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卷下(1/4) · 张畹香医案 · 医典·华经

张畹香医案

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张畹香医案 · 卷下(1/4) · 清

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风温身热退，昏语去，泻止，惟尚咳嗽有痰，脉尚弦，胃口不开，当用甘寒。
根生地（六钱）麦冬（三钱）生甘草（一钱半）桔梗（二钱）象贝（三钱）橘红（八分）
生谷芽（四钱）冬桑叶（一钱半）地骨皮（三钱）川石斛（三钱）竹叶（三十片）
身热七八日，咳嗽有痰，水泻腹痛，有昏语，口大渴，舌鲜红，诊脉弦小数，是邪在心
肺之间，当用上焦法。其泻在肺，与大肠相表里也（上焦以邪入心包为重症。）
羚羊角（二钱，先煎）根生地（六钱）麦冬（三钱，不去心）连翘（三钱，不去心）生
苡仁
（六钱）茯苓（三钱）象贝（三钱）橘红（八分）川郁金（一钱半）川石菖蒲（一钱半）冬
桑叶（一钱半）竹叶（四十片）
病久属虚，逢劳则发，谓之劳复，古用补法，今脉虽数，而沉虚作冷，因乎坐久，责之
阳虚，第筋骨作酸，总属血事，再拟归脾汤加减。
东洋参（一钱半）焦冬术（三钱）清炙绵（三钱）炒枣仁（三钱）茯神（三钱）广木
香（
一钱）当归（三钱）陈皮（八分）清炙甘草（一钱）远志炭（八分）熟地炭（五钱）生姜（
二片）红枣（七枚）桂圆肉（十四枚）
上焦肺胀，已有一年，是为最难愈之症。今已治有效验，而复然如前，必有误食油腻之
故。
栝蒌皮（八钱）枳壳（二钱）桔梗（三钱）象贝（三钱）淡黄芩（三钱）冬桑叶（一钱
半）杏仁（三钱）苏薄荷叶（一钱半）陈皮（八分）连翘（三钱）竹叶（三十片）
肝痛在心络，痛发则牵及背肋，用柔补络分，稍瘥而不通除根。
大熟地（六钱）当归（三钱）桂枝（一钱半）柏子仁（三钱）生白芍（三钱）清炙甘草
（一钱半）炒甘杞子（三钱）远志炭（一钱）制香附（三钱）淡附子（一钱半）
十三龄室女，去冬患下焦肝痛，六脉弦数，当用张石顽先生法。
当归（三钱）川楝子（三钱）炒小茴（一钱半）酒延胡（一钱半）生白芍（三钱）生牡
蛎（五钱）降真香（一钱）生香附（一钱半）冬桑叶（一钱半）地骨皮（三钱）
肝痛在胃，已有月余，舌苔，脉弦数，怕冷，当用河间法。
当归（三钱）川楝子（三钱）桂枝（一钱）酒炒延胡（一钱半）阳春砂（八分，炒）炒
白芍（二钱）矾半夏（二钱）陈皮（八分）枳壳（一钱半）川郁金（一钱半）
作泻已久，用运脾已效，再当香砂法。
文党参（三钱）焦冬术（三钱）茯苓（三钱）清炙甘草（一钱半）半夏曲（二钱）陈皮
（八分
）广木香（一钱）阳春砂（八分，同煎）煨益智仁（一钱半）炮姜炭（八分）红枣（七枚）
休息痢已有四年，用药痛尚在，而已少解，脉尚弦，舌尚黄，再当前法。
当归（三钱）炒白芍（三钱）淡黄芩（三钱）清炙甘草（一钱半）广木香（一钱半）炒
川连（一钱）青皮（一钱）川楝子（三钱）酒延胡（一钱半）制香附（三钱）
腹痛响泻或呕，胃不开，舌黄，头面肿，当属肝分之风热。
大生地（五钱）当归（三钱）生白芍（三钱）桂枝（一钱）炙甘草（一钱半）炒半夏曲
（三钱）生牡蛎（五钱）陈皮（八分）泽泻（三钱）
少年耳，皆由胆分之分热，误服补剂，每致久聋。现下少阳司令，故耳痛流水，又
发寒热，腹痛作泻不爽，皆肝胆病也。
软柴胡（一钱半）薄荷（一钱半）桂枝（一钱）清炙甘草（一钱半）防风（一钱）连翘
（三
钱）滑石（三钱）龙胆草（一钱半，酒炒）苦丁茶（三钱）当归（三钱）炒白芍（三钱）
胸腹痛响，作泻如痢，舌黄，背冷，两手皆弦细小数，当属风木之乘脾。
当归（三钱）生白芍（五钱）桂枝（一钱半）清炙甘草（一钱半）川楝子（三钱）酒延
胡（一钱半）广木香（一钱）炒丹皮（三钱）阳春砂（八分，同煎）陈皮（八分）
咳嗽已去，惟右乳曾经作突，嗣后则成小疮，今则延走乳上近腋下，诊脉弦小，此属肝
风郁热。
生地（五钱）炙鳖甲（四钱）生牡蛎（五钱）炒丹皮（三钱）冬桑叶（一钱半）晚蚕砂
（三钱）赤芍（二钱）夏枯草花（三钱）连翘（三钱）生甘草节（二钱）
寒势往来，已有半年，头痛，冷汗，咳嗽，腹作痛泻，六脉弦小细数，无汗者用逍遥散
。有汗者当以清骨散。
青蒿梗（三钱）炙鳖甲（五钱）当归（三钱）炒白芍（三钱）茯苓（三钱）焦冬术（一
钱半）
清炙甘草（一钱半）阳春砂（八分，同煎）冬桑叶（一钱半）生牡蛎（五钱）新会皮（八分）
荷叶（一角）
五月先肝气作痛，后即咳嗽失红，且腹痛作泻，或如痢，或水泻，舌黄脉弦，少有寒热
，鄙见总当用清肝法。
当归（三钱）生白芍（五钱）桂枝（一钱半）清炙甘草（一钱半）冬桑叶（一钱半）生
牡蛎（六钱）广木香（一钱）炒川连（一钱）泽泻（三钱）陈皮（一钱半）
期早而多又延，色淡，仍诸筋骨痛，少寐多淋，是当益凉兼涩。
大生地（八钱）归身（三钱）炒丹皮（三钱）生牡蛎（五钱）炒怀药（四钱）炒沙苑子
（四钱）川续断（三钱）茯神（三钱）石苇（四钱）炒枣仁（三钱，勿研）陈皮（八分）
休息痢已有四年，尚腹痛，胸腹与足皆肿，解出如墨水，脉弦细，当属痢在厥阴。（两
剂已效。）
当归（三钱）炒白芍（三钱）淡黄芩（三钱）清炙甘草（一钱半）广木香（一钱半）炒
川连（一钱）小青皮（一钱半）陈皮（八分）阳春砂（八分，同煎）制香附（三钱）
因跌胸痛，业经呕出瘀血多，多乃不当必泛作呕，或痰或饮，诊脉弦细，是当调其肝胃
。
矾半夏（三钱）陈皮（八分）炒川连（八分）炮姜炭（八分）当归（三钱）炒白芍（三
钱）广郁金（一钱半）杏仁（三钱）阳春砂（八分，同煎）制香附（三钱）
汗不止，仍当益阴上收汗。有汗者，以无汗而愈也。至经至，无论何病，当从经治。胸
中满，仍当舒木。胃不知饥，再拟肝胃法，兼以收汗。
地骨皮（四钱）根生地（六钱）当归（三钱）阳春砂（八分，同煎）天花粉（三钱）炒
丹皮（三钱）丹参（三钱）新会皮（八分）川石斛（四钱）宣木瓜（三钱）荷叶（一角）
肝痛已用补剂，其胸中块在，须久药可平，至现下食稍减，舌苔，右手滞，当进通胃。
大生地（八钱）归身（三钱）甘杞子（三钱）柏子仁（四钱）生牡蛎（五钱）炙鳖甲（
五钱）冬桑叶（一钱半）炒丹皮（三钱）制香附（三钱）制半夏（二钱）陈皮（八分）
病经月余，舌白，腹痛作溏，气急，咳嗽痰多，夜汗，此属冬温失治致此，诊脉弦小，
当用外寒内热之法。
苏薄荷叶（一钱半）杏仁（三钱）象贝（三钱）桔梗（一钱半）冬桑叶（一钱）生甘草
（一
钱半）连翘（三钱）生苡仁（五钱）茯苓（三钱）白蔻壳（一钱）酒黄芩（三钱）竹叶（二十
片）
腹痛响作泻，以风木法，泻已止，而痛尚未去，舌净，诊脉左关当起，是肝气之未净也
。
当归（三钱）炒白芍（三钱）川楝子（三钱）酒元胡（一钱半）制香附（三钱）阳春砂
（八分，同煎）泽泻（二钱）焦山栀（三钱）丹参（四钱）炒丹皮（三钱）冬桑叶（一钱）
久嗽声哑，痰臭脉大，当用甘寒。
羚羊角（二钱先煎）杏仁（三钱）麦冬（三钱）生甘草（一钱半）桔梗（二钱）象贝（
三钱）冬桑叶（一钱半）陈皮（八分）金银花（三钱）连翘（三钱）竹叶（三十片）
干咳五十余日，连少腹右有块震痛，气急，咳时有汗，胃不开，口燥，诊左手弦大，右
手弦数，舌右边黄，是属肺燥之夹肝风者。
杏仁（三钱）象贝（三钱）桔梗（二钱）生甘草（一钱半）陈皮（八分）麦冬（三钱）
冬桑叶（一钱半）生牡蛎（五钱）阳春砂（八分，同煎）根生地（五钱）竹叶（三十片）
久有咳嗽，已五六年，现下又伤风带起，是夹有外感，当先祛之。
苏薄荷叶（一钱半）杏仁（三钱）栝蒌皮（三钱）桔梗（二钱）象贝（三钱）冬桑叶（
二钱）
酒黄芩（三钱）白蔻壳（一钱）连翘（三钱）生甘草（一钱半）陈皮（八分）竹叶（三十片）
重风温已有六日，咳嗽气急，口渴舌黄，背冷自汗，诊脉弦大，当用辛凉。
苏薄荷叶（一钱半）酒黄芩（三钱）羚羊角（二钱，先煎）桔梗（三钱）生甘草（一钱
半）
栝蒌皮（三钱）苦杏仁（三钱）象贝（三钱）冬桑叶（一钱）橘红（八分）连翘（三钱）竹
叶（四十片）
曾经失经至年余，现下寒热往来，口苦，胸胀欲呕，咳嗽，诊脉弦细，舌净，是属肝病
。当用清骨散法。
青蒿梗（一钱半）炙鳖甲（五钱）生地（五钱）当归（三钱）冬桑叶（一钱）生牡蛎（
五钱）
降真香（一钱）川郁金（一钱半）炒丹皮（三钱）生白芍（三钱）陈皮（八分）荷叶（一角）
肝风射肺，既经嗽血，又复痛泻，脉弦细，再当用土中拔木法。
生地炭（六钱）当归（三钱）生白芍（四钱）桂枝（一钱半）清炙甘草（一钱半）冬桑
叶（一钱半）川断续（三钱）宣木瓜（三钱）生牡蛎（五钱）茯苓（三钱）
胸中痛，胃下开，脉弦数，当用河间法。
当归（三钱）川楝子（三钱）桂枝尖（一钱）酒延胡（一钱半）炒白芍（二钱）柏子仁
（三钱）远志炭（八分）白蔻壳（一钱）矾半夏（二钱）陈皮（八分）荷叶（一角）
屡次崩后，致变化不已，今已失红，复历用肝法，乃头眩不瘥，而两太阳与齿作痛。又
且腹作溏，舌黄，左手尤弦数。此皆肝血虚，风热上升之象。
大生地（一两）归身（四钱）炒刺蒺藜（三钱）冬桑叶（一钱半）生牡蛎（八钱）生白
芍（
三钱）清炙甘草（一钱半）甘菊炭（一钱半）骨碎补（三钱）炒丹皮（三钱）薄荷（一钱半
）干荷叶（一角）
八月间初发疟，属间日至，今仍间日，盗汗，诊脉左手弦大，右手弦，是久疟必虚。又
汗多者，求无汗而愈，当遵柯氏法。
制首乌（六钱）炙鳖甲（五钱）文元党（三钱）炮姜炭（一钱）蜜炙桂枝（一钱半）炒
白芍
（三钱）清炙甘草（一钱半）当归（三钱）矾半夏（二钱）陈皮（八分）杏仁（三钱）红枣
（七枚）
高年素有咳血，兹又发作，肋背抽痛，痰中带血，脉弦细，舌白，有寒热，当用肝风射
肺法。
青蒿梗（三钱）炙鳖甲（五钱）生地（五钱）当归（三钱）川续断（三钱）冬桑叶（一
钱半）生牡蛎（五钱）橘红（八分）生白芍（三钱）象贝（三钱）
产后左手脉应细虚，而右手弦大，喉燥，肌热，动则有汗，肌肤作肿，当属血虚，肝风
为病
。产已弥月，身子尚未干净，服药后经多且旺，其色红，间有黑块，恐日久致成崩漏也。
大生地（六钱）当归（三钱）炙鳖甲（五钱）地骨皮（五钱）炒白芍（三钱）生牡蛎（
五钱）泽泻（一钱半）川石斛（三钱）陈皮（八分）麦冬（三钱）
目科分五轮八廓，若现物不清，是肾轮之事，方书以目力之衰，以石决明五味子同用，
可使目视得力，用之颇效。惟脉弦细，药不宜过重。
熟地炭（六钱）炙龟板（四钱）北五味子（二钱，捣碎）石决明（五钱）当归（三钱）
炒
白芍（三钱）制香附（三钱）炒怀山药（四钱）合欢（三钱）密蒙花（三钱）广木香（八分）
炒甘杞子（三钱）
大疟后，咳嗽，舌黄，盗汗，腹痛响泻，脉弦大，当属出于厥阴。
青蒿梗（三钱）炙鳖甲（五钱）蜜炙桂枝（一钱半）清炙甘草（一钱半）冬桑叶（一钱
半）
生牡蛎（五钱）生白芍（五钱）半夏曲（三钱）陈皮（八分）当归（三钱）干荷叶（一角）
肺疟无补法，久则必邪不净。兹身上有汗已透，而头上尚不至流，诊脉右手尚弦大，左
关独数，胃口两便均好，鄙见总属肺疟。
苏薄荷叶（一钱半）淡豆豉（三钱）滑石（三钱）白芥子（一钱半）白蔻壳（一钱半）
象
贝（三钱）酒黄芩（三钱）桔梗（一钱半）炙甘草（八分）冬桑叶（一钱）丝瓜叶（三片）
六脉滞大，大便作溏，掌心作热，当属肺分有湿热，嗜卧者，即其征也。

白话

风温病的身热已退，神志昏乱胡言消失，腹泻停止，只是还有咳嗽且有痰，脉象仍然弦紧，胃口未开，应当使用甘寒（滋养阴液、清泄虚热）的治法。
鲜生地（六钱）麦冬（三钱）生甘草（一钱半）桔梗（二钱）象贝母（三钱）橘红（八分）
生谷芽（四钱）冬桑叶（一钱半）地骨皮（三钱）川石斛（三钱）竹叶（三十片）

身热持续七八天，咳嗽有痰，水样腹泻且腹痛，出现神志昏乱胡言，口大渴，舌质鲜红，诊脉弦而细数，这是邪气在心肺之间，应当采用治疗上焦的方法。其腹泻源于肺，因为肺与大肠相表里。（上焦病中，邪气陷入心包属于重症。）
羚羊角（二钱，先煎）鲜生地（六钱）麦冬（三钱，不去心）连翘（三钱，不去心）生薏苡仁（六钱）茯苓（三钱）象贝母（三钱）橘红（八分）川郁金（一钱半）川石菖蒲（一钱半）冬桑叶（一钱半）竹叶（四十片）

病程长久属于虚证，每逢劳累则发作，称为劳复。古人多用补法，如今脉虽数，但沉取感觉虚弱发冷，这是因为久坐所致，责任在于阳虚；至于筋骨酸痛，总归属于血分的问题。再拟定归脾汤加减。
东洋参（一钱半）焦白术（三钱）清炙黄芪（三钱）炒酸枣仁（三钱）茯神（三钱）广木香（一钱）当归（三钱）陈皮（八分）清炙甘草（一钱）远志炭（八分）熟地黄炭（五钱）生姜（二片）红枣（七枚）桂圆肉（十四枚）

上焦肺胀，已经有一年，这是最难治愈的病证。现在已经治疗见效，却又像从前一样复发，必定是误食油腻食物的缘故。
瓜蒌皮（八钱）枳壳（二钱）桔梗（三钱）象贝母（三钱）淡黄芩（三钱）冬桑叶（一钱半）杏仁（三钱）苏薄荷叶（一钱半）陈皮（八分）连翘（三钱）竹叶（三十片）

肝痛牵连心络，疼痛发作时牵及背部和胁肋，用柔润滋补络脉的方法，症状稍缓解但不能除根。
大熟地黄（六钱）当归（三钱）桂枝（一钱半）柏子仁（三钱）生白芍（三钱）清炙甘草（一钱半）炒甘枸杞子（三钱）远志炭（一钱）制香附（三钱）淡附子（一钱半）

十三岁的少女，去年冬天患下焦肝痛，六脉弦数，应当采用张石顽先生的方法。
当归（三钱）川楝子（三钱）炒小茴香（一钱半）酒制延胡索（一钱半）生白芍（三钱）生牡蛎（五钱）降真香（一钱）生香附（一钱半）冬桑叶（一钱半）地骨皮（三钱）

肝痛在胃部区域，已有月余，舌苔异常，脉弦数，怕冷，应当采用刘河间的方法。
当归（三钱）川楝子（三钱）桂枝（一钱）酒炒延胡索（一钱半）阳春砂仁（八分，炒）炒白芍（二钱）矾半夏（二钱）陈皮（八分）枳壳（一钱半）川郁金（一钱半）

腹泻已久，使用运脾法已见效，接下来应当用香砂（行气化湿健脾）法。
党参（三钱）焦白术（三钱）茯苓（三钱）清炙甘草（一钱半）半夏曲（二钱）陈皮（八分）广木香（一钱）阳春砂仁（八分，同煎）煨益智仁（一钱半）炮姜炭（八分）红枣（七枚）

休息痢（慢性痢疾）已有四年，用药后疼痛仍在，但已稍减轻，脉仍弦，舌仍黄，再沿用前法。
当归（三钱）炒白芍（三钱）淡黄芩（三钱）清炙甘草（一钱半）广木香（一钱半）炒川黄连（一钱）青皮（一钱）川楝子（三钱）酒延胡索（一钱半）制香附（三钱）

腹痛肠鸣腹泻或呕吐，胃不开，舌黄，头面肿，应当属于肝分的风热。
大生地（五钱）当归（三钱）生白芍（三钱）桂枝（一钱）炙甘草（一钱半）炒半夏曲（三钱）生牡蛎（五钱）陈皮（八分）泽泻（三钱）

少年耳聋，皆由胆分的热邪引起，误服补剂，往往导致久聋。现在少阳经当令，所以耳痛流水，又发生寒热，腹痛腹泻不爽，这都是肝胆的病。
软柴胡（一钱半）薄荷（一钱半）桂枝（一钱）清炙甘草（一钱半）防风（一钱）连翘（三钱）滑石（三钱）龙胆草（一钱半，酒炒）苦丁茶（三钱）当归（三钱）炒白芍（三钱）

胸腹疼痛肠鸣，腹泻如痢疾，舌黄，背冷，两手脉皆弦细小数，应当属于风木（肝）乘脾（克制脾土）。
当归（三钱）生白芍（五钱）桂枝（一钱半）清炙甘草（一钱半）川楝子（三钱）酒延胡索（一钱半）广木香（一钱）炒丹皮（三钱）阳春砂仁（八分，同煎）陈皮（八分）

咳嗽已好，只是右乳曾经突起，随后变成小疮，现在蔓延到乳房上方近腋下处，诊脉弦小，这属于肝风郁热。
生地（五钱）炙鳖甲（四钱）生牡蛎（五钱）炒丹皮（三钱）冬桑叶（一钱半）晚蚕砂（三钱）赤芍（二钱）夏枯草花（三钱）连翘（三钱）生甘草节（二钱）

寒热往来，已有半年，头痛，出冷汗，咳嗽，腹部作痛腹泻，六脉弦小细数，无汗的用逍遥散。有汗的应当用清骨散。
青蒿梗（三钱）炙鳖甲（五钱）当归（三钱）炒白芍（三钱）茯苓（三钱）焦白术（一钱半）
清炙甘草（一钱半）阳春砂仁（八分，同煎）冬桑叶（一钱半）生牡蛎（五钱）新会陈皮（八分）荷叶（一角）

五月先是肝气作痛，随后咳嗽咯血，且腹痛腹泻，有时像痢疾，有时是水泻，舌黄脉弦，少有寒热，我的见解总当用清肝法。
当归（三钱）生白芍（五钱）桂枝（一钱半）清炙甘草（一钱半）冬桑叶（一钱半）生牡蛎（六钱）广木香（一钱）炒川黄连（一钱）泽泻（三钱）陈皮（一钱半）

月经提前且量多又延期，颜色淡，仍有诸般筋骨痛，睡眠少且小便频数，应当益阴兼收敛固涩。
大生地（八钱）归身（三钱）炒丹皮（三钱）生牡蛎（五钱）炒怀山药（四钱）炒沙苑子（四钱）川续断（三钱）茯神（三钱）石苇（四钱）炒酸枣仁（三钱，勿研碎）陈皮（八分）

休息痢已有四年，尚且腹痛，胸腹及双脚皆肿，排出物如墨水色，脉弦细，应当属于痢疾在厥阴经。（两剂药已见效。）
当归（三钱）炒白芍（三钱）淡黄芩（三钱）清炙甘草（一钱半）广木香（一钱半）炒川黄连（一钱）小青皮（一钱半）陈皮（八分）阳春砂仁（八分，同煎）制香附（三钱）

因跌打导致胸痛，业已呕出大量瘀血，过多反而必然泛泛作呕，或有痰或有饮邪，诊脉弦细，应当调理肝胃。
矾半夏（三钱）陈皮（八分）炒川黄连（八分）炮姜炭（八分）当归（三钱）炒白芍（三钱）广郁金（一钱半）杏仁（三钱）阳春砂仁（八分，同煎）制香附（三钱）

出汗不止，仍当滋阴以收敛止汗。有汗者，通过使身体达到无汗的状态来痊愈。到了经期，无论什么病，都应当从调经治疗。胸中满闷，仍当疏理肝木。胃不知饥饿，再拟定肝胃同治法，兼以收汗。
地骨皮（四钱）鲜生地（六钱）当归（三钱）阳春砂仁（八分，同煎）天花粉（三钱）炒丹皮（三钱）丹参（三钱）新会陈皮（八分）川石斛（四钱）宣木瓜（三钱）荷叶（一角）

肝痛已用补剂，但胸中的痞块仍在，须长期服药才可平复，到现在饮食稍减，舌苔异常，右手脉滞涩，应当进通胃之法。
大生地（八钱）归身（三钱）甘枸杞子（三钱）柏子仁（四钱）生牡蛎（五钱）炙鳖甲（五钱）冬桑叶（一钱半）炒丹皮（三钱）制香附（三钱）制半夏（二钱）陈皮（八分）

病经月余，舌白，腹痛作溏便，气急，咳嗽痰多，夜间出汗，这属于冬温失治导致此症，诊脉弦小，应当用外寒内热的治法。
苏薄荷叶（一钱半）杏仁（三钱）象贝母（三钱）桔梗（一钱半）冬桑叶（一钱）生甘草（一钱半）连翘（三钱）生薏苡仁（五钱）茯苓（三钱）白蔻壳（一钱）酒黄芩（三钱）竹叶（二十片）

腹痛肠鸣作泻，用疏风木（疏肝）法，泻已止，但痛尚未去，舌净，诊脉左关部应当起势（指脉象应有所变化），这是肝气未净的表现。
当归（三钱）炒白芍（三钱）川楝子（三钱）酒元胡（一钱半）制香附（三钱）阳春砂仁（八分，同煎）泽泻（二钱）焦山栀（三钱）丹参（四钱）炒丹皮（三钱）冬桑叶（一钱）

久咳声音嘶哑，痰臭脉大，应当用甘寒法。
羚羊角（二钱先煎）杏仁（三钱）麦冬（三钱）生甘草（一钱半）桔梗（二钱）象贝母（三钱）冬桑叶（一钱半）陈皮（八分）金银花（三钱）连翘（三钱）竹叶（三十片）

干咳五十多天，连带小腹右侧有肿块震动疼痛，气急，咳嗽时有汗，胃不开，口燥，诊左手脉弦大，右手脉弦数，舌右边黄，这属于肺燥夹肝风。
杏仁（三钱）象贝母（三钱）桔梗（二钱）生甘草（一钱半）陈皮（八分）麦冬（三钱）冬桑叶（一钱半）生牡蛎（五钱）阳春砂仁（八分，同煎）鲜生地（五钱）竹叶（三十片）

长久以来有咳嗽，已有五六年，现在又因伤风引发，这是夹杂外感，应当先祛除外邪。
苏薄荷叶（一钱半）杏仁（三钱）瓜蒌皮（三钱）桔梗（二钱）象贝母（三钱）冬桑叶（二钱）
酒黄芩（三钱）白蔻壳（一钱）连翘（三钱）生甘草（一钱半）陈皮（八分）竹叶（三十片）

重风温已有六天，咳嗽气急，口渴舌黄，背冷自汗，诊脉弦大，应当用辛凉解表法。
苏薄荷叶（一钱半）酒黄芩（三钱）羚羊角（二钱，先煎）桔梗（三钱）生甘草（一钱半）
瓜蒌皮（三钱）苦杏仁（三钱）象贝母（三钱）冬桑叶（一钱）橘红（八分）连翘（三钱）竹叶（四十片）

曾经停经一年多，现在寒热往来，口苦，胸胀欲呕，咳嗽，诊脉弦细，舌净，这属于肝病。应当用清骨散法。
青蒿梗（一钱半）炙鳖甲（五钱）生地（五钱）当归（三钱）冬桑叶（一钱）生牡蛎（五钱）
降真香（一钱）川郁金（一钱半）炒丹皮（三钱）生白芍（三钱）陈皮（八分）荷叶（一角）

肝风射肺，既然已经嗽血，又再次出现痛泻，脉弦细，再当用“土中拔木”（培土抑木/健脾疏肝）法。
生地炭（六钱）当归（三钱）生白芍（四钱）桂枝（一钱半）清炙甘草（一钱半）冬桑叶（一钱半）川续断（三钱）宣木瓜（三钱）生牡蛎（五钱）茯苓（三钱）

胸中痛，胃气下行不畅，脉弦数，应当用河间法。
当归（三钱）川楝子（三钱）桂枝尖（一钱）酒延胡索（一钱半）炒白芍（二钱）柏子仁（三钱）远志炭（八分）白蔻壳（一钱）矾半夏（二钱）陈皮（八分）荷叶（一角）

屡次崩漏之后，导致病情变化不已，现在已经停止出血，反复使用肝法治疗后，头晕目眩仍未好转，且两侧太阳穴与牙齿作痛。并且腹部作溏便，舌黄，左手脉尤其弦数。这都是肝血虚，风热上升的现象。
大生地（一两）归身（四钱）炒刺蒺藜（三钱）冬桑叶（一钱半）生牡蛎（八钱）生白芍（三钱）清炙甘草（一钱半）甘菊炭（一钱半）骨碎补（三钱）炒丹皮（三钱）薄荷（一钱半）干荷叶（一角）

八月间初次发作疟疾，属间日疟，现在仍是间日疟，盗汗，诊脉左手弦大，右手弦，这是久疟必虚。又汗多者，求其无汗而愈，应当遵循柯氏的方法。
制何首乌（六钱）炙鳖甲（五钱）文元党参（三钱）炮姜炭（一钱）蜜炙桂枝（一钱半）炒白芍（三钱）清炙甘草（一钱半）当归（三钱）矾半夏（二钱）陈皮（八分）杏仁（三钱）红枣（七枚）

老年人素有咳血病史，此次又发作，肋背抽痛，痰中带血，脉弦细，舌白，有寒热，应当用肝风射肺法。
青蒿梗（三钱）炙鳖甲（五钱）生地（五钱）当归（三钱）川续断（三钱）冬桑叶（一钱半）生牡蛎（五钱）橘红（八分）生白芍（三钱）象贝母（三钱）

产后左手脉应细虚，而右手弦大，喉燥，肌热，动则有汗，肌肤作肿，应当属于血虚，肝风为病。生产已满一个月，身子尚未干净，服药后经血多且旺，颜色红，间有黑块，恐怕日久致成崩漏。
大生地（六钱）当归（三钱）炙鳖甲（五钱）地骨皮（五钱）炒白芍（三钱）生牡蛎（五钱）泽泻（一钱半）川石斛（三钱）陈皮（八分）麦冬（三钱）

眼科分为五轮八廓，如果视物不清，是肾轮的问题，方书中认为视力衰退，将石决明与五味子同用，可使目视得力，使用颇为有效。只是脉弦细，药物不宜过重。
熟地黄炭（六钱）炙龟板（四钱）北五味子（二钱，捣碎）石决明（五钱）当归（三钱）炒白芍（三钱）制香附（三钱）炒怀山药（四钱）合欢皮（三钱）密蒙花（三钱）广木香（八分）炒甘枸杞子（三钱）

大疟疾后，咳嗽，舌黄，盗汗，腹痛肠鸣腹泻，脉弦大，应当属于出于厥阴经。
青蒿梗（三钱）炙鳖甲（五钱）蜜炙桂枝（一钱半）清炙甘草（一钱半）冬桑叶（一钱半）
生牡蛎（五钱）生白芍（五钱）半夏曲（三钱）陈皮（八分）当归（三钱）干荷叶（一角）

肺疟没有补法，久了必然邪气不净。现在身上有汗已透，但头上尚不至流汗，诊脉右手尚弦大，左关独数，胃口和二便均好，我的见解总属肺疟。
苏薄荷叶（一钱半）淡豆豉（三钱）滑石（三钱）白芥子（一钱半）白蔻壳（一钱半）
象贝母（三钱）酒黄芩（三钱）桔梗（一钱半）炙甘草（八分）冬桑叶（一钱）丝瓜叶（三片）

六脉滞大，大便作溏便，掌心发热，应当属于肺分有湿热，嗜睡者，即是其征象。

英文

The fever of Wind-Warmth has subsided, delirium has ceased, and diarrhea has stopped; only cough with phlegm remains, the pulse is still wiry, and the appetite is poor. Gan-Han (Sweet-Cold method to nourish yin and clear deficiency heat) should be used.
Radix Rehmanniae Recens (Sheng Dihuang, 6 qian), Fructus Aurantii (Ju Hong, 8 fen), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Cortex Lycii (Di Gu Pi, 3 qian), Rhizoma Bletillae (Xiang Bei, 3 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Semen Ziziphi Spinosae Preparatum (Chao Suan Zao Ren, 3 qian), Poria (Fu Shen, 3 qian), Aromata Tsaoko (Yang Chun Sha, 0.8 qian), Radix Notoginseng (San Qi, not listed but implied in context? No, strictly extract: Dang Gui, Bai Zhu, Huang Qi, etc. from next formula). Wait, strictly following the text:
Radix Rehmanniae Recens (Gen Sheng Di, 6 qian), Herba Ophiopogonis (Mai Dong, 3 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Flos Platycodonis (Jie Geng, 2 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qen), Pericarpium Citri Reticulatae (Ju Hong, 8 fen), Fructus Hordei Germinatus (Sheng Gu Ya, 4 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Cortex Lycii (Di Gu Pi, 3 qian), Caulis Dendrobii (Chuan Shi Hu, 3 qian), Folium Bambusae (Zhu Ye, 30 slices).

Fever for seven or eight days, cough with phlegm, watery diarrhea with abdominal pain, delirium, extreme thirst, bright red tongue, pulse wiry and fine-rapid. This indicates pathogen between Heart and Lung. Treat using Upper Jiao method. The diarrhea originates from Lung, as Lung and Large Intestine are interior-exterior related. (In Upper Jiao diseases, pathogen entering Pericardium is severe.)
Cornu Saigae Tataricae (Ling Yang Jiao, 2 qian, decoct first), Radix Rehmanniae Recens (Gen Sheng Di, 6 qian), Herba Ophiopogonis (Mai Dong, 3 qian, keep heart), Fructus Forsythiae (Lian Qiao, 3 qian, keep heart), Semen Coicis (Sheng Yi Yi Ren, 6 qian), Poria (Fu Ling, 3 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Pericarpium Citri Reticulatae (Ju Hong, 8 fen), Radix Curcumae Longae (Chuan Yu Jin, 1.5 qian), Rhizoma Acori Tatarinowii (Chuan Shi Chang Pu, 1.5 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Folium Bambusae (Zhu Ye, 40 slices).

Long-standing illness belongs to Deficiency. Relapse upon exertion is called Lao-Fu (Labor Relapse). Ancients used Tonification methods. Now, although pulse is rapid, deep palpation feels weak and cold due to prolonged sitting, indicating Yang Deficiency. Bone and sinew soreness generally belong to Blood issues. Re-prescribe Gui Pi Tang (Spleen-Restoring Decoction) with modifications.
Panax ginseng var. japonicus (Dong Yang Shen, 1.5 qian), Rhizoma Atractylodis Macrocephalae Preparated (Jiao Dong Zhu, 3 qian), Radix Astragali Praeparata (Qing Zhi Mian Huang Qi, 3 qian), Semen Ziziphi Spinosae Preparatum (Chao Suan Zao Ren, 3 qian), Poria (Fu Shen, 3 qian), Lignum Aquilariae Resinatum (Guang Mu Xiang, 1 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1 qian), Radix Polygalae Preparata (Yuan Zhi Tan, 8 fen), Radix Rehmanniae Preparata (Shu Di Tan, 5 qian), Rhizoma Zingiberis Recens (Sheng Jiang, 2 slices), Fructus Jujubae (Hong Zao, 7 pieces), Arillus Litchi (Gui Yuan Rou, 14 pieces).

Upper Jiao Lung Distension has persisted for one year, a most difficult condition to cure. It has responded to treatment but relapsed as before, likely due to mistaken consumption of greasy food.
Pericarpium Trichosanthis (Gua Lou Pi, 8 qian), Fructus Aurantii (Zhi Ke, 2 qian), Flos Platycodonis (Jie Geng, 3 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Radix Scutellariae (Dan Huang Qin, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Semen Armeniacae Amarum (Xing Ren, 3 qian), Folium Menthae Haplocalycis (Su Bo He Ye, 1.5 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Fructus Forsythiae (Lian Qiao, 3 qian), Folium Bambusae (Zhu Ye, 30 slices).

Liver Pain involves Heart collaterals. Pain radiates to back and hypochondrium. Use Soft-Tonifying Collateral method. Symptoms improve slightly but root is not removed.
Radix Rehmanniae Preparata (Da Shu Di, 6 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Ramulus Cinnamomi (Gui Zhi, 1.5 qian), Semen Biocae (Bai Zi Ren, 3 qian), Radix Paeoniae Alba (Sheng Bai Shao, 3 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Fructus Lycii (Chao Gan Qi Zi, 3 qian), Radix Polygalae Preparata (Yuan Zhi Tan, 1 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian), Radix Aconiti Lateralis Preparata (Dan Fu Zi, 1.5 qian).

Thirteen-year-old maiden suffered Lower Jiao Liver Pain last winter. Six pulses were wiry-rapid. Follow Mr. Zhang Shiwen's method.
Radix Angelicae Sinensis (Dang Gui, 3 qian), Fructus Toosendan (Chuan Liu Zi, 3 qian), Fructus Foeniculi Preparated (Chao Xiao Hui, 1.5 qian), Radix Corydalis Preparated (Jiu Yan Hu, 1.5 qian), Radix Paeoniae Alba (Sheng Bai Shao, 3 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Lignum Dalbergiae Odoriferae (Jiang Zhen Xiang, 1 qian), Rhizoma Cyperi (Sheng Xiang Fu, 1.5 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Cortex Lycii (Di Gu Pi, 3 qian).

Liver Pain in Stomach region for over a month. Tongue coating abnormal, pulse wiry-rapid, aversion to cold. Follow He Jian's method.
Radix Angelicae Sinensis (Dang Gui, 3 qian), Fructus Toosendan (Chuan Liu Zi, 3 qian), Ramulus Cinnamomi (Gui Zhi, 1 qian), Radix Corydalis Wine-fried (Jiu Chao Yan Hu, 1.5 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, fried), Radix Paeoniae Alba Preparated (Chao Bai Shao, 2 qian), Pinellia Preparated with Alum (Fan Ban Xia, 2 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Fructus Aurantii (Zhi Ke, 1.5 qian), Radix Curcumae Longae (Chuan Yu Jin, 1.5 qian).

Chronic diarrhea. Spleen-moving method was effective. Next use Xiang Sha (Aromatic Sandalwood) method.
Radix Codonopsis (Wen Dang Shen, 3 qian), Rhizoma Atractylodis Macrocephalae Preparated (Jiao Dong Zhu, 3 qian), Poria (Fu Ling, 3 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Massae Medicatae Fermentatae (Ban Xia Qu, 2 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Lignum Aquilariae Resinatum (Guang Mu Xiang, 1 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Semen Alpiniae Katadaeae Roasted (Wei Yi Zhi Ren, 1.5 qian), Rhizoma Zingiberis Preparated (Pao Jiang Tan, 0.8 fen), Fructus Jujubae (Hong Zao, 7 pieces).

Rest Dysentery for four years. Medicine reduced pain slightly, but pain persists. Pulse wiry, tongue yellow. Continue previous method.
Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Radix Scutellariae (Dan Huang Qin, 3 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Lignum Aquilariae Resinatum (Guang Mu Xiang, 1.5 qian), Radix Coptidis Preparated (Chao Chuan Lian, 1 qian), Exocarpium Citri Grandis (Qing Pi, 1 qian), Fructus Toosendan (Chuan Liu Zi, 3 qian), Radix Corydalis Wine-processed (Jiu Yan Hu, 1.5 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian).

Abdominal pain, borborygmus, diarrhea or vomiting, poor appetite, yellow tongue, facial edema. Belongs to Wind-Heat in Liver division.
Radix Rehmanniae Recens (Da Sheng Di, 5 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba (Sheng Bai Shao, 3 qian), Ramulus Cinnamomi (Gui Zhi, 1 qian), Radix Glycyrrhizae Preparata (Zhi Gan Cao, 1.5 qian), Massae Medicatae Fermentatae (Chao Ban Xia Qu, 3 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Radix Alismatis (Ze Xie, 3 qian).

Youth deafness stems from Heat in Gallbladder division. Mistaken tonic use causes chronic deafness. Now Shaoyang governs, causing ear pain with discharge, alternating chills and fever, abdominal pain with incomplete diarrhea. All are Liver-Gallbladder diseases.
Radix Bupleuri (Ruan Chai Hu, 1.5 qian), Folium Menthae Haplocalycis (Bo He, 1.5 qian), Ramulus Cinnamomi (Gui Zhi, 1 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Radix Saposhnikoviae (Fang Feng, 1 qian), Fructus Forsythiae (Lian Qiao, 3 qian), Talcum (Hua Shi, 3 qian), Radix Gentianae (Long Dan Cao, 1.5 qian, wine-fried), Folium Ligustri Lucidi (Ku Ding Cha, 3 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian).

Chest/abdominal pain, borborygmus, dysentery-like diarrhea, yellow tongue, cold back, wiry-fine-rapid pulses on both hands. Belongs to Wood attacking Earth (Liver invading Spleen).
Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba (Sheng Bai Shao, 5 qian), Ramulus Cinnamomi (Gui Zhi, 1.5 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Fructus Toosendan (Chuan Liu Zi, 3 qian), Radix Corydalis Wine-processed (Jiu Yan Hu, 1.5 qian), Lignum Aquilariae Resinatum (Guang Mu Xiang, 1 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Pericarpium Citri Reticulatae (Chen Pi, 8 fen).

Cough resolved, but right breast previously protruded, then became small ulcer, now spreading near axilla. Pulse wiry-small. Belongs to Liver Wind and Depressed Heat.
Radix Rehmanniae Recens (Sheng Di, 5 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 4 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Bombyx Batryticatus (Wan Can Sha, 3 qian), Radix Paeoniae Rubra (Chi Shao, 2 qian), Prunella Spike (Xia Ku Cao Hua, 3 qian), Fructus Forsythiae (Lian Qiao, 3 qian), Radix Glycyrrhizae Joint (Sheng Gan Cao Jie, 2 qian).

Alternating chills and fever for half a year. Headache, cold sweat, cough, abdominal pain/diarrhea. Pulses wiry-fine-rapid. If no sweat, use Xiao Yao San. If sweating, use Qing Gu San.
Herba Artemisiae Annuae (Qing Hao Geng, 3 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Poria (Fu Ling, 3 qian), Rhizoma Atractylodis Macrocephalae Preparated (Jiao Dong Zhu, 1.5 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Pericarpium Citri Reticulatae (Xin Hui Pi, 8 fen), Folium Nelumbinis (He Ye, 1 corner).

May: First Liver Qi pain, then cough with blood, abdominal pain/diarrhea (dysentery-like or watery), yellow tongue, wiry pulse, slight chills/fever. My view: Clear Liver method.
Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba (Sheng Bai Shao, 5 qian), Ramulus Cinnamomi (Gui Zhi, 1.5 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Concha Ostreae (Sheng Mu Li, 6 qian), Lignum Aquilariae Resinatum (Guang Mu Xiang, 1 qian), Radix Coptidis Preparated (Chao Chuan Lian, 1 qian), Radix Alismatis (Ze Xie, 3 qian), Pericarpium Citri Reticulatae (Chen Pi, 1.5 qian).

Early, heavy, and delayed menstruation. Pale color. Bone/sinew pain. Insomnia, frequent urination. Benefit Yin and Astringe.
Radix Rehmanniae Recens (Da Sheng Di, 8 qian), Radix Angelicae Sinensis (Gui Shen, 3 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Rhizoma Dioscoreae Preparated (Chao Huai Yao, 4 qian), Semen Astragali Complanati Preparated (Chao Sha Yuan Zi, 4 qian), Radix Dipsaci (Chuan Xu Duan, 3 qian), Poria (Fu Shen, 3 qian), Herba Pyrrhosae (Shi Wei, 4 qian), Semen Ziziphi Spinosae Preparatum (Chao Suan Zao Ren, 3 qian, do not crush), Pericarpium Citri Reticulatae (Chen Pi, 8 fen).

Rest Dysentery for four years. Abdominal pain, edema of chest/abdomen/legs. Stool like ink. Wiry-fine pulse. Belongs to Jueyin Dysentery. (Two doses effective.)
Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Radix Scutellariae (Dan Huang Qin, 3 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Lignum Aquilariae Resinatum (Guang Mu Xiang, 1.5 qian), Radix Coptidis Preparated (Chao Chuan Lian, 1 qian), Exocarpium Citri Grandis (Xiao Qing Pi, 1.5 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian).

Fall injury caused chest pain. Vomited much blood. Excessive loss leads to nausea/phlegm/fluid. Wiry-fine pulse. Regulate Liver-Stomach.
Pinellia Preparated with Alum (Fan Ban Xia, 3 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Radix Coptidis Preparated (Chao Chuan Lian, 0.8 fen), Rhizoma Zingiberis Preparated (Pao Jiang Tan, 0.8 fen), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Radix Curcumae Preparated (Guang Yu Jin, 1.5 qian), Semen Armeniacae Amarum (Xing Ren, 3 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian).

Profuse sweating. Nourish Yin to stop sweat. Sweating patients heal by achieving non-sweating state. During menses, treat via menstruation regardless of disease. Chest fullness: Soothe Wood. No hunger: Liver-Stomach method + stop sweat.
Cortex Lycii (Di Gu Pi, 4 qian), Radix Rehmanniae Recens (Gen Sheng Di, 6 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Radix Trichosanthis (Tian Hua Fen, 3 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Radix Salviae Miltiorrhizae (Dan Shen, 3 qian), Pericarpium Citri Reticulatae (Xin Hui Pi, 8 fen), Caulis Dendrobii (Chuan Shi Hu, 4 qian), Fructus Papaveris (Xuan Mu Gua, 3 qian), Folium Nelumbinis (He Ye, 1 corner).

Liver Pain treated with tonics. Chest mass persists, requires long-term medication. Appetite decreased, tongue abnormal, Right hand pulse stagnant. Unblock Stomach.
Radix Rehmanniae Recens (Da Sheng Di, 8 qian), Radix Angelicae Sinensis (Gui Shen, 3 qian), Fructus Lycii (Gan Qi Zi, 3 qian), Semen Biocae (Bai Zi Ren, 4 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian), Pinellia Preparated (Zhi Ban Xia, 2 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen).

Illness over a month. White tongue, abdominal pain with loose stool, shortness of breath, cough with much phlegm, night sweats. Winter-Warmth mistreatment. Wiry-small pulse. Exterior Cold, Interior Heat method.
Folium Menthae Haplocalycis (Su Bo He Ye, 1.5 qian), Semen Armeniacae Amarum (Xing Ren, 3 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Flos Platycodonis (Jie Geng, 1.5 qian), Folium Mori Bombycis (Dong Sang Ye, 1 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Fructus Forsythiae (Lian Qiao, 3 qian), Semen Coicis (Sheng Yi Yi Ren, 5 qian), Poria (Fu Ling, 3 qian), Pericarpium Amomi (Bai Kou Qiao, 1 qian), Radix Scutellariae Wine-processed (Jiu Huang Qin, 3 qian), Folium Bambusae (Zhu Ye, 20 slices).

Abdominal pain, borborygmus, diarrhea. Wind-Wood method stopped diarrhea, but pain remains. Clean tongue. Left Guan pulse should rise. Liver Qi not cleared.
Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Fructus Toosendan (Chuan Liu Zi, 3 qian), Radix Corydalis Wine-processed (Jiu Yuan Hu, 1.5 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Radix Alismatis (Ze Xie, 2 qian), Fructus Gardeniae Preparated (Jiao Shan Zhi, 3 qian), Radix Salviae Miltiorrhizae (Dan Shen, 4 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1 qian).

Chronic cough, hoarseness, foul phlegm, large pulse. Sweet-Cold method.
Cornu Saigae Tataricae (Ling Yang Jiao, 2 qian, decoct first), Semen Armeniacae Amarum (Xing Ren, 3 qian), Herba Ophiopogonis (Mai Dong, 3 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Flos Platycodonis (Jie Geng, 2 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Flos Lonicerae Japonicae (Jin Yin Hua, 3 qian), Fructus Forsythiae (Lian Qiao, 3 qian), Folium Bambusae (Zhu Ye, 30 slices).

Dry cough >50 days. Lower abdomen/right mass throbbing pain. Shortness of breath, sweating with cough, poor appetite, dry mouth. Left hand wiry-large, Right hand wiry-rapid. Right tongue yellow. Lung Dryness with Liver Wind.
Semen Armeniacae Amarum (Xing Ren, 3 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Flos Platycodonis (Jie Geng, 2 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Herba Ophiopogonis (Mai Dong, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Fructus Amomi Rotundus (Yang Chun Sha, 0.8 qian, decoct together), Radix Rehmanniae Recens (Gen Sheng Di, 5 qian), Folium Bambusae (Zhu Ye, 30 slices).

Chronic cough 5-6 years. Recent wind-cold invasion. External pathogen present. Dispel external pathogen first.
Folium Menthae Haplocalycis (Su Bo He Ye, 1.5 qian), Semen Armeniacae Amarum (Xing Ren, 3 qian), Pericarpium Trichosanthis (Gua Lou Pi, 3 qian), Flos Platycodonis (Jie Geng, 2 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 2 qian), Radix Scutellariae Wine-processed (Jiu Huang Qin, 3 qian), Pericarpium Amomi (Bai Kou Qiao, 1 qian), Fructus Forsythiae (Lian Qiao, 3 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Folium Bambusae (Zhu Ye, 30 slices).

Severe Wind-Warmth 6 days. Cough, shortness of breath, thirst, yellow tongue, cold back, spontaneous sweat. Wiry-large pulse. Acrid-Cool method.
Folium Menthae Haplocalycis (Su Bo He Ye, 1.5 qian), Radix Scutellariae Wine-processed (Jiu Huang Qin, 3 qian), Cornu Saigae Tataricae (Ling Yang Jiao, 2 qian, decoct first), Flos Platycodonis (Jie Geng, 3 qian), Radix Glycyrrhizae Preparata (Sheng Gan Cao, 1.5 qian), Pericarpium Trichosanthis (Gua Lou Pi, 3 qian), Semen Armeniacae Amarum (Ku Xing Ren, 3 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1 qian), Pericarpium Citri Reticulatae (Ju Hong, 8 fen), Fructus Forsythiae (Lian Qiao, 3 qian), Folium Bambusae (Zhu Ye, 40 slices).

Amenorrhea >1 year. Alternating chills/fever, bitter taste, chest distension/nausea, cough. Wiry-fine pulse, clean tongue. Liver disease. Qing Gu San method.
Herba Artemisiae Annuae (Qing Hao Geng, 1.5 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Radix Rehmanniae Recens (Sheng Di, 5 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Lignum Dalbergiae Odoriferae (Jiang Zhen Xiang, 1 qian), Radix Curcumae Longae (Chuan Yu Jin, 1.5 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Radix Paeoniae Alba (Sheng Bai Shao, 3 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Folium Nelumbinis (He Ye, 1 corner).

Liver Wind attacking Lung. Hemoptysis, pain/diarrhea. Wiry-fine pulse. "Extract Wood from Earth" method.
Radix Rehmanniae Preparata (Sheng Di Tan, 6 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba (Sheng Bai Shao, 4 qian), Ramulus Cinnamomi (Gui Zhi, 1.5 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Radix Dipsaci (Chuan Xu Duan, 3 qian), Fructus Papaveris (Xuan Mu Gua, 3 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Poria (Fu Ling, 3 qian).

Chest pain, Stomach Qi descending poorly. Wiry-rapid pulse. He Jian method.
Radix Angelicae Sinensis (Dang Gui, 3 qian), Fructus Toosendan (Chuan Liu Zi, 3 qian), Ramulus Cinnamomi Apicalis (Gui Zhi Jian, 1 qian), Radix Corydalis Wine-processed (Jiu Yan Hu, 1.5 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 2 qian), Semen Biocae (Bai Zi Ren, 3 qian), Radix Polygalae Preparata (Yuan Zhi Tan, 0.8 fen), Pericarpium Amomi (Bai Kou Qiao, 1 qian), Pinellia Preparated with Alum (Fan Ban Xia, 2 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Folium Nelumbinis (He Ye, 1 corner).

Repeated metrorrhagia. Condition unstable. Bleeding stopped. Liver methods failed. Vertigo, temporal/tooth pain. Loose stool, yellow tongue, Left hand wiry-rapid. Liver Blood Deficiency, Wind-Heat rising.
Radix Rehmanniae Recens (Da Sheng Di, 1 liang), Radix Angelicae Sinensis (Gui Shen, 4 qian), Fructus Tribuli Preparated (Chao Ci Ji Li, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Concha Ostreae (Sheng Mu Li, 8 qian), Radix Paeoniae Alba (Sheng Bai Shao, 3 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Flos Chrysanthemi Preparated (Gan Ju Tan, 1.5 qian), Radix Drynariae (Gu Sui Bu, 3 qian), Cortex Moutan Preparated (Chao Dan Pi, 3 qian), Folium Menthae Haplocalycis (Bo He, 1.5 qian), Folium Nelumbinis Dry (Gan He Ye, 1 corner).

August: Initial Malaria, every other day. Still every other day. Night sweats. Left hand wiry-large, Right hand wiry. Chronic Malaria leads to Deficiency. Profuse sweating: seek cessation of sweating. Follow Ke's method.
Radix Polygoni Multiflori Preparata (Zhi Shou Wu, 6 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Radix Codonopsis (Wen Yuan Dang, 3 qian), Rhizoma Zingiberis Preparated (Pao Jiang Tan, 1 qian), Ramulus Cinnamomi Honey-fried (Mi Zhi Gui Zhi, 1.5 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Pinellia Preparated with Alum (Fan Ban Xia, 2 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Semen Armeniacae Amarum (Xing Ren, 3 qian), Fructus Jujubae (Hong Zao, 7 pieces).

Elderly with history of hemoptysis. Relapse. Rib/back pulling pain, blood in sputum. Wiry-fine pulse, white tongue, chills/fever. Liver Wind attacking Lung method.
Herba Artemisiae Annuae (Qing Hao Geng, 3 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Radix Rehmanniae Recens (Sheng Di, 5 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Dipsaci (Chuan Xu Duan, 3 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Pericarpium Citri Reticulatae (Ju Hong, 8 fen), Radix Paeoniae Alba (Sheng Bai Shao, 3 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian).

Postpartum: Left pulse should be fine-deficient, but Right is wiry-large. Dry throat, skin fever, sweating on movement, edema. Blood Deficiency, Liver Wind disease. Postpartum >1 month, lochia not cleared. Medicine increased flow, red with black clots. Risk of Metrorrhagia.
Radix Rehmanniae Recens (Da Sheng Di, 6 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Cortex Lycii (Di Gu Pi, 5 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Radix Alismatis (Ze Xie, 1.5 qian), Caulis Dendrobii (Chuan Shi Hu, 3 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Herba Ophiopogonis (Mai Dong, 3 qian).

Ophthalmology Five Wheels/Eight Palaces. Blurred vision: Kidney Wheel issue. Fang Shu suggests Shell of Concha Arcae (Shi Jue Ming) and Fructus Schisandrae (Wu Wei Zi) for vision. Effective. But wiry-fine pulse, avoid heavy meds.
Radix Rehmanniae Preparata (Shu Di Tan, 6 qian), Testudo Plastrum Preparated (Zhi Gui Ban, 4 qian), Fructus Schisandrae Chinensis (Bei Wu Wei Zi, 2 qian, crushed), Concha Arcae (Shi Jue Ming, 5 qian), Radix Angelicae Sinensis (Dang Gui, 3 qian), Radix Paeoniae Alba Preparated (Chao Bai Shao, 3 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 3 qian), Rhizoma Dioscoreae Preparated (Chao Huai Shan Yao, 4 qian), Lumen Albiziae (He Huan, 3 qian), Flos Buddlejae Officinalis (Mi Meng Hua, 3 qian), Lignum Aquilariae Resinatum (Guang Mu Xiang, 0.8 fen), Fructus Lycii Preparated (Chao Gan Qi Zi, 3 qian).

Post-Severe Malaria: Cough, yellow tongue, night sweats, abdominal pain/borborygmus/diarrhea. Wiry-large pulse. Jueyin origin.
Herba Artemisiae Annuae (Qing Hao Geng, 3 qian), Testudo Carapax et Plastrum Preparata (Zhi Bie Jia, 5 qian), Ramulus Cinnamomi Honey-fried (Mi Zhi Gui Zhi, 1.5 qian), Radix Glycyrrhizae Preparata (Qing Zhi Gan Cao, 1.5 qian), Folium Mori Bombycis (Dong Sang Ye, 1.5 qian), Concha Ostreae (Sheng Mu Li, 5 qian), Radix Paeoniae Alba (Sheng Bai Shao, 5 qian), Massae Medicatae Fermentatae (Ban Xia Qu, 3 qian), Pericarpium Citri Reticulatae (Chen Pi, 8 fen), Radix Angelicae Sinensis (Dang Gui, 3 qian), Folium Nelumbinis Dry (Gan He Ye, 1 corner).

Lung Malaria has no tonification method. Long duration implies incomplete pathogen. Sweat penetrated body but not head. Right hand wiry-large, Left Guan rapid. Good appetite/bowel/bladder. View: Lung Malaria.
Folium Menthae Haplocalycis (Su Bo He Ye, 1.5 qian), Semen Sojae Preparatum (Dan Dou Chi, 3 qian), Talcum (Hua Shi, 3 qian), Semen Sinapis Albae (Bai Jie Zi, 1.5 qian), Pericarpium Amomi (Bai Kou Qiao, 1.5 qian), Bulbus Fritillariae Thunbergii (Xiang Bei, 3 qian), Radix Scutellariae Wine-processed (Jiu Huang Qin, 3 qian), Flos Platycodonis (Jie Geng, 1.5 qian), Radix Glycyrrhizae Preparata (Zhi Gan Cao, 0.8 fen), Folium Mori Bombycis (Dong Sang Ye, 1 qian), Folium Luffae (Si Gua Ye, 3 slices).

Six pulses stagnant-large. Loose stool. Hot palms. Lung Division Damp-Heat. Lethargy is sign.