潘(二十八岁) 咳嗽在先肺病,近日凉风外受,气闭声音不出,视舌边绛赤有黄胎,寒
已变为热。
越婢法加米仁、茯苓。
钱(二十岁) 左搏倍右,阴火沸腾,由欲念萌动不遂而来,胃旺可清阴火(胃旺者,胃
阴充旺也。)
生地 天冬 元参 知母 生甘草 麦冬 川贝母
朱(带城桥,二十三岁) 阳虚胃痛,用辛温见效。街衢往来秽气,内入伤阳,痛再作,
先驱秽浊(别开生面,此新秽触动夙病也。)
姚(二十三岁) 精血损伤骨痿,庸医都以辛苦药酒,病不能去,反传胃口,无治病快捷方式
,理胃为先。
徐(三十九岁) 劳形阳伤失血。
小建中汤去姜
王(四十五岁) 暑风能蒸热,不能解热,即是热伤气分。粗工以血药之滋,未读暑病诸
集。
绿豆皮 灯草心 鲜骨皮 竹叶心 经霜桑叶
王(五十八岁) 气恼而起,肝木犯胃,胃气逆翻呕食,其涎沫即津液蒸变。仿仲景胃虚
则客气上逆。
刘(四十岁) 疝瘕由客邪凝结经脉,用毒药锋锐,走而不守,气血通行乃解。
王 酒力湿热下注,蒸血为脓,疡溃半年,气血皆损。麻木不仁为虚,当以两补气血,
勿以温燥(老笔。)
除 诊右关前弦动,述右胁胛下似胀不舒,思少阳阳木必犯阴土,木郁土中,温开不应
。议解郁安中(立方清真。)
人参 茯苓 柴胡 白芍 神曲 生姜
李(部前,三十六岁) 自说本来无病,饮药酒反病,乱治遍尝寒凉温热,致胃口大伤。
近加丧子,目瞀胞垂,无治病方法。
潘某(二十八岁):先前患有咳嗽导致的肺病,近日因外感凉风,导致气机闭塞、声音嘶哑。观察其舌边呈绛红色且有黄苔,说明寒邪已转化为热邪。
采用越婢法(宣肺泄热方剂)加入薏苡仁、茯苓。
钱某(二十岁):左侧脉搏比右侧强劲一倍,阴火沸腾,这是由于情欲萌动而未得疏泄所致。胃气旺盛可以清降阴火(所谓胃旺,是指胃阴充足旺盛)。
处方:生地黄、天冬、玄参、知母、生甘草、麦冬、川贝母。
朱某(带城桥,二十三岁):阳虚胃痛,使用辛温药物曾见效。但因在街巷往来吸入秽浊之气,内侵损伤阳气,导致疼痛再次发作。先驱除秽浊之气(别开生面,这是新感的秽浊触动了宿疾)。
姚某(二十三岁):精血亏损导致骨痿,庸医都用辛苦性质的药酒治疗,病不能去除,反而传入胃口。没有治疗疾病的捷径,以调理胃气为优先。
徐某(三十九岁):劳损形体导致阳气受损并出现失血。
处方:小建中汤去掉干姜。
王某(四十五岁):暑风能蒸腾出热气,但不能解除热邪,这就是热邪损伤了气分。粗劣的医生用滋腻的血分药物治疗,未曾研读关于暑病的各类典籍。
处方:绿豆皮、灯心草心、鲜地骨皮、竹叶心、经霜桑叶。
王某(五十八岁):因气恼而起病,肝木侵犯胃土,导致胃气上逆翻涌呕吐食物,其吐出的涎沫即是津液被蒸变而成。仿效张仲景“胃虚则客气上逆”的理论进行治疗。
刘某(四十岁):疝瘕由外来邪气凝结经脉所致,使用毒药中锋利走窜的药物,使气血通行才能解除。
王某:酒力导致湿热下注,蒸灼血液化为脓液,溃疡半年,气血均已受损。麻木不仁属于虚证,应当同时补益气血,不要用温燥药物(老练笔法)。
陈某:诊察右关前脉象弦而动,自述右胁胛下感觉似胀但不舒适,推测少阳阳木必然侵犯阴土,木气郁结于土中,单纯温开不应症。建议解郁安中(立方清雅纯正)。
处方:人参、茯苓、柴胡、白芍、神曲、生姜。
李某(部前,三十六岁):自称本来无病,饮用药酒后反而生病,胡乱治疗遍尝寒凉温热药物,导致胃口大伤。近期又遭遇丧子之痛,眼睛昏花眼睑下垂,暂无治疗方法。
Patient Pan (28 years old): Previously suffered from lung disease caused by coughing. Recently, external exposure to cool wind led to qi obstruction and loss of voice. Observation of the tongue shows crimson edges with a yellow coating, indicating that cold has transformed into heat.
Adopt the Yuebi Decoction method (Yuebi Tang, a formula for releasing the exterior and clearing heat) with added Coicis Semen (Yi Yi Ren) and Poria (Fu Ling).
Patient Qian (20 years old): The pulse on the left is twice as strong as that on the right, with yin fire boiling. This stems from unfulfilled sexual desires. Stomach qi being robust can clear yin fire (Robust stomach refers to sufficient and vigorous stomach yin).
Prescription: Rehmanniae Radix Preparata (Sheng Di Huang), Asparagi Rhizoma (Tian Dong), Scrophulariae Radix (Yuan Shen), Anemarrhenae Rhizoma (Zhi Mu), Glycyrrhizae Radix et Rhizoma Recens (Sheng Gan Cao), Ophiopogonis Radix (Mai Dong), Fritillariae Thunbergii Bulbus (Chuan Bei Mu).
Patient Zhu (Dai Cheng Qiao, 23 years old): Stomach pain due to yang deficiency was effective with acrid-warm herbs. However, inhaling foul air while moving through streets entered internally and injured yang, causing pain to recur. First, expel the turbid foulness (A novel approach; this new foulness triggered the chronic disease).
Patient Yao (23 years old): Damage to essence and blood led to bone flaccidity. Quack doctors treated it with pungent-bitter medicinal wines, which failed to cure the disease and instead affected the stomach region. There is no shortcut to curing diseases; regulating the stomach qi is prioritized.
Patient Xu (39 years old): Physical exertion injured yang, leading to hemorrhage.
Prescription: Xiaojianzhong Decoction (Xiao Jian Zhong Tang) without Ginger (Gan Jiang).
Patient Wang (45 years old): Summer-heat wind steams heat but cannot resolve it, indicating heat damaging the qi level. Incompetent physicians used nourishing blood medications, having not studied collections on summer-heat diseases.
Prescription: Mung Bean Skin (Lv Dou Pi), Junci Medulla (Deng Cao Xin), Phellodendri Cortex Recens (Xian Gu Pi), Bamboo Leaf Heart (Zhu Ye Xin), Mulberry Leaf after Frost (Jing Shuang Sang Ye).
Patient Wang (58 years old): Onset due to anger; liver wood invades stomach earth, causing stomach qi to rebel and vomit food. The saliva/phlegm expelled is transformed body fluid steamed by heat. Following Zhang Zhongjing’s principle: "When the stomach is deficient, guest qi rebels upward."
Patient Liu (40 years old): Hernia masses (Shan Jia) are caused by pathogenic factors condensing in the meridians. Use sharp, penetrating toxic drugs that move without staying, allowing qi and blood to circulate freely to resolve the condition.
Patient Wang: Alcohol-induced damp-heat flows downward, steaming blood into pus. Ulceration has persisted for half a year, damaging both qi and blood. Numbness and insensitivity indicate deficiency; therefore, tonify both qi and blood simultaneously. Do not use warm-drying methods (Masterful technique).
Patient Chen: Palpation of the anterior part of the right Guan position reveals a wiry and moving pulse. The patient reports a sensation of distension and discomfort under the right hypochondrium and scapula. It is hypothesized that Shaoyang Yang Wood must invade Yin Earth. With wood stagnating in earth, simple warming and opening is ineffective. Proposal: Resolve stagnation and calm the middle jiao (Formula is pure and authentic).
Prescription: Ginseng Radix et Rhizoma (Ren Shen), Poria (Fu Ling), Bupleuri Radix (Chai Hu), Paeoniae Radix Alba (Bai Shao), Massae Fermentatae Medicinalis (Shen Qu), Zingiberis Rhizoma Recens (Sheng Jiang).
Patient Li (Bu Qian, 36 years old): Claims to have been healthy before, but fell ill after drinking medicinal wine. Random treatments with various cold, cool, warm, and hot substances severely damaged the stomach qi. Recently suffered the loss of a son, resulting in blurred vision and drooping eyelids. No specific treatment method available at present.