典藏书目

Case of Ye Tianshi: Since the patient gave birth in May, approaching the White Dew solar term, she has been experiencing diarrhea five to six times daily. Prior to each episode of diarrhea, she first experiences pain, aversion to cold, and shivering. Qi rebels upward into the epigastrium, causing nausea. The pulse is soft (Ru) on the right side, and when pressed deeply to the Chi position, there is a sensation of sinking. This is caused by cold-dampness mixed with yin turbidity, obstructing the smooth flow of yang qi (Based on the pulse and symptoms, deficiency-cold is evident). The treatment principle should be to use acrid-warm herbs to disperse and unblock yang obstruction.

Chao Hei Chuan Jiao (Blackened Sichuan Pepper), Wei Guang Mu Xiang (Baked Aucklandia Root), Tian Tai Wu Yao (Tiantai Lindera Fruit), Chuan Lian Zi (Sichuan Chinaberry Seed), Sheng Yi Zhi Ren (Raw Alpinia Oxyphylla Fruit), Sheng Xiang Fu (Raw Cyperus Rhizome).

These herbs have strong aromas but light textures, specifically functioning to warm and unblock. More ingeniously, the single herb Chuan Lian Zi embodies the characteristic of "yang containing yin."

Patient Shen (Tongjing Bridge, 45 years old): Vaginal bleeding (Jing Lou) has persisted for three years, dripping continuously, accompanied by yellowish-white leukorrhea. Observing her complexion and pulse indicates that the body cannot tolerate warming tonification; decoctions or powders for securing the lower jiao and stopping discharge lack the strength to directly reach the Chong and Ren meridians. In the ancient *Ju Fang* (Standard Formulas), there is a formula called Zhen Ling Dan (Shaking Spirit Pill). Taking sixty pills every morning is a method to secure the extraordinary vessels, which can alleviate the condition. To seek a complete cure, however, a large dose of Ren Shen (Ginseng Root) is indispensable.

Patient Bao (18 years old): Menstruation has ceased for three months, accompanied by coughing and hemoptysis. At night, the body feels steaming hot. The pulse on the left side is rapid and intermittent (Cu). This indicates yang qi is agitated and steaming, causing rebellion into the collaterals, preventing blood from gathering in the Chong vessel. By late autumn, menstruation still does not return, inevitably leading to alternating chills and fever and emaciation, a condition known as Gan Xue Lao (Dry Blood Consumption) (The veteran physician's judgment is accurate).

Sheng Bie Jia (Raw Turtle Shell), Quan Dang Gui (Whole Angelica Sinensis Root), Sheng Bai Shao (Raw White Peony Root), Fen Dan Pi (Powdered Moutan Cortex), Yuan Sheng Di (Raw Rehmannia Root), Chong Wei Zi (Leonurus Fructus), Nan Zha Rou (South Medlar Flesh), Sheng Mai Ya (Raw Sprouted Barley).

Patient Yang (30 years old): After childbirth, she breastfed naturally. For three years, her flesh has wasted away. Night fever and coughing constitute Ru Lao (Postpartum Consumption). These are all due to injury to true yin during childbirth. Yin deficiency generates internal heat. Without blood in the collaterals, qi enters the collaterals and transforms into tangible masses, forming a Jia (mass) due to qi accumulation. If physicians attack the Jia mass, it is erroneous; treating only the cough is also incorrect. Because the damage below lies in the Liver and Kidney, and the extraordinary vessels are deficient, using cold-cooling lung herbs to expect cessation of cough will fail; if stomach injury leads to menstrual obstruction, the prognosis is ominous.

Patient Feng (14 years old): An unmarried maiden’s menstruation just started. She must have felt heat, then caught cold due to heat, injuring the Chong and Ren meridians, resulting in persistent metrorrhagia. The blood color is coagulated and purplish, and abdominal pain persists. This was caused by improper regulation during previous menstrual cycles. When harmonizing the blood vessels, one must assist with yang within yin, avoiding cloying stagnation. Asking about the pain, relief upon pressure indicates a deficiency pattern.

Dang Gui Shen (Angelica Sinensis Root Head), Chao Xiao Hui Xiang (Stir-fried Fennel Fruit), Gan Gou Qi (Goji Berry), Zhen Sha Yuan (Aster Semen), Ren Shen (Ginseng Root), Lu Jiao Shuang (Deer Antler Frost), Jiao Gui Xin (Cinnamon Twig Heart), Zi Shi Ying (Purple Quartz).

Inquiring about relief upon pressure, the medication is warming yet non-cloying, demonstrating meticulous precision.

Patient Chen (29 years old): Two years postpartum, menstruation has not resumed. She vomits saliva/phlegm, lacks appetite, and craves sour flavors. Liver yin has been deficient for a long time, with damage located in the lower jiao. Yang qi rebels upward, causing dizziness and pain at the vertex (Only dizziness accompanied by pain reveals the subtle mechanism of yang rebellion). It is proposed to use sour and sweet methods to transform yin and harmonize yang.

Yuan Sheng Di (Raw Rehmannia Root), Bai Shao (White Peony Root), Wu Mei Rou (Mume Fruit Flesh), Da Ma Ren (Hemp Seed), Zhi Gan Cao (Honey-fried Licorice Root), Chao Jiao Gou Qi (Stir-fried Goji Berry), Piao Dan Tian Dong (Washed and Lightly Dried Asparagus Root).

Generally, clear yang governs ascending, while turbid yang governs descending/submerging. The so-called "rebellion" refers to turbid yang of the lower jiao.

Patient Cai (44 years old): Last year, postpartum injury led to depletion. All observed symptoms stem from Liver and Kidney yin deficiency. Dry-hot herbs are contraindicated. Regarding metrorrhagia, deficiency heat, joint swelling, and alternating chills and fever, there is no need to elaborate further.

Qing E Jiao (Clear Donkey-hide Gelatin), Yun Fu Shen (Cloud Poria Sclerotium), Xi Sheng Di (Fine Raw Rehmannia Root), Sheng Bai Shao (Raw White Peony Root), Cu Gui Zhi Mu (Coarse Cinnamon Twig Wood), Zhi Gan Cao (Honey-fried Licorice Root).

Patient Fang (Front of Wu Jing Temple, 26 years old): A dead fetus remained for ten days before being expelled. There must be putrefied turbid qi lingering in the Chong and Ren meridians. Until now, she suffers from yellowish-white leukorrhea. The patient reports icy coldness below the waist and chronic loose stools. Strong medicines are difficult to use immediately postpartum; therefore, the method of Zhu Nanyang is employed.