真水涵濡木火，遂其生生之机，自不致有化火生风之弊。今带下频仍，脂液耗损，木失涵养，则厥气冲
胃，胃脘作痛。抑则为气，升则为风，风主动摇，所以脉络抽掣，甚而作痛也。宜养血调气，兼益脾肾。至于
孕育一层，苟得气血充和，自有造化天然之理。
奎党参（三两） 川断肉（三两） 浓杜仲（三两） 生山药（二两） 熟地炭（三两） 桑寄生（二两酒炒）
绵（一两五钱盐水炙） 生胡麻仁（二两） 川芎（一两五钱） 木防己（一两酒炒） 炒香玉竹（二两）
制首乌（五两切）
白归身（三两酒炒） 炒粉丹皮（一两五钱） 金铃子（切一两五钱） 野于术（一两枳实七钱二味同炒）
延胡索（一两酒炒） 紫丹参（二两） 制香附（三两） 生熟草（各三钱） 白芍（二两酒炒） 左秦艽（一两
）制半夏（一两五钱） 茯苓神（各一两） 炒杞子（三两） 潼沙苑（盐水炒三两） 砂仁（七钱另研和入）
上药研为细末，用鸡血藤膏一两煎汤，和入白蜜，捣药为丸如桐子大，每晨服二钱，下午半饥时服
二钱，俱用开水送下。照方合三分之二。
李（左） 阴阳者，万物之纲纪，变化之父母，左右者，阴阳之道路也，阴阳相贯，如环无端，故太过者病，不
及者病，经旨如此。忆自初诊之时，腿股厥而欠温，继则每有重着之处，辄觉脉络不舒。如谓腿股欠温，
阳气必虚，虚则不能旁达，理亦近是。岂知阳气衰微，必肌肤淡白而少华色，一经温补，必精神焕发，百
病蠲除。而见症如前，容光华泽。补阴而至于血肉之品，则龟甲为阴之极也，补阳而至于血肉之品，则
鹿茸为阳之极也，乃服鹿茸在前，诸病杂出在后，脉象濡而带滑，因知阳气并无所损，而有似乎损者，
阳气之有所不通也。补泻之关键，毫厘之千里，于此而分。所以并无补养之品，药辄应手，于以知阴阳
相贯，则变化生生，自无太过不及之弊。今病象已得减轻，是善后之计，乃及今要务。夫阳气营运，本无
所阻，所以阻者湿也。湿土之下，燥气乘之，所以湿郁之甚，而风即暗生，脉络不和，诸象皆由此致。及今
之计，惟有运化浊痰，分消湿热。然分化太过，未免戕伐，因以补气之药参之，务期阴阳相生，道路交通，
太过不及，各得其平，即是颐养天和之道。爰拟补气培脾养肝，以作调摄之资。而上则宣肺，中则和胃，
下则分利膀胱，三焦流畅，湿痰自无容足之地，譬如一室氤氲，洞开前后，顷刻干洁。拙见所及，质之高
明者，以为如何。
炙绵 土炒野于术 广藿香 郁金 制半夏 别直参（另研和入）
苍术（米泔浸麻油炒黄） 白蔻仁（另研和入） 泽泻 川雅连 猪苓 制首乌（炒切）
炒霞天曲 奎党参 云茯苓 生熟薏仁 白归身 陈广皮
苦杏仁（去皮尖炒） 左秦艽 酒炒杭白芍 桑寄生 枳实 桔梗
上药如法研为细末，水泛为丸如绿豆大，丸粒稍大为妙，每晨服三钱，下午半饥时服一钱五分，开水送下，
祝（左） 膝膑后屈伸不利，病在阳明有余，阳明病则不能束筋骨而利机关。无如嗣续尚虚，精滑不固。
固其精气，必致湿热壅闭。然精欲其固，湿欲其泄，精之与水，本属两途，即从此意，用通涩并投之法。即请正之。
制半夏（三两） 炒于术（二两） 潼沙苑（盐水炒二两） 覆盆子（二两酒浸九蒸） 广陈皮（一两五钱）
川萆 （二两） 山萸肉（一两酒蒸） 泽泻（二两） 芡实（一两） 川断肉（一两） 生米仁（三两） 白茄
根（一两五钱） 甘杞子（二两） 莲须（三钱） 木猪苓（二两） 菟丝子（二两酒蒸）
上药研为细末，用金樱子膏打糊为丸如桐子大，上下午半饥时各服二钱，淡盐汤送下。
某 脉右关独大，饮食起居如平人，而面色无华，口有秽气，时觉口渴。夫口臭者，胃热也，口秽且渴，胃
热明矣。经云、心者生之本，神之变也，其华在面。今面色无华，又似心经主病。良以心主血，营出中焦，今
胃中常被热灼，胃液常不能自养，而欲求救于水，水谷之气，化血微少，血液不充，自不能上华，其面。治
之之法，清胃热即所以裕其生血之源，非无理蛮补所能塞责者。
西洋参（三两） 生甘草（七钱） 炒当归（一两） 炒杞子（三两） 大天冬（二两） 肥玉竹（二两）
奎党参（三两） 浓杜仲（三两） 大麦冬（二两） 炒山药（三两） 大生地（四两） 大熟地（三两）
泽泻（一两五钱） 粉丹皮（二两） 白茯苓（三两） 淡黄芩（一两酒炒） 柏子仁（二两去油） 生于术（一两
五钱） 生扁豆皮（二两） 炒枣仁（一两五钱） 竹沥半夏（一两五钱） 橘红（盐水炒一两） 生薏仁（二两）
上药研为细末，用川石斛五两煎浓汤，糊丸如绿豆大，每晨服三钱，开水送下。
荣（左） 右肩臂作痛，前言阳明络虚，风痰入络，化痰宣络，如鼓应桴。调理之计，似可执守成法，无俟更
章矣。岂知有不然者。病有标本，标可从治，化痰宣络是也。病标既退，自当及本。即如气喘曾发数次，至
今行动每苦气逆，如果因痰而喘，于痰邪之外，别无所因。则于喘过之后，平日必有咯出之痰，何能泯
然无迹。吾人呼出之气，出于心肺，吸入之气，入于肝肾，所以肺在上主气之出，肾在下主气之纳。惟下
虚斯肾虚，不能仰吸肺气下行，气至中途，即行返出，此其所以为喘也。所以发而止，止而不轻复发者。
以下虽空乏，无所触引，尚堪收摄，惟行动触之，几不能摄耳。肝为肾子，水亏不能涵木，木燥生风，肌肉
跳动，时而眩晕，皆风木亢盛之象，故曰病标既退，自当及本。拟益肾阴而不涉腻滞，助肾气而不涉刚
燥，仍参蠲饮以治其上。
制首乌（四两炒） 阿胶珠（二两） 大生地（姜汁炙四两） 杭白芍（一两五钱） 炒杞子（三两） 云茯苓
（二两） 浓杜仲（二两） 广橘红（一两） 生蒺藜（二两） 酒炒白归身（一两五钱） 小胡麻（一两五
钱） 川断肉（一两五钱） 煨天麻（一两） 大有 （二两防风三钱煎汁炒） 盐水炒潼沙苑（二两）
龟板胶（二两牡蛎粉炒） 吉林小兼条参（一两另研和入） 生牡蛎（二两另研和入） 大天冬（一两五钱） 大麦
冬（一两五钱） 炒萸肉（一两五钱） 牛膝炭（一两） 滁菊花（一两） 桑寄生（二两） 炙黑草（五钱）
炒于术（一两五钱）
制西洋参（二两）
上为细末，用桑枝膏打糊为丸，每晨空心服三钱，下午半饥时服一钱五分，开水送下。
某 夙有哮喘，肺气不克下降，脾土不主运旋，始则生痰聚饮，继则气机凝滞，不能通泄，以致少腹疝
瘕，脐下有形，小腹胀满，按之坚硬。少腹两旁属肝，居中为冲脉，经谓冲脉为病，男子内结七疝，女子带
下瘕聚。良由冲气不调，则脉络皆阻，为积为聚，由是来矣。宜宣通脉络。勿谓冬季膏丸，须藉滋补以养
生却病，邪之不去，正与何有。
全当归（一两酒炒） 制香附（一两） 薄橘红（八钱） 泽泻（七钱） 炒小茴（三钱） 川芎（蜜水
炒五钱） 制半夏（一两） 炒薏仁（一两五钱） 柏子仁（一两五钱去油） 吴萸（盐水炒三钱） 楂炭
（一两五钱） 白茯苓（一两五钱） 酒炒杭白芍（七钱） 甘杞子（一两五钱） 生熟草（各一钱） 台
乌药（八钱） 酒炒延胡索（八钱） 上徭桂（一钱五分另研和入） 金铃子（一两） 干苁蓉（一两）
上药研为细末，用青葱连根叶三十茎，打烂糊药为丸，如药末嫌干，可加浓米汤，每晨服二钱，下午
半饥时服一钱，俱用开水送下。
钱（左） 卧则气逆，大便兼旬方解，四肢不时厥冷，甚则胸中热辣，似在线冲，得呕酸水则松，腿股筋掣，
遗精频发。脉沉弦，苔白。此由痰饮内伏，上阻肺气则气逆，下困脾运则脾约，阳气之流行为之不宣。胃
土失降，胆木漂拔，精关为之混淆。徒事呆补无益也。拟补气蠲饮，分化泄浊法。
别直参（一两五钱另研和入） 炙绵 （三两） 炒杞子（二两） 干苁蓉（一两五钱） 炒于术（二两） 炙黑
草（五钱） 枳实（八钱） 霞天曲（二两炒） 浙茯苓（四两） 干姜（七钱蜜炙） 白蒺藜（二两） 浓杜仲
（二两） 制半夏（三两） 川桂木（七钱） 川萆 （二两） 泽泻（一两五钱） 煨天麻（一两） 木猪苓（
二两） 左秦艽（一两） 广陈皮（一两五钱）
上药研为细末，水泛为丸，每日下午服二钱，晚间服二钱，俱用开水送下。如大便不通，每日空心服
玉壶丹八分，亦用开水送下，服三四日后即停，不可常服。
葛（右） 通则不痛，痛则不通，理之常也。中脘作痛，显属肝木冲侮胃土，而头目昏晕，心下怔悸。仲圣云、
心下悸者为有水气。则知胃少通降，浊邪攒聚，疏和肝胃，尤必以祛逐浊邪为主。
制半夏（一两五钱） 高良姜（五钱） 淡姜渣（三钱） 茯苓（三两） 炙黑草（四钱） 甜广皮（一两五钱）
公丁香（四钱） 藿香梗（三两） 吴萸（三钱） 广木香（六钱） 炒枳壳（一两二钱） 台乌药（一两五钱）
缩砂仁（七钱另研和入） 白蒺藜（二两） 炒枣仁（二两） 杭白芍（一两） 炒杞子（三两） 野于术（八钱）
东洋参（二两） 制香附（三两）
上药如法炮制，研为细末，用薤白头一两打烂，水煎取汁，打糊为丸如绿豆大，每半饥时服三钱。
俞（左） 疟后忽起遗泄，旋至多梦纷纭，体软力乏夫心实则梦可惊可忧，心虚则纷纭多梦。今脉象浮
滑，且进厘清之剂，遗泄转减。此盖由脾湿有余，扰动精关，心胆气浮，故有似心虚见象也。
炒党参（二两） 制半夏（二两） 海蛤粉（三两） 白蒺藜（二两） 甜冬术（三两） 川萆 （一
两五钱） 茯苓（三两） 辰砂（五分） 泽泻（一两五钱） 粉丹皮（一两五钱） 生甘草（四钱） 远
志肉（六钱） 生薏仁（八钱） 橘红（一两） 桑皮（七钱） 枳实（一两） 金箔（三张）
上药研细，用大淡菜三两，打糊为丸如桐子大，每日早晚各服二钱。
真水（肾阴）能够滋润涵养肝木与心火，使其保持生生不息的生机，自然就不会出现化火生风的弊端。如今带下病频繁发作，脂液耗损，导致肝木失去涵养，于是厥逆之气冲犯胃腑，引起胃脘疼痛。气机郁结则为气滞，升发太过则为风邪，风性主动摇，所以脉络出现抽掣感，甚至产生疼痛。治疗宜养血调气，兼补益脾肾。至于生育一事，只要气血充盛调和，自有天地造化自然的规律。
【方药】
党参三两、川断肉三两、杜仲三两、山药二两、熟地黄炭三两、桑寄生二两（酒炒）、绵萆薢一两五钱（盐水炙）、胡麻仁二两、川芎一两五钱、木防己一两（酒炒）、玉竹二两（炒香）、制何首乌五两（切片）。
当归身三两（酒炒）、丹皮一两五钱（炒）、金铃子一两五钱（切）、白术一两（与枳实七钱同炒）、延胡索一两（酒炒）、丹参二两、制香附三两、甘草三钱（生、熟各半）、白芍二两（酒炒）、秦艽一两、制半夏一两五钱、茯苓神各一两、枸杞子三两、沙苑蒺藜三两（盐水炒）、砂仁七钱（另研，和入药中）。
以上药物研为细末，用鸡血藤膏一两煎汤，加入白蜜，捣药制成梧桐子大小的丸剂。每晨服二钱，下午半饥时服二钱，均用开水送服。照此方配制三分之二剂量。
李氏患者（左侧脉象）：阴阳是万物的纲纪，变化的根源；左右是阴阳运行的道路。阴阳相互贯通，如圆环般没有尽头。所以阳气太过则病，不及也致病，医经旨意如此。回想初诊时，患者腿股部位厥冷且欠温，随后每逢身体沉重之处，便觉得脉络不畅舒。如果说腿股欠温是因为阳气必虚，虚则不能旁达四肢，道理似乎也接近正确。但哪里知道阳气衰微，必然肌肤淡白而无光泽，一经温补，必定精神焕发，百病消除。而该患者症状如前，面色却容光焕发。补阴用到血肉有情之品，龟甲是补阴的极致；补阳用到血肉有情之品，鹿茸是补阳的极致。然而患者先服用鹿茸，之后各种杂病反而出现，脉象濡软而带滑，因此得知阳气并没有受损，看似受损的情况，其实是阳气运行不通畅所致。补法与泻法的关键，在于毫厘之差决定千里之谬，区别就在这里。所以并未使用补养之品，药物往往应手而效，由此可知阴阳相互贯通，则变化生生，自然没有太过或不及的弊端。现在病象已经减轻，这是善后调理的关键时刻。夫阳气营运，本来无所阻碍，之所以受阻，是因为湿邪。湿土之下，燥气乘之，所以湿气郁结严重，风气便暗中滋生，脉络不和，各种现象皆由此导致。现在的对策，只有运化浊痰，分消湿热。然而分化太过，未免损伤正气，因此参入补气药物，务必使阴阳相生，道路交通通畅，太过与不及各得其平，这就是颐养天和之道。于是拟定补气培脾养肝，作为调摄的依据。上焦宣肺，中焦和胃，下焦分利膀胱，三焦流畅，湿痰自然无处容身，就像一间屋子雾气弥漫，打开前后门窗，顷刻间便干燥洁净。这是我的浅见，请教高明之士，以为如何？
【方药】
炙绵萆薢、土炒白术、广藿香、郁金、制半夏、别直参（另研，和入）、苍术（米泔水浸，麻油炒黄）、白蔻仁（另研，和入）、泽泻、黄连、猪苓、制何首乌（炒切）、炒霞天曲、党参、云茯苓、生薏苡仁、熟薏苡仁、当归身、陈皮、苦杏仁（去皮尖炒）、秦艽、酒炒杭白芍、桑寄生、枳实、桔梗。
以上药物依法研为细末，用水泛为丸，如绿豆大小，丸粒稍大些为好。每晨服三钱，下午半饥时服一钱五分，开水送服。
祝氏患者（左侧脉象）：膝盖后方屈伸不利，病在阳明经有余。阳明病则不能约束筋骨而利于关节运动。无奈患者嗣续（生殖功能）尚虚，精关不固而滑泄。若要固摄精气，必然导致湿热壅闭。然而精欲其固，湿欲其泄，精与水，本属两条途径，就依此意，采用通涩并用的方法。请指正。
【方药】
制半夏三两、炒白术二两、沙苑蒺藜二两（盐水炒）、覆盆子二两（酒浸九蒸）、广陈皮一两五钱、川萆薢二两、山萸肉一两（酒蒸）、泽泻二两、芡实一两、川断肉一两、生薏苡仁三两、白茄根一两五钱、甘枸杞二两、莲须三钱、木猪苓二两、菟丝子二两（酒蒸）。
以上药物研为细末，用金樱子膏打糊制成梧桐子大小的丸剂。上下午半饥时各服二钱，淡盐汤送服。
某患者：右关脉独大，饮食起居如常人，但面色无华，口有秽气，时常觉得口渴。口臭者，是胃热；口秽且渴，胃热显而易见。医经说：心是生命的根本，神的变化所在，其荣华表现在面部。如今面色无华，又似乎是心经主病。大概因为心主血，营气出于中焦，如今胃中常被热邪灼伤，胃液常不能自养，而想要求救于水，水谷之气化生的血液微少，血液不充盛，自然不能上荣于面。治疗的方法，清胃热就是来充裕其生血的源头，这不是胡乱蛮补所能搪塞责任的。
【方药】
西洋参三两、生甘草七钱、当归一两（炒）、枸杞子三两、天冬二两、玉竹二两、党参三两、杜仲三两、麦冬二两、山药三两、生地黄四两、熟地黄三两、泽泻一两五钱、丹皮二两、茯苓三两、黄芩一两（酒炒）、柏子仁二两（去油）、白术一两五钱、扁豆皮二两、酸枣仁一两五钱（炒）、竹沥半夏一两五钱、橘红一两（盐水炒）、薏苡仁二两。
以上药物研为细末，用石斛五两煎浓汤，糊丸如绿豆大小。每晨服三钱，开水送服。
荣氏患者（左侧脉象）：右肩臂疼痛，先前说是阳明络脉虚弱，风痰入络，化痰宣络，效果如鼓应桴。调理的计划，似乎可以坚守成法，无需更改章程了。哪里知道并非如此。病有标本，标症可以从治，化痰宣络即是。病标既然消退，自然应当顾及本元。就像气喘曾发作数次，至今行动每每苦恼气逆，如果是因为痰而喘，除了痰邪之外别无其他原因。那么在喘过之后，平日必定有咯出的痰，怎么能消失得无影无踪呢？人呼出的气，出于心肺；吸入的气，入于肝肾。所以肺在上主管气的呼出，肾在下主管气的纳受。只有下虚才肾虚，不能承接肺气下行，气至中途，即行返出，这就是气喘的原因。所以发作停止，停止后不轻易复发。以下虽空乏，无所触引，尚能收摄，只是行动触动它，几乎不能摄纳。肝为肾之子，水亏不能涵木，木燥生风，肌肉跳动，时而眩晕，都是风木亢盛的征象，所以说病标既退，自当及本。拟定益肾阴而不涉腻滞，助肾气而不涉刚燥，仍参入蠲饮之法以治其上。
【方药】
制何首乌四两（炒）、阿胶珠二两、生地黄四两（姜汁炙）、杭白芍一两五钱、枸杞子三两、茯苓二两、杜仲二两、广橘红一两、生蒺藜二两、当归身一两五钱（酒炒）、胡麻仁一两五钱、川断肉一两五钱、天麻一两（煨）、人参二两（防风三钱煎汁炒）、沙苑蒺藜二两（盐水炒）、龟板胶二两（牡蛎粉炒）、吉林人参条一两（另研，和入）、生牡蛎二两（另研，和入）、天冬一两五钱、麦冬一两五钱、山萸肉一两五钱（炒）、牛膝炭一两、菊花一两、桑寄生二两、甘草五钱（炙黑）、白术一两五钱（炒）。
制西洋参二两。
以上为细末，用桑枝膏打糊为丸。每晨空心服三钱，下午半饥时服一钱五分，开水送服。
某患者：素有哮喘，肺气不能下降，脾土不主运旋，起初生痰聚饮，继则气机凝滞，不能通泄，以致少腹疝瘕，脐下有形之物，小腹胀满，按之坚硬。少腹两旁属肝，居中为冲脉。医经说冲脉为病，男子内结七疝，女子带下瘕聚。大概由于冲气不调，则脉络皆阻，形成积证聚证，由此而来。宜宣通脉络。不要认为冬季膏丸，须藉滋补以养生却病，邪气不去，正气有何依托。
【方药】
当归一两（酒炒）、制香附一两、橘红八钱、泽泻七钱、小茴香三钱（炒）、川芎五钱（蜜水炒）、制半夏一两、薏苡仁一两五钱（炒）、柏子仁一两五钱（去油）、吴茱萸三钱（盐水炒）、山楂炭一两五钱、茯苓一两五钱、白芍七钱（酒炒）、枸杞子一两五钱、甘草一钱（生、熟各半）、乌药八钱、延胡索八钱（酒炒）、肉桂一钱五分（另研，和入）、金铃子一两、肉苁蓉一两。
以上药物研为细末，用青葱连根叶三十茎，打烂糊药为丸。如药末嫌干，可加浓米汤。每晨服二钱，下午半饥时服一钱，均用开水送服。
钱氏患者（左侧脉象）：卧则气逆，大便兼旬（二十天）方解，四肢不时厥冷，甚则胸中热辣，似有线冲，得呕酸水则松，腿股筋掣，遗精频发。脉沉弦，苔白。此由痰饮内伏，上阻肺气则气逆，下困脾运则脾约，阳气之流行为之不宣。胃土失降，胆木漂拔，精关为之混淆。徒事呆补无益也。拟补气蠲饮，分化泄浊法。
【方药】
别直参一两五钱（另研，和入）、绵萆薢三两、枸杞子二两（炒）、肉苁蓉一两五钱、白术二两（炒）、甘草五钱（炙黑）、枳实八钱、霞天曲二两（炒）、茯苓四两、干姜七钱（蜜炙）、白蒺藜二两、杜仲二两、制半夏三两、桂枝七钱、川萆薢二两、泽泻一两五钱、天麻一两（煨）、猪苓二两、秦艽一两、陈皮一两五钱。
以上药物研为细末，水泛为丸。每日下午服二钱，晚间服二钱，均用开水送服。如大便不通，每日空心服玉壶丹八分，亦用开水送服，服三四日后即停，不可常服。
葛氏患者（右侧脉象）：通则不痛，痛则不通，这是常理。中脘作痛，显属肝木冲侮胃土，而头目昏晕，心下怔悸。张仲景说：心下悸者为有水气。则知胃少通降，浊邪攒聚，疏和肝胃，尤必以祛逐浊邪为主。
【方药】
制半夏一两五钱、高良姜五钱、姜渣三钱、茯苓三两、甘草四钱（炙黑）、陈皮一两五钱（甜广皮）、丁香四钱、藿香梗三两、吴茱萸三钱、木香六钱、枳壳一两二钱（炒）、乌药一两五钱、砂仁七钱（另研，和入）、白蒺藜二两、酸枣仁二两（炒）、白芍一两、枸杞子三两、白术八钱、人参二两（东洋参）、制香附三两。
以上药物依法炮制，研为细末，用薤白头一两打烂，水煎取汁，打糊为丸如绿豆大小。每半饥时服三钱。
俞氏患者（左侧脉象）：疟疾后忽起遗泄，旋即多梦纷纭，体软力乏。心实则梦可惊可忧，心虚则纷纭多梦。如今脉象浮滑，且进厘清之剂，遗泄转减。这大概是由脾湿有余，扰动精关，心胆气浮，故有似心虚见象也。
【方药】
党参二两（炒）、制半夏二两、海蛤粉三两、白蒺藜二两、白术三两（甜冬术）、川萆薢一两五钱、茯苓三两、辰砂五分、泽泻一两五钱、丹皮一两五钱、生甘草四钱、远志肉六钱、薏苡仁八钱、橘红一两、桑皮七钱、枳实一两、金箔三张。
以上药物研细，用淡菜三两，打糊为丸如梧桐子大小。每日早晚各服二钱。
True Water (Kidney Yin) can moisten and nourish Liver Wood and Heart Fire, allowing them to maintain their generative vitality, thus naturally avoiding the drawback of transforming into fire and generating wind. Currently, leukorrhea occurs frequently, consuming body fluids and essence, causing Liver Wood to lose nourishment. Consequently, Jue Qi (rebellious Qi from the Liver channel) rushes against the Stomach, causing pain in the epigastrium. When constrained, it becomes Qi stagnation; when rising excessively, it becomes Wind. Since Wind is characterized by movement and tremor, the collaterals experience twitching and pulling, even leading to pain. The treatment should nourish Blood and regulate Qi, while simultaneously tonifying Spleen and Kidney. Regarding conception, as long as Qi and Blood are abundant and harmonious, there will naturally be the miraculous workings of Heaven and Earth.
[Prescription]
Codonopsis Radix (Dangshen) 3 liang, Dipsacus Asper (Duanyin/Du Zhong Rou) 3 liang, Eucommia Bark (Duzhong) 3 liang, Dioscorea Rhizome (Shanyao) 2 liang, Prepared Rehmannia Root Charcoal (Shudi Tan) 3 liang, Taxus Parasitica (Sangjisheng) 2 liang (stir-fried with wine), Polygonum Multiflorum Vine (Mian Bibo) 1.5 qian (prepared with salt water), Sesame Seed (Huma Ren) 2 liang, Ligusticum Rhizome (Chuanxiong) 1.5 qian, Stephania Tetrandra (Mufangji) 1 qian (stir-fried with wine), Ophiopogon Tuber (Yuzhu) 2 liang (stir-fried until fragrant), Prepared Fleeceflower Root (Zhi Shouwu) 5 liang (sliced).
Angelica Sinensis Root (Baiguishen) 3 liang (stir-fried with wine), Moutan Bark (Fendanpi) 1.5 qian (stir-fried), Chaenomeles Fruit (Jinlingzi) 1.5 qian (sliced), Atractylodes Macrocephala Rhizome (Yuzhu/Bai Zhu) 1 qian (stir-fried together with Aurantium Fructus/Zhishi 0.72 qian), Corydalis Rhizome (Yanhusuo) 1 qian (stir-fried with wine), Salvia Miltiorrhiza Root (Danshen) 2 liang, Cyperus Rhizome (Zhixiangfu) 3 liang, Licorice Root (Caosheng/Shucao) 3 qian (Raw and Prepared, each half), Paeonia Lactiflora Root (Baishao) 2 liang (stir-fried with wine), Gentiana Scabra Root (Zuo Qinjiao) 1 qian, Pinellia Tuber (Zhi Banxia) 1.5 qian, Poria Cocos (Fuling/Fushen) 1 qian each, Lycium Fruit (Qizi) 3 liang, Astragalus Complanatus Seed (Tong Shayuan) 3 liang (stir-fried with salt water), Amomum Fruit (Sharen) 0.7 qian (ground separately and mixed in).
The above herbs are ground into a fine powder. Use 1 liang of Spatholobus Stem Paste (Jixueteng Gao) decocted in water, add white honey, and knead the powder to make pills the size of paulownia seeds. Take 2 qian every morning and 2 qian in the afternoon when half-hungry, both washed down with boiled water. Prepare two-thirds of this prescription.
Patient Li (Left pulse): Yin and Yang are the general principles of all things and the parents of change; left and right are the pathways of Yin and Yang. Yin and Yang interpenetrate like a ring without end. Therefore, excess causes disease, and deficiency also causes disease; such is the purport of the classics. I recall that at the first consultation, the patient's legs and thighs were cold and lacked warmth. Subsequently, whenever there was a sensation of heaviness, the collaterals felt uncomfortable. If one says that coldness in the legs and thighs implies Yang deficiency, and deficiency prevents reaching the extremities, the reasoning seems close to truth. However, who would know that severe Yang deficiency must present with pale skin lacking luster, and upon warming and tonifying, spirit would be refreshed and diseases eliminated. Yet this patient's symptoms remained as before, but the complexion was radiant. To tonify Yin using animal-derived substances, Tortoise Shell (Guijia) is the extreme; to tonify Yang using animal-derived substances, Deer Antler (Lurong) is the extreme. However, after taking Deer Antler first, various miscellaneous diseases appeared later, and the pulse was soggy and slippery. Thus, I knew that Yang Qi was not damaged; the apparent damage was actually due to obstruction of Yang Qi flow. The key between tonification and purgation lies in a difference of millimeters determining a thousand miles; the distinction is here. Therefore, without using tonifying substances, the medicine worked promptly. From this, we know that when Yin and Yang interpenetrate, changes generate life, naturally avoiding excess or deficiency. Now that the pathological manifestations have lessened, this is the critical time for follow-up care. The operation of Yang Qi originally encounters no obstruction; the obstruction is caused by Dampness. Below the Damp Earth, Dry Qi acts upon it, so severe Dampness stagnation leads to latent generation of Wind, disharmony of collaterals, and all phenomena arise from this. The current strategy is to transform turbid Phlegm and separate/discharge Damp-Heat. However, excessive separation may harm healthy Qi, so Qi-tonifying herbs are added. We must ensure mutual generation of Yin and Yang, unimpeded traffic, and balance between excess and deficiency; this is the way to nurture the Harmonious Heavenly State. Thus, I propose tonifying Qi, cultivating Spleen, and nourishing Liver as resources for regulation. Upper Jiao: disperse Lung; Middle Jiao: harmonize Stomach; Lower Jiao: separate and drain Bladder. When the Three Jiao flows smoothly, Damp-Phlegm has no place to stand, just as a room filled with mist becomes dry instantly when front and back doors are opened. This is my humble opinion; how do you, experts, view it?
[Prescription]
Prepared Polygonum Multiflorum Vine (Zhi Mian Bibo), Soil-stir-fried Atractylodes Macrocephala Rhizome (Tu Chao Yuzhu), Patchouli Herb (Guang Huoxiang), Turmeric Tuber (Yujin), Prepared Pinellia Tuber (Zhi Banxia), Codonopsis Radix (Biezhi Shen - ground separately and mixed), Atractylodes Lancea Rhizome (Cangzhu - soaked in rice wash water, stir-fried yellow with sesame oil), White Cardamom Seed (Baokouren - ground separately and mixed), Alisma Rhizome (Zexie), Coptis Rhizome (Chuan Yalian), Polyporus (Zhuling), Prepared Fleeceflower Root (Zhi Shouwu - stir-fried and sliced), Stir-fried Xia Tian Qu, Codonopsis Radix (Kui Dangshen), Cloud Poria (Yun Fuling), Raw and Prepared Coix Seed (Sheng Shu Yiren), Angelica Sinensis Root (Baiguishen), Tangerine Peel (Chenguangpi), Bitter Apricot Kernel (Ku Xingren - peeled, core removed, stir-fried), Gentiana Scabra Root (Zuo Qinjiao), Hangzhou White Peony Root (Jiu Chao Hang Baishao), Taxus Parasitica (Sangjisheng), Aurantium Fructus (Zhishi), Platycodon Root (Jiegeng).
Grind the above herbs into a fine powder according to method. Form pills with water, size of mung beans; slightly larger pills are better. Take 3 qian every morning and 1.5 qian in the afternoon when half-hungry, washed down with boiled water.
Patient Zhu (Left pulse): Difficulty in flexion and extension behind the knee cap indicates excess in the Yangming channel. Yangming disease fails to bind sinews and bones and facilitate joint movement. Unfortunately, reproductive function is still deficient, with spermatorrhea and insecurity. To consolidate essence inevitably leads to Damp-Heat congestion. However, essence desires consolidation, while Dampness desires discharge; essence and water belong to different paths. Following this intent, use a method of combining astringency and unblocking. Please correct me.
[Prescription]
Prepared Pinellia Tuber (Zhi Banxia) 3 liang, Stir-fried Atractylodes Macrocephala Rhizome (Chao Yuzhu) 2 liang, Astragalus Complanatus Seed (Tong Shayuan) 2 liang (stir-fried with salt water), Raspberry (Fupenzi) 2 liang (soaked in wine, nine steamed), Broad-leaved Mandarin Peel (Guang Chenpi) 1.5 liang, Dioscorea Hypoglauca Rhizome (Chuan Bi) 2 liang, Cornelian Cherry Fruit (Shanyurou) 1 liang (steamed with wine), Alisma Rhizome (Zexie) 2 liang, Euryale Seed (Qianshi) 1 liang, Dipsacus Asper (Chuandourou) 1 liang, Raw Coix Seed (Sheng Yiren) 3 liang, White Eggplant Root (Baiqiegen) 1.5 liang, Sweet Goji Berry (Gan Qizi) 2 liang, Lotus Stamen (Lianxu) 3 qian, Wild Polyporus (Mu Zhuling) 2 liang, Dodder Seed (Tusizi) 2 liang (steamed with wine).
Grind the above herbs into a fine powder. Use Rose Apple Fruit Paste (Jinyingzi Gao) to make paste and form pills the size of paulownia seeds. Take 2 qian in the morning and evening when half-hungry, washed down with light salt water.
Patient Mou: Only the Right Guan pulse is enlarged. Diet and起居 are normal, but the complexion lacks luster, mouth has foul odor, and thirst is frequent. Bad breath indicates Stomach Heat; foul odor and thirst clearly confirm Stomach Heat. The classics state: The Heart is the root of life and the change of Spirit; its glory manifests in the face. Now the lack of luster in the face suggests Heart channel pathology. Essentially, the Heart governs Blood, and Ying Qi originates from the Middle Jiao. Currently, the Stomach is often scorched by Heat, Stomach fluids cannot self-nourish, and seek relief from water. The Qi of food and water transforms into little Blood; insufficient Blood cannot ascend to glorify the face. The treatment method is to clear Stomach Heat to enrich the source of Blood generation; this cannot be addressed by reckless tonification.
[Prescription]
American Ginseng (Xiyangshen) 3 liang, Raw Licorice Root (Sheng Gancao) 7 qian, Stir-fried Angelica Sinensis Root (Chao Danggui) 1 liang, Stir-fried Lycium Fruit (Chao Qizi) 3 liang, Large Asparagus Tuber (Datiantong) 2 liang, Plump Ophiopogon Tuber (Fei Yuzhu) 2 liang, Codonopsis Radix (Kui Dangshen) 3 liang, Eucommia Bark (Nong Duzhong) 3 liang, Large Ophiopogon Tuber (Damaitong) 2 liang, Stir-fried Dioscorea Rhizome (Chao Shanyao) 3 liang, Large Raw Rehmannia Root (Dashengdi) 4 liang, Large Prepared Rehmannia Root (Da Shudi) 3 liang, Alisma Rhizome (Zexie) 1.5 liang, Powdered Moutan Bark (Fen Danpi) 2 liang, White Poria (Bai Fuling) 3 liang, Light Scutellaria Root (Dan Huangqin) 1 liang (stir-fried with wine), Biota Seed (Baiziren) 2 liang (oil removed), Raw Atractylodes Rhizome (Sheng Yuzhu) 1.5 liang, Raw Lablab Skin (Sheng Bian Dou Pi) 2 liang, Stir-fried Sour Jujube Seed (Chao Zaoren) 1.5 liang, Bamboo Sap Pinellia (Zhuli Banxia) 1.5 liang, Orange Red (Juhong) 1 liang (stir-fried with salt water), Raw Coix Seed (Sheng Yiren) 2 liang.
Grind the above herbs into a fine powder. Decoct 5 liang of Dendrobium Stem (Chuan Shihu) in thick soup, use for pill-making. Form pills the size of mung beans. Take 3 qian every morning, washed down with boiled water.
Patient Rong (Left pulse): Pain in the right shoulder and arm. Previously stated as deficiency of Yangming collaterals, with Wind-Phlegm entering collaterals. Transforming Phlegm and unblocking collaterals yielded results like a drum responding to a beat. The plan for regulation seems to adhere to established methods without need for new chapters. Who would know otherwise? Disease has root and branch; the branch can be treated symptomatically, such as transforming Phlegm and unblocking collaterals. Once the branch recedes, attention should turn to the root. For instance, asthma occurred several times, and now movement causes Qi rebellion. If it were merely Phlegm-induced asthma, besides Phlegm pathogen, there would be no other cause. Then after an asthma attack, there should always be expectorated Phlegm daily, how could it vanish without a trace? The air we exhale comes from Heart and Lung; inhaled air enters Kidney and Liver. Thus, Lung above governs exhalation, Kidney below governs inhalation. Only lower deficiency leads to Kidney deficiency, failing to receive Lung Qi descending. Qi reaches midway and returns, which is why asthma occurs. Hence, it stops after onset and does not easily recur. Although lower parts are empty and lack stimulation, they can still retain; only movement triggers inability to retain. Liver is the child of Kidney; Water deficiency fails to nourish Wood, Wood dryness generates Wind, muscle twitching, and occasional dizziness are all signs of hyperactive Wind-Wood. Thus, once the branch recedes, one must address the root. The proposal is to tonify Kidney Yin without being cloying, assist Kidney Qi without being harsh/dry, and still incorporate methods to dispel fluid retention to treat the upper.
[Prescription]
Prepared Fleeceflower Root (Zhi Shouwu) 4 liang (stir-fried), Donkey-hide Gelatin Beads (E'jiao Zhu) 2 liang, Large Raw Rehmannia Root (Dashengdi) 4 liang (roasted with Ginger Juice), Hangzhou White Peony Root (Hang Baishao) 1.5 liang, Stir-fried Lycium Fruit (Chao Qizi) 3 liang, Cloud Poria (Yun Fuling) 2 liang, Eucommia Bark (Nong Duzhong) 2 liang, Broad Mandarin Peel (Guang Juhong) 1 liang, Raw Tribulus Fruit (Sheng Jili) 2 liang, Angelica Sinensis Root (Jiu Chao Baiguishen) 1.5 liang (stir-fried with wine), Small Sesame (Xiao Huma) 1.5 liang, Dipsacus Asper (Chuandourou) 1.5 liang, Gastrodia Tuber (Wei Tianma) 1 liang, Large Ginseng (Dayou Shen) 2 liang (stir-fried with decoction of Saposhnikovia Root/Fangfeng 3 qian), Astragalus Complanatus Seed (Shuiyan Chao Tong Shayuan) 2 liang (stir-fried with salt water), Tortoise Shell Gelatin (Guiban Jiao) 2 liang (stir-fried with Oyster Shell Powder/Mulifens), Jilin Small Parallel Ginseng Strip (Jilin Xiao Jian Tiaoshen) 1 liang (ground separately and mixed), Raw Oyster Shell (Sheng Muli) 2 liang (ground separately and mixed), Large Asparagus Tuber (Datiantong) 1.5 liang, Large Ophiopogon Tuber (Damaitong) 1.5 liang, Stir-fried Cornelian Cherry Fruit (Chao Yurou) 1.5 liang, Achyranthes Root Charcoal (Niuxi Tan) 1 liang, Chrysanthemum Flower (Chu Juhua) 1 liang, Taxus Parasitica (Sangjisheng) 2 liang, Licorice Root (Zhei Heicao) 5 qian (charred), Stir-fried Atractylodes Rhizome (Chao Yuzhu) 1.5 liang.
Prepared American Ginseng (Zhi Xiyangshen) 2 liang.
Grind into fine powder. Use Mulberry Branch Paste (Sangzhi Gao) to make paste and form pills. Take 3 qian every morning on an empty stomach and 1.5 qian in the afternoon when half-hungry, washed down with boiled water.
Patient Mou: Suffering from chronic asthma, Lung Qi fails to descend, Spleen Earth fails to transport and rotate. Initially generating Phlegm and accumulating Fluid Retention, subsequently Qi mechanism stagnates, unable to circulate and drain, leading to Shaofold Hernia and Masses, palpable mass below umbilicus, distension and fullness in lower abdomen, hard upon pressure. Both sides of lower abdomen belong to Liver, center belongs to Chong Mai. Classics state Chong Mai disease: men suffer internal seven hernias, women suffer leukorrhea and masses. Essentially due to irregular Chong Qi, collaterals are blocked, forming accumulations and collections, hence arising. Should disperse and unblock collaterals. Do not think winter pastes/pills require tonification to nourish health and expel disease; if pathogen is not removed, what reliance can Healthy Qi have?
[Prescription]
Whole Angelica Sinensis Root (Quan Danggui) 1 liang (stir-fried with wine), Prepared Cyperus Rhizome (Zhi Xiangfu) 1 liang, Thin Tangerine Peel (Bo Juhong) 8 qian, Alisma Rhizome (Zexie) 7 qian, Stir-fried Small Fennel (Chao Xiao Hui) 3 qian, Ligusticum Rhizome (Chuanxiong) 5 qian (stir-fried with honey water), Prepared Pinellia Tuber (Zhi Banxia) 1 liang, Stir-fried Coix Seed (Chao Yiren) 1.5 liang, Biota Seed (Baiziren) 1.5 liang (oil removed), Evodia Fruit (Wuyu) 3 qian (stir-fried with salt water), Hawthorn Charcoal (Zha Tan) 1.5 liang, White Poria (Bai Fuling) 1.5 liang, Hangzhou White Peony Root (Jiu Chao Hang Baishao) 7 qian, Sweet Lycium Fruit (Gan Qizi) 1.5 liang, Licorice Root (Sheng Shu Cao) 1 qian (each), Taioedo Root (Tai Wuyao) 8 qian, Corydalis Rhizome (Jiu Chao Yanhusuo) 8 qian (stir-fried with wine), Upper Yao Cinnamon Bark (Shang Yao Gui) 1.5 qian (ground separately and mixed), Chaenomeles Fruit (Jinlingzi) 1 liang, Dry Cistanche (Gan Congrong) 1 liang.
Grind the above herbs into a fine powder. Use 30 stalks of Green Onion including roots and leaves, mashed, to make paste for pills. If powder is too dry, add thick rice soup. Take 2 qian every morning and 1 qian in the afternoon when half-hungry, washed down with boiled water.
Patient Qian (Left pulse): Qi rebels when lying down, bowel movements resolve only after twenty days, limbs occasionally become cold, sometimes heat/burning in chest feels like threads rushing, loosening after vomiting sour water, leg/thigh tendon pulling, frequent spermatorrhea. Pulse deep and wiry, coating white. This is due to latent Phlegm-Fluid inside, obstructing Lung Qi upwards causing Qi rebellion, confining Spleen transport downwards causing Spleen constraint, blocking the flow of Yang Qi. Stomach Earth loses descent, Gallbladder Wood floats up, confusing the Essence Gate. Mere rigid tonification is useless. Propose tonifying Qi, dispelling Fluid, separating/differentiating, and draining turbidity.
[Prescription]
Biezhi Ginseng (Biezhi Shen) 1.5 liang (ground separately and mixed), Prepared Polygonum Multiflorum Vine (Zhi Mian Bibo) 3 liang, Stir-fried Lycium Fruit (Chao Qizi) 2 liang, Dry Cistanche (Gan Congrong) 1.5 liang, Stir-fried Atractylodes Rhizome (Chao Yuzhu) 2 liang, Licorice Root (Zhei Heicao) 5 qian (charred), Aurantium Fructus (Zhishi) 8 qian, Xia Tian Qu (Xia Tian Qu) 2 liang (stir-fried), Zhe Poria (Zhe Fuling) 4 liang, Dried Ginger (Ganjiang) 7 qian (honey-roasted), White Tribulus Fruit (Bai Jili) 2 liang, Eucommia Bark (Nong Duzhong) 2 liang, Prepared Pinellia Tuber (Zhi Banxia) 3 liang, Cinnamon Twig (Chuan Guimu) 7 qian, Dioscorea Hypoglauca Rhizome (Chuan Bi) 2 liang, Alisma Rhizome (Zexie) 1.5 liang, Gastrodia Tuber (Wei Tianma) 1 liang, Wild Polyporus (Mu Zhuling) 2 liang, Gentiana Scabra Root (Zuo Qinjiao) 1 liang, Broad Tangerine Peel (Guang Chenpi) 1.5 liang.
Grind the above herbs into a fine powder. Form pills with water. Take 2 qian every afternoon and 2 qian in the evening, washed down with boiled water. If constipation persists, take 0.8 fen of Yuhu Dan every morning on an empty stomach, also washed down with boiled water. Stop after 3-4 days; do not take regularly.
Patient Ge (Right pulse): Unblocked means no pain, pain means unblocked, this is the constant principle. Pain in Zhongwan clearly indicates Liver Wood attacking Stomach Earth, accompanied by dizziness/vertigo and palpitations below the heart. Master Zhang Zhongjing said: Palpitations below the heart indicate Water Qi. Thus knowing Stomach lacks descending function, turbid pathogens gather. Soothing and harmonizing Liver and Stomach especially requires expelling turbid pathogens as the main focus.
[Prescription]
Prepared Pinellia Tuber (Zhi Banxia) 1.5 liang, Galangal Rhizome (Gaoliangjiang) 5 qian, Light Ginger Residue (Dan Jiangzha) 3 qian, Poria Cocos (Fuling) 3 liang, Licorice Root (Zhei Heicao) 4 qian (charred), Sweet Tangerine Peel (Tian Guangpi) 1.5 liang, Public Clove (Gong Dingxiang) 4 qian, Agastache Stem (Huoxiang Geng) 3 liang, Evodia Fruit (Wuyu) 3 qian, Aucklandia Root (Guang Muxiang) 6 qian, Stir-fried Aurantium Fructus (Chao Zhiqiao) 1.2 liang, Taioedo Root (Tai Wuyao) 1.5 liang, Sand Amomum Fruit (Suosharen) 7 qian (ground separately and mixed), White Tribulus Fruit (Bai Jili) 2 liang, Stir-fried Sour Jujube Seed (Chao Zaoren) 2 liang, Hangzhou White Peony Root (Hang Baishao) 1 liang, Stir-fried Lycium Fruit (Chao Qizi) 3 liang, Wild Atractylodes Rhizome (Ye Yuzhu) 8 qian, Oriental Ginseng (Dongyangshen) 2 liang, Prepared Cyperus Rhizome (Zhi Xiangfu) 3 liang.
Process the above herbs according to method, grind into fine powder. Mash 1 liang of Allium Macrostemon Bulb (Xie Bai Tou), decoct in water to extract juice, use to make paste for pills the size of mung beans. Take 3 qian when half-hungry.
Patient Yu (Left pulse): After malaria, sudden emission/semen leakage occurred, followed by chaotic dreaming, soft body and weakness. Excess Heart leads to frightening/worrying dreams, Deficient Heart leads to chaotic dreams. Current pulse is floating and slippery. After administering clearing agents, emission decreased. This is likely due to excess Spleen Damp disturbing the Essence Gate, floating Qi of Heart and Gallbladder, thus presenting symptoms resembling Heart Deficiency.
[Prescription]
Stir-fried Codonopsis Radix (Chao Dangshen) 2 liang, Prepared Pinellia Tuber (Zhi Banxia) 2 liang, Sea Clam Powder (Haige Fen) 3 liang, White Tribulus Fruit (Bai Jili) 2 liang, Sweet Winter Atractylodes Rhizome (Tian Dongzhu) 3 liang, Dioscorea Hypoglauca Rhizome (Chuan Bi) 1.5 liang, Poria Cocos (Fuling) 3 liang, Cinnabar (Chensha) 0.5 fen, Alisma Rhizome (Zexie) 1.5 liang, Powdered Moutan Bark (Fen Danpi) 1.5 liang, Raw Licorice Root (Sheng Gancao) 4 qian, Polygala Root (Yuanzhi Rou) 6 qian, Raw Coix Seed (Sheng Yiren) 8 qian, Tangerine Peel (Juhong) 1 liang, Mulberry Bark (Sangpi) 7 qian, Aurantium Fructus (Zhishi) 1 liang, Gold Leaf (Jinbo) 3 sheets.
Grind the above herbs finely. Use 3 liang of large dried mussel (Dancai) to make paste and form pills the size of paulownia seeds. Take 2 qian every morning and evening.