久嗽夹有肝气,今又外感,舌黄胃不开,怕冷,气塞,再以金木法。
杏仁(三钱) 麦冬(三钱) 生甘草(一钱半) 桔梗(二钱) 白蔻壳(一钱) 冬桑叶(一
钱)
生牡蛎(五钱) 羚羊角(一钱半,先煎) 阳春砂(八分,同煎) 生谷芽(四钱) 半夏曲(二
钱) 陈皮(八分)
上焦肺胀,已有一年,咳嗽痰少,口渴,舌黄,大便痛泻,小溲少,脉弦细,当治上焦
。
栝蒌皮(八钱) 枳壳(一钱半) 桔梗(三钱) 象贝(三钱) 陈皮(八分) 冬桑叶(一钱
半)
生苡仁(六钱) 茯苓皮(六钱) 连翘(三钱) 淡黄芩(三钱) 薄荷叶(一钱半) 竹叶(三十片)
去年三月间,忽然失红,至今则有咳嗽,昨日寒热,咳嗽而不失血,右胁痛,当用清金
平木法。
杏仁(三钱) 象贝(三钱) 白蔻壳(一钱) 桔梗(二钱) 冬桑叶(一钱半) 生牡蛎(五
钱) 阳春砂(八分,同煎) 麦冬(三钱) 生玉竹(三钱) 陈皮(八分) 竹叶(二十四片)
产甫盈月,即发干咳,至今半载,咳嗽未去,喉哑,盗汗,气急,小溲热,少寐,胃不
开,舌黄,诊右手甚虚,左手弦数,当属肝风之妨肺。
大生地(六钱) 生白芍(三钱) 归身(三钱) 生牡蛎(五钱) 阳春砂(八分,冲) 半夏
曲(二钱) 陈皮(八分) 泽泻(二钱) 甘杞子(三钱) 冬桑叶(一钱半)
动则气喘,属肾虚,烟气亦咳喘,属肺分气冲,脉弦细是肝冲。大抵肝肾之气冲肺,而
肺气亦虚。
文元党(四钱) 焦冬术(三钱) 矾半夏(三钱) 陈皮(八分) 酒炒熟地(六钱) 紫石英
(三钱) 当归(三钱) 牡蛎(四钱) 炮姜(八分) 五北味(一钱,捣碎)
所云刀谱中一方,其用玉竹、黄 、龙眼肉熬膏,代蜜为丸,为壮筋骨补气血之用。观
药品
和平,大抵黄 补表气,龙眼肉补肝血,以玉竹为君者,玉竹有黄老之名,久服可仙,本草
称其益气生津,功能不减人参,惟须多多益善耳。于足下体质,洵属有益之至,惟鄙见欲其
速效,若再加入熟地一斤,当归一斤,川续断一斤,于筋骨更有裨益,合否乞酌之。
肝痛已瘥,左脉尚弦数,述患经一年,曾经期至如崩,现尚早而如崩,腹中痛而胀,口
渴,是可知其血之热而不摄。
当归(三钱) 川楝子(三钱) 酒元胡(一钱半) 生牡蛎(六钱) 炒丹皮(三钱) 生白芍
(三
钱) 阳春砂(八分,同煎) 泽泻(三钱) 茺蔚子(五钱) 焦栀子(三钱) 乌 骨(三钱)
咳嗽背冷,身上觉胀,脉弦浮,舌净,当属肺胀,用上焦法。
薄荷叶(一钱半) 杏仁(三钱) 栝蒌皮(五钱) 白蔻壳(一钱) 枳壳(二钱) 桔梗(三
钱) 象贝(三钱) 冬桑叶(一钱半) 连翘(三钱) 陈皮(一钱) 竹叶(三十片)
久嗽舌黄,脉弦数,气急发热,当属伤风带起肝气,又有重感。
薄荷叶(一钱半) 白蔻壳(一钱) 杏仁(三钱) 瓜皮(三钱) 连翘(三钱) 象贝(三钱)
生甘
草(一钱) 桔梗(三钱) 冬桑叶(一钱半) 刺蒺藜(三钱,炒) 陈皮(八分) 竹肉(一丸)
肝郁气急,曾经音哑,吐紫血而愈。兹又气急,先天癸至,周身又有风饼,是病属肝气
风之升,据书当先通经水。
丹参(五钱) 当归(三钱) 茺蔚子(五钱) 赤芍(二钱) 川楝子(三钱) 酒元胡(一钱
半)
降真香(一钱半) 冬桑叶(一钱半) 刺蒺藜(三钱,炒) 炒丹皮(三钱)
外感后用下法,大便已解,虽舌黄未去,而知味不渴,是内邪亦去其大半,乃耳胀脚手
不能动,动则痛不可忍,是固产后血分之虚,带起肝风。
根生地(六钱) 当归(三钱) 续断(三钱) 丹参(四钱) 羚羊角(二钱,先煎) 桂枝(
一
钱半) 刺蒺藜(三钱,炒) 片姜黄(三钱) 生白芍(三钱) 宣木瓜(三钱) 嫩桑枝(一尺)
大流鼻衄,甚至成桶,今已止而面色痿白,耳响,两太阳痛,腰酸,舌黄,脉弦细,当
用甘寒肺金。
根生地(八钱) 元参(五钱) 麦冬(三钱) 象贝(三钱) 炒丹皮(三钱) 山茶花(三钱)
生甘草(一钱半) 桔梗(二钱) 北沙参(五钱) 生谷芽(四钱) 竹叶(二十片)
又外感,脉弦细,仍属少阳症,已有三日。
柴胡(一钱半) 酒黄芩(三钱) 杏仁(三钱) 半夏曲(二钱) 陈皮(八分) 冬桑叶(一
钱半
)炒川连(八分) 川郁金(一钱半) 生香附(一钱半) 枳壳(一钱半) 连翘(三钱) 荷叶(一
角)
两耳停痛且聋,而又痛响作泻,以肝胆法,耳痛已去,惟尚流脓,即腹痛亦去,而口渴
作响,改为水泻,脉尚弦,再以风木法。
当归(三钱) 生白芍(三钱) 桂枝(一钱) 清炙甘(二钱) 广木香(一钱) 焦茅术(一
钱半) 冬桑叶(一钱半) 宣木瓜(三钱) 泽泻(三钱) 生牡蛎(五钱) 生苡仁(五钱)
十八龄咳嗽失红,已有两年,寒热已有十月,舌黄,咽中曾经艾炙,肋痛腹中痛泻诊脉
浮弦小数。大抵五月间起病,初时由于暑风湿热,久则传入厥阴,清金平木法。
杏仁(三钱) 桔梗(三钱) 象贝(三钱) 生牡蛎(五钱) 阳春砂(八分,冲) 青蒿梗(
三钱
)炙鳖甲(五钱) 六一散(四钱) 冬桑叶(一钱半) 生苡仁(五钱) 通草(一钱半) 竹叶(三十
片)
气冲咳嗽吐痰,逢酒烟则甚,总属肝肾之虚气上冲也。
熟地炭(八钱) 当归(三钱) 淡附片(一钱半) 炮姜炭(一钱) 紫石英(三钱) 五味子
(二
钱,捣碎) 清炙草(一钱半) 磁石(三钱) 甘杞子(三钱) 炒补骨脂(三钱) 核桃肉(二
枚)
胃中痛先流涎,呕清水味酸,每发如此。现尚不发,惟嗳气,舌白燥,胃不开,诊脉沉
涩,法当滋肝舒气。
生地炭(六钱) 当归(三钱) 制香附(三钱) 广木香(一钱) 炮姜炭(一钱) 清炙甘(
一钱
半) 怀牛膝(三钱) 炒半夏曲(三钱) 陈皮(八分) 甘杞子炭(三钱) 生姜(二片) 红枣(
七枚)
作泻已有四个月,舌黄,口微渴,腹响,诊脉平,小溲如常,是当调其脾胃。
生冬术(三钱) 茯苓(三钱) 广木香(一钱) 半夏曲(三钱) 陈皮(八分) 清炙甘(一
钱半) 泽泻(三钱) 阳春砂(八分,冲) 焦栀子(三钱) 生苡仁(五钱) 荷叶(一角)
伤风后带起阴虚,当用甘寒,兼息肝风。
杏仁(三钱) 根生地(六钱) 麦冬(三钱) 生牡蛎(五钱) 阳春砂(八分,同煎) 续断
(三
钱) 象贝(三钱) 桔梗(二钱) 冬桑叶(一钱半) 生甘草(一钱半) 羚羊角(一钱半,先煎
)竹肉(一丸)
冬温十二日,舌中间灰色,两边白滑(是湿体故滑,)大便作泻,喉痛,述口舌燥,是仍
在肺
阴,怕热而不寒,可用甘寒法,手牵动,足筋痛,易于发怒,是仍属肝风之动,舌尖红,是
心经之虚热。最怕作蒙,查清金可以制木,而肺与心同为上焦,再拟生津去热,复入利水之
药,小溲清长,其病自愈矣。又脉沉大而滞,是湿体之象,数属化热,而大属阳脉,于病不
悖,若小溲一长,其从无汗泄者,即可得汗而解。
北沙参(六钱) 麦冬(三钱) 羚羊角(二钱,先煎) 连翘(三钱) 炒丹皮(三钱) 焦栀
子(
三钱) 茯苓(四钱) 生苡仁(四钱) 象贝(五钱) 陈皮(八分) 冬桑叶(一钱半) 灯心(一
丸)
寒热出冷汗,咳嗽痰红,腹痛响泻,两腕腰痛,自正月至今,当属肝风之射肺失红。
青蒿梗(三钱) 炙鳖甲(五钱) 当归(三钱) 炒白芍(三钱) 地骨皮(四钱) 炙甘草(
一钱半) 桂枝(八分) 生牡蛎(六钱) 冬桑叶(一钱半) 生地(五钱) 续断(三钱)
正月二十六日起,寒热咳嗽痰红,脉弦细,舌白,口渴,气急。此属风温失红(三月初一
日)
元参(五钱) 根生地(六钱) 麦冬(三钱) 羚羊角(一钱半,先煎) 山茶花(三钱) 象
贝(
三钱) 桔梗(三钱) 冬桑叶(一钱半) 橘红(八分) 连翘(三钱) 薄荷(一钱半) 竹叶(三十
片)
风温十天,咳嗽作泻,腹痛,舌黄口渴,脉弦数,是已化火,尚冷作热,当表里均解。
薄荷叶(一钱半) 杏仁(三钱) 淡黄芩(三钱) 生白芍(三钱) 生甘草(一钱半) 生苡
仁
(六钱) 象贝(三钱) 桔梗(二钱) 连翘(三钱) 枳壳(一钱半) 羚羊角(一钱半,先煎)
竹肉(一丸)
初时喉痛,作冷作热,已有十日,欲呕胸肋痛,咳嗽,尚无汗出,脉弦细,舌黄,是少
阳经感风热,当用逍遥散。
薄荷叶(一钱半) 柴胡(一钱半) 归须(三钱) 赤芍(二钱) 桂枝(八分) 冬桑叶(一
钱半) 杏仁(三钱) 川郁金(一钱半) 生香附(一钱半) 降香(一钱) 荷叶(一角)
风温后又感风邪,致作冷出汗,舌白,脉弦,再当甘寒。
杏仁(三钱) 象贝(三钱) 冬桑叶(一钱半) 麦冬(三钱) 桔梗(二钱) 生甘草(一钱)
阳春砂(八分,同煎) 白蔻壳(一钱) 根生地(五钱) 陈皮(八分) 竹叶(二十四片)
外感后带起肝风,虚头晕。
生地(六钱) 当归(三钱) 炒白芍(三钱) 怀山药(三钱) 生石决明(五钱) 煨天麻(
一钱半) 冬桑叶(一钱半) 半夏曲(一钱半) 陈皮(八分) 续断(三钱) 荷叶(一角)
风温后,邪已净,惟胃不开,稍有咳痰,两脉甚虚。
北沙参(五钱) 麦冬(三钱) 生地(五钱) 生白芍(三钱) 象贝(三钱) 新会皮(八分)
生谷芽(四钱) 茯神(三钱) 冬桑叶(一钱半) 清炙甘草(一钱) 干荷叶(一角)
腹腰作痛,期早而多如崩状,脉弦大,当调其肝。
大生地(六钱) 当归(三钱) 川楝子(三钱) 炒小茴香(一钱半) 酒元胡(一钱半) 乌
骨(三钱) 白薇(三钱) 茺蔚子(五钱) 续断(三钱) 制香附(三钱)
身已凉,大便已解而不畅,惟咳嗽与痰气急,咳时肋尚痛,舌苔尚黄浓,口燥而不渴,
六脉弦小数,多梦话,再当凉肝息风。
根生地(五钱) 生白芍(三钱) 羚羊角(二钱,先煎) 冬桑叶(一钱半) 生牡蛎(五钱)
炙
鳖甲(五钱) 当归(三钱) 象贝(三钱) 陈皮(八分) 阳春砂(八分,同煎) 柏子仁(四钱)
竹肉(一丸)
身热三日,出冷汗,咳嗽有痰,胃不开,口燥头眩,诊脉弦,当用甘寒。
根生地(六钱) 麦冬(三钱) 地骨皮(四钱) 生谷芽(四钱) 象贝(三钱) 桔梗(二钱)
生
甘草(一钱) 生石决明(五钱) 冬桑叶(一钱半) 新会皮(八分) 续断(三钱) 竹叶(二十四
片)
胃痛大瘥且能食,而痛在右肋,诊左手尚弦,右手已虚,厥阴大疟后致此,是当再以清
肝法。
当归(三钱) 川楝子(三钱) 酒元胡(一钱半) 炙鳖甲(五钱) 青蒿梗(三钱) 软柴胡
(一
钱半) 炒白芍(三钱) 茯神(三钱) 矾半夏(三钱) 陈皮(八分) 制香附(三钱) 荷叶(一
角)
久经失红,咳嗽右肋痛,总怕失红复起,少寐即血分之虚,脉弦细,再当清金润肺。大
抵劳力持重之体,未有不虚者。
生玉竹(五钱) 大生地(八钱) 生白芍(三钱) 冬桑叶(一钱半) 象贝(三钱) 陈皮(
八分) 炒丹皮(三钱) 麦冬(三钱) 生牡蛎(五钱) 软柴胡梢(一钱半)
咳嗽失红,虽从去年发作,然昨诊六脉弦数,决其出于肺脏。今日述胃不开,逢食即吐
,不能起床,势必夹有风温。拟再用风温失红例治。
元参(五钱) 根生地(六钱) 麦冬(三钱) 山茶花(三钱) 冬桑叶(三钱) 炙甘草(一
钱半) 丝瓜络(三钱)
自七月间起病,初时间日,今成两发,小溲赤,足酸,腹中痛,肋痛,诊脉弦细,当属
厥阴大疟。
青蒿根(三钱) 炙鳖甲(五钱) 当归(三钱) 制首乌(六钱) 牡蛎(五钱) 青皮(一
钱半) 半夏曲(三钱) 陈皮(八分) 桂枝(一钱) 炒白芍(三钱) 清炙甘草(一钱半)
夜多盗汗,舌黄滑,大便溏,胃亦不开,诊脉弦小数,当益阴调土。
地骨皮(三钱) 炙鳖甲(四钱) 当归(三钱) 炒白芍(二钱) 矾半夏(三钱) 陈皮(八分
)广木香(一钱) 黑 豆衣(四钱) 生牡蛎(五钱) 清炙甘草(八分) 荷叶(一角)
两肋与肋及腰背,皆胀满塞闷,胃亦不开,每至午则痛,诊右手弱,是素属六阴,而
左关独起,是必属肝气之走络。拟通其络。
【医案一】
久咳伴有肝气郁结,如今又感受外邪,舌苔黄腻,胃气不舒(食欲不振),怕冷,气机阻滞。采用金木法(清肺平肝)治疗。
杏仁(三钱) 麦冬(三钱) 生甘草(一钱半) 桔梗(二钱) 白蔻壳(一钱) 冬桑叶(一钱)
生牡蛎(五钱) 羚羊角(一钱半,先煎) 阳春砂(八分,同煎) 生谷芽(四钱) 半夏曲(二钱) 陈皮(八分)
【医案二】
上焦肺胀,病程已有一年,咳嗽痰少,口渴,舌苔黄,大便疼痛且泄泻,小便量少,脉象弦细。应当从上焦论治。
栝蒌皮(八钱) 枳壳(一钱半) 桔梗(三钱) 象贝(三钱) 陈皮(八分) 冬桑叶(一钱半)
生苡仁(六钱) 茯苓皮(六钱) 连翘(三钱) 淡黄芩(三钱) 薄荷叶(一钱半) 竹叶(三十片)
【医案三】
去年三月间,突然发生咯血(失红),至今一直咳嗽,昨日出现寒热往来,咳嗽但未再出血,右胁疼痛。应当使用清金平木法(清肺平肝)。
杏仁(三钱) 象贝(三钱) 白蔻壳(一钱) 桔梗(二钱) 冬桑叶(一钱半) 生牡蛎(五钱) 阳春砂(八分,同煎) 麦冬(三钱) 生玉竹(三钱) 陈皮(八分) 竹叶(二十四片)
【医案四】
产后刚满一个月,即发作干咳,至今半年,咳嗽未愈,声音嘶哑,盗汗,气急,小便灼热,睡眠少,胃不开(食欲不振),舌苔黄。诊右手脉甚虚,左手脉弦数。当属肝风妨碍肺气宣降。
大生地(六钱) 生白芍(三钱) 归身(三钱) 生牡蛎(五钱) 阳春砂(八分,冲服) 半夏曲(二钱) 陈皮(八分) 泽泻(二钱) 甘杞子(三钱) 冬桑叶(一钱半)
【医案五】
动则气喘,属于肾虚;吸入烟气亦引发咳喘,属于肺分气逆;脉象弦细是肝气上冲之象。大抵是肝肾之气上冲于肺,而肺气也虚弱。
文元党(四钱,即党参) 焦冬术(三钱,即炒白术) 矾半夏(三钱) 陈皮(八分) 酒炒熟地(六钱) 紫石英(三钱) 当归(三钱) 牡蛎(四钱) 炮姜(八分) 五味子(一钱,捣碎)
【医案六】
所谓刀谱中的一方,使用玉竹、黄芪、龙眼肉熬膏,代替蜂蜜制成丸药,用于强壮筋骨、补益气血。观察这些药品性质平和,大致黄芪补表气,龙眼肉补肝血。以玉竹为君药,因为玉竹有“黄老”之名,久服可成仙,本草称其益气生津,功效不亚于人参,只是多多益善罢了。对于您的体质,确实非常有益。但我个人见解,若想求速效,若再加入熟地一斤,当归一斤,川续断一斤,对筋骨更有裨益,是否合适请您斟酌。
【医案七】
肝痛已经痊愈,左脉仍然弦数。叙述患病一年,曾经月经来潮如崩漏状,现在月经提前且量多如崩,腹中疼痛且胀满,口渴。由此可知其血分有热而不能固摄血液。
当归(三钱) 川楝子(三钱) 酒元胡(一钱半,即醋制延胡索) 生牡蛎(六钱) 炒丹皮(三钱) 生白芍(三钱) 阳春砂(八分,同煎) 泽泻(三钱) 茺蔚子(五钱) 焦栀子(三钱) 乌骨(三钱,即乌贼骨/海螵蛸)
【医案八】
咳嗽伴背部发冷,身体感觉胀满,脉象弦浮,舌苔干净。当属肺胀,用上焦法治疗。
薄荷叶(一钱半) 杏仁(三钱) 栝蒌皮(五钱) 白蔻壳(一钱) 枳壳(二钱) 桔梗(三钱) 象贝(三钱) 冬桑叶(一钱半) 连翘(三钱) 陈皮(一钱) 竹叶(三十片)
【医案九】
久咳舌苔黄,脉象弦数,气急发热。当属伤风引发肝气郁结,又有重感(再次感受外邪)。
薄荷叶(一钱半) 白蔻壳(一钱) 杏仁(三钱) 瓜皮(三钱,即栝蒌皮) 连翘(三钱) 象贝(三钱) 生甘草(一钱) 桔梗(三钱) 冬桑叶(一钱半) 刺蒺藜(三钱,炒) 陈皮(八分) 竹肉(一丸,即竹茹)
【医案十】
肝郁导致气急,曾经声音嘶哑,吐出紫血后痊愈。现在又气急,先天癸水(月经)将至,周身又有风疹(风饼)。此病属肝气夹风升发所致,据医书当先通调经水。
丹参(五钱) 当归(三钱) 茺蔚子(五钱) 赤芍(二钱) 川楝子(三钱) 酒元胡(一钱半)
降真香(一钱半) 冬桑叶(一钱半) 刺蒺藜(三钱,炒) 炒丹皮(三钱)
【医案十一】
外感后用下法,大便已解,虽然舌苔黄未去,但知味且不渴,说明内邪也已去除大半。然而出现耳胀、手脚不能活动,一动则疼痛难忍。这是产后血分亏虚,引动肝风所致。
根生地(六钱,即鲜生地) 当归(三钱) 续断(三钱) 丹参(四钱) 羚羊角(二钱,先煎) 桂枝(一钱半) 刺蒺藜(三钱,炒) 片姜黄(三钱) 生白芍(三钱) 宣木瓜(三钱) 嫩桑枝(一尺)
【医案十二】
大量流鼻衄,甚至成桶,现在已经停止,面色萎白,耳鸣,两侧太阳穴疼痛,腰酸,舌苔黄,脉象弦细。应当使用甘寒法滋养肺金。
根生地(八钱) 元参(五钱) 麦冬(三钱) 象贝(三钱) 炒丹皮(三钱) 山茶花(三钱) 生甘草(一钱半) 桔梗(二钱) 北沙参(五钱) 生谷芽(四钱) 竹叶(二十片)
【医案十三】
又感外邪,脉象弦细,仍属少阳证,已有三日。
柴胡(一钱半) 酒黄芩(三钱) 杏仁(三钱) 半夏曲(二钱) 陈皮(八分) 冬桑叶(一钱半) 炒川连(八分,即黄连) 川郁金(一钱半) 生香附(一钱半) 枳壳(一钱半) 连翘(三钱) 荷叶(一角)
【医案十四】
两耳停止疼痛且听力恢复,但又出现腹痛作响并泄泻。以肝胆法治疗。耳痛已去,惟尚流脓,随即腹痛也去,但口渴作响,改为水样泄泻,脉象仍弦。再以风木法(平肝熄风)治疗。
当归(三钱) 生白芍(三钱) 桂枝(一钱) 清炙甘(二钱,即清炙甘草) 广木香(一钱) 焦茅术(一钱半,即炒苍术) 冬桑叶(一钱半) 宣木瓜(三钱) 泽泻(三钱) 生牡蛎(五钱) 生苡仁(五钱)
【医案十五】
十八岁开始咳嗽咯血,已有两年,寒热往来已有十月,舌苔黄,咽部曾经艾灸,肋痛腹中痛泻。诊脉浮弦小数。大致五月间起病,初时由于暑风湿热,久则传入厥阴经。采用清金平木法。
杏仁(三钱) 桔梗(三钱) 象贝(三钱) 生牡蛎(五钱) 阳春砂(八分,冲服) 青蒿梗(三钱) 炙鳖甲(五钱) 六一散(四钱) 冬桑叶(一钱半) 生苡仁(五钱) 通草(一钱半) 竹叶(三十片)
【医案十六】
气逆咳嗽吐痰,逢酒烟则加重,总属肝肾之虚气上冲。
熟地炭(八钱) 当归(三钱) 淡附片(一钱半) 炮姜炭(一钱) 紫石英(三钱) 五味子(二钱,捣碎) 清炙草(一钱半) 磁石(三钱) 甘杞子(三钱) 炒补骨脂(三钱) 核桃肉(二枚)
【医案十七】
胃中疼痛先流涎水,呕吐清水味酸,每次发作如此。现在尚未发作,惟嗳气,舌白燥,胃不开(食欲不振),诊脉沉涩。法当滋肝舒气。
生地炭(六钱) 当归(三钱) 制香附(三钱) 广木香(一钱) 炮姜炭(一钱) 清炙甘(一钱半) 怀牛膝(三钱) 炒半夏曲(三钱) 陈皮(八分) 甘杞子炭(三钱) 生姜(二片) 红枣(七枚)
【医案十八】
泄泻已有四个月,舌苔黄,口微渴,腹部作响,诊脉平和,小便如常。这是应当调理脾胃。
生冬术(三钱,即生白术) 茯苓(三钱) 广木香(一钱) 半夏曲(三钱) 陈皮(八分) 清炙甘(一钱半) 泽泻(三钱) 阳春砂(八分,冲服) 焦栀子(三钱) 生苡仁(五钱) 荷叶(一角)
【医案十九】
伤风后引发阴虚,应当用甘寒法,兼以平息肝风。
杏仁(三钱) 根生地(六钱) 麦冬(三钱) 生牡蛎(五钱) 阳春砂(八分,同煎) 续断(三钱) 象贝(三钱) 桔梗(二钱) 冬桑叶(一钱半) 生甘草(一钱半) 羚羊角(一钱半,先煎) 竹肉(一丸)
【医案二十】
冬温病十二日,舌中间灰色,两边白滑(因湿体故滑),大便泄泻,喉痛,述说口舌干燥。病邪仍在肺阴,怕热而不恶寒,可用甘寒法。手牵动时足筋痛,易于发怒,仍属肝风妄动;舌尖红,是心经虚热。最怕神志昏蒙。查清金可以制木,而肺与心同为上焦,再拟生津去热,加入利水药物。若小便清长,其病自愈。另外脉沉大而滞,是湿体之象,数脉属化热,大脉属阳脉,于病情不悖。若小便一长,那些从无汗出者,即可得汗而解。
北沙参(六钱) 麦冬(三钱) 羚羊角(二钱,先煎) 连翘(三钱) 炒丹皮(三钱) 焦栀子(三钱) 茯苓(四钱) 生苡仁(四钱) 象贝(五钱) 陈皮(八分) 冬桑叶(一钱半) 灯心(一丸)
【医案二十一】
寒热往来出冷汗,咳嗽痰中带血,腹痛响泻,两腕腰痛。自正月至今,当属肝风射肺导致咯血。
青蒿梗(三钱) 炙鳖甲(五钱) 当归(三钱) 炒白芍(三钱) 地骨皮(四钱) 炙甘草(一钱半) 桂枝(八分) 生牡蛎(六钱) 冬桑叶(一钱半) 生地(五钱) 续断(三钱)
【医案二十二】
正月二十六日起,寒热咳嗽痰中带血,脉弦细,舌白,口渴,气急。此属风温咯血。(三月初一日记录)
元参(五钱) 根生地(六钱) 麦冬(三钱) 羚羊角(一钱半,先煎) 山茶花(三钱) 象贝(三钱) 桔梗(三钱) 冬桑叶(一钱半) 橘红(八分) 连翘(三钱) 薄荷(一钱半) 竹叶(三十片)
【医案二十三】
风温十天,咳嗽泄泻,腹痛,舌黄口渴,脉弦数,是已化火,尚冷作热,应当表里双解。
薄荷叶(一钱半) 杏仁(三钱) 淡黄芩(三钱) 生白芍(三钱) 生甘草(一钱半) 生苡仁(六钱) 象贝(三钱) 桔梗(二钱) 连翘(三钱) 枳壳(一钱半) 羚羊角(一钱半,先煎) 竹肉(一丸)
【医案二十四】
初时喉痛,忽冷忽热,已有十日,欲呕胸肋痛,咳嗽,尚无汗出,脉弦细,舌黄。是少阳经感受风热,应当用逍遥散加减。
薄荷叶(一钱半) 柴胡(一钱半) 归须(三钱,即当归尾) 赤芍(二钱) 桂枝(八分) 冬桑叶(一钱半) 杏仁(三钱) 川郁金(一钱半) 生香附(一钱半) 降香(一钱) 荷叶(一角)
【医案二十五】
风温后又感风邪,导致忽冷出汗,舌白,脉弦。再当用甘寒法。
杏仁(三钱) 象贝(三钱) 冬桑叶(一钱半) 麦冬(三钱) 桔梗(二钱) 生甘草(一钱) 阳春砂(八分,同煎) 白蔻壳(一钱) 根生地(五钱) 陈皮(八分) 竹叶(二十四片)
【医案二十六】
外感后引发肝风,虚性头晕。
生地(六钱) 当归(三钱) 炒白芍(三钱) 怀山药(三钱) 生石决明(五钱) 煨天麻(一钱半) 冬桑叶(一钱半) 半夏曲(一钱半) 陈皮(八分) 续断(三钱) 荷叶(一角)
【医案二十七】
风温后,邪气已净,惟胃不开(食欲不振),稍有咳痰,两脉甚虚。
北沙参(五钱) 麦冬(三钱) 生地(五钱) 生白芍(三钱) 象贝(三钱) 新会皮(八分,即陈皮) 生谷芽(四钱) 茯神(三钱) 冬桑叶(一钱半) 清炙甘草(一钱) 干荷叶(一角)
【医案二十八】
腹腰作痛,月经提前且量多如崩状,脉弦大。当调理肝脏。
大生地(六钱) 当归(三钱) 川楝子(三钱) 炒小茴香(一钱半) 酒元胡(一钱半) 乌骨(三钱) 白薇(三钱) 茺蔚子(五钱) 续断(三钱) 制香附(三钱)
【医案二十九】
身体已凉,大便已解但不畅,惟咳嗽与痰气急,咳时肋尚痛,舌苔尚黄浓,口燥而不渴,六脉弦小数,多梦话。再当凉肝息风。
根生地(五钱) 生白芍(三钱) 羚羊角(二钱,先煎) 冬桑叶(一钱半) 生牡蛎(五钱) 炙鳖甲(五钱) 当归(三钱) 象贝(三钱) 陈皮(八分) 阳春砂(八分,同煎) 柏子仁(四钱) 竹肉(一丸)
【医案三十】
身热三日,出冷汗,咳嗽有痰,胃不开,口燥头眩,诊脉弦。当用甘寒法。
根生地(六钱) 麦冬(三钱) 地骨皮(四钱) 生谷芽(四钱) 象贝(三钱) 桔梗(二钱) 生甘草(一钱) 生石决明(五钱) 冬桑叶(一钱半) 新会皮(八分) 续断(三钱) 竹叶(二十四片)
【医案三十一】
胃痛大愈且能进食,而痛在右肋,诊左手尚弦,右手已虚。厥阴大疟后致此,是当再以清肝法。
当归(三钱) 川楝子(三钱) 酒元胡(一钱半) 炙鳖甲(五钱) 青蒿梗(三钱) 软柴胡(一钱半) 炒白芍(三钱) 茯神(三钱) 矾半夏(三钱) 陈皮(八分) 制香附(三钱) 荷叶(一角)
【医案三十二】
久经咯血,咳嗽右肋痛,总怕咯血复发。少寐即血分之虚,脉弦细。再当清金润肺。大抵劳力持重之体,未有不虚者。
生玉竹(五钱) 大生地(八钱) 生白芍(三钱) 冬桑叶(一钱半) 象贝(三钱) 陈皮(八分) 炒丹皮(三钱) 麦冬(三钱) 生牡蛎(五钱) 软柴胡梢(一钱半)
【医案三十三】
咳嗽咯血,虽从去年发作,然昨诊六脉弦数,决其出于肺脏。今日述胃不开,逢食即吐,不能起床,势必夹有风温。拟再用风温咯血例治。
元参(五钱) 根生地(六钱) 麦冬(三钱) 山茶花(三钱) 冬桑叶(三钱) 炙甘草(一钱半) 丝瓜络(三钱)
【医案三十四】
自七月间起病,初时间日发作,今成两日一发,小便赤,足酸,腹中痛,肋痛,诊脉弦细。当属厥阴大疟。
青蒿根(三钱) 炙鳖甲(五钱) 当归(三钱) 制首乌(六钱) 牡蛎(五钱) 青皮(一钱半) 半夏曲(三钱) 陈皮(八分) 桂枝(一钱) 炒白芍(三钱) 清炙甘草(一钱半)
【医案三十五】
夜多盗汗,舌苔黄滑,大便溏,胃亦不开,诊脉弦小数。当益阴调土(健脾)。
地骨皮(三钱) 炙鳖甲(四钱) 当归(三钱) 炒白芍(二钱) 矾半夏(三钱) 陈皮(八分) 广木香(一钱) 黑豆衣(四钱) 生牡蛎(五钱) 清炙甘草(八分) 荷叶(一角)
【医案三十六】
两肋及腰背,皆胀满塞闷,胃亦不开,每至午则痛,诊右手弱。素属六阴(体质偏阴),而左关独起(肝脉独盛),是必属肝气走窜经络。拟通其络。
[Case 1]
Long-term cough complicated with Liver Qi stagnation, now additionally affected by external pathogens. The tongue coating is yellow, Stomach Qi is not opening (poor appetite), aversion to cold, and Qi obstruction. Employ the Metal-Wood simultaneous treatment method.
Almond Seed (3 qian) Ophiopogon Tuber (3 qian) Raw Licorice Root (1.5 qian) Platycodon Root (2 qian) White Cardamom Shell (1 qian) Mulberry Leaf (1 qian)
Raw Oyster Shell (5 qian) Antelope Horn (1.5 qian, decocted first) Yangchun Sand (Cardamom) (0.8 fen, decocted together) Raw Rice Sprout (4 qian) Pinellia Paste (2 qian) Tangerine Peel (0.8 fen)
[Case 2]
Upper Jiao Lung distension, present for one year. Cough with little sputum, thirst, yellow tongue coating, painful diarrhea, scanty urine, wiry-thin pulse. Treatment should target the Upper Jiao.
Trichosanthes Peel (8 qian) Bitter Orange Fruit (1.5 qian) Platycodon Root (3 qian) Fritillaria Bulb (3 qian) Tangerine Peel (0.8 fen) Mulberry Leaf (1.5 qian)
Raw Coix Seed (6 qian) Poria Peel (6 qian) Forsythia Fruit (3 qian) Light Scutellaria Root (3 qian) Mint Leaf (1.5 qian) Bamboo Leaf (30 pieces)
[Case 3]
In March last year, sudden hemoptysis occurred, followed by persistent coughing until now. Yesterday, alternating chills and fever appeared; coughing without bleeding. Right hypochondriac pain. The Qingjin Pingmu (Clear Metal, Calm Wood) method should be used.
Almond Seed (3 qian) Fritillaria Bulb (3 qian) White Cardamom Shell (1 qian) Platycodon Root (2 qian) Mulberry Leaf (1.5 qian) Raw Oyster Shell (5 qian) Yangchun Sand (Cardamom) (0.8 fen, decocted together) Ophiopogon Tuber (3 qian) Raw Polygonatum Rhizome (3 qian) Tangerine Peel (0.8 fen) Bamboo Leaf (24 pieces)
[Case 4]
Dry cough started immediately after childbirth (one month postpartum), persisting for half a year. Cough remains, hoarseness, night sweats, shortness of breath, hot urination, insomnia, poor appetite, yellow tongue coating. The right hand pulse is very deficient, while the left hand pulse is wiry-rapid. This belongs to Liver Wind interfering with the Lung.
Large Rehmannia Root (6 qian) Raw White Peony Root (3 qian) Angelica Sinensis Root (3 qian) Raw Oyster Shell (5 qian) Yangchun Sand (Cardamom) (0.8 fen, taken with liquid) Pinellia Paste (2 qian) Tangerine Peel (0.8 fen) Alisma Rhizome (2 qian) Goji Berry (3 qian) Mulberry Leaf (1.5 qian)
[Case 5]
Shortness of breath upon exertion indicates Kidney deficiency. Coughing and wheezing triggered by smoke indicate Lung Qi rebellion. A wiry-thin pulse indicates Liver Qi rebellion. Generally, this is Liver and Kidney Qi rebelling against the Lung, accompanied by Lung Qi deficiency.
Wenyuan Dangshen (Codonopsis) (4 qian) Charred Atractylodes Rhizome (3 qian) Alum-processed Pinellia (3 qian) Tangerine Peel (0.8 fen) Wine-fried Rehmannia Root (6 qian) Purple Quartz (3 qian) Angelica Sinensis (3 qian) Oyster Shell (4 qian) Roasted Ginger (0.8 fen) Schisandra Berry (1 qian, crushed)
[Case 6]
The formula mentioned in the "Knife Manual" uses Polygonatum Rhizome, Astragalus Root, and Longan Aril boiled into a paste, formed into pills with honey, intended to strengthen sinews and bones and tonify Qi and Blood. Observing these herbs are mild in nature: Astragalus tonifies exterior Qi, Longan Aril nourishes Liver Blood. Polygonatum Rhizome is the sovereign herb; it has the name "Huang Lao," and long-term use was said to lead to immortality. Materia Medica states it tonifies Qi and generates fluids, with efficacy comparable to Ginseng, though more is better. For your constitution, it is indeed highly beneficial. However, my humble opinion is that if rapid effect is desired, adding one jin of Prepared Rehmannia Root, one jin of Angelica Sinensis, and one jin of Dipsacus Root would further benefit the sinews and bones. Please consider this.
[Case 7]
Liver pain has subsided, but the left pulse remains wiry-rapid. The patient reports being ill for one year, having experienced menorrhagia like a gush previously, and currently experiencing early onset with heavy flow like a gush. Abdominal pain and distension, thirst. This indicates Heat in the Blood failing to contain it.
Angelica Sinensis (3 qian) Toosendan Fruit (3 qian) Wine-processed Corydalis Rhizome (1.5 qian) Raw Oyster Shell (6 qian) Fried Moutan Cortex (3 qian) Raw White Peony Root (3 qian) Yangchun Sand (Cardamom) (0.8 fen, decocted together) Alisma Rhizome (3 qian) Leonurus Fruit (5 qian) Charred Gardenia Fruit (3 qain) Black Bone Chicken (3 qian)
[Case 8]
Cough with cold back, sensation of body distension, wiry-floating pulse, clean tongue coating. This belongs to Lung distension; treat using the Upper Jiao method.
Mint Leaf (1.5 qian) Almond Seed (3 qian) Trichosanthes Peel (5 qian) White Cardamom Shell (1 qian) Bitter Orange Fruit (2 qian) Platycodon Root (3 qian) Fritillaria Bulb (3 qian) Mulberry Leaf (1.5 qian) Forsythia Fruit (3 qian) Tangerine Peel (1 qian) Bamboo Leaf (30 pieces)
[Case 9]
Long-term cough, yellow tongue coating, wiry-rapid pulse, shortness of breath, fever. This is Wind-Cold injury triggering Liver Qi stagnation, compounded by a secondary infection.
Mint Leaf (1.5 qian) White Cardamom Shell (1 qian) Almond Seed (3 qian) Melon Peel (3 qian) Forsythia Fruit (3 qian) Fritillaria Bulb (3 qian) Raw Licorice Root (1 qian) Platycodon Root (3 qian) Mulberry Leaf (1.5 qian) Tribulus Fruit (3 qian, fried) Tangerine Peel (0.8 fen) Bamboo Sap (One pill)
[Case 10]
Liver Qi stagnation causing shortness of breath, previously hoarse, healed after vomiting purple blood. Now again short of breath, menstruation is approaching, and wind rash (urticaria) appears on the body. The disease belongs to Liver Qi rising with Wind. According to texts, menstruation should be regulated first.
Salvia Root (5 qian) Angelica Sinensis (3 qian) Leonurus Fruit (5 qian) Red Peony Root (2 qian) Toosendan Fruit (3 qian) Wine-processed Corydalis Rhizome (1.5 qian)
Dalbergia Odorifera Heartwood (1.5 qian) Mulberry Leaf (1.5 qian) Tribulus Fruit (3 qian, fried) Fried Moutan Cortex (3 qian)
[Case 11]
After treating external contraction with purgatives, stool has passed. Although the yellow tongue coating persists, taste is normal and there is no thirst, indicating most internal pathogens have cleared. However, ear fullness and inability to move hands and feet occur, with unbearable pain upon movement. This is due to postpartum Blood deficiency stirring up Liver Wind.
Root Rehmannia (6 qian) Angelica Sinensis (3 qian) Teasel Root (3 qian) Salvia Root (4 qian) Antelope Horn (2 qian, decocted first) Cinnamon Twig (1.5 qian) Tribulus Fruit (3 qian, fried) Turmeric Tuber (3 qian) Raw White Peony Root (3 qian) Chinese Quince Fruit (3 qian) Young Mulberry Branch (1 chi)
[Case 12]
Massive epistaxis, even bucketfuls, now stopped but complexion is sallow and white, tinnitus, bilateral temporal headache, sore lower back, yellow tongue coating, wiry-thin pulse. Use Sweet-Cold methods to nourish Lung Metal.
Root Rehmannia (8 qian) Scrophularia Root (5 qian) Ophiopogon Tuber (3 qian) Fritillaria Bulb (3 qian) Fried Moutan Cortex (3 qian) Camellia Flower (3 qian) Raw Licorice Root (1.5 qian) Platycodon Root (2 qian) Glehnia Root (5 qian) Raw Rice Sprout (4 qian) Bamboo Leaf (20 pieces)
[Case 13]
Another external contraction, wiry-thin pulse, still Shaoyang syndrome, present for three days.
Bupleurum Root (1.5 qian) Wine-processed Scutellaria Root (3 qian) Almond Seed (3 qian) Pinellia Paste (2 qian) Tangerine Peel (0.8 fen) Mulberry Leaf (1.5 qian) Fried Coptis Rhizome (0.8 fen) Curcuma Zedoaria Rhizome (1.5 qian) Raw Cyperus Rhizome (1.5 qian) Bitter Orange Fruit (1.5 qian) Forsythia Fruit (3 qian) Lotus Leaf (One corner)
[Case 14]
Bilateral ear pain ceased and hearing returned, but abdominal pain with rumbling and diarrhea ensued. Treat via Liver-Gallbladder method. Ear pain gone, only pus discharge remains; abdominal pain gone, but thirst with rumbling changed to watery diarrhea, pulse still wiry. Treat via Wind-Wood method.
Angelica Sinensis (3 qian) Raw White Peony Root (3 qian) Cinnamon Twig (1 qian) Honey-fried Licorice Root (2 qian) Aucklandia Root (1 qian) Charred Atractylodes Macrocephala Rhizome (1.5 qian) Mulberry Leaf (1.5 qian) Chinese Quince Fruit (3 qian) Alisma Rhizome (3 qian) Raw Oyster Shell (5 qian) Raw Coix Seed (5 qian)
[Case 15]
At age eighteen, cough and hemoptysis began, lasting two years. Chills and fever for ten months, yellow tongue coating, throat previously moxibusted, hypochondriac pain, abdominal pain and diarrhea. Pulse floating-wiry-slight-rapid. Illness likely started in May due to Summer-Heat, Dampness, Wind, and Heat, eventually entering the Jueyin channel. Use Qingjin Pingmu method.
Almond Seed (3 qian) Platycodon Root (3 qian) Fritillaria Bulb (3 qian) Raw Oyster Shell (5 qian) Yangchun Sand (Cardamom) (0.8 fen, taken with liquid) Artemisia Annua Stem (3 qian) Prepared Tortoise Plastron (5 qian) Liu Yi San (Six-One Powder) (4 qian) Mulberry Leaf (1.5 qian) Raw Coix Seed (5 qian) Tongcao (1.5 qian) Bamboo Leaf (30 pieces)
[Case 16]
Qi rebellion causing cough and sputum, worsened by alcohol and smoke, generally due to deficiency Qi of Liver and Kidney rebelling upward.
Charred Prepared Rehmannia Root (8 qian) Angelica Sinensis (3 qian) Light Aconite Slice (1.5 qian) Charred Roasted Ginger (1 qian) Purple Quartz (3 qian) Schisandra Berry (2 qian, crushed) Honey-fried Licorice Root (1.5 qian) Magnetite (3 qian) Goji Berry (3 qian) Fried Psoralea Fruit (3 qian) Walnut Kernel (2 pieces)
[Case 17]
Stomach pain preceded by salivation, vomiting clear acidic fluid, recurring thus. Currently not attacking, only belching, white dry tongue coating, poor appetite, deep-choppy pulse. Method: Nourish Liver and soothe Qi.
Charred Raw Rehmannia (6 qian) Angelica Sinensis (3 qian) Processed Cyperus Rhizome (3 qian) Aucklandia Root (1 qian) Charred Roasted Ginger (1 qian) Honey-fried Licorice Root (1.5 qian) Achyranthes Root (3 qian) Fried Pinellia Paste (3 qian) Tangerine Peel (0.8 fen) Charred Goji Berry (3 qian) Fresh Ginger (2 slices) Red Date (7 pieces)
[Case 18]
Diarrhea for four months, yellow tongue coating, slight thirst, abdominal rumbling, peaceful pulse, normal urine. Should regulate Spleen and Stomach.
Raw Atractylodes Rhizome (3 qian) Poria (3 qian) Aucklandia Root (1 qian) Pinellia Paste (3 qian) Tangerine Peel (0.8 fen) Honey-fried Licorice Root (1.5 qian) Alisma Rhizome (3 qian) Yangchun Sand (Cardamom) (0.8 fen, taken with liquid) Charred Gardenia Fruit (3 qian) Raw Coix Seed (5 qian) Lotus Leaf (One corner)
[Case 19]
Post-Wind-Cold Yin deficiency, use Sweet-Cold method, combined with extinguishing Liver Wind.
Almond Seed (3 qian) Root Rehmannia (6 qian) Ophiopogon Tuber (3 qian) Raw Oyster Shell (5 qian) Yangchun Sand (Cardamom) (0.8 fen, decocted together) Teasel Root (3 qian) Fritillaria Bulb (3 qian) Platycodon Root (2 qian) Mulberry Leaf (1.5 qian) Raw Licorice Root (1.5 qian) Antelope Horn (1.5 qian, decocted first) Bamboo Sap (One pill)
[Case 20]
Winter Warmth disease for twelve days, gray center of tongue, white-slip sides (slip due to damp constitution), diarrhea, sore throat, dry mouth and tongue. Pathogen remains in Lung Yin, fears heat but not cold. Use Sweet-Cold method. Pain when moving hands, foot tendon pain, irritability, still Liver Wind movement. Red tongue tip, Heart meridian deficiency heat. Most feared is clouding of mind. Clearing Metal controls Wood; Lung and Heart are both Upper Jiao. Formulate to generate fluids and remove heat, add diuretics. If urine becomes clear and long, disease self-heals. Deep-large-stagnant pulse indicates dampness; rapid indicates heat transformation; large indicates Yang pulse, consistent with disease. If urine lengthens, those without sweat may resolve via sweating.
Glehnia Root (6 qian) Ophiopogon Tuber (3 qian) Antelope Horn (2 qian, decocted first) Forsythia Fruit (3 qian) Fried Moutan Cortex (3 qian) Charred Gardenia Fruit (3 qian) Poria (4 qian) Raw Coix Seed (4 qian) Fritillaria Bulb (5 qian) Tangerine Peel (0.8 fen) Mulberry Leaf (1.5 qian) Juncus Effusus (One pill)
[Case 21]
Chills and fever with cold sweat, cough with bloody sputum, abdominal pain with rumbling diarrhea, wrist and waist pain. From January to now, belongs to Liver Wind shooting into Lung causing hemoptysis.
Artemisia Annua Stem (3 qian) Prepared Tortoise Plastron (5 qian) Angelica Sinensis (3 qian) Fried White Peony Root (3 qian) Cortex Lycii (4 qian) Honey-fried Licorice Root (1.5 qian) Cinnamon Twig (0.8 fen) Raw Oyster Shell (6 qian) Mulberry Leaf (1.5 qian) Raw Rehmannia (5 qian) Teasel Root (3 qian)
[Case 22]
From Jan 26, chills, fever, cough, bloody sputum, wiry-thin pulse, white tongue, thirst, shortness of breath. Belongs to Wind-Warmth hemoptysis. (Recorded Mar 1)
Scrophularia Root (5 qian) Root Rehmannia (6 qian) Ophiopogon Tuber (3 qian) Antelope Horn (1.5 qian, decocted first) Camellia Flower (3 qian) Fritillaria Bulb (3 qian) Platycodon Root (3 qian) Mulberry Leaf (1.5 qian) Exocarpium Citri Reticulatae (0.8 fen) Forsythia Fruit (3 qian) Mint (1.5 qian) Bamboo Leaf (30 pieces)
[Case 23]
Wind-Warmth for ten days, cough with diarrhea, abdominal pain, yellow tongue coating, thirst, wiry-rapid pulse. Fire has transformed, yet chills precede heat. Resolve both exterior and interior.
Mint Leaf (1.5 qian) Almond Seed (3 qian) Light Scutellaria Root (3 qian) Raw White Peony Root (3 qian) Raw Licorice Root (1.5 qian) Raw Coix Seed (6 qian) Fritillaria Bulb (3 qian) Platycodon Root (2 qian) Forsythia Fruit (3 qian) Bitter Orange Fruit (1.5 qian) Antelope Horn (1.5 qian, decocted first) Bamboo Sap (One pill)
[Case 24]
Initially sore throat, alternating chills and fever for ten days, nausea, chest/hypochondriac pain, cough, no sweat, wiry-thin pulse, yellow tongue coating. Shaoyang meridian affected by Wind-Heat. Use Xiaoyao San.
Mint Leaf (1.5 qian) Bupleurum Root (1.5 qian) Angelica Sinensis Root Tip (3 qian) Red Peony Root (2 qian) Cinnamon Twig (0.8 fen) Mulberry Leaf (1.5 qian) Almond Seed (3 qian) Curcuma Zedoaria Rhizome (1.5 qian) Raw Cyperus Rhizome (1.5 qian) Dalbergia Odorifera Heartwood (1 qian) Lotus Leaf (One corner)
[Case 25]
After Wind-Warmth, contracted Wind pathogen again, causing chills and sweating, white tongue, wiry pulse. Again use Sweet-Cold method.
Almond Seed (3 qian) Fritillaria Bulb (3 qian) Mulberry Leaf (1.5 qian) Ophiopogon Tuber (3 qian) Platycodon Root (2 qian) Raw Licorice Root (1 qian) Yangchun Sand (Cardamom) (0.8 fen, decocted together) White Cardamom Shell (1 qian) Root Rehmannia (5 qian) Tangerine Peel (0.8 fen) Bamboo Leaf (24 pieces)
[Case 26]
Post-external contraction stirring Liver Wind, deficiency dizziness.
Raw Rehmannia (6 qian) Angelica Sinensis (3 qian) Fried White Peony Root (3 qian) Chinese Yam (3 qian) Raw Halloysitum (Oyster Shell substitute/Abalone Shell equivalent contextually often implies mineral shells, here Shi Jue Ming) (5 qian) Calcinated Gastrodia Tuber (1.5 qian) Mulberry Leaf (1.5 qian) Pinellia Paste (1.5 qian) Tangerine Peel (0.8 fen) Teasel Root (3 qian) Lotus Leaf (One corner)
[Case 27]
Post-Wind-Warmth, pathogens cleared, only poor appetite, slight cough with sputum, both pulses very deficient.
Glehnia Root (5 qian) Ophiopogon Tuber (3 qian) Raw Rehmannia (5 qian) Raw White Peony Root (3 qian) Fritillaria Bulb (3 qian) Xinhui Peel (Tangerine Peel) (0.8 fen) Raw Rice Sprout (4 qian) Poria with Hostwood (3 qian) Mulberry Leaf (1.5 qian) Honey-fried Licorice Root (1 qian) Dry Lotus Leaf (One corner)
[Case 28]
Abdominal and waist pain, early and heavy menstruation like a gush, large-wiry pulse. Regulate Liver.
Large Raw Rehmannia (6 qian) Angelica Sinensis (3 qian) Toosendan Fruit (3 qian) Fried Fennel Fruit (1.5 qian) Wine-processed Corydalis Rhizome (1.5 qian) Black Bone Chicken (3 qian) Anemone Root (3 qian) Leonurus Fruit (5 qian) Teasel Root (3 qian) Processed Cyperus Rhizome (3 qian)
[Case 29]
Body cool, stool passed but unsmooth, only cough and phlegm-shortness of breath, rib pain during cough, thick-yellow tongue coating, dry mouth without thirst, six pulses wiry-slight-rapid, frequent dream talk. Cool Liver and extinguish Wind.
Root Rehmannia (5 qian) Raw White Peony Root (3 qian) Antelope Horn (2 qian, decocted first) Mulberry Leaf (1.5 qian) Raw Oyster Shell (5 qian) Prepared Tortoise Plastron (5 qian) Angelica Sinensis (3 qian) Fritillaria Bulb (3 qian) Tangerine Peel (0.8 fen) Yangchun Sand (Cardamom) (0.8 fen, decocted together) Biota Seed (4 qian) Bamboo Sap (One pill)
[Case 30]
Fever for three days, cold sweat, cough with sputum, poor appetite, dry mouth, dizziness, wiry pulse. Use Sweet-Cold method.
Root Rehmannia (6 qian) Ophiopogon Tuber (3 qian) Cortex Lycii (4 qian) Raw Rice Sprout (4 qian) Fritillaria Bulb (3 qian) Platycodon Root (2 qian) Raw Licorice Root (1 qian) Raw Halloysitum (5 qian) Mulberry Leaf (1.5 qian) Xinhui Peel (0.8 fen) Teasel Root (3 qian) Bamboo Leaf (24 pieces)
[Case 31]
Stomach pain mostly cured, able to eat, but pain in right hypochondrium. Left hand pulse wiry, right hand pulse deficient. Post-Jueyin severe malaria. Use Clear Liver method.
Angelica Sinensis (3 qian) Toosendan Fruit (3 qian) Wine-processed Corydalis Rhizome (1.5 qian) Prepared Tortoise Plastron (5 qian) Artemisia Annua Stem (3 qian) Soft Bupleurum Root (1.5 qian) Fried White Peony Root (3 qian) Poria with Hostwood (3 qian) Alum-processed Pinellia (3 qian) Tangerine Peel (0.8 fen) Processed Cyperus Rhizome (3 qian) Lotus Leaf (One corner)
[Case 32]
Long-term hemoptysis, cough, right rib pain, fear of recurrence. Insomnia indicates Blood deficiency. Wiry-thin pulse. Clear Metal and moisten Lung. Generally, those doing heavy labor are never without deficiency.
Raw Polygonatum Rhizome (5 qian) Large Raw Rehmannia (8 qian) Raw White Peony Root (3 qian) Mulberry Leaf (1.5 qian) Fritillaria Bulb (3 qian) Tangerine Peel (0.8 fen) Fried Moutan Cortex (3 qian) Ophiopogon Tuber (3 qian) Raw Oyster Shell (5 qian) Soft Bupleurum Tip (1.5 qian)
[Case 33]
Cough and hemoptysis, started last year. Six pulses wiry-rapid yesterday, determined to originate from Lung. Today, poor appetite, vomiting upon eating, unable to get up, likely mixed with Wind-Warmth. Treat according to Wind-Warmth hemoptysis precedent.
Scrophularia Root (5 qian) Root Rehmannia (6 qian) Ophiopogon Tuber (3 qian) Camellia Flower (3 qian) Mulberry Leaf (3 qian) Honey-fried Licorice Root (1.5 qian) Luffa Network (3 qian)
[Case 34]
Illness since July, initially every other day, now every two days. Red urine, sore legs, abdominal pain, rib pain. Wiry-thin pulse. Belongs to Jueyin severe malaria.
Artemisia Annua Root (3 qian) Prepared Tortoise Plastron (5 qian) Angelica Sinensis (3 qian) Processed Polygonum Multiflorum Root (6 qian) Oyster Shell (5 qian) Green Tangerine Peel (1.5 qian) Pinellia Paste (3 qian) Tangerine Peel (0.8 fen) Cinnamon Twig (1 qian) Fried White Peony Root (3 qian) Honey-fried Licorice Root (1.5 qian)
[Case 35]
Night sweats, yellow-slip tongue coating, loose stool, poor appetite. Wiry-slight-rapid pulse. Tonify Yin and regulate Earth (Spleen).
Cortex Lycii (3 qian) Prepared Tortoise Plastron (4 qian) Angelica Sinensis (3 qian) Fried White Peony Root (2 qian) Alum-processed Pinellia (3 qian) Tangerine Peel (0.8 fen) Aucklandia Root (1 qian) Black Soybean Coat (4 qian) Raw Oyster Shell (5 qian) Honey-fried Licorice Root (0.8 fen) Lotus Leaf (One corner)
[Case 36]
Distension and stuffiness in bilateral ribs and lower back, poor appetite. Pain at noon. Weak right hand pulse, inherent Yin constitution, but left Guan pulse rises alone. Belongs to Liver Qi traversing collaterals. Unblock the collaterals.