杨(关上,四十五岁) 疟痢乃长夏湿热二气之邪,医不分气血,反伤胃中之阳,呃逆六
七昼
夜不已,味变焦苦,议和肝胃(大凡疟痢并作,只要宣发疟邪,松透肌表,俾得津津汗泄,
则湿热外出而痢自止。)
人参 炒黑川椒 茯苓 乌梅肉 生淡 干姜 生白芍
顾(四十六岁) 据云负重闪气,继而与人争哄,劳力气泄为虚,呕气怫意为实,声出于
上,金空乃鸣。凡房劳动精,亦令阴火上灼,议左归法(孰虚孰实,了了分明。)
周(十三岁) 凡交夏肉瘦形倦,气短欲寐,俗谓注夏病,是后天脾胃不旺,时令热则气
泄也(以资生丸为蓝本,是谓平调和畅。)
人参 茯苓 藿香 南查 白术 神曲 川连 麦冬 砂仁 广皮 桔梗 米仁(是丸
方)
高(五十一岁) 足心涌泉穴内,合少阴肾脏,中年已后,下元精血先虚,虚风内起,先
麻木
而骨软筋纵,乃痿之象。必以血肉温养(内景如烛照,虚风内起,不遗一隅,精细绝伦。)
生精羊肉 肉苁蓉 青盐 牛膝 归身 大茴 制首乌 茯苓
盛(木渎,五十四岁) 暑必兼湿,湿郁生热,头胀目黄,舌腐不饥,能食。暑湿热皆是
一股邪气,迷漫充塞三焦,状如云务,当以芳香逐秽,其次莫如利小便(圣于此矣。)
杏仁 浓朴 蔻仁 滑石 苓皮 橘白 绵茵陈 寒水石 佩兰叶
张(四十一岁) 此膏淋也。是精腐离位壅隧,精溺异路,出于同门,日久精血化瘀,新
者亦留腐败。考古法用虎杖散(虎杖、草名、生田野中,即土牛膝也,俗名臭花娘。)
尹(三十六岁) 此痿症也。诊脉小濡无力,属阳气不足,湿着筋骨。凡筋弛为热,筋纵
为寒
。大便久溏,为湿生五泄之征。汗易出是卫外之阳不固,久恙不可峻攻。仿东垣肥人之病
,
虑虚其阳,固护卫阳,仍有攻邪,仍有宣通之用。世俗每指左瘫右痪,谓男子左属血,右属
气者,非此(肥人气走于表,中外之阳不固,最易汗泄。阳虚固其阳,以宣通攻邪,而宣通
攻邪即在固阳药中,是为并行一贯,非两事也。)
生于术 川乌头 蜜炙黄 防风 生桂枝 熟附子
李(二十八岁) 暑湿气痹,咳逆微呕,有发疟之象。
杏仁 白蔻仁 浓朴 丝瓜叶 连翘 象贝 射干
郁(葑门横街) 易饥能食,阳亢为消,此溲溺忽然如淋,乃阴不足也(溺道有病,即用
溺道所出之物治之。)
天冬 麦冬 生地 熟地 知母 黄柏 人中白
阿胶为丸。
金(麒麟巷,五十九岁) 平日操持,或情怀怫郁内伤,病皆脏真偏以致病。庸医但以热
攻苦
辛杂沓,津枯胃惫,清气不司转旋,知饥不安谷(驳劣庞杂之药不能去病,能造病,以致
津枯胃惫,清窒塞转成痼疾矣。)
杨(关脉部位,四十五岁)疟疾和痢疾是长夏季节湿热二气邪气所致。医生不分辨气血虚实,反而损伤了胃中的阳气,导致呃逆持续六七昼夜不停,味觉变得焦苦。建议调和肝胃(大凡疟疾与痢疾同时发作,只要宣发疟邪,松透肌表,使得微微出汗,那么湿热之邪外出,痢疾自然停止)。
人参、炒黑川椒、茯苓、乌梅肉、生淡干姜、生白芍。
顾(四十六岁)据说是因为负重闪挫导致气机紊乱,继而与人争吵斗殴,劳力耗气导致虚证,呕逆郁怒导致实证。声音出于上部,如同中空之物发声。凡是房劳耗损肾精,也会导致阴火上炎灼烧。建议采用左归法(孰虚孰实,清清楚楚分明)。
周(十三岁)每逢夏季身体消瘦、形体疲倦,气短想睡觉,俗称“注夏病”,这是后天脾胃功能不强盛,时令炎热导致气机外泄(以资生丸为蓝本,称为平调和畅)。
人参、茯苓、藿香、南楂、白术、神曲、川连、麦冬、砂仁、广皮、桔梗、米仁(这是丸方的组成)。
高(五十一岁)足心涌泉穴内部,与少阴肾脏相合。中年以后,下元精血先虚,虚风内起,先是麻木然后骨软筋纵,这是痿证的征象。必须用血肉有情之品温养(洞察内景如烛照般清晰,对虚风内起的细微之处无一遗漏,精细绝伦)。
生精羊肉、肉苁蓉、青盐、牛膝、当归身、大茴、制首乌、茯苓。
盛(木渎人,五十四岁)暑邪必然兼夹湿邪,湿气郁结产生热邪,头胀目黄,舌苔腐腻不知饥饿但能进食。暑、湿、热都是一股邪气,迷漫充塞三焦,状如云雾,应当用芳香药物驱逐秽浊,其次没有比通利小便更好的方法(对此理解已达圣境)。
杏仁、浓朴、蔻仁、滑石、苓皮、橘白、绵茵陈、寒水石、佩兰叶。
张(四十一岁)这是膏淋。这是精液腐败偏离正常位置壅塞尿道,精液与尿液路径不同却出自同一门户,日久精血化瘀,新的精血也停留腐败。考证古法使用虎杖散(虎杖是草名,生长在田野中,即土牛膝,俗名臭花娘)。
尹(三十六岁)这是痿症。诊脉小濡无力,属于阳气不足,湿气留着筋骨。凡是筋弛缓是因为热,筋纵弛是因为寒。大便长期溏薄,是湿气导致五泄的征兆。容易出汗是卫外阳气不固,久病不可峻猛攻伐。仿效李东垣治疗肥人的病症,顾虑其阳气虚弱,固护卫阳,同时仍有攻邪、宣通的作用。世俗常常指出左瘫右痪,说男子左边属血右边属气,并非如此(肥人气行于体表,内外阳气不固,最容易汗出泄气。阳虚则固护阳气,通过宣通来攻邪,而宣通攻邪就在固阳药之中,这是并行一贯,不是两回事)。
生于术、川乌头、蜜炙黄芪、防风、生桂枝、熟附子。
李(二十八岁)暑湿气痹,咳嗽气逆轻微呕吐,有发作疟疾的迹象。
杏仁、白蔻仁、浓朴、丝瓜叶、连翘、象贝、射干。
郁(葑门横街人)容易饥饿且能进食,阳气亢盛导致消渴,这里小便忽然像淋证一样,是阴液不足(溺道有病,就用溺道所出之物来治疗)。
天冬、麦冬、生地、熟地、知母、黄柏、人中白。
阿胶制成丸剂。
金(麒麟巷人,五十九岁)平日操持劳累,或情怀抑郁内伤,疾病都是脏腑真气偏颇导致的致病。庸医只用热性攻伐的苦辛药物杂乱堆砌,导致津液枯竭、胃气疲惫,清气不能主持转旋,知道饥饿但不能消化食物(驳杂劣质的药物不能去病,反而能造病,导致津枯胃惫,清窍窒塞转成痼疾)。
Yang (Guan position, 45 years old) Malaria and dysentery are pathogens of damp-heat from the long summer season. The physician failed to differentiate between Qi and Blood, instead damaging the Yang Qi in the Stomach, resulting in hiccups that have persisted for six or seven days and nights without cessation, with a burnt-bitter taste in the mouth. It is proposed to harmonize the Liver and Stomach (Generally, when malaria and dysentery occur simultaneously, one should only ventilate and release the malaria pathogen, loosen and penetrate the muscle layer, allowing for a slight sweating, so that the damp-heat exits outward and the dysentery stops naturally.)
Ren Shen (Ginseng Radix), Chao Hei Chuan Jiao (Blackened Sichuan Pepper), Fu Ling (Poria), Wu Mei Rou (Mume Fruit Flesh), Sheng Dan Gan Jiang (Raw Dried Ginger), Sheng Bai Shao (Raw White Peony Root).
Gu (46 years old) It is reported that heavy lifting caused a sudden strain on the Qi, followed by an argument and quarrel. Labor and exertion deplete Qi leading to deficiency, while vomiting and stifled anger lead to excess. Sound originates from above, like an empty vessel resonating. Any sexual exhaustion consuming essence also causes Yin fire to flare up and scorch. It is proposed to adopt the Zuo Gui method (Whether deficiency or excess is clear and distinct.)
Zhou (13 years old) Whenever summer arrives, the flesh becomes thin and the form weary, with shortness of breath and drowsiness, commonly known as "Summer Sickness" (Zhu Xia Bing). This indicates weak postnatal Spleen and Stomach; seasonal heat causes Qi to leak out (Based on Zi Sheng Wan as a blueprint, this is called peaceful harmonization and smooth flow.)
Ren Shen (Ginseng Radix), Fu Ling (Poria), Huo Xiang (Patchouli Herb), Nan Zha (Southern Hawthorn), Bai Zhu (Atractylodes Macrocephala Rhizome), Shen Qu (Medicated Leaven), Chuan Lian (Coptis Rhizome), Mai Dong (Ophiopogon Tuber), Sha Ren (Amomum Fruit), Guang Pi (Tangerine Peel), Jie Geng (Platycodon Root), Mi Yi (Coix Seed) (This is the composition of the pill formula).
Gao (51 years old) Inside the Yongquan point on the sole of the foot connects with the Shaoyin Kidney system. After middle age, the lower Yuan essence and blood become deficient first, causing internal stirring of deficiency wind. It starts with numbness, then soft bones and relaxed sinews, which are signs of Wei syndrome (Flaccidity). One must use meat-based substances to nourish warmly (Insight into the inner landscape is as clear as candlelight; not a single corner of internally stirring deficiency wind is overlooked, exquisitely refined.)
Sheng Jing Yang Rou (Fresh Essence Lamb Meat), Rou Cong Rong (Cistanche Stem), Qing Yan (Green Salt), Niu Xi (Achyranthes Root), Gui Shen (Angelica Sinensis Root Body), Da Hui (Star Anise), Zhi Shou Wu (Prepared Fleeceflower Root), Fu Ling (Poria).
Sheng (From Mudu, 54 years old) Summer heat must be accompanied by dampness; dampness stagnates to generate heat. Head distension, yellow eyes, foul tongue coating, lack of appetite but ability to eat. Summer heat, dampness, and heat are all one type of pathogenic factor, pervading and obstructing the San Jiao, resembling clouds and mist. One should use aromatic herbs to drive away turbidity; next best is promoting urination (Understanding here reaches sage-like perfection.)
Xing Ren (Apricot Seed), Nong Po (Magnolia Bark), Kou Ren (Cardamom Seed), Hua Shi (Talcum), Ling Pi (Polyporus Skin), Ju Bai (Tangerine White Pith), Mian Yin Chen (Artemisia Capillaris Herb), Han Shui Shi (Calcitum), Pei Lan Ye (Eupatorium Leaf).
Zhang (41 years old) This is Gao Lin (Paste Strangury). Essence has rotted and deviated from its proper position, obstructing the urinary channel. Essence and urine follow different paths but exit through the same gate. Over time, essence and blood transform into stasis, and new essence also remains and rots. Consulting ancient methods, Hu Zhang San is used (Hu Zhang is a herb name, growing in fields, which is Tu Niu Xi, commonly called Chou Hua Niang.)
Yin (36 years old) This is Wei syndrome (Flaccidity). The pulse is small, soggy, and powerless, belonging to insufficient Yang Qi and dampness adhering to sinews and bones. Generally, relaxed sinews indicate heat, while flaccid sinews indicate cold. Long-term loose stools are a sign of dampness causing the five types of diarrhea. Easy sweating indicates unconsolidated defensive Yang. Chronic illness cannot be treated with harsh attacking methods. Imitating Li Dongyuan's treatment of obese patients, worrying about their Yang deficiency, consolidating and protecting defensive Yang, while still having the function of attacking pathogens and promoting circulation. Secular people often point to left hemiplegia and right paralysis, claiming men's left belongs to Blood and right to Qi, which is incorrect (Obese people have Qi moving on the exterior; interior and exterior Yang are unconsolidated, making them prone to sweating. If Yang is deficient, consolidate Yang; promote circulation to attack pathogens, where promoting circulation and attacking pathogens lies within the Yang-consolidating herbs. This is parallel consistency, not two separate matters.)
Sheng Yu Zhu (Raw Atractylodes Rhizome), Chuan Wu Tou (Sichuan Aconite Root), Mi Zhi Huang (Honey-fried Astragalus Root), Fang Feng (Saposhnikovia Root), Sheng Gui Zhi (Raw Cinnamon Twig), Shu Fu Zi (Prepared Aconite Lateral Root).
Li (28 years old) Summer heat-dampness Bi obstruction, coughing and counterflow Qi with slight vomiting, showing signs of impending malaria.
Xing Ren (Apricot Seed), Bai Kou Ren (White Cardamom Seed), Nong Po (Magnolia Bark), Si Gua Ye (Luffa Leaf), Lian Qiao (Forsythia Fruit), Xiang Bei (Fritillaria Thunbergii Bulb), She Gan (Belamcanda Rhizome).
Yu (From Fengmen Hengjie) Prone to hunger and able to eat, Yang hyperactivity leads to Xiao (Wasting-thirst). Here, urination suddenly resembles strangury, indicating Yin insufficiency (When the urinary pathway is diseased, use substances originating from the urinary pathway to treat it.)
Tian Dong (Asparagus Tuber), Mai Dong (Ophiopogon Tuber), Sheng Di (Rehmannia Root), Shu Di (Prepared Rehmannia Root), Zhi Mu (Anemarrhena Rhizome), Huang Bo (Phellodendron Bark), Ren Zhong Bai (Human Urine Sediment).
Made into pills with E Jiao (Donkey-hide Glue).
Jin (From Qilin Lane, 59 years old) Daily labor or emotional depression causing internal injury, diseases arise from deviation of Zhen Qi (True Qi) of the Zang organs. Quack physicians merely use hot, attacking, bitter, and acrid drugs mixed杂乱ly, causing fluid depletion and stomach fatigue. Clear Qi fails to govern rotation. Knowing hunger but unable to digest food (Inferior and miscellaneous drugs cannot remove disease; they create disease, leading to fluid depletion and stomach fatigue, clear orifices obstruction turning into stubborn disease.)