些。年轻时候得过鼻炎，后 来打高升葡萄糖好的。腰痛是三十岁时候开始的。有大夫称家母的腰痛可能是子宫 后位压迫神经所致。麻烦您再看看吧。多谢。
长安少年
2002/10/19 13：03
另外就是有人说家母是被弱鬼缠身，也处理了一下。您认为有什么办法吗？
三七生
2002/10/19 13：22
那种说法只是一面之词，很难证实，还是直接用药试验一下吧。若鬼能凭身说明阳 气太弱，用药扶一下阳气也应该能有调节作用。腰痛鼻炎高血压之类都是寒气内侵 所致，后来好了也并非真好，是转到别处去了，吃先前的药就行，不用换方了。
长安少年
2002/10/19 17：19
麻烦“三七生”大夫再说说什么是“真武汤五苓散”吧，我妈妈也不知道。谢谢。
三七生
2002/10/19 20：55
就是我前面开的方。
长安少年
2002/11/17 14：40
对不起，又要请教您：您说“八碗水煎至三碗”，早一碗、晚一碗，那好像还剩一 碗？请明示。多谢。
另外，家母下周才能吃上药，服后一定立刻给您反馈。谢谢。^_^
三七生
2002/11/17 15：53
另一碗第二天吃，两服药可以吃三天。
长安少年
2002/11/18 10：24
我妈妈说天气一变，比如今天下雪，就会出现一阵阵的心跳很快。而且血压也高， 气短。请问三七生先生是怎么回事？谢谢。（她今天才开始吃上药）
长安少年
2002/11/28 17：13
尊敬的三七生大夫，我妈服了您的药以后，感觉很好，非常感激您，夸您是神医。 还说您的药简单，不苦。真是太神奇了。
我妈服前三副药时，每天出汗很多，象感冒一样，连睡了三天。服完这六副药后， 胃，腹胀，嗳气，睡觉，咽炎，腰困等都有很大改善，也想吃冷食了。现在每天下 午感觉还是有些困，老想躺着，腰也还是有些酸困。
我妈回忆，在三十岁坐月子的大约第四十天时，去乡下睡了冷炕，起来后就感冒了 ，而且感觉四肢腰很硬。看来的确如您所说。
就麻烦您再看看吧，非常谢谢。
我妈单位九月份检查身体的报告（由于一直在乡下，昨天回家才拿到）显示：血糖 BS5.75mml/L,（正常3.1-6.1）我妈担心以后会升高。高甘油三脂症，TG2.25mml/L （正常.57-1.75）,肝功能中GGT（转肽酶）54，正常<40。其他都正常。
三七生
2002/11/28 17：33
既然见效了就再接着吃六剂吧，最好能坚持吃到元旦左右，那样的话几十年的病根 就有可能除掉。不要说太神奇的话，其实中医治好病是很正常的事情，治不好才是 怪事，我一直这样认为。
陈钟伟，男，8岁。他的父亲带他前来求医，说今天早晨九点开始腹痛。面色发红，表情痛苦难以忍受。舌体胖大，中部稍黄且干燥，表面布满红点。左脉沉而大，右关部和尺部脉搏伏而不显。少腹左侧疼痛，按压时疼痛加剧。疼痛发作时，左脉有跳动急促的感觉。昨晚曾在饭店进食，大概是饮食积滞所致。脾胃受伤不能运化食物，肝气试图代替脾土进行疏泄，所以痛随气机而动，脉象转动急促。适宜用降气之法，处方：大黄一片、枳实一片、莱菔子一捏、鸡内金数片、木香数片，用开水浸泡后让患儿服用。初服半杯后仍觉疼痛，观察其舌苔有湿象，询问足部是否发凉，起初回答不知道，过了一会儿说脚凉，这是下焦有寒，于是在药中加入附子一片，再将药泡满令其服用。过了一段时间去查看，小儿正坐在桌旁与母亲说话，面带笑容，说服药后趴在桌上睡去，醒来已经不觉疼痛，之后欢笑着离开。
用开水浸泡药物的用量比煎煮药物的用量轻十倍不止，但取效之快更胜过煎药，其中的道理颇值得玩味，明眼人自能察觉。
初诊：2003年4月20日
陈景皓，男，12岁。一周前，腿上出现血点，一直蔓延到面部。在此之前一周曾患感冒，服用了四颗感冒胶囊。前往襄樊市第一医院治疗，检查血小板不足400（单位通常为千/微升或万/立方毫米，此处依原文），确诊为血小板减少症，输注血小板后，使用大剂量激素维持治疗。
病人面色黄暗，眼白泛青，瞳孔纯黑，眼球艮位（八卦方位，指东北方，对应身体特定部位或眼部特定区域）有一红点如毛线头状，坤位（西南方）稍黑；舌体胖大，滑润湿润，颜色稍白；脉象右三部（寸、关、尺）内紧外大，呈现外格之势（阴阳格拒之象），左三部脉浮大。口渴，想喝开水，大口饮水，每天饮用二三杯。小便多，每天三四次，颜色黄青，量多但不急迫。腹部感觉胀满，但仍能进食。大便干结，量少，颜色黑，排便困难。
综合判断，此为寒气侵入坎宫（北方，属水，对应肾），元阳外脱之证。亟需导龙归海（引火下行），引火归原，使侵入骨髓的寒气向外发散，则病自然平复。给予恒益复泰汤加减：
桂枝9克，当归9克，白芍9克，沙参12克，麦冬6克，五味子3克，干姜5克，白术10克，熟地黄9克，茯苓9克，炙甘草6克，大枣5枚，丹参12克，远志9克，附子15克
七碗水煎至剩二碗，中午十二时服一碗，下午六时服一碗。嘱咐先服七剂，服第一剂时减少激素三分之一，第二剂再减激素三分之一，第三剂后完全停用激素。
二诊：4月27日
服药六剂，激素在第四剂时完全停用。脉率原本已降至六十几次，中途服用预防非典的药物，服后变为120次以上，气色变黄，手心发热。左三部脉数大，右三部脉亦大，但外格之势已减轻。舌仍胖大，后部稍有黄腻苔。眼球艮位毛线头状红点已减淡。继续服用前方十剂。
三诊：5月9日
共服用前方十七剂，今日检查血小板13.7万，较第一次输血小板时的21.7万仍低，但已在正常范围。眼白青色已淡，舌也不肥大了，眼球艮位毛线头状红点已消失。脉仍有沉紧之象，面色仍萎黄。给予麦柏附子理中汤五剂。
四诊：5月16日
眼球干净清澈，舌微胖稍腻，左关尺微有紧涩之象，右脉微浮大，尺部有扰动之意，大便时干时稀，再次收敛调理：
当归20克，桂枝30克，白芍15克，麦冬10克，五味子10克，熟地黄20克，杜仲15克，菟丝子15克，白术15克
七碗水泡一小时，煎至剩二碗，早上七时和下午三时各服一碗，四剂。
五诊：5月24日
今日检查血小板23.3万，完全正常。舌粉白滑湿，水中仍有不温之象，再给予麦柏附子理中汤四剂善后。
9月下旬随访，无复发。
面痛数十年案
邻居老妇人陈氏，年龄六十五岁。右侧面部阳明经处疼痛，持续近数十年。
初诊，2003年10月21日。舌中红，口干，外湿内燥。大便正常，眼色红黄。左寸关脉大，尺脉弱，是水不涵木之象；右寸脉沉取大，浮取紧，右眼乾位（西北方）有一灰色瘀斑，其余部位布满红丝。前些年丧父之痛，悲哀太过，损伤肺气。开方：
麻黄3克，麦冬10克，玄参15克，白芍10克，柴胡10克，黄芩10克，枳实15克，升麻7克，甘草10克，二剂，早上六时、睡前各服一次。
二诊，24日。服用前方二剂，面部仍痛，舌仍红。右三部脉软大，寸脉浮尺脉弱，右寸的紧象已无；左部脉亦大。全是阴虚火旺之象。开方：
麦冬10克，白芍10克，生地黄20克，柴胡10克，黄芩10克，枳实10克，生石膏20克，早上六时、下午三时各服一次。
三诊，11月2日。服用前方六剂，面痛大减轻，洗脸时用手搓仍觉痛。舌红大减，右寸脉沉大，脉象转收，开具麦味地黄丸二盒。
四诊，12日。面部又痛，舌象肥大，已不红。右寸脉浮大，其余部位沉紧，左关尺尤为明显。中下焦已现寒象，当清上温下，为此开方：
麦冬10克，五味子5克，附子5克，桂枝10克，二剂，三碗水煎至剩一碗，下午三时服一次。
服用一剂时尚有余痛，服完二剂，疼痛停止。后来因其他事情来访，未再提及面痛之事。
附录二、网上医案
按：附录二所收录医案为网诊帖子，此辑力求保持帖子原貌。
医案一：萎缩性胃炎及浅表性胃炎、慢性胆囊炎，腰腿痛、困，膝盖后面的软骨酸困，基本失去劳动力
长安少年
2002/10/14 17：04
家母近年患了萎缩性胃炎及浅表性胃炎，而且还有慢性胆囊炎。平时吃饭很注意，经常吃饭不好。最近吃了摩罗丹，感觉很好。我想请问现在有什么好办法能根治，平时要怎样注意。有大夫说她肝胆疏泄不好。非常感谢。
三七生
2002/10/14 17：29
你最好填一张问诊单，我好根据具体症状判断病情。
长安少年
2002/10/15 20：10
请问“三七生”先生，什么是问诊单？要填些什么，我打电话回去问问我妈妈。
三七生
2002/10/15 20：53
上面第三篇就是。
长安少年
2002/10/16 20：08
性别：女；
年龄：58；
职业：退休；
省市：陕西西安
身高：160；
体重：115斤；
面色：平时黄白，犯病时青黄；
手足（大小）：小
主要症状：青年时脾胃不好，大便稀，近年睡眠不好，天气变化时眼睛视灯有光晕，有雾，而且眼睛发硬，眼圈发青。睡不好，吃饭不好，是萎缩性胃炎，打嗝。舌很涩，胃难受，嗳气，打嗝，气上反；全身无力，腰腿痛、困，膝盖后面的软骨酸困。基本失去劳动力。有时睡醒双手发麻，头晕。早起恶心。
西医病名：慢性萎缩性、浅表性胃炎；慢性胆囊炎；神经衰弱，抑郁症。
何处发凉：臀部，腰，不能坐冷板凳。
何处发热：手，早上睡醒出大汗。
何处酸沉：腰腿。
何处疼痛：腰腿膝关节。而且腰眼处发青，医生也说不清。
脉象：（每分钟次数：60-70次每分钟，三指由轻到重按脉；有力无力：有时有力，有时无力。脉形粗细，松紧：沉细）
舌象：（有苔无苔：有时有，目前无；颜色：发病时舌面发青；干湿：干；肥瘦：肥（是胃病的征兆）是否裂纹：有）
饮食：（吃饭多少：少；喜面喜米：面多些；饮水多少：少；喜凉喜热：热）
睡眠：（多少：还好，一天八九小时。平时易困否：爱困）
二便：（次数：一到两次；多少：少；颜色：因为最近吃药，所以发麻；大便燥湿：湿、细）
头：（昏沉否：昏；时间：早起）
腰背：（疼否：是；酸否：是；重否：重；如压大石否：倒不，就是酸困）
腿：（凉热：热；痛否：只是困）
足：（凉热：热）
鼻通否：通；
咽痛：慢性咽炎；
牙出血否：是；
胸憋闷否：是；
心悸否：有时有；
胃胀否：是；痛否：痛；
腹胀否：胀；痛否：天明是不舒服。
曾经得过何种疾病？何时何地？如何治愈？是否复发？
从九八年起，我妈身体就不好了，主要是上面提到的病。一是由于长期的劳累；二是由于也生了些气。这些年仅中药就吃了两万多块钱。所以烦请三七生先生多留意一些，我妈这病也算是疑难杂症了。多谢费心。
三七生
2002/10/17 00：12
辨证：此病并非疑难，责其根本寒入少阴，是以腰酸腿沉，然不在阳经，是以腿足反热，阳经能降，阴经不能升也。慢性萎缩性、浅表性胃炎；慢性胆囊炎，皆是病标，而非病本。咽痛、胸闷、胃痛、腹胀、嗳气，皆气逆不降之征。饮少喜热，口干舌肥，寒湿下据，水不上承也。神经衰弱，抑郁症，肝气不舒，心气不足也。犯困，寒入少阴，但欲寐也。
治则：温阳利水，俾少阴寒气化水而出，自然阴升阳降，腿足不热，腰背不寒了。本治标自除，胃部及上焦诸证不治自愈。
方药：以真武汤五苓散加减。 白术60g，茯苓30g，泽泻10g，桂枝30g，干姜50g， 附子60g(先煎）
用法：六剂。以八碗水煎剩三碗（以三碗水先煎附子，以六碗水泡余药，附子煎剩二碗时，将余药混入，开后小火煎剩三碗），早七时服一碗，晚五时服一碗。服后小便当多，望有心理准备，忌食油腻寒凉海物猪牛肉等。服后望来说明效果。
长安少年
2002/10/17 21：59
太谢谢三七生大夫了，希望家母吃了您的药早日康复，这几年她的确受了大罪了。不过的确有大夫对我妈妈说：“我还从来没见过你这样的病。你的病是走了筋骨。”每次开的药剂量也很大，做儿子的看着都难过。由于家庭的原因，家母这些年是受了很多气。
明天我就打电话回去，让她把药吃上。家母病好，我一定重重谢您。
另外，我想问您，是否相信有鬼神之说。
三七生
2002/10/17 22：19
不必客气，只要病好了就是对我最大的安慰，说明我的心血没有白费，其他的感谢我也不会接受的。鬼神是现实的存在，属于六道轮回之一，我是相信六道轮回的事实的。
长安少年
2002/10/19 12：53
您真是太好了！
昨天打电话回去，我妈妈说您说得很好，很感激您。药她会尽快吃的。不过现在在农村，不太方便。
上次没说，家母以前还有高血压，不过现在正常时候多些。年轻时候得过鼻炎，后来打高升葡萄糖好的。腰痛是三十岁时候开始的。有大夫称家母的腰痛可能是子宫后位压迫神经所致。麻烦您再看看吧。多谢。
长安少年
2002/10/19 13：03
另外就是有人说家母是被弱鬼缠身，也处理了一下。您认为有什么办法吗？
三七生
2002/10/19 13：22
那种说法只是一面之词，很难证实，还是直接用药试验一下吧。若鬼能凭身说明阳气太弱，用药扶一下阳气也应该能有调节作用。腰痛鼻炎高血压之类都是寒气内侵所致，后来好了也并非真好，是转到别处去了，吃先前的药就行，不用换方了。
长安少年
2002/10/19 17：19
麻烦“三七生”大夫再说说什么是“真武汤五苓散”吧，我妈妈也不知道。谢谢。
三七生
2002/10/19 20：55
就是我前面开的方。
长安少年
2002/11/17 14：40
对不起，又要请教您：您说“八碗水煎至三碗”，早一碗、晚一碗，那好像还剩一碗？请明示。多谢。
另外，家母下周才能吃上药，服后一定立刻给您反馈。谢谢。^_^
三七生
2002/11/17 15：53
另一碗第二天吃，两服药可以吃三天。
长安少年
2002/11/18 10：24
我妈妈说天气一变，比如今天下雪，就会出现一阵阵的心跳很快。而且血压也高，气短。请问三七生先生是怎么回事？谢谢。（她今天才开始吃上药）
长安少年
2002/11/28 17：13
尊敬的三七生大夫，我妈服了您的药以后，感觉很好，非常感激您，夸您是神医。还说您的药简单，不苦。真是太神奇了。
我妈服前三副药时，每天出汗很多，象感冒一样，连睡了三天。服完这六副药后，胃，腹胀，嗳气，睡觉，咽炎，腰困等都有很大改善，也想吃冷食了。现在每天下午感觉还是有些困，老想躺着，腰也还是有些酸困。
我妈回忆，在三十岁坐月子的大约第四十天时，去乡下睡了冷炕，起来后就感冒了，而且感觉四肢腰很硬。看来的确如您所说。
就麻烦您再看看吧，非常谢谢。
我妈单位九月份检查身体的报告（由于一直在乡下，昨天回家才拿到）显示：血糖 BS5.75mml/L,（正常3.1-6.1）我妈担心以后会升高。高甘油三脂症，TG2.25mml/L （正常.57-1.75）,肝功能中GGT（转肽酶）54，正常<40。其他都正常。
三七生
2002/11/28 17：33
既然见效了就再接着吃六剂吧，最好能坚持吃到元旦左右，那样的话几十年的病根就有可能除掉。不要说太神奇的话，其实中医治好病是很正常的事情，治不好才是怪事，我一直这样认为。
Chen Zhongwei, male, 8 years old. His father brought him to seek medical treatment, stating that abdominal pain began at 9:00 AM today. The face was red, with an expression of unbearable distress. The tongue body was enlarged, slightly yellow and dry in the center, covered with scattered red spots. The left pulse was deep and large; the right Guan (middle) and Chi (distal) pulses were hidden/faint. There was pain in the left lower abdomen, which intensified upon pressure. During pain episodes, the left pulse felt rapid and agitated. He had eaten at a restaurant the previous night, suggesting food stagnation. The spleen and stomach were injured and unable to transform and transport, so the liver attempted to substitute for them in dispersing and draining. Thus, pain occurred with qi movement, and the pulse became rapid and agitated. It is appropriate to use descending methods. Prescription: one slice of Rhubarb (Dahuang), one slice of Immature Bitter Orange (Zhishi), a pinch of Radish Seed (Laifuzi), several slices of Chicken Gizzard Lining (Jineijin), and several slices of Aucklandia Root (Muxiang). Soak these in boiling water and administer to the child. After taking half a cup initially, he still felt pain. Observing that the tongue coating appeared moist, I asked if his feet felt cold. Initially, he said he didn't know, but after a moment, he said they were cold, indicating cold in the lower jiao. Therefore, I added one slice of Aconite Root (Fuzi) to the medicine, refilled it with water, and administered it again. After some time, I checked on him; the child was sitting by the table talking to his mother, smiling, saying that after taking the medicine, he fell asleep on the table, and upon waking, the pain had ceased. He then left happily.
The dosage for soaking herbs in water is less than one-tenth of that for decoction, yet the speed of efficacy is even faster than decoction. The principle behind this is worth pondering; those who are perceptive will understand.
Thrombocytopenia
First Visit: April 20, 2003
Chen Jinghao, male, 12 years old. One week ago, petechiae appeared on his legs and spread up to his face. One week prior to that, he had a cold and took four capsules of cold medicine. He went to Xiangfan City First Hospital for treatment. Platelet count was found to be less than 400 (unit implied as thousands/microliter or ten thousands/mm³ based on context, though text says 'bu zu 400'), and he was diagnosed with thrombocytopenia. After platelet transfusion, high-dose hormones were used for maintenance.
The patient's complexion was sallow and dark, with a bluish tint in the whites of the eyes. The pupils were pure black. In the Gen position (Northeast, corresponding to specific areas of the eye/body in Bagua theory), there was a red spot like a thread end; the Kun position (Southwest) was slightly dark. The tongue was enlarged, slippery and wet, with a slightly white color. The pulse in the right three positions (Cun, Guan, Chi) was tight internally and large externally, showing signs of external rejection (Wai Ge - Yin-Yang separation). The left three positions were floating and large. He felt thirsty and wanted to drink hot water, drinking large amounts, two to three cups daily. Urination was frequent, three to four times a day, yellow-green in color, abundant but not urgent. He felt abdominal distension but could still eat. Stool was dry, small in quantity, black, and difficult to pass.
Comprehensive judgment indicates this is a syndrome of cold invading the Kan Palace (North, Water element, corresponding to Kidney) and the departure of Primordial Yang outward. Urgent action is needed to guide the Dragon back to the sea (guide fire downward) and lead fire back to its source, allowing the cold invading the bone marrow to dissipate outward, thus resolving the disease naturally. Prescribed Hengyi Fubai Tang with modifications:
Cinnamon Twig (Guizhi) 9g, Angelica Sinensis (Danggui) 9g, White Peony Root (Baishao) 9g, Glehnia Root (Shashen) 12g, Ophiopogon Tuber (Maidong) 6g, Schisandra Berry (Wuweizi) 3g, Dried Ginger (Ganjiang) 5g, Atractylodes Macrocephala Rhizome (Baizhu) 10g, Prepared Rehmannia Root (Shudi) 9g, Poria (Fuling) 9g, Honey-fried Licorice Root (Zhi Gancao) 6g, Jujube (Dazao) 5 pieces, Salvia Miltiorrhiza Root (Danshen) 12g, Polygala Root (Yuanzhi), Aconite Root (Fuzi) 15g.
Decoct seven bowls of water until two bowls remain. Take one bowl at 12:00 PM and one bowl at 6:00 PM. Instructed to take seven doses first. Reduce hormone dosage by one-third during the first dose, reduce by another one-third during the second dose, and stop completely after the third dose.
Second Visit: April 27
Took six doses of medicine; hormones were stopped completely during the fourth dose. The pulse rate had originally dropped to the 60s, but midway through treatment, he took medication to prevent SARS, after which the pulse rate rose to over 120 beats per minute. Complexion turned yellow, palms felt hot. Left three positions were rapid and large; right three positions were also large, but the external rejection pattern had decreased. Tongue remained enlarged, with slight yellow greasy coating at the rear. The red spot like a thread end in the Gen position of the eye had faded. Continue taking the previous prescription for ten doses.
Third Visit: May 9
Total of seventeen doses taken. Today, platelet count was 137,000, still lower than the 217,000 after the first transfusion, but within the normal range. Bluish tint in whites of eyes has faded, tongue is no longer enlarged, and the red spot in the Gen position has disappeared. Pulse still shows deep and tight qualities, complexion remains sallow. Prescribed Maibei Fuzi Lizhong Tang for five doses.
Fourth Visit: May 16
Eyes are clear and clean. Tongue is slightly enlarged and greasy. Left Guan and Chi positions show slight tightness and choppy quality. Right pulse is slightly floating and large; Chi position shows signs of agitation. Stool alternates between dry and loose. Again, consolidating treatment:
Angelica Sinensis (Danggui) 20g, Cinnamon Twig (Guizhi) 30g, White Peony Root (Baishao) 15g, Ophiopogon Tuber (Maidong) 10g, Schisandra Berry (Wuweizi) 10g, Prepared Rehmannia Root (Shudi) 20g, Eucommia Bark (Duzhong) 15g, Dodder Seed (Tusizi) 15g, Atractylodes Macrocephala Rhizome (Baizhu) 15g.
Soak seven bowls of water for one hour, decoct until two bowls remain. Take one bowl at 7:00 AM and one bowl at 3:00 PM. Four doses.
Fifth Visit: May 24
Today's platelet count is 233,000, completely normal. Tongue is pink-white, slippery and wet; water still lacks warmth. Prescribed Maibei Fuzi Lizhong Tang for four doses for follow-up care.
Follow-up in late September showed no recurrence.
Case of Facial Pain for Decades
Neighbor Mrs. Chen, female, 65 years old. Pain in the Yangming meridian area of the right side of the face, persisting for nearly decades.
First Visit, October 21, 2003. Center of tongue red, dry mouth, external dampness with internal dryness. Bowel movements normal. Eye color red-yellow. Left Cun and Guan pulses large, Chi pulse weak, indicating Water failing to nourish Wood. Right Cun pulse is large when pressed deeply, tight when lightly touched. A gray bruise-like spot in the Qian position (Northwest) of the right eye; other areas covered with red filaments. Grief from losing her father years ago was excessive, injuring Lung Qi. Prescription:
Ephedra Herb (Mahuang) 3g, Ophiopogon Tuber (Maidong) 10g, Scrophularia Root (Xuanshen) 15g, White Peony Root (Baishao) 10g, Bupleurum Root (Chaihu) 10g, Scutellaria Root (Huangqin) 10g, Immature Bitter Orange (Zhishi) 15g, Cimicifuga Rhizome (Shengma) 7g, Licorice Root (Gancao) 10g. Two doses, taken once at 6:00 AM and once before bed.
Second Visit, 24th. After two doses of the previous prescription, facial pain persists, tongue remains red. Right three positions are soft and large; Cun floats, Chi is weak; the tightness in the right Cun has disappeared; Left positions are also large. All indicate Yin deficiency with Fire hyperactivity. Prescription:
Ophiopogon Tuber (Maidong) 10g, White Peony Root (Baishao) 10g, Raw Rehmannia Root (Shengdi) 20g, Bupleurum Root (Chaihu) 10g, Scutellaria Root (Huangqin) 10g, Immature Bitter Orange (Zhishi) 10g, Gypsum Fibrosum (Sheng Shigao) 20g. Taken once at 6:00 AM and once at 3:00 PM.
Third Visit, November 2. After six doses of the previous prescription, facial pain greatly reduced, but rubbing with hands while washing still causes pain. Redness of tongue significantly decreased. Right Cun pulse is deep and large, pulse quality is contracting. Prescribed Maiwei Dihuang Wan (Schisandra and Rehmannia Pill) two boxes.
Fourth Visit, 12th. Facial pain returned. Tongue is enlarged but no longer red. Right Cun is floating and large; other positions are deep and tight, especially Left Guan and Chi. Cold signs have appeared in Middle and Lower Jiao. Must clear Upper and warm Lower. Prescription:
Ophiopogon Tuber (Maidong) 10g, Schisandra Berry (Wuweizi) 5g, Aconite Root (Fuzi) 5g, Cinnamon Twig (Guizhi) 10g. Two doses, decoct three bowls of water to one bowl, take once at 3:00 PM.
After one dose, residual pain remained. After finishing two doses, pain stopped. Later visited for other matters, did not mention facial pain again.
Appendix II: Online Medical Cases
Note: The medical cases recorded in Appendix II are online consultation posts. This compilation strives to maintain the original appearance of the posts.
Case 1: Atrophic Gastritis and Superficial Gastritis, Chronic Cholecystitis, Lower Back and Leg Pain/Heaviness, Soreness/Aching of Cartilage Behind Knees, Basically Lost Labor Capacity
Chang'an Shaonian (Youth from Chang'an)
2002/10/14 17:04
My mother has recently suffered from atrophic gastritis and superficial gastritis, as well as chronic cholecystitis. She pays attention to her diet but often eats poorly. Recently, she took Moluo Dan and felt much better. I would like to ask if there is any good method to cure this fundamentally now, and what precautions should be taken daily. A doctor said her Liver and Gallbladder dispersion and drainage are poor. Thank you very much.
Sanqi Sheng (Sanqi Life)
2002/10/14 17:29
It is best if you fill out a consultation form, so I can judge the condition based on specific symptoms.
Chang'an Shaonian
2002/10/15 20:10
May I ask Mr. "Sanqi Sheng", what is a consultation form? What needs to be filled in? I will call back and ask my mother.
Sanqi Sheng
2002/10/15 20:53
It is the third post above.
Chang'an Shaonian
2002/10/16 20:08
Gender: Female;
Age: 58;
Occupation: Retired;
Province/City: Xi'an, Shaanxi
Height: 160 cm;
Weight: 115 Jin (approx. 57.5 kg);
Complexion: Usually yellow-white, cyan-yellow during illness;
Hands/Feet (size): Small
Main Symptoms: Poor spleen and stomach function in youth, loose stools. In recent years, poor sleep. When weather changes, seeing lights creates halos and fog in eyes, eyes feel hard, dark circles around eyes. Poor sleep, poor appetite, atrophic gastritis, belching. Tongue feels rough, stomach uncomfortable, acid regurgitation, belching, qi rebelling upward; whole body weakness, lower back and leg pain/heaviness, soreness/aching of cartilage behind knees. Basically lost labor capacity. Sometimes wakes up with numb hands, dizziness. Nausea in early morning.
Western Diagnosis: Chronic Atrophic/Superficial Gastritis; Chronic Cholecystitis; Neurasthenia, Depression.
Where it feels cold: Buttocks, lower back, cannot sit on cold benches.
Where it feels hot: Hands, heavy sweating upon waking in the morning.
Where it feels sore/heavy: Lower back and legs.
Where it hurts: Lower back, legs, knee joints. Also, the area near the waist eyes turns blue/cyan, doctors couldn't explain.
Pulse: (Rate: 60-70 bpm; Pressure: Light to heavy with three fingers; Strength: Sometimes strong, sometimes weak; Shape/Tightness: Deep and fine)
Tongue: (Coating: Sometimes present, currently none; Color: Cyan during illness; Moisture: Dry; Size: Enlarged (sign of stomach disease); Cracks: Yes)
Diet: (Amount: Little; Preference: More noodles than rice; Water intake: Little; Temperature preference: Hot)
Sleep: (Duration: Okay, 8-9 hours/day. Prone to drowsiness: Yes)
Excretion: (Frequency: 1-2 times; Amount: Little; Color: Numb due to recent meds; Stool consistency: Wet, thin)
Head: (Dizzy: Yes; Time: Early morning)
Lower Back: (Pain: Yes; Sore: Yes; Heavy: Yes; Like pressing a big stone: No, just sore/heavy)
Legs: (Cold/Hot: Hot; Pain: Just heaviness)
Feet: (Cold/Hot: Hot)
Nasal passage: Clear;
Sore throat: Chronic pharyngitis;
Gum bleeding: Yes;
Chest oppression: Yes;
Palpitations: Sometimes;
Stomach bloating: Yes; Pain: Yes;
Abdominal bloating: Yes; Pain: Discomfort at dawn.
History of diseases? When/Where? How cured? Recurrence?
Since 1998, my mother's health has been poor, mainly the diseases mentioned above. First, due to long-term fatigue; second, due to emotional stress. She has spent over 20,000 RMB on Chinese medicine in these years. So please pay special attention, Mr. Sanqi Sheng. My mother's illness can be considered a difficult and complicated case. Thank you for your trouble.
Sanqi Sheng
2002/10/17 00:12
Syndrome Differentiation: This illness is not difficult. The root cause is cold invading the Shaoyin (Kidney/Heart axis), hence sore lower back and heavy legs. However, since it is not in the Yang meridians, the legs and feet feel hot instead. Yang meridians can descend, but Yin meridians fail to ascend. Chronic atrophic/superficial gastritis and chronic cholecystitis are all manifestations of the disease (Biao), not the root (Ben). Sore throat, chest tightness, stomach pain, abdominal bloating, and acid regurgitation are all signs of rebellious qi failing to descend. Little desire to drink, preference for hot drinks, dry mouth, enlarged tongue, indicate cold-dampness settling below and water failing to rise. Neurasthenia and depression indicate Liver Qi stagnation and Heart Qi deficiency. Drowsiness indicates cold invading Shaoyin, leading to a desire to sleep (Dan Yu Mei).
Treatment Principle: Warm Yang and promote diuresis, allowing Shaoyin cold qi to transform into water and exit. Naturally, Yin ascends and Yang descends, legs/feet will not feel hot, lower back/waist will not feel cold. Treating the root eliminates the manifestations; gastric and upper jiao symptoms will heal themselves without direct treatment.
Prescription: Modified Zhenwu Tang combined with Wuling San. Atractylodes Macrocephala Rhizome (Baizhu) 60g, Poria (Fuling) 30g, Alisma Rhizome (Zexie) 10g, Cinnamon Twig (Guizhi) 30g, Dried Ginger (Ganjiang) 50g, Aconite Root (Fuzi) 60g (decoct first).
Usage: Six doses. Decoct eight bowls of water until three bowls remain (Decoct Aconite in three bowls of water first; soak remaining herbs in six bowls of water. When Aconite decoction reduces to two bowls, mix in the soaked herbs, boil, then simmer until three bowls remain). Take one bowl at 7:00 AM and one bowl at 5:00 PM. Urination will likely increase after taking; please be mentally prepared. Avoid greasy, cold foods, seafood, pork, beef, etc. Please report effects after taking.
Chang'an Shaonian
2002/10/17 21:59
Thank you so much, Dr. Sanqi Sheng. I hope my mother recovers soon after taking your medicine; she has indeed suffered greatly these past few years. Indeed, a doctor told my mother: "I have never seen such a case as yours. Your illness has affected the sinews and bones." The dosage prescribed each time is also very large, which makes me, as a son, feel distressed. Due to family reasons, my mother has endured much emotional stress these years.
I will call back tomorrow and have her take the medicine. If my mother gets well, I will thank you heavily.
Additionally, I want to ask you, do you believe in the existence of ghosts and spirits?
Sanqi Sheng
2002/10/17 22:19
No need for politeness. As long as the illness is cured, it is the greatest comfort to me, proving my efforts were not in vain. I will not accept other forms of thanks. Ghosts and spirits are real existences, belonging to one of the Six Realms of Reincarnation. I believe in the reality of reincarnation.
Chang'an Shaonian
2002/10/19 12:53
You are too kind!
Called back yesterday. My mother said you spoke very well and is very grateful. She will take the medicine as soon as possible. However, we are currently in a rural area, which is inconvenient.
I forgot to mention last time: my mother previously had high blood pressure, though it is mostly normal now. She had rhinitis in her youth, which was cured by infusing high-concentration glucose. Lower back pain started when she was thirty. A doctor suggested my mother's lower back pain might be caused by a retroverted uterus compressing nerves. Please take another look. Thank you.
Chang'an Shaonian
2002/10/19 13:03
Also, someone said my mother was haunted by a weak ghost, and some handling was done. Do you think there is any solution?
Sanqi Sheng
2002/10/19 13:22
That statement is only one-sided and hard to verify. It is better to test directly with medicine. If a ghost can possess the body, it indicates that Yang Qi is too weak. Using medicine to support Yang Qi should have a regulating effect. Lower back pain, rhinitis, hypertension, etc., are all caused by internal invasion of cold qi. That they improved later does not mean true healing, but rather the pathogen shifted elsewhere. Taking the previous medicine is sufficient; no need to change the formula.
Chang'an Shaonian
2002/10/19 17:19
Trouble Dr. "Sanqi Sheng" to explain what "Zhenwu Tang Wuling San" is again, as my mother doesn't know either. Thank you.
Sanqi Sheng
2002/10/19 20:55
It is the prescription I gave earlier.
Chang'an Shaonian
2002/11/17 14:40
Sorry to bother you again: You said "decoct eight bowls of water to three bowls", one bowl in the morning, one in the evening, so it seems one bowl is left? Please clarify. Thank you.
Additionally, my mother can only start taking the medicine next week. I will give immediate feedback after she takes it. Thank you. ^_^
Sanqi Sheng
2002/11/17 15:53
Drink the other bowl the next day. Two doses can last for three days.
Chang'an Shaonian
2002/11/18 10:24
My mother said that when the weather changes, for example, snowing today, she experiences bursts of rapid heartbeat. Also, blood pressure goes high, and she feels short of breath. May I ask Mr. Sanqi Sheng what is going on? Thank you. (She just started taking the medicine today)
Chang'an Shaonian
2002/11/28 17:13
Respected Dr. Sanqi Sheng, after my mother took your medicine, she felt very good. We are extremely grateful and praise you as a divine physician. She also said your medicine is simple and not bitter. It is truly magical.
When my mother took the first three doses, she sweated profusely every day, like having a cold, and slept continuously for three days. After finishing these six doses, her stomach issues, abdominal bloating, acid regurgitation, sleep, pharyngitis, and lower back soreness have all improved greatly. She even wants to eat cold food now. Currently, she still feels somewhat drowsy every afternoon, always wanting to lie down, and her lower back is still somewhat sore/heavy.
My mother recalled that around the 40th day of confinement after giving birth at age thirty, she slept on a cold kang (heated brick bed) in the countryside. After getting up, she caught a cold and felt her limbs and lower back were very stiff. It seems indeed as you said.
Please take another look. Thank you very much.
The physical examination report from my mother's workplace in September (since she was in the countryside, I only got it home yesterday) shows: Blood Sugar BS 5.75 mmol/L (Normal 3.1-6.1). My mother worries it will rise later. Hypertriglyceridemia, TG 2.25 mmol/L (Normal 0.57-1.75). Liver function GGT (Gamma-glutamyl transferase) 54, Normal <40. Others are normal.
Sanqi Sheng
2002/11/28 17:33
Since it is effective, continue taking six more doses. It is best to persist until around New Year's Day; then, the root of the disease accumulated over decades may possibly be eliminated. Do not speak of things being "too magical." Actually, it is very normal for Traditional Chinese Medicine to cure illnesses; it would be strange if it didn't work. I have always believed this.